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Periodontics/Correcting Botched Implant Placement


I am seeing a Periodontist to fix the mistakes the last one made.  My implant #8 was off angle, and insufficient bone graft was placed by the original surgeon. It left me with a tiny strip of gum above #8. I thought everything was going well with the new periodontist.  He was referred by an MUSC teacher, and has a good reputation.  The amount needed to fix the one tooth, crown and grafts is close to fifteen thousand dollars.

So, the new dentist removes my old implant; while his associate, another surgeon did the soft tissue graft.  He then put in a bone particulate graft, and also snipped the Nasopalitine nerve. ?? (I was a bit upset about that, but was told no harm will come to me). Everything healed.  Before I got the soft tissue graft, the dentist said he could do a bridge instead, and mentioned it twice, and on my records.  His claim is that it would bulk up better, and there would be no little triangles in between the teeth.  He said it would me a more esthetic result.  How would he know this, before the next Block Graft ?

I was, and still am shocked, at why he would try to change up our treatment plan.  Other dentists I spoke to said do the implant.  I cannot get over this.  We had this plan made in 2012, and it took me two years to come up with all that money and financing.  Is he trying to protect himself from a not so great result ?  The dentist had such a big ego that when I first went to very 1st consult, he said that he can fix me, and that only one other doctor in the state could. I cannot imagine why after all the planning , preparation, and treatment plan that he gave me, that he would start waffling like this.  Especially with this kind of money of which I have spent over a third of the 15,000.  My next step is supposed to be a J Block Graft of Puros for $5,000.

I am thoroughly intimidated by my dentist, and I know most surgeons do not want to take over where he has left off. Because I already tried to go to another reputable surgeon, and he did not want to step on the other's toes, and take his business, since they know each other.  This is a nightmare to me.  Supposedly, according to my treatment plan, I need a J Block Graft, after healing to put in the new Implant, and also do the Crown (different Dr.)  When I asked his associate why he was recommending a Bridge as a Treatment Plan, the associate said it is because the Dentist is a perfectionist.

But, as a patient, all he did was scare me.  Should I be concerned?  I am so nervous to tell him I am confused by his actions, because he will tell me to go elsewhere. I should have gone to the top cosmetic periodontist in ATlanta, GA, but it is six hours away every time, and I would have to stay at hotels.  Is there any guidance you can give me in this preposterous situation ?  I am beyond terrified.

Dear Alexis,

It would seem wise to go for a third opinion for a confirmation of your current treatment plan especially if you are confused about it.  You should be explained the purpose of each recommended treatment and why it's being recommended. You are putting in a significant time and financial commitment to this tooth, so you should be comfortable with what you're getting into.

It is also okay to tell your current periodontist that you are confused with the treatment; all dentists want to be on the same page with their patients and clear up any confusion in the beginning rather that once it's finished when it comes to carrying out a treatment plan.  And since he has already started your case, he has an obligation to finish unless you specifically tell him otherwise.



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John Kong, DDS,


I am a board-certified periodontist and an expert on dental implants. I am currently in private practice at Better Living through Dentistry. I can answer questions related to the treatment of periodontitis (gum disease), dental implants, sinus lifts, bone grafts, gum grafts, surgical exposure of teeth, and minor orthodontics.


I have been practicing periodontics and placing dental implants since 2006 on the Upper West Side, Manhattan, NY and in Forest Hills, Queens, NY at Better Living through Dentistry. I am currently an attending and Chief of Implantology at Flushing Hospital Medical Center.

American Board of Periodontology, American Academy of Periodontics, American Dental Association, New York State Dental Association

Wesleyan University / Amherst College, BA; SUNY Stony Brook Dental School, DDS; University of Medicine and Dentistry of New Jersey, Certificate in Periodontics; New York University, 1-year program in Full-Mouth Reconstruction; Certified in Invisalign

Awards and Honors
Northeast Society of Periodontists Achievement Award

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