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Dental issue advice needed.

Posted on 8/6/18 at 5:03 pm
Posted by mandevilletiger34
Member since Dec 2010
863 posts
Posted on 8/6/18 at 5:03 pm
Implant screw was installed by dentist and it was faulty and multiple crowns would not take due to faulty screw.

Now, oral surgeon has recommended old screw to be replaced with a new screw.

Dentist is offering to reimburse $400 cost of new screw and waive cost of new crown($2000)on new screw.

So we are now being told we have to come out of pocket $2000 to have this procedure done...we originally paid $3800 to do the first one.

Is there any recourse against the screw company to try and reduce the $2000????
Posted by Sun God
Member since Jul 2009
52846 posts
Posted on 8/6/18 at 5:04 pm to
Sounds like you got...

Never mind, too easy
Posted by DirtyDawg
President of the East Cobb Snobs
Member since Aug 2013
15551 posts
Posted on 8/6/18 at 5:04 pm to
Sounds like you're screwed either way
Posted by Open Dore Policy
The Commodore State
Member since Oct 2012
5451 posts
Posted on 8/6/18 at 5:06 pm to
You should've bolted.
Posted by Clames
Member since Oct 2010
19957 posts
Posted on 8/6/18 at 5:41 pm to
What kind of dentist did the original implant? The screws don't fail very often but faulty placement techniques are very common and most dentists don't have the extra training required to do it right. My fiancée is in her last year of Prosthodontist residency and she sees lots of cases of failed implants due to improper placement. It would be very difficult to prove the implant hardware failed due to design or manufacturing defect, your dentist just saying it did would get blown off by the company. Not much recourse, lots of people have spent thousands, tens of thousands, only to be told the work was done badly and the only fix is to spend even more.
This post was edited on 8/6/18 at 5:52 pm
Posted by TigrrrDad
Member since Oct 2016
8192 posts
Posted on 8/6/18 at 5:59 pm to
If I paid a dentist (and I am one) for an implant and a crown, I wouldn’t be happy until I received a properly functional implant and crown for the original price I was quoted and paid. You shouldn’t have to pay a dime more. Threaten to sue until you get a full refund to go elsewhere or until he completes the job to satisfaction.

Some dentists take a weekend course and suddenly think they are implant specialists. Not saying that’s what happened here, but it happens.. If there is a field of dentistry that has a specialty, there’s a reason for that. I may have been on the conservative side, but I only did the routine root canals, perio treatment, implant restorations, etc. I relied heavily on specialists because that is often what is best for the patient. And I was always very much against general dentists placing implants. Implant placement is for oral surgeons or periodontists. Implant restoration is for dentists. Complex implant restoration is for prosthodontists. Every damn general dentist wants to be rich instead of just living well, and that’s the main reason for most of the crappy dentistry out there. And there’s lots of it. A good dentist will jump through hoops to keep his patients happy, and would never try to milk a few extra bucks out of a case that is failing or that the patient is unhappy with. Rant over.

ETA: Your terminology is a bit confusing. When you say “screw”, are you talking about the implant itself (i.e., the part put into the bone)? Because there are screw type implants, but there are also screws that hold an abutment onto the implant that a crown can be cemented onto, and there are also screws that can hold a crown onto an abutment.
This post was edited on 8/6/18 at 6:20 pm
Posted by Isabelle81
NEW ORLEANS, LA
Member since Sep 2015
2718 posts
Posted on 8/6/18 at 6:02 pm to
I think the removal and replacement of the defective screw should be at no cost to you. That’s a problem between the dentist and the manufacturer. The only costs I would think you would owe would be whatever cost you had remaining before learning the screw was bad. You might want to give the dental board a call, that might help resolve this problem. I bet they side with you.

Adding: as much money I have spent in dental work in the past (10’s of $1000’s of dollars), I would be supremely pissed off.
This post was edited on 8/6/18 at 6:04 pm
Posted by xGeauxLSUx
United States of Atrophy
Member since Oct 2008
22958 posts
Posted on 8/6/18 at 6:35 pm to
My wife is a dentist and this is what she said:



There are 3 parts to an "implant".

First, there is the implant itself that acts like the root of the tooth and fuses to the bone that the surgeon usually places.

Second, there is an abutment that is usually screwed into the implant (which is the part I think you are referring to).

Third, is the crown that is cemented onto the abutment.

If however, you are referring to the implant it could be that it did not take into your bone. There is no recourse and it sounds like you have a nice dentist who is at least willing to help.

Questions:


-How long have you had the implant?


-Do you happen to know what brand it is?


Posted by HeadBusta4LSU
Baton Rouge
Member since Aug 2007
11366 posts
Posted on 8/6/18 at 6:39 pm to
Threaten to publicly shame him on the internet and social media. He will cave
Posted by mandevilletiger34
Member since Dec 2010
863 posts
Posted on 8/6/18 at 8:49 pm to
quote:

Your terminology is a bit confusing. When you say “screw”, are you talking about the implant itself


When I said "screw" I did mean the implant into the bone. It was a titanium screw that was set in the bone. It was never right in the fit and the dentist tried to make it better multiple times...then one day the crown came out and the post was broken around the top threads so nothing could be put back on.
Posted by mandevilletiger34
Member since Dec 2010
863 posts
Posted on 8/6/18 at 8:51 pm to
quote:

If however, you are referring to the implant it could be that it did not take into your bone. There is no recourse and it sounds like you have a nice dentist who is at least willing to help.

Questions:


-How long have you had the implant?

3 years approx


-Do you happen to know what brand it is?



No Idea!
Posted by dkreller
Laffy
Member since Jan 2009
34298 posts
Posted on 8/6/18 at 9:03 pm to
I’m confused. The implant is faulty or the post that the crown is installed on is faulty?
Posted by Clames
Member since Oct 2010
19957 posts
Posted on 8/6/18 at 9:04 pm to
quote:

It was never right in the fit and the dentist tried to make it better multiple times...then one day the crown came out and the post was broken around the top threads so nothing could be put back on.



That's a failure on the dentist's part more than likely. Osseointegration is a touchy matter and lots of things can go wrong; anything from the wrong type of implant chosen, incorrect techniques during the procedure, patient aftercare, etc. If the occlusion was off then too much stress can be transmitted to the implant in the wrong way and cause fatigue failure eventually (sometimes almost immediately). Most dentists don't have the training and experince to do implants properly, you need to find a Prosthodontist and, better still, one that works with a good Periodontist.
Posted by dkreller
Laffy
Member since Jan 2009
34298 posts
Posted on 8/6/18 at 9:13 pm to
Ok after reading a bit more I’m understanding.

Your superdentist fricked up.

Cut your losses and go to an oral surgeon or prosthodontics.

As TigrrrDad basically said, unless it’s a crown, filling, or basic extraction (not wisdom teeth) go to a specialist for any advanced dental work regardless of how confident the dentist makes himself to be.
This post was edited on 8/6/18 at 9:14 pm
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