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medical malpractice dentures?
I needed all teeth extraction and full dentures. I got half my teeth extracted from another dentist then the other that were left (10 in the front) were extracted by my main dentist. However, he extracted ALL 10 at once. Is this allowed? My body temperature increased and I got a headache. He put the immediate dentures in right away.
Not only that but he never told me that my insurance can only pay for the top dentures so he told them that he only extracted my top teeth and that he only made an upper denture. I found out that when the next annual cycle comes in (when I get another 1000 to use for dental work) he will use all of that up by telling them he did the lower denture and lower tooth extraction. If I tell my insurance what he is doing he is just going to send me the bill because everyone signs a form before all of these procedures are done.
Not only THIS but the dentures are horrible and do not fit and he does NOT want to make any adjustments because the insurance does not pay well. I look ape-like with the dentures in my mouth and can only wear the upper denture. I haven't eaten properly in 12 months and have lost a total of 35 lbs.
I can't go to a new dentist because he took all the money from the insurance plus whatever is coming is within the next annual cycle. If I get my own dentures I would have to pay out of my pocket.
What are my options?
2 Answers
- grandpa walleyeLv 71 decade agoFavorite Answer
It is normal to extract 10 or more teeth and place the denture right away. This is called an immediate denture and is done so that patients don't have to go without teeth for months while the gums heal up. The main problem in doing this is that the gums will shrink as they heal and in 6 - 12 months , a permanent reline is needed to re adapt them to the gums, or in extreme situations, a new denture has to be made. Often temporary relines are done during this healing period.
As to how he handled the billing to the insurance company, he was trying to get the maximum payments for you from the insurance company. However if he did both dentures at once and billed each one out in different calendar years, he may be guilty of insurance fraud. You may tell him that he must make them right as you cannot afford to go to another dentist and pay full costs out of your pocket. He should correct any problems at his expense in spite of losing some money. You have this billing irregularity to use as leverage as you can tell him that you really don't want to inform the insurance company if you don't have to. Good luck.
Source(s): A dentist - TavyLv 71 decade ago
Sorry to hear that. I'm a former Dental Nurse in the UK and it is common to have so many teeth out at once. The dentures are put in straight away as that reduces swelling of the gums. Here we would have the denture relined after 6 months as your gums will have returned to a normal size. Relining is not very expensive, do you have Dental Technicians where you are as they can do the job just as well as a Dentists Technician attached to their practice.
