Innerpage Hero image
Advanced general and cosmetic dentistry
delivered with complete comfort.
Request an Appointment

How Can I Get a Refund from My Dentist?

Woman with dark hair thinking, portraying how to get a refund from a dentistHow can you get a refund from a dentist if you’ve had faulty dental work or a dentist did not fulfill their agreement? One way is to leverage the fact that written requests for refunds from a dentist can go on record with The National Practitioner Data Bank.

What Is the National Practitioner Data Bank?

The National Practitioner Data Bank (NPDB) is a database that the U.S. Department of Health and Human Services operates. It contains records of medical malpractice payments and adverse action reports on health care providers. A dentist must report refunds to the NPDB for requests that patients submit in writing or that the dental practice’s account pays. Dentists want to avoid having records of their refunds in the NPDB.

How Can You Ask for a Refund?

You ask for a refund from your dentist with a direct verbal request. Remember, refunds from patients’ verbal requests do not require dentists to notify the NPDB. So, if your dentist hesitates to refund you, you can remind them that your request is verbal and does not require reporting to the NPDB. You might say, “I prefer not to make a written request or hire a lawyer to get a refund. Can we keep it simple?” Your conversation may prompt your dentist to refund you so that they can avoid having the refund recorded in the NPDB database.

For additional information on how to talk with your dentist about problems with their work, please refer to the Problems with Your Dentist page from the American Dental Association.

How Can You Minimize the Risks of Needing a Refund?

Any dentist can make a mistake. But you can minimize the risks of negligence or faulty dental work with these steps:

  • Ask friends or family members for recommendations.
  • Check patients’ reviews online.
  • Look at dentists’ websites for their credentials and experience.

For example, if you want porcelain veneers, look for a dentist with post-graduate training and experience in cosmetic dentistry. For replacing missing teeth, look for a dentist with dental implant credentials. You can schedule consultations with at least two dentists, discuss your concerns, and ask to see their patients before and after photos of cases like yours.

Dr. Theodore Michalski of Rocky Hill, Connecticut, sponsors this page. Read about what Dr. Michalski does to provide patients with some of the best dental care in Rocky Hill.

Dental Implant Delay Because a Sinus Perforation Won’t Heal

A sinus perforation after a second molar extraction is not healing. I wanted to schedule a consultation for a dental implant and probably a bone graft in June, but the perforation will not heal. My dentist asked me to be patient, but it’s been five months. How long should I wait before getting a second opinion? Thank you. Kasia


Thank you for contacting Radiant Smiles of Rocky Hill regarding a sinus perforation and delay in getting a dental implant.

How Long Does It Take for a Sinus Perforation to Heal?

Five months is enough time for mild to moderate sinus perforation to heal. Large perforations can take longer. Feel free to get a second opinion whenever you want. Although a sinus perforation does not necessarily mean that a dentist or oral surgeon was negligent, the dental professional who removed your tooth should take responsibility for giving you follow-up care and ensuring your recovery is as smooth as possible.

Why Would a Sinus Perforation Occur?

Three dental implants placed close together
A sinus perforation must heal to give dental implants a healthy start

A sinus perforation may occur when a thin layer of bone or membrane separates tooth roots from the sinus. Has your dentist or oral surgeon attempted to close the opening? We recommend asking for a referral to an oral surgeon or seeking a second opinion on your own.

An unhealed perforation will delay your dental implant treatment because a dental implant requires the following:

  • Healthy bone to support the implant
  • Healthy gum tissue to heal around the implant
  • Stabile environment to help a dental crown on the implants

Getting a Dental Implant After a Sinus Perforation

You can expect a highly trained implant dentist or oral surgeon to assess and repair your sinus perforation. A sinus augmentation or bone graft will ensure your dental implant has a healthy foundation that will integrate with the implant.

Request a consultation or second opinion promptly to repair the tear and promote healing.


Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologist, sponsors this post.


7 Months Pregnant. Is It Safe to See a Dentist for a Toothache?

I am 7 months pregnant. I have a cap on a right molar tooth that cracked three years ago. The tooth has hurt on and off for two months. The pain is getting worse, and it’s stressing me a little bit because I’ve been planning to work up to the delivery, and it’s hard for me to get time off work to go to the dentist. I am not sure that it is even safe to see a dentist. Or should I let it go until after the delivery? Thanks. Gia

Gia – Thank you for contacting Radiant Smiles of Rocky Hill.

Can You See a Dentist If You’re Seven Months Pregnant?

A dental implant, for information on pregnancy and dental visits to prevent tooth removal and an implant
Delayed dental care can create the need for tooth removal and a dental implant (artificial tooth root)

If you have a persistent toothache or trauma, see a dentist even if you are seven months pregnant. Your tooth is probably infected. A dentist must treat the infection, so it doesn’t worsen. It is even possible for a tooth infection to spread to other teeth, your jawbone, and in the worst case, into your bloodstream. Don’t put your baby at risk. See a dentist who accepts emergency cases as soon as possible. If the tooth dies, it will require removal and a dental implant—more costly and time-consuming treatment.

What Are the Guidelines for Dental Care During Pregnancy?

The guidelines for dental care during pregnancy are based on your trimester.

Before the third trimester

Before the third trimester, even regularly scheduled check-ups and exams are essential to prevent periodontal (gum) disease and for early detection and treatment of any oral health issues. Routine x-rays during these exams can usually be delayed until after the baby is born.

During the third trimester

During the third trimester of pregnancy, delay preventive dental care. Also, you can wait for electives and cosmetic dentistry until after the birth of your baby.

Although you should avoid routine x-rays during pregnancy, if an x-ray is required, the American College of Radiology reports that a single x-ray will not adversely affect an embryo or unborn fetus. Speak with your obstetrician and let them know you have a dental emergency. Be sure to let your dentist know your medical history and provide a list of all medications you currently take.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologist, sponsors this post.

Why Are My Gums Peeling Around New Dental Crowns?

I’ve had six upper dental crowns on my front teeth since July 2021. The crowns for my left front tooth and the one behind it irritate my gums. My gums around the crowns swell and peel. Also, when I floss between the crowns, my gums bleed.

Although I asked the dental office for an alloy certificate, they gave me a document that says the crowns are GC LiSi Press, which I looked up online. The crowns are lithium disilicate, so I guess the problem may not be a metal allergy. I have not had metal allergies in the past, anyway. My concern is that the crowns are new. Something about them is unhealthy if my gums are irritated. What can I anticipate with my dentist? His treatment options seem a little pushy, so this time, I am expecting him to recommend dental implants to avoid future problems. – Thank you. Bethany from Virginia Beach, VA



Although Dr. Michalski would need to examine your gums and crowns, we will provide information on lithium disilicate crowns and sensitivities.

What Causes Peeling Gums and Irritation Around Crowns?

Peeling gums, bleeding, and irritation around crowns with a metal foundation can be an allergic reaction. If you have non-metal dental crowns, gum irritation may be related to food particles caught between your gums or a functional problem with the crowns.

Two ceramic dental crowns
Irritation around dental crowns doesn’t mean you need extractions and dental implants instead

The next time you floss your teeth, pay attention to whether anything seems to catch the floss or prevent it from moving freely. If you feel a ledge snagging the floss, your dentist must correct the overhand on the crowns.

It is unlikely that the concerns you describe are problems with your tooth structure or health that require removing your teeth and replacing them with dental implants.

What Are GC LiSi Press Crowns?

GC LiSi Press crowns are metal-free, high-density lithium disilicate. We are unaware of lithium disilicate allergies, but we cannot say that it is impossible to be allergic to the material. Still, if you were allergic to lithium disilicate, you would react to all the crowns, not just two.

Schedule an appointment with your dentist for a thorough examination.

Rocky Hill, Connecticut, cosmetic dentist Dr. Thaddeus Michalski sponsors this post.

My Dentist Wants to Remove My New Implant

I chose the wrong dentist for implants because he placed them in shallow bone and now wants to remove them. A month after implant surgery, my dentist took an x-ray and said the implant he not healing. He wasn’t to remove it and try again. So far, the implant is not loose and doesn’t hurt. I do not trust the dentist to try again. Two weeks ago, I told the dentist I needed time to consider my options. I don’t believe I have options other than implant removal, but I need advice. What do you suggest? Thank you. Wilfredo from Elk Grove, CA


Thank your question. We understand that dental implant failure can be frustrating and disappointing. Dr. Michalski would need to examine your implant site for an accurate diagnosis, but we can provide some helpful Information.

What If Your Dentist Wants to Remove Your Implant?

If your dentist wants to remove your implant after placing it in shallow bone, it probably means that the dentist did not plan properly. Skilled implant dentists take a 3-D CT scan before implant placement to see your bone volume and determine whether it is enough for implants or if you need bone grafting.

Your dentist is responsible for these reasons:

  • Low-quality standard of care
  • Increasing your risk of infection or trauma
  • Performing surgery that would fail
  • Creating an inconvenience for you to repeat surgery

What Can You Do If About Dental Implant Failure?

You should request a refund if a dentist’s negligence causes dental implant failure. If the dentist is uncooperative, you can try the following:

  • Report the issue to the state dental board
  • Get advice from a medical malpractice attorney
  • Get a second opinion from an advanced implant dentist

Is It Too Late to Replace a Dental Implant?

Usually, it is not too late to replace a dental implant that failed due to a lack of bone volume. A skilled implant dentist can determine whether a bone graft will help you continue treatment. The dentist must take the following steps:

Graphic model of a dental implant in the bone with natural teeth on either side
Bone grafting helps healthy bone tissue grow and interlock with dental implants
  • Remove the loose implant
  • Perform bone grafting surgery
  • Allow the graft to heal, or in some cases, immediately place the new implant

We wish you a smooth resolution.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologist, sponsors this post.


Can a Dentist Save My Tooth Without a Post and Core?

I expected my dentist to tell me I needed a root canal, but he also mentioned adding a post and core. I did not fully understand her explanation about why I needed the post and score. It seemed that she was repeating something she had read in a textbook. I am anxious about a root canal, but a post and core sound like a long appointment. When are a post and care necessary? Thank you. Noah from Detroit, MI



Thank you for your question. Dr. Michalski would need to examine and x-ray your tooth for an accurate diagnosis, but we will explain the purpose of a post and core, when it is required, and how it affects the long-term outcome of a tooth.

What Are a Dental Post and Core?

A dental post and core are materials to strengthen a tooth weakened by decay, damage, and root canal treatment. The post is a small cylinder that supports a core. The core is a dental filling material that replaces the tooth pulp and supports a dental crown.

Why Would a Dentist Recommend a Post and Core?

Dental post in tooth in upper photo and a built up tooth lower photo
Post (upper photo) and tooth bulit up with core (lower photo_

A dentist may recommend a post and core so that your tooth can support a dental crown. Sometimes, preparing your tooth for a crown requires a dentist to remove a lot of decay or damage, leaving a small amount of tooth structure. The core, or dental filling material, will replace the tooth structure and allow a dentist to cement a crown on the tooth.

The process includes these steps:

  • Complete root canal therapy to remove tooth decay and infection
  • Place one or two posts into the tooth
  • Fill the tooth with dental material
  • Build up and shape the tooth with dental bonding
  • Bond a dental crown to the tooth

Will You Lose Your Tooth Without a Post and Core?

Declining a post and core may result in tooth loss for these reasons:

  • You may not have enough tooth structure to support a dental crown.
  • Your tooth can become weak and brittle.
  • Without a post and core, you may need an extraction and dental implant

Please keep in mind that if you lose the tooth, replacing it with a dental implant and crown can cost $3,000 to $5,000 depending on these factors:

  • Condition of surrounding gums and bones
  • Procedures you may need in preparation for an implant
  • Dental fees in your location in the U.S.

If you are unsure about your dentist’s recommendation for a post and core, schedule a second opinion with an advanced cosmetic dentist trained in root canal therapy and dental implants.


Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologist, sponsors this post.

What Are the Types of Bone Grafting for Dental Implants?

Successful dental implant placement requires sufficient jawbone volume because your bone is the foundation for dental implants. When a tooth is missing, your body resorbs the surrounding bone and uses the minerals elsewhere in the body. If you have experienced jawbone shrinkage, you may need bone grafting to build up the bone before you get dental implants.

What Are the Types of Dental Implant Bone Grafting?

Types of bone grafting for dental implants include your bone, tissue-bank human bone, animal bone, mineral bone, and synthetic bone manufactured from proteins in the body.

Graphic model of a dental implant in the bone with natural teeth on either side
Bone grafting helps healthy bone tissue grow and interlock with dental implants
  • Your bone (autograft) – Your chin, hip, jaw, or tibia can be a source of bone for grafting into your jawbone. Harvesting bone from another site requires surgery. Some implant dentists or oral surgeons harvest tibia bone in the office while you are under IV sedation. Harvesting bone from your hip requires hospitalization. Autografts are the most effective bone grafting because your body adapts quickly.
  • Tissue bank human bone (allograft) – Reputable tissue banks supply human cadaver bone. Tissue bank grafting is less expensive than autograft. Although tissue banks screen donors, you will have the risk of infection from donor tissue, as with a blood transfusion.
  • Animal bone (xenograft) – Sterilized animal bone—most often from a cow—minimizes the risk of infection. Your body absorbs the bone over time and replaces it with your bone.
  • Mineral bone substitute (alloplast) – Next to bone harvested from your body, synthetic bone is the safest means of grafting. Your body will eventually absorb and replace the bone with your bone tissue.
  • Recombinant gene technology-derived protein – Proteins naturally found in the body are used to manufacture bone synthetically. The protein is FDA approved as an alternative to an autograft.

How Long Is Dental Implant Bone Graft Healing Time?

The bone grafting healing period can take four to nine months, depending on the graft used and how your body reacts to it. After it heals, your dentist or oral surgeon will perform dental implant surgery. In some cases, such as with tooth extractions, you may receive bone grafting and implants on the same day. Your implant dentist will explain your options for bone grafting and the outcome you can expect.

Rocky Hill, Connecticut dentist Dr. Thaddeus Michalski, sponsors this post.

Should I Get a Root Canal or an Extraction?

I need a root canal or extraction and implant for my lower right first molar. The tooth behind it is missing, too. I can only afford to replace one tooth at a time, so I am replacing the one that shows the most when I smile. My dentist gave me the option of a root canal or an implant. I am a little concerned about the root canal, and if something goes wrong, I will need an implant anyway. Which option makes sense? Peter from Orange, NJ


Thank you for your question.

Dr. Michalski would need to examine your tooth and x-ray to explain precise treatment options, but we will explain some basic principles for saving or replacing missing teeth.

Root Canal or Extraction?

Diagram of root canal therapy for a comparsion of root canal and extraction with a dental implantSaving a natural tooth with root canal treatment makes sense. Your tooth will need a crown to protect it. The American Association of Endodontics (root canal specialists) recommends that you choose root canal treatment over an extraction and dental implant whenever the tooth is savable. Root canal procedures have a 97 percent success rate. Also, when you are missing molar teeth and do not try to save or replace them, you will have difficulty chewing food well enough to digest it properly.

Although a dental implant is a safe, predictable way to replace a tooth, no form of tooth replacement is better than a natural tooth.

Is a Root Canal Painful?

Root canal therapy is not painful when you select an experienced dentist for treatment. A gentle dentist will take these steps to ensure you are comfortable:

  • Explain options for sedation before your procedure date if you have dental anxiety
  • Apply a local anesthetic to prevent you from feeling the numbing injection
  • Numb the root canal tooth
  • Remove the infected tooth pulp, sanitize the tooth, and fill it with a dental material
  • Explain how to minimize your discomfort with medication at home

Schedule a Second Opinion

We recommend scheduling a second opinion with an experienced dentist to discuss your options. Eventually, you will need an exam and x-rays to assess your oral health and get an accurate diagnosis and treatment options.


Rocky Hill, Connecticut dentist Dr. Thaddeus Michalski, sponsors this post.

How Can I Find Affordable Implants for My Pop-Up Denture?

I got a bum pop-up denture from a dental school. I won’t say which school it came from, but now I know I should never have gone the cheap route. The bottom denture pops up whenever I move my tongue, yawn, or cough. I press it back down, and it pops up again. I want to be furious, but I am disappointed with myself for choosing the school. I don’t have much money, but neither am I broke. A friend recommended his dentist, but I chose the dental school figuring the instructors were supervising and I could get a good deal. Now I need affordable implants to hold the denture down. Where do I start? – Thomas from NJ

Thomas – Thank you for your question. We are glad that you are seeking professional advice before getting dental implants. Please begin by avoiding looking for a bargain or the cheapest implants.

How Can You Get Affordable Implants for an Existing Denture?

You may find affordable implants for an existing denture by scheduling a consultation with a skilled implant dentist. The dentist will examine your denture to determine why it lifts and whether the dentist can fit it for implants. Depending on the condition and quality of your denture, a dentist may be able to refit it, or you may need a new denture.

Qualifying for dental implants

Diagram of lower-jaw dental implants with a denture hovering above themBefore placing dental implants, a qualified implant dentist will take a 3-D CT scan to see your oral anatomy and bone volume. If you have worn dentures for years, you may have some bone shrinkage. The dentist will determine whether you have enough bone volume or need a bone graft to support the implants. You will get a customized treatment plan to ensure the dentist places your implants precisely and the dentures fit the implants securely.

Getting Dental Implants that Fit Your Denture

After implant surgery, you will wear temporary replacement teeth. In three to four months, your jawbone and implants will fuse. Your implant dentist will take impressions of your mouth to ensure your existing or new denture fits your implants securely.

Expect to pay well for high-quality dentures and implants. Thorough, well-planned implant-supported dentures take time and skill. With patience and a good implant dentist, your frustration will change to satisfaction when you receive a stable, natural-looking smile.

Schedule a consultation with one or two advanced implant dentists to discuss your options and how to make treatment affordable.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologist, sponsors this post.


What Can I Do About a Loose Dental Implant?

My dentist placed three implants in January, and now one of them is loose. I am concerned about what went wrong and am losing trust in my dentist. What options might a dentist give me for fixing a loose dental implant? Thank you. Manal from Seattle


Thank you for contacting our office. Although Dr. Michalski would need to examine your implant, we can explain factors that affect treatment for a lose implant.

What Can You Do About a Loose Dental Implant?

If your dental implant is loose, you should promptly contact your implant dentist, oral surgeon, or periodontist. Your doctor will examine the implant parts and gum tissue and take a 3-D CT scan of your bone to identify why your implant is loose. Your doctor will recommend treatment based on the cause of the loose implant.

Why Get Prompt Treatment for a Loose Implant?

You should get prompt treatment for a loose dental implant because it is a threat to your oral health. Without treatment, an infection can develop and worsen. If there is any chance of saving the implant, delaying treatment will result in dental implant failure. Implant parts include an artificial root, an abutment (connector), and a dental crown. Although dental implants have a 95 percent success rate, an untreated loose implant will fail.

What Causes a Loose Dental Implant?

Faulty implant parts, gum disease, implant location, failed osseointegration (fusion of the implant and bone), and other factors can contribute to a loose dental implant. But you will need an exam from your doctor to determine the culprit.

  • Implant quality, type, or size – Faulty design of the artificial root or abutment or using the wrong implant type or size can weaken and loosen it.
  • Implant location – If an implant is not in the optimal place, it can loosen.
  • Insufficient torque – If your doctor does not sufficiently secure the implant in your bone, it can loosen.
  • Lack of bone volume – Areas of low bone volume will not support an implant.
  • Gum disease – Diseased gum tissue destroys bone tissue and leaves implants without support.
  • Stress on the implant – Prematurely attaching replacement teeth to implants can loosen them. Also, failure to maintain a soft-food diet can disturb implant sites and cause looseness.
  • Failed osseointegration – Implants will be unstable if the jawbone and implant do not fuse.

What Is the Treatment for a Loose Dental Implant?

Model of a lower molar dental implant surrounded by natural teethTreatment for a loose dental implant depends on the cause of looseness. Your doctor will examine the implant site and take a 3-D CT scan to examine your bone structure. Your treatment may include:

  • Implant removal
  • Gum disease treatment
  • Bone graft
  • Three to four months of healing
  • Replacing the implant, possibly in a new position
  • Alternative treatment

A skilled implant dentist can restore your oral health and help your dental implants succeed with proper planning.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologist, sponsors this post.