SPECIAL NOTE TO DR. NICOLE MACKIE, CLEAR CHOICE DENTAL IMPLANTS:
Thank you for your patience and indulgence in the face of some trying circumstances during my treatment; it has not gone unappreciated. I still have a lot of issues with the dental implant industry in general, but I have tried to "turn down the diatribe" in my presentation while continuing to express my opinions.
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The sad and PAINFUL TRUTH
about DENTAL IMPLANTS . . .
DENTAL IMPLANTS, being offered by virtually every licensed dentist in the country (and, conceivably, even some who are unlicensed), should be much more carefully regulated. At the very least dental implant procedures should be limited to installation by oral surgeons only - and even then, only those with additional, special training in the procedures and the myriad of serious potential complications involved. Even oral surgeons should be held to strict standards regarding minimum staffing and specialized equipment for implant procedures. These complex procedures cannot be safely and effectively done in small, squalid "general practitioner" surroundings by dentists who "went to a seminar" or "read a trade magazine article about it."
Allowing inadequately trained general dentists in minimally equipped, understaffed dental clinics (I believe there are even mobile dental clinics - run from large vans - doing the work) to perform these risky, invasive implant procedures is as absurd as allowing general practitioners to perform open-heart surgery on an out-patient basis. What's next? Dental implants at the mall? Dental implant "salons" at the Big Box stores? Hey, Mom can get her nails done while Dad starts his dental implants procedure "nightmare" at the booth next door! Don't laugh - under current law it could happen!
I have permanent nerve damage because a Las Vegas dentist (who claimed to have "more than 20 years of experience with dental implants") "experimented" with these dental implant procedures on me in 2010 and BOTCHED the job . . . big time. There is no effective treatment: not implant removal, not bone reduction, not fancy-sounding laser beam treatment (ridiculous in this application, as if burning the surrounding flesh would magically make the severed nerve endings mend themselves). Bottom line: there is no cure for nerve damage received during faulty dental implant procedures. Good job, Doc!
The first of three implants was drilled so deep it pierced my mandibular nerve; I wish I could return the favor ... with a rusty railroad spike! The other two were so high, there was no clearance for the necessary abutments, and they had to be removed as well (X-rays taken the next day confirm all this). So much for those "over 20 years of implant experience" the dentist claimed to have! My implant placements looked as though they were done by an auto mechanic!
Web graphics and videos in dental waiting rooms, using the most beautiful artists' renderings of colorful, even layers of tissue, bone and nerves, depicting the bad teeth flying out and dental implants "floating gracefully up and over and into the gums," are carefully crafted to make the public believe that dental implants can be done quickly, effectively and safely by any dentist. Clearly, false and misleading advertising. Why it's not subject to Fair Claims Practices Act continues to blow my mind.
Truth be told, the symptoms only get worse: the drooling, the spitting, the lisping, the tongue and cheek and lip biting and lack of muscle control while eating (I basically have to eat with my face stuck in a bowl - like an animal - I think there's food stuck to that side of my face, and nothing's there, or I do have food stuck to my face and can't feel it), above and beyond the constant feelings alternating between numbness and electrical charges - all horrible and permanent symptoms.
My experience is not unique or even rare. The 98% success rate* cited by the implant industry sounds impressive, but that 2% failure comprises over 60,000 patients, all unfairly influenced by questionable marketing tactics, ambiguous competency standards, and subjective qualifications. Patients who experience pain, numbness, feelings of electric shock just under the skin, etc. (the collective term for which is "paraesthesia"), following implant procedures are immediately and continually told, as I was, that "it will go away - you'll be fine." And isn't is amazing that how, when pressed, they each had "one" patient with the same problem - "but it went away." Right. On one hand we're told, "this almost never happens," but then after the fact there are these supposed "professionals" who have performed myriad corrective procedures for anomalies involving dental implants. If complications are so rare, where did they get all this corrective experience? If mishaps and injuries are so unlikely, why are patients required to sign a multi-page waiver prior to the procedures?
Dental implant clinics, promoted in the most deceptive manner: "Teeth in one day," with smiling models supposedly biting into an apple immediately after the implant procedure (truth be known, you'll probably be limited to a very soft diet for a year or more), etc., ostensibly a legal and ethical violation of informed-consent obligations, are the new physician-run "pill mills" and should be approached with the same regulatory zeal as the "pushers" running those types of grey-area drug clinics. And, similar to the "feel-good clinics" that exploit the law and human weakness for the sake of obscene profits, the time can't be far off - if it's not happening already - that we're going to see implant "pushers" migrating from state to state when things get too "hot" in a particular jurisdiction.
Anyone who thinks this doesn't affect them, because they're not senior citizens (the principle target market for dental implants) is missing the collective, downhill implications here. Traditional dental treatment as we've known it for the last several decades is being eroded by the big-buck promise of dental implants. The mantra of "Save the teeth, if at all possible" has changed to "Let 'em rot - the implant replacements will pay for my new Porsche!" (Yes, folks, a full set of uppers and lowers is $50,000+!) A local periodontist actually has "Periodontist/Implantologist" on his signage and business cards. No surprise that he wasn't "able" to do anything for my gums but "check 'em again next month" ... and suggest some implants(!) for the affected area. Is anyone so dense that they don't see the conflict of interest involved there? We're looking at a system that encourages these people to do nothing - fraudulently and deceptively - so they'll have a shot at a bigger payday on down the road.
The current, overly permissive and irresponsible policies and actions of the dental implant industry remind me of what Harry Markopolos (chief fraud investigator and whistleblower in the Bernie Madoff case) said in his book No One Would Listen: "The health-care industry makes Wall Street look honest."
Legislators, seriously, please do what you can to introduce legislation that will re-define and restrict these dangerous procedures, especially in the hands of under-trained, under-equipped, under-staffed general dentists (or simply deem implant procedures by general dentists as "illegal practice drift" under existing regulations), and limit the negative impact on public health that will continue to rise as the current regulatory shortcomings, as well as the considerable financial incentives, make the procedures more and more widespread. Your families and friends are out there and subject to this treatment, too.
THE UNDER-REGULATED DENTAL IMPLANT INDUSTRY that continues to allow unqualified dentists to promote and perform these delicate and risky procedures has caused me years of pain and suffering. The dental implant industry at large needs to do the right thing and settle my pain-and-suffering claim for $150,000, little more than "petty cash" compared to the massive settlements being paid to much more questionable medical injury claims.
Ray Parker, Coalition for Dental Implant Reform
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*Dental Implants Facts and Figures, American Academy of Implant Dentistry
See also: "Why teeth implants may be the most painful (and costly) mistake of your life," Jane Feinman, DailyMail.com, February 17, 2014