Hello everyone:

A patient was coming to my office for about 7-8 years, during this time I restored her with crowns, fillings and even an implant.

So I though that I will be able to manage changing her anterior PFM crowns .

We did a mock up, pictures, discuss with her expectations as she wanted more translucency for final crowns, etc, etc. then I removed the anterior crowns and placed the temporary crowns , my mistake is that I had lab made single temporary crowns . teeth stump underneath look grey. I took a long time adjusting them, used temporary cement , tempbond but they will not hold very well. Patient came back 2-3 times and every time more annoyed than before .I asked to lab to make new Biotemps two teeth splinted at a time..During this time patient refused to pay saying " NOt happy with temps".

The day of the final impression she requested that I give 100%warranty on the treatment OR she will not pay.

I assured the patient that lab and I will work hard to give her good results but can not give her warranty of what she is asking.

Therefore I gave the option of consulting couple of other dentists /cosmetic oriented in order to do her crowns, and she accepted.

Almost two months later, she has seen 2 prostodonthists and 2 cosmetic oriented dentists but none of them wants to take her case ( per patient). ) I also forgot to mention that I am PPO provider and they are NOT.

I got a lenghty email from the patient, stating that she was told to go back to dentist who started the treatment and also a lenghty description of corrections for the temporary crowns and that she wants to continue treatment in the office.

I understand that If I started the treatment then I should be able to complete it but her distrust, negative attitude and behavior with everyone around her , made me gave her the option of seeking treatment elsewhere.

How should I address this situation?

Please see original pictures.

Thank you!!

Maria

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