Dentists in your Area:
Tustin, 92780
Distance: 23.4 Miles
Brea, 92821
Distance: 25.8 Miles
Pasadena, 91107
Distance: 27.4 Miles
Newport Beach, 92660
Distance: 33.2 Miles
Northridge, 91325
Distance: 33.6 Miles
dental-videos
DENTAL FORUM
0 Persons like this

Gum graft for implant

User Level:
Patient
Posted by: vikings12  (4 months ago)
My wife had a gum graft for one of her front top two teeth. She said it was a pedical graft.

She was in surgery for 5 hours and had around 20 stitches. She went in today, 10 days after the surgery and the graft did not take. It was all white dead skin and they scraped it out.

They told her she would have to have another one. They said the doctor(who was not there) made a mistake by placing too much gum on the front tooth area. They also said he took way too much gum for the graft as well.

They have apologized and said they will not charge for the next graft. That did little help to comfort the 10 days of pain she was in and the fact that she had a surgery for no reason.

Is this normal? We had one doctor saying the other doctor messed up big time. The area looks worse than it did before. In fact she has less gum now than before the surgery. 20 stitches seems like alot.

I have tried everywhere online to find someone who had 20 stitches during a gum graft for one tooth to no avail.

She has had multiple visits over the last 6 months and they have been ok..but they messed up big time here.

I want to switch dentists but its alot of money.

I talk to them on monday and am looking for any advice, what questions should i ask? Is 20 stitches normal? Do i have a right to be upset?

I almost want them to pay her for the pain and suffering she endured. But i realize there is risk with any surgery.

Any advice would be appreciated.

Thanks
User Level:
Dentist
My wife had a gum graft for one of her front top two teeth. She said it was a pedical graft.

She was in surgery for 5 hours and had around 20 stitches. She went in today, 10 days after the surgery and the graft did not take. It was all white dead skin and they scraped it out.

They told her she would have to have another one. They said the doctor(who was not there) made a mistake by placing too much gum on the front tooth area. They also said he took way too much gum for the graft as well.

They have apologized and said they will not charge for the next graft. That did little help to comfort the 10 days of pain she was in and the fact that she had a surgery for no reason.

Is this normal? We had one doctor saying the other doctor messed up big time. The area looks worse than it did before. In fact she has less gum now than before the surgery. 20 stitches seems like alot.

I have tried everywhere online to find someone who had 20 stitches during a gum graft for one tooth to no avail.

She has had multiple visits over the last 6 months and they have been ok..but they messed up big time here.

I want to switch dentists but its alot of money.

I talk to them on monday and am looking for any advice, what questions should i ask? Is 20 stitches normal? Do i have a right to be upset?

I almost want them to pay her for the pain and suffering she endured. But i realize there is risk with any surgery.

Any advice would be appreciated.

Thanks


Do patients have a "right" to perfect healing, and do they deserve money if their bodies reject a graft? I will leave that silly question for you to ponder. If a patient is on the operating table for a cancer removal, and the cancer later comes back, should the patient be entitled to a full refund, and compensation for the recuperation time? If not, why is dentistry treated differently from its big brother medicine?

Why, indeed, are dentists blamed when bodies do not heal properly after good care, and physicians are not?

20 sutures is reasonable for a large graft. Better too many sutures than too few. The thing unusual to me is not the number of sutures, but the surgery taking 5 hours.

Grafts don't fail often, but they fail. It's a shame that they do.
Posted 4 months ago
User Level:
Patient
Posted by: vikings12  (4 months ago)
Thanks for the response

I mentioned in my OP that i realize there was risk with any surgeries. It was frustrating to have doctors contradict each other.

i just found out that they scraped too much gum in the intial surgery that they bothered the screw and had to take it out and put it back in.

If you say 20 stitches is not completely out of line than that makes me feel better. I just feel that they made mistakes during surgery and then tried to correct them during it. Thats why it took 5 hours. That would be ok if they told us straight away there were a few problems. But, we are just finding out about these problems 10 days later.

Thanks for the response again.
User Level:
Patient
Posted by: dphob1  (4 months ago)
Even sillier question

"If not, why is dentistry treated differently from its big brother medicine?"

Maybe because dentistry operates for the most part, like a cash business and so it is a commercialized, fee for service industry that drives patients to respond like consumers. No money .... no treatment. Screw it up...I want my money back or make it right.
User Level:
Dentist
Dental surgery is elective. You won't die if you don't get a graft / implant / whatever. So it's more like a cosmetic procedure, as opposed to most medical procedures. dphob1 is correct. This drives patients to think like consumers.

The REAL issue here is one of informed consent. The surgeon who carried out the original graft had an ethical and legal responsibility to explain all the treatment options, including doing nothing; to explain the risks of the surgery, including failure; and to explain the benefits of the surgery.
If he did not explain these 3 things, and get your wife to sign a consent form stating that she understood the risks, benefits and the alternatives, then he may have been negligent. If this is the case, you should consult a dental malpractice attorney for further advice.
Richard from www.dental-health-advice.com
Posted 4 months ago
User Level:
Dentist
Even sillier question

"If not, why is dentistry treated differently from its big brother medicine?"

Maybe because dentistry operates for the most part, like a cash business and so it is a commercialized, fee for service industry that drives patients to respond like consumers. No money .... no treatment. Screw it up...I want my money back or make it right.


I fail to see your distinction between medicine and dentistry. Medical patients do not respond like consumers? Why on earth are there so many ads for hospitals and medical clinics, then? You have got to be deluding yourself.

Both professions have procedures that are totally elective and paid for out-of pocket. Both depend on immune responses from the body for healing. Bodies sometimes heal abnormally or not at all.

People can die on the operating table despite the best care. Grafts can fail in dentistry. Why, in either of the instances, do patients deserve money?

I do root canals all the time. Most patients heal uneventfully. In a few patients, the body cannot fight the bacteria. Their faces swell up like balloons and I have to lance and drain the abscesses. In a couple of cases, the patients had to be hospitalized. If these latter patients want to "blame" anything, it should be resistant bacteria or their own inadequate immune systems.

It is a shame Americans are always looking for scapegoats so they can use shyster lawyers to hit the jackpot.
Posted 4 months ago
User Level:
Patient
Posted by: dphob1  (4 months ago)
Whoa, a little defensive? I never said anything about lawsuit or settlement.

Case in point- I have an implant that cost $4000 all said and done cash up front, that is probably failing after just 12 weeks because it is in the wrong position. So you are saying oh well? Cough up more money for a gum graft and redo crown, it's my body's fault? really? My surgeon said he stood behind his work, I'm guessing he makes it right, unfortunately its not going to be easy for me. Go back to the OP, he asked if something was wrong in the technique, not everything was done so straight forward and the graft failed. Medicine has standards of care and EBP to follow, dentistry won't commit.

You're right, medicine has become somewhat consumer driven because of out of pocket co-pays and insurance premiums that employers used to pay. Gone are the days when patients say "yes doctor" when they are told to go somewhere for care- they make more intelligent decisions driven by quality, customer service and finally price. Hence the advertisements. The difference is that dentistry is no where near a managed care delivery model or drowning in charity care. How many insurance plans do you participate in? are you fighting to be on the plan for sheer volume so that you can stay in business yet accept what they pay, even if it barely covers your cost? I hardly think so. Do you take medicaid? how many self pay, charity care cases do you do a year? Are you under EMTALA regulations to see all emergencies that present to you regardless of ability to pay. I'm not deluded, I'm a health care professional with an MBA.

The true medical/dental emergency that you describe crosses over and is covered under medical care and yeah we get those in the ER everyday and yet we can't do definitive care except admit and then extract in the OR. Haven't seen many endo's taking no pay patients or free clinics offering the service so it gets dumped on your big brother.

Perhaps you'd be happier under the NHS, where dentists do all they can to avoid providing basic services, even cleanings, because it's not worth their time, rather than Amercia where we upsale unnecessary services without informed concent, cause harm, hire lawyers.

User Level:
Dentist
I read the OP several times. The guy was speculating (really did not know) why a graft failed, and thinking his wife deserved a chunk of change for the pain after it failed. Bad things happen in life sometimes for no reason. We are not entitled to compensation every time life deals us a hard blow.

No, I don't participate in any of the boondoggles you mention, least of all Medicaid. I give truly needy people the opportunity to trade labor for dental treatment. This preserves their pride, unlike handout boondoggles that destroy personal values like the NHS and Medicaid.

In addition, I have helped indigent patients in Peru, as well as the Georgia Mission of Mercy and Georgia Foundation for Caring. It sure is more rewarding to help people in the third world, where I don't have to worry about shyster lawyers and people with entitlement attitudes.

Patients are always looking for a cause to attach to failed treatment, and many times there is none. I have placed a lot of implants. One placed perfectly in a patient with great bone blew up in an infection and was lost. I had to regraft the area, and I replace the implant at no charge tomorrow. Is she entitled to "compensation" for her pain and inconvenience? Why? Why should I not be entitled to compensation for my expense and inconvenience because her body rejected the implant?

People have to grow up sometimes and realize that some misfortunes are unexplainable and a fact of being human and living on Planet Earth.
Posted 4 months ago
User Level:
Dentist
While you seem to have an allergy to lawyers, I don't think anybody is going to argue with you about things occasionally going wrong in dentistry.

The important point here is that patients must be fully informed of the the possible benefits, the possible risks, and the possible alternatives. If you have warned a patient about the possible risks of a procedure, then there is no reason for anybody to complain.

If you were going to have some cosmetic surgery on your nose (for example) and the surgeon didn't inform you that there is a 10% chance of a perforation, you'd feel wronged if you ended up with a perforated nose and the surgeon blamed it on your immune system, wouldn't you?

The key issue is informed consent. We have the title of Doctor. It comes from the latin "docere", to teach. We have an obligation to teach our patients, to educate them, before we carry out a procedure.

Just my opinion.
Richard from www.dental-health-advice.com
Posted 4 months ago
User Level:
Dentist
While you seem to have an allergy to lawyers, I don't think anybody is going to argue with you about things occasionally going wrong in dentistry.

I WISH IT WERE SO, THAT PATIENTS WERE MORE FATALISTIC IN ATTITUDE. UNFORTUNATELY, AT LEAST IN THE US, PATIENTS ALWAYS ASSUME THERE IS NEGLIGENCE ASSOCIATED IN TREATMENT FAILURE, MAINLY BECAUSE IT HAS THE POTENTIAL TO PROFIT THEM FINANCIALLY. Lawsuits shape the whole culture of the US, and dramatically decreases our national productivity.

The important point here is that patients must be fully informed of the the possible benefits, the possible risks, and the possible alternatives. If you have warned a patient about the possible risks of a procedure, then there is no reason for anybody to complain.

If you were going to have some cosmetic surgery on your nose (for example) and the surgeon didn't inform you that there is a 10% chance of a perforation, you'd feel wronged if you ended up with a perforated nose and the surgeon blamed it on your immune system, wouldn't you?

ANY IDIOT KNOWS THERE IS INHERENT RISK IN CUTTING ON HUMAN BODIES. IF THEY DID NOT REALIZE THIS, PEOPLE WOULD TRY TO DO THEIR OWN COSMETIC SURGERY WITH KITCHEN KNIVES.

The key issue is informed consent. We have the title of Doctor. It comes from the latin "docere", to teach.

We have an obligation to teach our patients, to educate them, before we carry out a procedure.

UNFORTUNATELY I FIND IT IS INCREASINGLY DIFFICULT TO EDUCATE PATIENTS. THIS FORUM IS A GOOD TOOL. IN REAL LIFE, MORE AND MORE PATIENTS HAVE THEIR HEADS FILLED WITH PURE BALONEY FROM THE INTERNET, MAKING THEM THINK THEY KNOW MORE THAN WE DO! It is really easier for me to educate uninformed patients (like Mexican immigrants) than misinformed ones that have read psuedo-science from the internet. (Or worse, blame-game claptrap from personal injury attorneys'websites.)

Just my opinion.


Perhaps 1 out of 200 injections, you will have a direct hit on a nerve which will cause parasthesia. Do we inform every patient of that possibility every time we give an injection? If not, why not?

Every time a patient opens his mouth for a dental visit it is possible that he will have jaw muscles spasm afterwards, or even a displaced disk. Do we thus inform patients of these remote possibilities every time they have any dental procedure?

Some strange events have occurred once in my 34 year professional career. Do I warn patients having similar procedures of these one-time events? HOW FAR DO WE GO WITHOUT SCARING PATIENTS AWAY FROM ANY DENTAL TREATMENT?

My point is that IT IS IMPRACTICAL, EVEN IMPOSSIBLE TO INFORM PATIENTS OF ALL POSSIBLE UNTOWARD EVENTS ASSOCIATED WITH EVERY DENTAL PROCEDURE. To be human living on planet earth always entails unknowable risks.
Posted 4 months ago
User Level:
Patient
Posted by: vikings12  (4 months ago)
Kim,

If you read the OP and my other post multiple times you would clearly see that it was the other doctors at the practice who admitted the Operating doctor made a mistake. He put too much gum in the graft area and it did not take. We got this news 10 days after the surgery.

The dental assistant also told us that she told the OD that she thought he was using too much gum. The OD disagreed and went forward.

We had 2 doctors and an assistent tell us the OD messed up. I am not speculating, i am stating facts.

The OD is now on vacation until january.

If you read my posts..i also stated that even though i feel like the dentist should foot the bill if we wanted to switch dentists...that i realize there is risk with any surgeries.

I came here looking for advice from dentists, if anyone else had similar situations and maybe even for a little sympathy.

i did not come here to spout out hatred for dentists and to preach a lawsiut...just to state that we feel stuck cause we want to switch dentists but we cannot afford to pay another dentist since we already paid this one.

Its a horrible bind for a customer to be in.
User Level:
Dentist
Kim,

If you read the OP and my other post multiple times you would clearly see that it was the other doctors at the practice who admitted the Operating doctor made a mistake. He put too much gum in the graft area and it did not take. We got this news 10 days after the surgery.

The dental assistant also told us that she told the OD that she thought he was using too much gum. The OD disagreed and went forward.

We had 2 doctors and an assistent tell us the OD messed up. I am not speculating, i am stating facts.

The OD is now on vacation until january.

If you read my posts..i also stated that even though i feel like the dentist should foot the bill if we wanted to switch dentists...that i realize there is risk with any surgeries.

I came here looking for advice from dentists, if anyone else had similar situations and maybe even for a little sympathy.

i did not come here to spout out hatred for dentists and to preach a lawsiut...just to state that we feel stuck cause we want to switch dentists but we cannot afford to pay another dentist since we already paid this one.

Its a horrible bind for a customer to be in.


Yep, it is a horrible strait for a patient to be in, and I empathize. As you say, treatment failures sometimes leave patients in worse shape than they presented with. A perfect example is the late Michael Jackson's nose job!

We all want explanations every time something does not go as expected. Sometimes there is an explanations. Most of the time there is no good explanation. But humans have rational minds. We want rational explanations, even if there is none. Explanations for things gone awry are so much more comforting.

Dentists are even guilty of thinking like this. There is a treatment failure, and we stretch for explanations. "If only had had left more periosteum in the graft bed, maybe the graft would have survived." "If only he had not tried so big a graft, maybe it would have survived." "If only I had dosed the patient on Clindamycin before the surgery, the implant might have survived."

The conjecture goes on and on, and we lay awake thinking about things like this at night. I had two implant failures in a row. After examining every aspect of the surgeries, I could come up with no concrete cause. I will probably never find out the cause of those failures, as I can't possibly know what was going on with the patients' immune systems/blood factors/nutritional status at the moment of the surgery.

I have worked repairing automobiles, and now I work repairing human beings. All I can tell you is working on automobiles is tons more predicable because autos don't vary even a fraction as much as human beings.
Posted 4 months ago
0 Persons like this
Related Videos:
loading