POSTED UNDER All-on-4 Dental Implants Reviews
Not aligned, unnatural smile
UPDATED FROM trubluelefty
5 months post
Two days later
$19,000
The teeth were replaced way out on the implants so I am back to that very un natural smile, again, and when I do smile I see the bright glee of sliver from the back implant. I also notice that they are not aligned, not even straight from my nose to the middle of the teeth! Further more, if things couldn't get crazy enough it does't feel as though the back implant is actually anchored on correctly. I saw Dr. Golpa for about 2 minutes outside of the time when he was in my mouth working on me. I had come with a list of questions, but forget that, there are no answers. Thanks for dropping me a note Teddiemc, I do realize that there are people with terrible teeth, or no teeth who are looking for a solution, this seems cheap and fast. I think that the cheapest products were used in my mouth. I saw an advertisement where one dentist can now use your existing denture, make some holes in it and use implants to anchor it in, that is all that this truly is. Just a cheap denture anchored in with implants from what I can tell, if that isn't so then I am always willing to know. It isn't designed for me. The hygienist, Amanda, has always remarked that I have a small mouth, when I have gone other places they needed to use a pediatric tray to do the castings. There is no personal design to this implant to take in account that I have a "small mouth"...... I have a family emergency and need to head on back to Colorado but am not even finished with the 4th trip to Vegas and already have problems. Biggest Regret of my Life.
trubluelefty's provider
Replies (5)
Thank you for sharing your update. Your honest review will help others deciding whether to get this treatment. I wish you the best and hope that you'll please keep us updated.
NT
The odds say SOME people will have problems. Out of ALL the people I've spoke to about Dr Golpa's work, every single one has been not just satisfied, but THRILLED. I can't speak for Dr Golpa, but knowing the kind of man he is, you will be okay. His office manager Carlos will chill ya out! As for Teddiemc, get your own business. Stop begging for Dr Golpas scraps. It really makes you seem desperate. Dr Golpa got it! If ya want the best, HE'S, the guy. Now when you get a patient for yourself, lets see how you handle the criticism. Be carful what you wish for.
Of course some people will have problems NY Todd, but so far I seem to be having more than my share of them. I am a medical professional and I would love to see some of the professionalism that I deserve. Of course I have faith in Carlos and have had a good experience with him but have been begging for my dental records for well over a month, just the make and size of implants and cannot get that. I cannot keep going back so far from home. I would prefer to think the best of everyone and assume that the person who is writing to me is kind hearted and willing to try to help me out. It is very difficult to tell if my experience with Dr. Golpa is Unique or not, I just cannot say as so many of the websites that offer reviews on him are owned by companies that you couldn't publish to if you were your "real self" this is the only place I Have found for support and understanding. It is most certainly not my intent to tell anything but the truth and you have spent a great deal of your time criticizing me at one point basically calling me a liar. Isn't this website set up so that we can be our "real self" and tell the truth? When Dr. Golpa was fair with me I wrote about it. I don't know Dr. Golpa, I have spent very little time with him. I did see a dentist here in Colorado who now diligently been working with me to try to resolve some of this mess. This is my life, this is my mouth.... I can't smile properly, talk properly or eat well at all and it is six months after the fact. I am so happy for you that you have so happy with your procedure but as you have stated, odds are that some people have problems and that does not mean that we are critical, judgmental, difficult to please or anything other than that we are having problems.
I'd give up responding to that rude NY person. Those of us who genuinely care about you and what you have suffered understand completely.
To be going through this horrendous hell is traumatic enough without having some sycophantic (towards the dentist in question) person berating and doubting you.
I haven't reached the latest updates yet, but felt I must step in over that person who seems hellbent on invalidating your experience; while all the time promoting that dental practise.
Surely you must have a claim against the dentist for not providing a product 'suitable for purpose'. The first time when you didn't get the promised callback could constitute medical negligence.
I'm in the UK so am not sure of US law regarding sale of goods.
Hope when I get further down the page that I find you are completely satisfied and everything worked out.
To be going through this horrendous hell is traumatic enough without having some sycophantic (towards the dentist in question) person berating and doubting you.
I haven't reached the latest updates yet, but felt I must step in over that person who seems hellbent on invalidating your experience; while all the time promoting that dental practise.
Surely you must have a claim against the dentist for not providing a product 'suitable for purpose'. The first time when you didn't get the promised callback could constitute medical negligence.
I'm in the UK so am not sure of US law regarding sale of goods.
Hope when I get further down the page that I find you are completely satisfied and everything worked out.
NY isn't doing Dr Golpa any favors
trubluelefty I do not normally respond to reviews from patients, but in this situation I feel it is important for others to realize that your situation is far from the normal experience of 99% of my patients. In fact, of the thousands of patients I have treated, there have been few patients that have not been happy with the outcome over time.
I am in no way denying YOUR personal experience, or the feelings and motivations you may have. What I can no longer do is sit idle while you continue to post comments that portray a picture that is in complete contrast to the overwhelming support and gratitude felt by hundreds of patients.
I welcome forums like this that give an honest opinion and allow patients to exchange experiences. I also welcome and encourage patients research any Dentist or practice before they entrust them with their care. The one issue I have with forums like this is it also allows other Dentists to post gratuitous adverts for themselves by creating fake users, which are easily identified by the fact that the practice or dentist will have 0 or 1 review, and no profile. Any dentist that has performed this procedure regularly will have several reviews and comments, which can be attributed to their experience.
I appreciate everyone that gives their opinion because it helps me improve as an individual and as a Practice. I constantly strive to improve the procedure and its delivery, by input from patients. All procedural modifications and improvements are made to improve the experience of my patients. I base these changes on the experience of actually performing this procedure, rather than text books, forums, antiquated studies, and conjecture.
That being said, I feel it is important to tell my side of the story so that others can make an informed decision regarding my practice, my level of experience, and my dedication to patients.
First, let me start by explaining what this procedure is, and what it is not;
This procedure is an alternative to removable dentures, partials, snap in dentures, and over dentures. It is not a replacement for one’s natural teeth. It gives patients an alternative that is as close as possible to their own natural teeth, while remaining cost efficient. It is still a prosthetic and will have a period of adjustment. This period can vary by patient. No one would expect an amputee to receive a prosthetic leg and run a marathon weeks later, but with the right attitude and work, many amputees do run marathons, and some never seem to fully recover.
It is important to have realistic expectations going into this procedure, because this procedure will not change all aspects of one’s life, unless we work on these extraneous circumstances. This phenomenon is evident in all areas of medicine, but is most prevalent in the plastic surgery and dental professions. This procedure will not cure anxiety, depression, low self-esteem, or any existing extraneous condition. Often time’s people lose weight and expect that this will drastically change their lives and are often more depressed when it doesn’t, or the alcoholic who gives up drinking, yet their lives continue to spiral out of control.
Again, trubluelefty my intention is not to deny the way you feel, but rather to tell my side of the story:
First off, I restored just your upper arch, and advised you that this would not be ideal because the design of your teeth would be dependent on your existing lower arch, so that you would have some function and be able to masticate food. The reason for this is that you had no lower molars, and your reaming teeth were not in the best shape. You stated that you understood this and you elected to move forward with no treatment to your lower arch.
I think a good way to summarize for readers is to highlight an email exchange you had with my office manager Carlos; (I have redacted any identifiable information)
When you first contacted us your #1 priority was how soon you could get in to have the procedure done:
"It feels like I have spent the entire Thanksgiving weekend reviewing your dental program, trying to find out what would be right, or wrong about this. Here is my situation briefly. I am a healthy …. year old female and set to go into the peace corp in May of 2015. I need to have a 100 percent okay dental clearance in December or January. Following my acceptance I started working on implants, and bridges, you know. I then researched Clear Choice. I do not like the snap in snap out aspect at all. I am in ………... I feel the biggest concern for me is when can we do this and how fast can you see me. I believe I can do the top arch. I had extensive work done at Clear Choice and paid a thousand (by work I mean a six hour work up) to see if I was a candidate. But my huge issue is time. When possibly could I get in. I would drive from ……… and my …….. will come with me, if we can still get the stay in the room. I would like to go with the non zirocnia one having researched the benefits of the step up grade. Forgot the name as I write this. I terrified of pain and swelling but will plan a week down there if we can cover some of the room and will just surrender and trust. I watched every video and I do mean every video. So it comes down first and foremost to time. What is the absolute earliest that I can be seen and can a certificate be written saying I have perfect teeth then for the PC. Clear Choice said they could do this even though I would not have the permanent bridge until a year later. I don’t feel comfortable going with the temp bridge and I am assuming yours is not the temp bridges although in some chat rooms it appears it is. I am ready to get in the car and come down. I have excellent health but have had very high blood pressure in the chair due to anxiety……. this anxiety is in part due to the fact I don’t like having to snap my teeth in and out. Other than that I have never had high BP or any other health issue. I would need ………. following procedure as I have arthritis and that is all that relieves the pain so I know if I am going to have pain I need to be ready. I know how to ice well. Let me know your thoughts. The biggest questions is How Soon. I bet you get that a lot.
We did our best to accommodate you and were able to schedule you at last minute just 1 week later. Amanda does her best to coordinate Patient stays with the hotels, but in the your initial communication above you state "if we can still get the stay in the room" and "I will plan a week if we can still cover some of the room" I am sure you can see how this may be confusing, it implies that YOU will be getting the room and want to be compensated. This however was not the case, so with even less notice Amanda did get you a room at the Monte Carlo. Since you ultimately stayed at a hotel you chose, we have no control over whether they have internet or not. Both Amanda and Kealy were unaware that you had stayed in a different hotel, and needed transportation, since you drove to Las Vegas. However, when we were made aware, Kealy used her own transportation, in an effort to accommodate you, and prevent you from waiting any further.
Regarding the surgery itself, Dr Golpa had squeezed you in to an already busy schedule, again in an effort to accommodate you. Being that you are a ………, I am sure you can appreciate the fact that the "……." is most often the front line in Patient care. Doctors concentrate (for good reason) on performing complex surgeries, so that Patients can have the best outcomes and their symptoms are alleviated. It is the same in Dentistry, the "Assistants" and the office "Staff" are the front line in Patient care, so that Dr. Golpa can concentrate on performing complex surgeries. We (the assistants and staff) document and convey your preconditions, concerns and wishes to the Doctor. Your preconditions, concerns, and wishes were summarized in this letter, coauthored by you, following your surgery:
"This is to inform you about the care of my patient ………. Last week she began to have increased pain in various parts of mouth due to faulty dental work, this was causing severe headaches, swelling and elevated blood pressure due to the headaches, and pain. The right side had a faulty bridge and there was an incomplete Implant on a front tooth that was cracked. Both of these areas were causing her stress, anxiety, and pain and she needed to see me as soon as possible. It was medically impossible for her to function normally. I sent 3 prescriptions to her pharmacy in ……….. last week and worked with her to begin her treatment as soon as possible as this involved being sedated. She was running a risk of infection or abscess with additional problems and her condition as not good. ……. had the surgical procedure yesterday and left my office at about 9 pm. She had several teeth extracted and additional implants were done. We feel that this will solve her problems on a permanent basis and that this will alleviate the dental problems that she was having. Her blood pressure due to anxiety and pain was frequently above 175/115 but returned to normal following the procedure.. She was able to walk out of the office and will return to her work and plans for the future. She did exceptionally well during the procedure except the elevated Blood Pressure but this was due to stress as her BP is normal without the pain and stress. We hope that she is on her way to a bright new tomorrow. And ask you to take into consideration the pain and the stress she has been under these past months."
………, when you left the office, we all felt that we had delivered on your wishes for a permanent bridge in less than 2 weeks after initially contacting us. You appeared and stated that you were happy, and the pain seemed to be alleviated. This is, and will always be the goal of Dr. Golpa and the entire staff. This is what we want for all Patients, it may not always be immediate, but 99% of the time this is the case after a period of adjustment. Every Patient is different however, things are not always perfect, but in the end I am confident that we can get there.
In the month following your procedure and after the long Holiday vacation, you called to express concerns that you have. There are 3 staff that answer the phones. When we receive calls from you, we don't "toss" you off, we were all trying to address your concerns personally. When I spoke with you, you told me that the bridge seemed "loose" on one side and that you had went to a local Dentist and he stated that "the bridge was well anchored" and "appeared fine", but prior to that the bridge was "flopping" around in your mouth. So to clarify I asked you if you could "move" the bridge and you said "no", but the space between the bridge and gums was greater on the one side. This indicated to me that you need to have the bridge re-lined. So I stated that you needed to come back so we could do this for you. The reason I said the 20th (8 business days later) was in an effort to allow you to make arrangements. I was not aware that this was an emergency situation because you did not mention the Pain. Now that I have received your email, I would like you to come Monday 1/12.
Dr. Golpa's primary concern is "Patient Care”. Now that we are aware you are experiencing the same symptoms as you stated prior to surgery, he will do his best to alleviate them. Attacking someone's moral and character, that has dedicated their life to helping others, will not help anyone.
Please let us know if you will be able to come Monday. We will call you today. Again …….., we all want the same outcome.
Following email summary;
Jan 7th
I waited patiently and noticed that day by day my speech has become worse, and worse, the denture is so loose that it is flopping in my mouth. I went to my dentist two weeks ago to have a cavity filled on my remaining lower natural teeth. At that time he did not touch the upper denture but noted that it appeared to be well anchored and in good condition on my Peace Corps forms.
The reply email in summary;
Jan 15th
I sat down in front of my laptop and had to look for something in my junk folder from Costco and to my absolute shock Carlos this email from you was in there. You wrote this to me on the 8th of January and I did not reply. I am so sad, confused, and upset, about this entire thing. I realize that what I said was not at all appropriate, nor does it reflect the goals that all of you are trying to accomplish, as someone who works in ……… I know how people can be. I hope that you will take into consideration the fact that I wrote this while I was very upset, very worried that I could not get back in to see Dr. Golpa and to be honest just flat out scared too death that I will lose my job and my ability to ever be “normal” again. Your message today was reassuring and I wanted to remind you that when we spoke we talked about me coming out on the 2nd of Feb. as I am so afraid to leave work. After today I realize that I can’t talk right at all and the ache from the TMJ is terrible. My jaw is just way too far open and two dentist have verified this. I am willing to take off and come back out there so that I can meet Dr. Golpa ASAP if you think it will do any good at all. I apologize again for writing such a nasty spirited letter to all of you. Please give my apology to Amanda and Kelly as well. All I can say is that I have been in pain and had an ache in my mouth so badly that I have not been in my right mind, top that off with me not being able to teach, and I am just nearly crazy. For a time driving back today from the conference I wondered if I even wanted to live, nice smile or not! That is how awful having your jaw so wacked out can feel. No, I am not suicidal, just scared..
Jan 19th
I clearly told Carlos I would not be able to come for an appointment on Jan 20th. I called Kelly on Friday. She wasn't interested but I told her I would not be tgere. Just got a text about the appointment. We set the appointment for first week of Feb. Carlos told me it was best to come on Tuesday. We set the appointment for 3rd Feb. Cherie
Feb 3rd visit
PT present for changes to upper bridge. RMHx with no changes.
PT states she has been having pain around #10 implant.
X-rays were taken, led apron was placed. X-rays look good. Explained to PT to focus around that particular area for hygiene.
Removed upper bridge and sent to lab for changes.
Lab slip: take away from the ridge as much as possible so PT has more room for her tongue, wants the teeth brought in, close the bite 2mm (PT can’t close mouth), light contact on left side, bring #12 and #13 out just slightly.
Placed bridge back on and torqued to 20 NCM. PT was happy with the changes but wants to take them for a test drive. PT will come back tomorrow for a follow up. Access holes were not filled.
Patient did not return the next day…………
Next communication was that you had chipped the front tooth of the bridge. Again I cannot emphasize enough that when you choose to restore just one arch your bite will not be ideal. Because of the absence of your lower molars, your chewing surface is limited to your anterior teeth, which are not intended for masticating food. Also, with the absence of lower molars patients tend to bring their lower jaw forward, in order to masticate food. In doing so not only are the natural teeth compromised, but this also compromises the prosthetic. The symptoms experienced can be exacerbated by not having an equally opposed arch.
Additionally, we provided compensation for all travel to Las Vegas, as well as, accommodations.
The materials and processes I use are proven to be the strongest restorations available. Again, this is not in theory or conjecture, this insight comes from the experience of patients, certified lab techs, and 2 decades of experience. Your bridge is custom milled from a solid piece of material, with a one piece titanium framework. It is not processed acrylic, with denture teeth. The certified lab techs that design and mill your bridge, are world class. They have worked at some of the largest labs in America.
In summary, my goal is 100% satisfaction for all of my patients, and I stand behind all of my work. I will always be here for my patients. This is not a perfect process, and I will always strive to improve. I am sure that most all of my patients would agree that we will go above and beyond to make things right, but communication is the key. It cannot be done in a chat room, it needs to be face-to-face between patient and Doctor. An example of this is on this website from patient Unhappy... . After not being happy with the outcome (she also was an upper arch only restoration), she called a year later and wanted me to perform her lower arch surgery.
I am grateful for all my unique, diverse, and wonderful patients. Patients like NYTodd , who feel passionately enough about me to defend my integrity, skill, and expertise. I do not actively solicit reviews, I do not use reputation services or post fake reviews. All of my reviews are honest, and come from honest patients, and yes this includes you trubluelefty .
I am in no way denying YOUR personal experience, or the feelings and motivations you may have. What I can no longer do is sit idle while you continue to post comments that portray a picture that is in complete contrast to the overwhelming support and gratitude felt by hundreds of patients.
I welcome forums like this that give an honest opinion and allow patients to exchange experiences. I also welcome and encourage patients research any Dentist or practice before they entrust them with their care. The one issue I have with forums like this is it also allows other Dentists to post gratuitous adverts for themselves by creating fake users, which are easily identified by the fact that the practice or dentist will have 0 or 1 review, and no profile. Any dentist that has performed this procedure regularly will have several reviews and comments, which can be attributed to their experience.
I appreciate everyone that gives their opinion because it helps me improve as an individual and as a Practice. I constantly strive to improve the procedure and its delivery, by input from patients. All procedural modifications and improvements are made to improve the experience of my patients. I base these changes on the experience of actually performing this procedure, rather than text books, forums, antiquated studies, and conjecture.
That being said, I feel it is important to tell my side of the story so that others can make an informed decision regarding my practice, my level of experience, and my dedication to patients.
First, let me start by explaining what this procedure is, and what it is not;
This procedure is an alternative to removable dentures, partials, snap in dentures, and over dentures. It is not a replacement for one’s natural teeth. It gives patients an alternative that is as close as possible to their own natural teeth, while remaining cost efficient. It is still a prosthetic and will have a period of adjustment. This period can vary by patient. No one would expect an amputee to receive a prosthetic leg and run a marathon weeks later, but with the right attitude and work, many amputees do run marathons, and some never seem to fully recover.
It is important to have realistic expectations going into this procedure, because this procedure will not change all aspects of one’s life, unless we work on these extraneous circumstances. This phenomenon is evident in all areas of medicine, but is most prevalent in the plastic surgery and dental professions. This procedure will not cure anxiety, depression, low self-esteem, or any existing extraneous condition. Often time’s people lose weight and expect that this will drastically change their lives and are often more depressed when it doesn’t, or the alcoholic who gives up drinking, yet their lives continue to spiral out of control.
Again, trubluelefty my intention is not to deny the way you feel, but rather to tell my side of the story:
First off, I restored just your upper arch, and advised you that this would not be ideal because the design of your teeth would be dependent on your existing lower arch, so that you would have some function and be able to masticate food. The reason for this is that you had no lower molars, and your reaming teeth were not in the best shape. You stated that you understood this and you elected to move forward with no treatment to your lower arch.
I think a good way to summarize for readers is to highlight an email exchange you had with my office manager Carlos; (I have redacted any identifiable information)
When you first contacted us your #1 priority was how soon you could get in to have the procedure done:
"It feels like I have spent the entire Thanksgiving weekend reviewing your dental program, trying to find out what would be right, or wrong about this. Here is my situation briefly. I am a healthy …. year old female and set to go into the peace corp in May of 2015. I need to have a 100 percent okay dental clearance in December or January. Following my acceptance I started working on implants, and bridges, you know. I then researched Clear Choice. I do not like the snap in snap out aspect at all. I am in ………... I feel the biggest concern for me is when can we do this and how fast can you see me. I believe I can do the top arch. I had extensive work done at Clear Choice and paid a thousand (by work I mean a six hour work up) to see if I was a candidate. But my huge issue is time. When possibly could I get in. I would drive from ……… and my …….. will come with me, if we can still get the stay in the room. I would like to go with the non zirocnia one having researched the benefits of the step up grade. Forgot the name as I write this. I terrified of pain and swelling but will plan a week down there if we can cover some of the room and will just surrender and trust. I watched every video and I do mean every video. So it comes down first and foremost to time. What is the absolute earliest that I can be seen and can a certificate be written saying I have perfect teeth then for the PC. Clear Choice said they could do this even though I would not have the permanent bridge until a year later. I don’t feel comfortable going with the temp bridge and I am assuming yours is not the temp bridges although in some chat rooms it appears it is. I am ready to get in the car and come down. I have excellent health but have had very high blood pressure in the chair due to anxiety……. this anxiety is in part due to the fact I don’t like having to snap my teeth in and out. Other than that I have never had high BP or any other health issue. I would need ………. following procedure as I have arthritis and that is all that relieves the pain so I know if I am going to have pain I need to be ready. I know how to ice well. Let me know your thoughts. The biggest questions is How Soon. I bet you get that a lot.
We did our best to accommodate you and were able to schedule you at last minute just 1 week later. Amanda does her best to coordinate Patient stays with the hotels, but in the your initial communication above you state "if we can still get the stay in the room" and "I will plan a week if we can still cover some of the room" I am sure you can see how this may be confusing, it implies that YOU will be getting the room and want to be compensated. This however was not the case, so with even less notice Amanda did get you a room at the Monte Carlo. Since you ultimately stayed at a hotel you chose, we have no control over whether they have internet or not. Both Amanda and Kealy were unaware that you had stayed in a different hotel, and needed transportation, since you drove to Las Vegas. However, when we were made aware, Kealy used her own transportation, in an effort to accommodate you, and prevent you from waiting any further.
Regarding the surgery itself, Dr Golpa had squeezed you in to an already busy schedule, again in an effort to accommodate you. Being that you are a ………, I am sure you can appreciate the fact that the "……." is most often the front line in Patient care. Doctors concentrate (for good reason) on performing complex surgeries, so that Patients can have the best outcomes and their symptoms are alleviated. It is the same in Dentistry, the "Assistants" and the office "Staff" are the front line in Patient care, so that Dr. Golpa can concentrate on performing complex surgeries. We (the assistants and staff) document and convey your preconditions, concerns and wishes to the Doctor. Your preconditions, concerns, and wishes were summarized in this letter, coauthored by you, following your surgery:
"This is to inform you about the care of my patient ………. Last week she began to have increased pain in various parts of mouth due to faulty dental work, this was causing severe headaches, swelling and elevated blood pressure due to the headaches, and pain. The right side had a faulty bridge and there was an incomplete Implant on a front tooth that was cracked. Both of these areas were causing her stress, anxiety, and pain and she needed to see me as soon as possible. It was medically impossible for her to function normally. I sent 3 prescriptions to her pharmacy in ……….. last week and worked with her to begin her treatment as soon as possible as this involved being sedated. She was running a risk of infection or abscess with additional problems and her condition as not good. ……. had the surgical procedure yesterday and left my office at about 9 pm. She had several teeth extracted and additional implants were done. We feel that this will solve her problems on a permanent basis and that this will alleviate the dental problems that she was having. Her blood pressure due to anxiety and pain was frequently above 175/115 but returned to normal following the procedure.. She was able to walk out of the office and will return to her work and plans for the future. She did exceptionally well during the procedure except the elevated Blood Pressure but this was due to stress as her BP is normal without the pain and stress. We hope that she is on her way to a bright new tomorrow. And ask you to take into consideration the pain and the stress she has been under these past months."
………, when you left the office, we all felt that we had delivered on your wishes for a permanent bridge in less than 2 weeks after initially contacting us. You appeared and stated that you were happy, and the pain seemed to be alleviated. This is, and will always be the goal of Dr. Golpa and the entire staff. This is what we want for all Patients, it may not always be immediate, but 99% of the time this is the case after a period of adjustment. Every Patient is different however, things are not always perfect, but in the end I am confident that we can get there.
In the month following your procedure and after the long Holiday vacation, you called to express concerns that you have. There are 3 staff that answer the phones. When we receive calls from you, we don't "toss" you off, we were all trying to address your concerns personally. When I spoke with you, you told me that the bridge seemed "loose" on one side and that you had went to a local Dentist and he stated that "the bridge was well anchored" and "appeared fine", but prior to that the bridge was "flopping" around in your mouth. So to clarify I asked you if you could "move" the bridge and you said "no", but the space between the bridge and gums was greater on the one side. This indicated to me that you need to have the bridge re-lined. So I stated that you needed to come back so we could do this for you. The reason I said the 20th (8 business days later) was in an effort to allow you to make arrangements. I was not aware that this was an emergency situation because you did not mention the Pain. Now that I have received your email, I would like you to come Monday 1/12.
Dr. Golpa's primary concern is "Patient Care”. Now that we are aware you are experiencing the same symptoms as you stated prior to surgery, he will do his best to alleviate them. Attacking someone's moral and character, that has dedicated their life to helping others, will not help anyone.
Please let us know if you will be able to come Monday. We will call you today. Again …….., we all want the same outcome.
Following email summary;
Jan 7th
I waited patiently and noticed that day by day my speech has become worse, and worse, the denture is so loose that it is flopping in my mouth. I went to my dentist two weeks ago to have a cavity filled on my remaining lower natural teeth. At that time he did not touch the upper denture but noted that it appeared to be well anchored and in good condition on my Peace Corps forms.
The reply email in summary;
Jan 15th
I sat down in front of my laptop and had to look for something in my junk folder from Costco and to my absolute shock Carlos this email from you was in there. You wrote this to me on the 8th of January and I did not reply. I am so sad, confused, and upset, about this entire thing. I realize that what I said was not at all appropriate, nor does it reflect the goals that all of you are trying to accomplish, as someone who works in ……… I know how people can be. I hope that you will take into consideration the fact that I wrote this while I was very upset, very worried that I could not get back in to see Dr. Golpa and to be honest just flat out scared too death that I will lose my job and my ability to ever be “normal” again. Your message today was reassuring and I wanted to remind you that when we spoke we talked about me coming out on the 2nd of Feb. as I am so afraid to leave work. After today I realize that I can’t talk right at all and the ache from the TMJ is terrible. My jaw is just way too far open and two dentist have verified this. I am willing to take off and come back out there so that I can meet Dr. Golpa ASAP if you think it will do any good at all. I apologize again for writing such a nasty spirited letter to all of you. Please give my apology to Amanda and Kelly as well. All I can say is that I have been in pain and had an ache in my mouth so badly that I have not been in my right mind, top that off with me not being able to teach, and I am just nearly crazy. For a time driving back today from the conference I wondered if I even wanted to live, nice smile or not! That is how awful having your jaw so wacked out can feel. No, I am not suicidal, just scared..
Jan 19th
I clearly told Carlos I would not be able to come for an appointment on Jan 20th. I called Kelly on Friday. She wasn't interested but I told her I would not be tgere. Just got a text about the appointment. We set the appointment for first week of Feb. Carlos told me it was best to come on Tuesday. We set the appointment for 3rd Feb. Cherie
Feb 3rd visit
PT present for changes to upper bridge. RMHx with no changes.
PT states she has been having pain around #10 implant.
X-rays were taken, led apron was placed. X-rays look good. Explained to PT to focus around that particular area for hygiene.
Removed upper bridge and sent to lab for changes.
Lab slip: take away from the ridge as much as possible so PT has more room for her tongue, wants the teeth brought in, close the bite 2mm (PT can’t close mouth), light contact on left side, bring #12 and #13 out just slightly.
Placed bridge back on and torqued to 20 NCM. PT was happy with the changes but wants to take them for a test drive. PT will come back tomorrow for a follow up. Access holes were not filled.
Patient did not return the next day…………
Next communication was that you had chipped the front tooth of the bridge. Again I cannot emphasize enough that when you choose to restore just one arch your bite will not be ideal. Because of the absence of your lower molars, your chewing surface is limited to your anterior teeth, which are not intended for masticating food. Also, with the absence of lower molars patients tend to bring their lower jaw forward, in order to masticate food. In doing so not only are the natural teeth compromised, but this also compromises the prosthetic. The symptoms experienced can be exacerbated by not having an equally opposed arch.
Additionally, we provided compensation for all travel to Las Vegas, as well as, accommodations.
The materials and processes I use are proven to be the strongest restorations available. Again, this is not in theory or conjecture, this insight comes from the experience of patients, certified lab techs, and 2 decades of experience. Your bridge is custom milled from a solid piece of material, with a one piece titanium framework. It is not processed acrylic, with denture teeth. The certified lab techs that design and mill your bridge, are world class. They have worked at some of the largest labs in America.
In summary, my goal is 100% satisfaction for all of my patients, and I stand behind all of my work. I will always be here for my patients. This is not a perfect process, and I will always strive to improve. I am sure that most all of my patients would agree that we will go above and beyond to make things right, but communication is the key. It cannot be done in a chat room, it needs to be face-to-face between patient and Doctor. An example of this is on this website from patient Unhappy... . After not being happy with the outcome (she also was an upper arch only restoration), she called a year later and wanted me to perform her lower arch surgery.
I am grateful for all my unique, diverse, and wonderful patients. Patients like NYTodd , who feel passionately enough about me to defend my integrity, skill, and expertise. I do not actively solicit reviews, I do not use reputation services or post fake reviews. All of my reviews are honest, and come from honest patients, and yes this includes you trubluelefty .
NT
First off, if I come off rude it's unintended, and if I hurt anyone's feelings, I apologize!
I just tell it like it is.
If anyone has any questions, I've offered to, and have spoken to patients due to have the procedure. Did I have to? NO! Did I want to? YES!
I'm going on FIVE YEARS with these implants, and couldn't be happier. Before I found Dr Golpa online, the dentists in NY wanted over 100k for the procedure they had no, or very little experience with. Usually when things seem too good to be true, they are! With Dr Golpa this is NOT the case. He'll do EVERYTHING in his power to make sure each, and every patient is completely satisfied.
I don't know what posts of mine you have read, but I'm not always the greatest at putting my thoughts into words on paper/PC, as I'm dyslexic. So on occasion my what I write doesn't come out as intended.
After Dr Golpa did the procedure on me for an price I thought was a scam, I felt obligated to put the word out, and help point people in the right direction (HIS OFFICE!)
I'm not a DDS, and I realize some people may not be candidates for this. One thing I do know is EVERYONE I've ever met in his office, or in person who has had this procedure with Dr Golpa has been as happy as I am!
As for "doing Dr Golpa any favors", well I'm sorry if you see it that way. I'm loyal to good people, who have done me right!
As Dr Golpa said, many people POSING as DDS's have given him poor reviews to get their struggling practices business. When my instincts tell me someone is a fraud, YEAH I will jump their a$$.
Read my inital thread from right after I had the procedure!
If you doubt his skill or ability, feel free to message me, and I'll tell you my experience.
After 5 years, I'm still going to take the time to defend Dr Golpa! People have the right to go anywhere they want. So if you decide to go to Mexico, Australia, or the freakin moon, GOOD LUCK!
Look, he's done literally THOUSANDS of these, and I'd say over 99% of the people are thrilled.
It seems to be human nature to want to complain when they may have had an issue. The thing is Dr Golpa WILL take care of it, as I've never seen, or heard of a final bad outcome.
So before people start leaving negative comments, explain what's going on, and he'll do everything in his power to make sure you end up satisfied.
Finally, look at the posts Dr Golpa left! Find me ANY OTHER DR/DDS who will responds to a patient's threads as Dr Golpa did. To me
that is proof the man cares.
A caring DDS, with unparalleled skill, and first class treatment....I didn't think that existed to this level.
As for doing Dr Golpa a favor? HELL YEAH! If he needed anything, I'd be there for the guy! (He changed my life)
Perhaps in my neck of the woods we tell it like it is! Good, or bad.
So "Luton1" would you like to explain your statement?
I just tell it like it is.
If anyone has any questions, I've offered to, and have spoken to patients due to have the procedure. Did I have to? NO! Did I want to? YES!
I'm going on FIVE YEARS with these implants, and couldn't be happier. Before I found Dr Golpa online, the dentists in NY wanted over 100k for the procedure they had no, or very little experience with. Usually when things seem too good to be true, they are! With Dr Golpa this is NOT the case. He'll do EVERYTHING in his power to make sure each, and every patient is completely satisfied.
I don't know what posts of mine you have read, but I'm not always the greatest at putting my thoughts into words on paper/PC, as I'm dyslexic. So on occasion my what I write doesn't come out as intended.
After Dr Golpa did the procedure on me for an price I thought was a scam, I felt obligated to put the word out, and help point people in the right direction (HIS OFFICE!)
I'm not a DDS, and I realize some people may not be candidates for this. One thing I do know is EVERYONE I've ever met in his office, or in person who has had this procedure with Dr Golpa has been as happy as I am!
As for "doing Dr Golpa any favors", well I'm sorry if you see it that way. I'm loyal to good people, who have done me right!
As Dr Golpa said, many people POSING as DDS's have given him poor reviews to get their struggling practices business. When my instincts tell me someone is a fraud, YEAH I will jump their a$$.
Read my inital thread from right after I had the procedure!
If you doubt his skill or ability, feel free to message me, and I'll tell you my experience.
After 5 years, I'm still going to take the time to defend Dr Golpa! People have the right to go anywhere they want. So if you decide to go to Mexico, Australia, or the freakin moon, GOOD LUCK!
Look, he's done literally THOUSANDS of these, and I'd say over 99% of the people are thrilled.
It seems to be human nature to want to complain when they may have had an issue. The thing is Dr Golpa WILL take care of it, as I've never seen, or heard of a final bad outcome.
So before people start leaving negative comments, explain what's going on, and he'll do everything in his power to make sure you end up satisfied.
Finally, look at the posts Dr Golpa left! Find me ANY OTHER DR/DDS who will responds to a patient's threads as Dr Golpa did. To me
that is proof the man cares.
A caring DDS, with unparalleled skill, and first class treatment....I didn't think that existed to this level.
As for doing Dr Golpa a favor? HELL YEAH! If he needed anything, I'd be there for the guy! (He changed my life)
Perhaps in my neck of the woods we tell it like it is! Good, or bad.
So "Luton1" would you like to explain your statement?
NY is not dissing he is giving his side of what he has experienced with his work and with his outcome, he had a good experience some do some don't...if didn't then by all means seek care elsewhere. Dr Golpa is an expert in this field, that every so often especially when don't follow his thoughts on what would make your procedure a better outcome doing half ...you took your chances and through it had a bad outcome thru the healing process. it is just sounding like blue you are thrashing the dr and not taking some responsibility for your decision at that time with his suggestion for doing both arches, and he respected your want...and it didn't turn out well for you....as the dr he knew it would most likely cause a prob but you were adamant about doing just top arch not lower....as he professionally suggested.
MR
Hi all! It's entirely reasonable that different people have different experiences with the same doctor. It looks as if both trublulefty and Dr. Golpa both had their say back in 2015. In the absence of an update from either them, it's best to let this particular discussion go.
@ NYTodd- Clearly, Golpa's work is NOT the best. Have you not read this testimony ?I don't think I'd be interested in being " chilled out" by Carlos. And this woman is NOT ok, and she has far more patience than I would have with this dentist.
It's nice if a Dr. has a kind staff. But as patients, we are not there to chat with the staff. We are there spending our hard earned money to be able to smile again, pain free hopefully for a lifetime. Nobody wants to lose their teeth. It's a terrible feeling. Nobody wants to look in the mirror and see that their face looks longer, different. With today's technology, this should NEVER happen.
What this dentist has done is totally unacceptable ! He should have, the very first time she came back, made it right. If that meant cancelling patients for the day or for 2 or 3 days, he should have done it.
It's not right, what you're going through truebluelefty. There is NO reason you should not have a good bite, no reason your teeth be off center OR to break off when you're eating.
I would be having a FIT ! A true blown social media fit. I'm so sorry that you're having so many problems. :(
It's nice if a Dr. has a kind staff. But as patients, we are not there to chat with the staff. We are there spending our hard earned money to be able to smile again, pain free hopefully for a lifetime. Nobody wants to lose their teeth. It's a terrible feeling. Nobody wants to look in the mirror and see that their face looks longer, different. With today's technology, this should NEVER happen.
What this dentist has done is totally unacceptable ! He should have, the very first time she came back, made it right. If that meant cancelling patients for the day or for 2 or 3 days, he should have done it.
It's not right, what you're going through truebluelefty. There is NO reason you should not have a good bite, no reason your teeth be off center OR to break off when you're eating.
I would be having a FIT ! A true blown social media fit. I'm so sorry that you're having so many problems. :(
Agree 100%.
it's a major surgery no matter what doctor does it and is going to have some problems thru the recovery healing process and will have some recovery pain as well like any major surgery, this is your mouth and a vital part and usage of a persons anatomy , knowing these things are going to be part of the process thru it and see your doctor as you go along to help through it is all you can do. it is not any of the expertise of the dr causing undue problems it is Just the Recovery everyone has to go thru...Recovery after a major surgery takes time and takes patience and as swelling and muscles and nerves start to heal they go thru changes this is normal any doctor in any field would tell you this, you must go slow with this not over expect instant healing and that adjustment will be needed along the way. Dr Golpa is doing his expert best as any dr would including hospital surgery dr's would ...healing takes time and some problems do come up and they will do their best to help you thru but they can not make your body do anything its not ready to do or be with you 24/7 to tell you to don't eat on that side remember what they said. It is overwhelming it is painful it is full of petculiar adjustments and ones that change within hours as your body healing changes...when I say body I do mean face , just using a body as it is what a body goes thru in a surgery...you've had a surgery...and carlos is correct consistently being fritenend or anxious does no good actually makes matters worse not only for self but freaking out on all of them will not make it heal or remedy faster...so yes everyone with this procedure needs to chill out, and try and understand the process and the Good Doctor will see you as soon as possible...as he has patients other than you to tend to as well that are needing his assist as well thru their healing recovery with all this too....to make yourself feel better look at a pic of you before this and how lovely your teeth are now...maybe they do need alittle fix here and there and it will get done, but with constant facial changing he would like to have you finish your healing process to get to that final wants during he will tend to your complications....get in line cause everyone has a few. Any Dr doing this would as it is a Life Changing emothional physical change that was tramatic to your body (face-like cosmetic surgery which you chose and would have with either him or another ,it would be same healing pain,etc.) Don't be so hard on the Doctor...this was a choice you made...and would be going thru the same process with any doctor that offers the same service. Some of this is unsettling for healing as he is not in your home town to zip on into his office...but please people take a 'self note' and some responsibility as you knew this when you agreed to this office and the good doctors services. Be Kind to Self, Go Slow,you've been thru something major, it cant go quicker, if something goes awry call them they'll get you in as soon as possible, if really bad cant wait seek care local with someone that has experience with all on four. Repeat it is a healing process...you know when watch shows on tv that get cosmetic surgery when they are back in office after recovery it wasn't in a month or two it was checked during but final outcome took months like 3-5 for actually normal look...lets be real about what you agreed to have done and why. and that this is not an overnight fix and takes time!
trubluelefty I do not normally respond to reviews from patients, but in this situation I feel it is important for others to realize that your situation is far from the normal experience of 99% of my patients. In fact, of the thousands of patients I have treated, there have been few patients that have not been happy with the outcome over time.
I am in no way denying YOUR personal experience, or the feelings and motivations you may have. What I can no longer do is sit idle while you continue to post comments that portray a picture that is in complete contrast to the overwhelming support and gratitude felt by hundreds of patients.
I welcome forums like this that give an honest opinion and allow patients to exchange experiences. I also welcome and encourage patients research any Dentist or practice before they entrust them with their care. The one issue I have with forums like this is it also allows other Dentists to post gratuitous adverts for themselves by creating fake users, which are easily identified by the fact that the practice or dentist will have 0 or 1 review, and no profile. Any dentist that has performed this procedure regularly will have several reviews and comments, which can be attributed to their experience.
I appreciate everyone that gives their opinion because it helps me improve as an individual and as a Practice. I constantly strive to improve the procedure and its delivery, by input from patients. All procedural modifications and improvements are made to improve the experience of my patients. I base these changes on the experience of actually performing this procedure, rather than text books, forums, antiquated studies, and conjecture.
That being said, I feel it is important to tell my side of the story so that others can make an informed decision regarding my practice, my level of experience, and my dedication to patients.
First, let me start by explaining what this procedure is, and what it is not;
This procedure is an alternative to removable dentures, partials, snap in dentures, and over dentures. It is not a replacement for one’s natural teeth. It gives patients an alternative that is as close as possible to their own natural teeth, while remaining cost efficient. It is still a prosthetic and will have a period of adjustment. This period can vary by patient. No one would expect an amputee to receive a prosthetic leg and run a marathon weeks later, but with the right attitude and work, many amputees do run marathons, and some never seem to fully recover.
It is important to have realistic expectations going into this procedure, because this procedure will not change all aspects of one’s life, unless we work on these extraneous circumstances. This phenomenon is evident in all areas of medicine, but is most prevalent in the plastic surgery and dental professions. This procedure will not cure anxiety, depression, low self-esteem, or any existing extraneous condition. Often time’s people lose weight and expect that this will drastically change their lives and are often more depressed when it doesn’t, or the alcoholic who gives up drinking, yet their lives continue to spiral out of control.
Again, trubluelefty my intention is not to deny the way you feel, but rather to tell my side of the story:
First off, I restored just your upper arch, and advised you that this would not be ideal because the design of your teeth would be dependent on your existing lower arch, so that you would have some function and be able to masticate food. The reason for this is that you had no lower molars, and your reaming teeth were not in the best shape. You stated that you understood this and you elected to move forward with no treatment to your lower arch.
I think a good way to summarize for readers is to highlight an email exchange you had with my office manager Carlos; (I have redacted any identifiable information)
When you first contacted us your #1 priority was how soon you could get in to have the procedure done:
"It feels like I have spent the entire Thanksgiving weekend reviewing your dental program, trying to find out what would be right, or wrong about this. Here is my situation briefly. I am a healthy …. year old female and set to go into the peace corp in May of 2015. I need to have a 100 percent okay dental clearance in December or January. Following my acceptance I started working on implants, and bridges, you know. I then researched Clear Choice. I do not like the snap in snap out aspect at all. I am in ………... I feel the biggest concern for me is when can we do this and how fast can you see me. I believe I can do the top arch. I had extensive work done at Clear Choice and paid a thousand (by work I mean a six hour work up) to see if I was a candidate. But my huge issue is time. When possibly could I get in. I would drive from ……… and my …….. will come with me, if we can still get the stay in the room. I would like to go with the non zirocnia one having researched the benefits of the step up grade. Forgot the name as I write this. I terrified of pain and swelling but will plan a week down there if we can cover some of the room and will just surrender and trust. I watched every video and I do mean every video. So it comes down first and foremost to time. What is the absolute earliest that I can be seen and can a certificate be written saying I have perfect teeth then for the PC. Clear Choice said they could do this even though I would not have the permanent bridge until a year later. I don’t feel comfortable going with the temp bridge and I am assuming yours is not the temp bridges although in some chat rooms it appears it is. I am ready to get in the car and come down. I have excellent health but have had very high blood pressure in the chair due to anxiety……. this anxiety is in part due to the fact I don’t like having to snap my teeth in and out. Other than that I have never had high BP or any other health issue. I would need ………. following procedure as I have arthritis and that is all that relieves the pain so I know if I am going to have pain I need to be ready. I know how to ice well. Let me know your thoughts. The biggest questions is How Soon. I bet you get that a lot.
We did our best to accommodate you and were able to schedule you at last minute just 1 week later. Amanda does her best to coordinate Patient stays with the hotels, but in the your initial communication above you state "if we can still get the stay in the room" and "I will plan a week if we can still cover some of the room" I am sure you can see how this may be confusing, it implies that YOU will be getting the room and want to be compensated. This however was not the case, so with even less notice Amanda did get you a room at the Monte Carlo. Since you ultimately stayed at a hotel you chose, we have no control over whether they have internet or not. Both Amanda and Kealy were unaware that you had stayed in a different hotel, and needed transportation, since you drove to Las Vegas. However, when we were made aware, Kealy used her own transportation, in an effort to accommodate you, and prevent you from waiting any further.
Regarding the surgery itself, Dr Golpa had squeezed you in to an already busy schedule, again in an effort to accommodate you. Being that you are a ………, I am sure you can appreciate the fact that the "……." is most often the front line in Patient care. Doctors concentrate (for good reason) on performing complex surgeries, so that Patients can have the best outcomes and their symptoms are alleviated. It is the same in Dentistry, the "Assistants" and the office "Staff" are the front line in Patient care, so that Dr. Golpa can concentrate on performing complex surgeries. We (the assistants and staff) document and convey your preconditions, concerns and wishes to the Doctor. Your preconditions, concerns, and wishes were summarized in this letter, coauthored by you, following your surgery:
"This is to inform you about the care of my patient ………. Last week she began to have increased pain in various parts of mouth due to faulty dental work, this was causing severe headaches, swelling and elevated blood pressure due to the headaches, and pain. The right side had a faulty bridge and there was an incomplete Implant on a front tooth that was cracked. Both of these areas were causing her stress, anxiety, and pain and she needed to see me as soon as possible. It was medically impossible for her to function normally. I sent 3 prescriptions to her pharmacy in ……….. last week and worked with her to begin her treatment as soon as possible as this involved being sedated. She was running a risk of infection or abscess with additional problems and her condition as not good. ……. had the surgical procedure yesterday and left my office at about 9 pm. She had several teeth extracted and additional implants were done. We feel that this will solve her problems on a permanent basis and that this will alleviate the dental problems that she was having. Her blood pressure due to anxiety and pain was frequently above 175/115 but returned to normal following the procedure.. She was able to walk out of the office and will return to her work and plans for the future. She did exceptionally well during the procedure except the elevated Blood Pressure but this was due to stress as her BP is normal without the pain and stress. We hope that she is on her way to a bright new tomorrow. And ask you to take into consideration the pain and the stress she has been under these past months."
………, when you left the office, we all felt that we had delivered on your wishes for a permanent bridge in less than 2 weeks after initially contacting us. You appeared and stated that you were happy, and the pain seemed to be alleviated. This is, and will always be the goal of Dr. Golpa and the entire staff. This is what we want for all Patients, it may not always be immediate, but 99% of the time this is the case after a period of adjustment. Every Patient is different however, things are not always perfect, but in the end I am confident that we can get there.
In the month following your procedure and after the long Holiday vacation, you called to express concerns that you have. There are 3 staff that answer the phones. When we receive calls from you, we don't "toss" you off, we were all trying to address your concerns personally. When I spoke with you, you told me that the bridge seemed "loose" on one side and that you had went to a local Dentist and he stated that "the bridge was well anchored" and "appeared fine", but prior to that the bridge was "flopping" around in your mouth. So to clarify I asked you if you could "move" the bridge and you said "no", but the space between the bridge and gums was greater on the one side. This indicated to me that you need to have the bridge re-lined. So I stated that you needed to come back so we could do this for you. The reason I said the 20th (8 business days later) was in an effort to allow you to make arrangements. I was not aware that this was an emergency situation because you did not mention the Pain. Now that I have received your email, I would like you to come Monday 1/12.
Dr. Golpa's primary concern is "Patient Care”. Now that we are aware you are experiencing the same symptoms as you stated prior to surgery, he will do his best to alleviate them. Attacking someone's moral and character, that has dedicated their life to helping others, will not help anyone.
Please let us know if you will be able to come Monday. We will call you today. Again …….., we all want the same outcome.
Following email summary;
Jan 7th
I waited patiently and noticed that day by day my speech has become worse, and worse, the denture is so loose that it is flopping in my mouth. I went to my dentist two weeks ago to have a cavity filled on my remaining lower natural teeth. At that time he did not touch the upper denture but noted that it appeared to be well anchored and in good condition on my Peace Corps forms.
The reply email in summary;
Jan 15th
I sat down in front of my laptop and had to look for something in my junk folder from Costco and to my absolute shock Carlos this email from you was in there. You wrote this to me on the 8th of January and I did not reply. I am so sad, confused, and upset, about this entire thing. I realize that what I said was not at all appropriate, nor does it reflect the goals that all of you are trying to accomplish, as someone who works in ……… I know how people can be. I hope that you will take into consideration the fact that I wrote this while I was very upset, very worried that I could not get back in to see Dr. Golpa and to be honest just flat out scared too death that I will lose my job and my ability to ever be “normal” again. Your message today was reassuring and I wanted to remind you that when we spoke we talked about me coming out on the 2nd of Feb. as I am so afraid to leave work. After today I realize that I can’t talk right at all and the ache from the TMJ is terrible. My jaw is just way too far open and two dentist have verified this. I am willing to take off and come back out there so that I can meet Dr. Golpa ASAP if you think it will do any good at all. I apologize again for writing such a nasty spirited letter to all of you. Please give my apology to Amanda and Kelly as well. All I can say is that I have been in pain and had an ache in my mouth so badly that I have not been in my right mind, top that off with me not being able to teach, and I am just nearly crazy. For a time driving back today from the conference I wondered if I even wanted to live, nice smile or not! That is how awful having your jaw so wacked out can feel. No, I am not suicidal, just scared..
Jan 19th
I clearly told Carlos I would not be able to come for an appointment on Jan 20th. I called Kelly on Friday. She wasn't interested but I told her I would not be tgere. Just got a text about the appointment. We set the appointment for first week of Feb. Carlos told me it was best to come on Tuesday. We set the appointment for 3rd Feb. Cherie
Feb 3rd visit
PT present for changes to upper bridge. RMHx with no changes.
PT states she has been having pain around #10 implant.
X-rays were taken, led apron was placed. X-rays look good. Explained to PT to focus around that particular area for hygiene.
Removed upper bridge and sent to lab for changes.
Lab slip: take away from the ridge as much as possible so PT has more room for her tongue, wants the teeth brought in, close the bite 2mm (PT can’t close mouth), light contact on left side, bring #12 and #13 out just slightly.
Placed bridge back on and torqued to 20 NCM. PT was happy with the changes but wants to take them for a test drive. PT will come back tomorrow for a follow up. Access holes were not filled.
Patient did not return the next day…………
Next communication was that you had chipped the front tooth of the bridge. Again I cannot emphasize enough that when you choose to restore just one arch your bite will not be ideal. Because of the absence of your lower molars, your chewing surface is limited to your anterior teeth, which are not intended for masticating food. Also, with the absence of lower molars patients tend to bring their lower jaw forward, in order to masticate food. In doing so not only are the natural teeth compromised, but this also compromises the prosthetic. The symptoms experienced can be exacerbated by not having an equally opposed arch.
Additionally, we provided compensation for all travel to Las Vegas, as well as, accommodations.
The materials and processes I use are proven to be the strongest restorations available. Again, this is not in theory or conjecture, this insight comes from the experience of patients, certified lab techs, and 2 decades of experience. Your bridge is custom milled from a solid piece of material, with a one piece titanium framework. It is not processed acrylic, with denture teeth. The certified lab techs that design and mill your bridge, are world class. They have worked at some of the largest labs in America.
In summary, my goal is 100% satisfaction for all of my patients, and I stand behind all of my work. I will always be here for my patients. This is not a perfect process, and I will always strive to improve. I am sure that most all of my patients would agree that we will go above and beyond to make things right, but communication is the key. It cannot be done in a chat room, it needs to be face-to-face between patient and Doctor. An example of this is on this website from patient Unhappy... . After not being happy with the outcome (she also was an upper arch only restoration), she called a year later and wanted me to perform her lower arch surgery.
I am grateful for all my unique, diverse, and wonderful patients. Patients like NYTodd , who feel passionately enough about me to defend my integrity, skill, and expertise. I do not actively solicit reviews, I do not use reputation services or post fake reviews. All of my reviews are honest, and come from honest patients, and yes this includes you trubluelefty .
I am in no way denying YOUR personal experience, or the feelings and motivations you may have. What I can no longer do is sit idle while you continue to post comments that portray a picture that is in complete contrast to the overwhelming support and gratitude felt by hundreds of patients.
I welcome forums like this that give an honest opinion and allow patients to exchange experiences. I also welcome and encourage patients research any Dentist or practice before they entrust them with their care. The one issue I have with forums like this is it also allows other Dentists to post gratuitous adverts for themselves by creating fake users, which are easily identified by the fact that the practice or dentist will have 0 or 1 review, and no profile. Any dentist that has performed this procedure regularly will have several reviews and comments, which can be attributed to their experience.
I appreciate everyone that gives their opinion because it helps me improve as an individual and as a Practice. I constantly strive to improve the procedure and its delivery, by input from patients. All procedural modifications and improvements are made to improve the experience of my patients. I base these changes on the experience of actually performing this procedure, rather than text books, forums, antiquated studies, and conjecture.
That being said, I feel it is important to tell my side of the story so that others can make an informed decision regarding my practice, my level of experience, and my dedication to patients.
First, let me start by explaining what this procedure is, and what it is not;
This procedure is an alternative to removable dentures, partials, snap in dentures, and over dentures. It is not a replacement for one’s natural teeth. It gives patients an alternative that is as close as possible to their own natural teeth, while remaining cost efficient. It is still a prosthetic and will have a period of adjustment. This period can vary by patient. No one would expect an amputee to receive a prosthetic leg and run a marathon weeks later, but with the right attitude and work, many amputees do run marathons, and some never seem to fully recover.
It is important to have realistic expectations going into this procedure, because this procedure will not change all aspects of one’s life, unless we work on these extraneous circumstances. This phenomenon is evident in all areas of medicine, but is most prevalent in the plastic surgery and dental professions. This procedure will not cure anxiety, depression, low self-esteem, or any existing extraneous condition. Often time’s people lose weight and expect that this will drastically change their lives and are often more depressed when it doesn’t, or the alcoholic who gives up drinking, yet their lives continue to spiral out of control.
Again, trubluelefty my intention is not to deny the way you feel, but rather to tell my side of the story:
First off, I restored just your upper arch, and advised you that this would not be ideal because the design of your teeth would be dependent on your existing lower arch, so that you would have some function and be able to masticate food. The reason for this is that you had no lower molars, and your reaming teeth were not in the best shape. You stated that you understood this and you elected to move forward with no treatment to your lower arch.
I think a good way to summarize for readers is to highlight an email exchange you had with my office manager Carlos; (I have redacted any identifiable information)
When you first contacted us your #1 priority was how soon you could get in to have the procedure done:
"It feels like I have spent the entire Thanksgiving weekend reviewing your dental program, trying to find out what would be right, or wrong about this. Here is my situation briefly. I am a healthy …. year old female and set to go into the peace corp in May of 2015. I need to have a 100 percent okay dental clearance in December or January. Following my acceptance I started working on implants, and bridges, you know. I then researched Clear Choice. I do not like the snap in snap out aspect at all. I am in ………... I feel the biggest concern for me is when can we do this and how fast can you see me. I believe I can do the top arch. I had extensive work done at Clear Choice and paid a thousand (by work I mean a six hour work up) to see if I was a candidate. But my huge issue is time. When possibly could I get in. I would drive from ……… and my …….. will come with me, if we can still get the stay in the room. I would like to go with the non zirocnia one having researched the benefits of the step up grade. Forgot the name as I write this. I terrified of pain and swelling but will plan a week down there if we can cover some of the room and will just surrender and trust. I watched every video and I do mean every video. So it comes down first and foremost to time. What is the absolute earliest that I can be seen and can a certificate be written saying I have perfect teeth then for the PC. Clear Choice said they could do this even though I would not have the permanent bridge until a year later. I don’t feel comfortable going with the temp bridge and I am assuming yours is not the temp bridges although in some chat rooms it appears it is. I am ready to get in the car and come down. I have excellent health but have had very high blood pressure in the chair due to anxiety……. this anxiety is in part due to the fact I don’t like having to snap my teeth in and out. Other than that I have never had high BP or any other health issue. I would need ………. following procedure as I have arthritis and that is all that relieves the pain so I know if I am going to have pain I need to be ready. I know how to ice well. Let me know your thoughts. The biggest questions is How Soon. I bet you get that a lot.
We did our best to accommodate you and were able to schedule you at last minute just 1 week later. Amanda does her best to coordinate Patient stays with the hotels, but in the your initial communication above you state "if we can still get the stay in the room" and "I will plan a week if we can still cover some of the room" I am sure you can see how this may be confusing, it implies that YOU will be getting the room and want to be compensated. This however was not the case, so with even less notice Amanda did get you a room at the Monte Carlo. Since you ultimately stayed at a hotel you chose, we have no control over whether they have internet or not. Both Amanda and Kealy were unaware that you had stayed in a different hotel, and needed transportation, since you drove to Las Vegas. However, when we were made aware, Kealy used her own transportation, in an effort to accommodate you, and prevent you from waiting any further.
Regarding the surgery itself, Dr Golpa had squeezed you in to an already busy schedule, again in an effort to accommodate you. Being that you are a ………, I am sure you can appreciate the fact that the "……." is most often the front line in Patient care. Doctors concentrate (for good reason) on performing complex surgeries, so that Patients can have the best outcomes and their symptoms are alleviated. It is the same in Dentistry, the "Assistants" and the office "Staff" are the front line in Patient care, so that Dr. Golpa can concentrate on performing complex surgeries. We (the assistants and staff) document and convey your preconditions, concerns and wishes to the Doctor. Your preconditions, concerns, and wishes were summarized in this letter, coauthored by you, following your surgery:
"This is to inform you about the care of my patient ………. Last week she began to have increased pain in various parts of mouth due to faulty dental work, this was causing severe headaches, swelling and elevated blood pressure due to the headaches, and pain. The right side had a faulty bridge and there was an incomplete Implant on a front tooth that was cracked. Both of these areas were causing her stress, anxiety, and pain and she needed to see me as soon as possible. It was medically impossible for her to function normally. I sent 3 prescriptions to her pharmacy in ……….. last week and worked with her to begin her treatment as soon as possible as this involved being sedated. She was running a risk of infection or abscess with additional problems and her condition as not good. ……. had the surgical procedure yesterday and left my office at about 9 pm. She had several teeth extracted and additional implants were done. We feel that this will solve her problems on a permanent basis and that this will alleviate the dental problems that she was having. Her blood pressure due to anxiety and pain was frequently above 175/115 but returned to normal following the procedure.. She was able to walk out of the office and will return to her work and plans for the future. She did exceptionally well during the procedure except the elevated Blood Pressure but this was due to stress as her BP is normal without the pain and stress. We hope that she is on her way to a bright new tomorrow. And ask you to take into consideration the pain and the stress she has been under these past months."
………, when you left the office, we all felt that we had delivered on your wishes for a permanent bridge in less than 2 weeks after initially contacting us. You appeared and stated that you were happy, and the pain seemed to be alleviated. This is, and will always be the goal of Dr. Golpa and the entire staff. This is what we want for all Patients, it may not always be immediate, but 99% of the time this is the case after a period of adjustment. Every Patient is different however, things are not always perfect, but in the end I am confident that we can get there.
In the month following your procedure and after the long Holiday vacation, you called to express concerns that you have. There are 3 staff that answer the phones. When we receive calls from you, we don't "toss" you off, we were all trying to address your concerns personally. When I spoke with you, you told me that the bridge seemed "loose" on one side and that you had went to a local Dentist and he stated that "the bridge was well anchored" and "appeared fine", but prior to that the bridge was "flopping" around in your mouth. So to clarify I asked you if you could "move" the bridge and you said "no", but the space between the bridge and gums was greater on the one side. This indicated to me that you need to have the bridge re-lined. So I stated that you needed to come back so we could do this for you. The reason I said the 20th (8 business days later) was in an effort to allow you to make arrangements. I was not aware that this was an emergency situation because you did not mention the Pain. Now that I have received your email, I would like you to come Monday 1/12.
Dr. Golpa's primary concern is "Patient Care”. Now that we are aware you are experiencing the same symptoms as you stated prior to surgery, he will do his best to alleviate them. Attacking someone's moral and character, that has dedicated their life to helping others, will not help anyone.
Please let us know if you will be able to come Monday. We will call you today. Again …….., we all want the same outcome.
Following email summary;
Jan 7th
I waited patiently and noticed that day by day my speech has become worse, and worse, the denture is so loose that it is flopping in my mouth. I went to my dentist two weeks ago to have a cavity filled on my remaining lower natural teeth. At that time he did not touch the upper denture but noted that it appeared to be well anchored and in good condition on my Peace Corps forms.
The reply email in summary;
Jan 15th
I sat down in front of my laptop and had to look for something in my junk folder from Costco and to my absolute shock Carlos this email from you was in there. You wrote this to me on the 8th of January and I did not reply. I am so sad, confused, and upset, about this entire thing. I realize that what I said was not at all appropriate, nor does it reflect the goals that all of you are trying to accomplish, as someone who works in ……… I know how people can be. I hope that you will take into consideration the fact that I wrote this while I was very upset, very worried that I could not get back in to see Dr. Golpa and to be honest just flat out scared too death that I will lose my job and my ability to ever be “normal” again. Your message today was reassuring and I wanted to remind you that when we spoke we talked about me coming out on the 2nd of Feb. as I am so afraid to leave work. After today I realize that I can’t talk right at all and the ache from the TMJ is terrible. My jaw is just way too far open and two dentist have verified this. I am willing to take off and come back out there so that I can meet Dr. Golpa ASAP if you think it will do any good at all. I apologize again for writing such a nasty spirited letter to all of you. Please give my apology to Amanda and Kelly as well. All I can say is that I have been in pain and had an ache in my mouth so badly that I have not been in my right mind, top that off with me not being able to teach, and I am just nearly crazy. For a time driving back today from the conference I wondered if I even wanted to live, nice smile or not! That is how awful having your jaw so wacked out can feel. No, I am not suicidal, just scared..
Jan 19th
I clearly told Carlos I would not be able to come for an appointment on Jan 20th. I called Kelly on Friday. She wasn't interested but I told her I would not be tgere. Just got a text about the appointment. We set the appointment for first week of Feb. Carlos told me it was best to come on Tuesday. We set the appointment for 3rd Feb. Cherie
Feb 3rd visit
PT present for changes to upper bridge. RMHx with no changes.
PT states she has been having pain around #10 implant.
X-rays were taken, led apron was placed. X-rays look good. Explained to PT to focus around that particular area for hygiene.
Removed upper bridge and sent to lab for changes.
Lab slip: take away from the ridge as much as possible so PT has more room for her tongue, wants the teeth brought in, close the bite 2mm (PT can’t close mouth), light contact on left side, bring #12 and #13 out just slightly.
Placed bridge back on and torqued to 20 NCM. PT was happy with the changes but wants to take them for a test drive. PT will come back tomorrow for a follow up. Access holes were not filled.
Patient did not return the next day…………
Next communication was that you had chipped the front tooth of the bridge. Again I cannot emphasize enough that when you choose to restore just one arch your bite will not be ideal. Because of the absence of your lower molars, your chewing surface is limited to your anterior teeth, which are not intended for masticating food. Also, with the absence of lower molars patients tend to bring their lower jaw forward, in order to masticate food. In doing so not only are the natural teeth compromised, but this also compromises the prosthetic. The symptoms experienced can be exacerbated by not having an equally opposed arch.
Additionally, we provided compensation for all travel to Las Vegas, as well as, accommodations.
The materials and processes I use are proven to be the strongest restorations available. Again, this is not in theory or conjecture, this insight comes from the experience of patients, certified lab techs, and 2 decades of experience. Your bridge is custom milled from a solid piece of material, with a one piece titanium framework. It is not processed acrylic, with denture teeth. The certified lab techs that design and mill your bridge, are world class. They have worked at some of the largest labs in America.
In summary, my goal is 100% satisfaction for all of my patients, and I stand behind all of my work. I will always be here for my patients. This is not a perfect process, and I will always strive to improve. I am sure that most all of my patients would agree that we will go above and beyond to make things right, but communication is the key. It cannot be done in a chat room, it needs to be face-to-face between patient and Doctor. An example of this is on this website from patient Unhappy... . After not being happy with the outcome (she also was an upper arch only restoration), she called a year later and wanted me to perform her lower arch surgery.
I am grateful for all my unique, diverse, and wonderful patients. Patients like NYTodd , who feel passionately enough about me to defend my integrity, skill, and expertise. I do not actively solicit reviews, I do not use reputation services or post fake reviews. All of my reviews are honest, and come from honest patients, and yes this includes you trubluelefty .
Omg. There is a YouTube video of a young lady that won the all on four contest by Dr Golpa. She also had one side of the implant/denture lift out. She had to fly back to Las Vegas.
Which was fixed immediately by Dr Golpa!
do you know that for the first eight weeks you are to only eat foods that you can cut with a fork?! Dr Golpa tells you this...so assume that if you should have cut something you are about to eat with a knife and fork...stop. Go softer foods for the duration, when say eat whatever you want...may want to get specific instructions and the when can! What one can do may not be what another can....everyone is different! Be careful with yourself and what you put your monies into it's an investment to get you thru the future. Take care of it ...it takes care of you ;) Always ask if not sure give a call to office and don't assume stay on safe side for 'you'!
UPDATED FROM trubluelefty
5 months post
Back to Vegas
This will be my fourth trip to Vegas. I had my procedure done on December 8th. I have combed every article on Dr. Golpa's website to find the problems that I have encountered, but seems everyone else had a perfect experience. I was back about six weeks ago because the entire bridge just snapped off, the very thin plastic that the denture was made of surprised me. I now have teeth that are wiggling about in my mouth. Because of the Mayweather fight I did not go a few days back as Vegas looked like a zoo. So here it is Sunday morning and I am going back for my 4th trip. My son is traveling with me. The bridge started feeling very loose over a week ago. I was out of state on business and could barely make it through the meetings. Loose fitting dentures must be a nightmare for those who wear them as loose fitting "dentures" on 4 implants is very bad. I wrote to Carlos several times and did not hear back from him. I have come to the conclusion that he will be there for me if I call, sometimes it is just difficult for me to call. I am a professional, I had a busy active life and since completing this procedure things have been sliding backwards for me. I am due to leave the US in July for an overseas posting and .... since December I have needed emergency and urgent visits with my dentist nearly every month. I would say overall that this has been one of the biggest mistakes of my life, if your teeth are very bad, if you have problems with your teeth then this could be the thing for you. My problem was not nearly as severe as this, I was interested in having a quick fix and realize that there might not be any such thing with such a dramatic procedure. I believe that the implants are placed way too far out on the gum line. Considering that I have a medical background I should have been able to put this together long ago. I now realize that I most likely will not ever have a "normal" life and I feel that my chance to go overseas is somehow going to be very difficult. After speaking with Carlos on Friday he encouraged me to come back and Dr. Golpa's office has always been more than fair financially with me. They have helped me with my expenses for these return emergency trips. I have just hid out in my room all week waiting for Sunday morning so that I can leave. After the chat with Carlos the teeth sort of when "pop" again and the impact on the far left is definitely just totally out of the denture, it isn't even in the "teeth" the second one on the left next to it, which supports the bridge is now very loose as well. So dreary, and to be frankly very depressing. If there was ever anything in my life I have deeply regretted, this is it. I have not found any type of solution, I have spent nearly every waking hour for the past months with teeth jiggling about and I am only hopeful that Dr. Golpa plans to do more than simply screw the denture back on tighter. I did ask for a referral closer to home but after discussing it with Carlos that does not seem to be a wise choice. On the road again....... just don't want to get on the road again.
Replies (3)
Meant to write "Implant on the left" not impact, the impact is probably more of an emotional one in that I have had such a rough time.
WOW!!! I am sooooo very sorry for all the problems and pain you have experienced with this procedure!! I also want to THANK YOU for sharing your TRUE experiences with the procedure...and in particular with Dr. Golpa and his staff!! I have been researching this procedure( I have no other option except "traditional" dentures) and afraid my better judgment to stick to a dr. closer to home was being swayed by the "quick & less expensive" promises and " glowing" testimonials on Dr. Golpa's site. Like yourself, I questioned whether being so far away (2000 mi!) was a smart choice, but I had nearly convinced myself that EVERY operation was an unmitigated success...and that I would breeze through it...without any problems...and come home with a new, dazzling, life changing smile!!After all...isn't that what ALL the testimonials say?!? Anyway...THANKS AGAIN for relating your true story and bringing me down to earth!!! I think I'm going to look for a dentist closer to home...even though it initially will be much more expensive. I hope and pray your problems will be alleviated very soon...you have suffered far too long! PLEASE TAKE CARE...and keep us posted!!
Hi, I am in Vegas and had an appointment today. They said I had "broken" an internal portion on the implant. That would have been from my smoothie diet or the hard food, like scrambled eggs. They did give me a hotel voucher for the night but the trip driving was about $400. The office staff is very nice, lots of out of town people here but this entire process is a nightmare and not a quick fix. I'm pretty miserable although the implant is "repaired" I think I will be lucky if it lasts a month and I feel like I have a mouth full of plastic teeth!
trubluelefty I do not normally respond to reviews from patients, but in this situation I feel it is important for others to realize that your situation is far from the normal experience of 99% of my patients. In fact, of the thousands of patients I have treated, there have been few patients that have not been happy with the outcome over time.
I am in no way denying YOUR personal experience, or the feelings and motivations you may have. What I can no longer do is sit idle while you continue to post comments that portray a picture that is in complete contrast to the overwhelming support and gratitude felt by hundreds of patients.
I welcome forums like this that give an honest opinion and allow patients to exchange experiences. I also welcome and encourage patients research any Dentist or practice before they entrust them with their care. The one issue I have with forums like this is it also allows other Dentists to post gratuitous adverts for themselves by creating fake users, which are easily identified by the fact that the practice or dentist will have 0 or 1 review, and no profile. Any dentist that has performed this procedure regularly will have several reviews and comments, which can be attributed to their experience.
I appreciate everyone that gives their opinion because it helps me improve as an individual and as a Practice. I constantly strive to improve the procedure and its delivery, by input from patients. All procedural modifications and improvements are made to improve the experience of my patients. I base these changes on the experience of actually performing this procedure, rather than text books, forums, antiquated studies, and conjecture.
That being said, I feel it is important to tell my side of the story so that others can make an informed decision regarding my practice, my level of experience, and my dedication to patients.
First, let me start by explaining what this procedure is, and what it is not;
This procedure is an alternative to removable dentures, partials, snap in dentures, and over dentures. It is not a replacement for one’s natural teeth. It gives patients an alternative that is as close as possible to their own natural teeth, while remaining cost efficient. It is still a prosthetic and will have a period of adjustment. This period can vary by patient. No one would expect an amputee to receive a prosthetic leg and run a marathon weeks later, but with the right attitude and work, many amputees do run marathons, and some never seem to fully recover.
It is important to have realistic expectations going into this procedure, because this procedure will not change all aspects of one’s life, unless we work on these extraneous circumstances. This phenomenon is evident in all areas of medicine, but is most prevalent in the plastic surgery and dental professions. This procedure will not cure anxiety, depression, low self-esteem, or any existing extraneous condition. Often time’s people lose weight and expect that this will drastically change their lives and are often more depressed when it doesn’t, or the alcoholic who gives up drinking, yet their lives continue to spiral out of control.
Again, trubluelefty my intention is not to deny the way you feel, but rather to tell my side of the story:
First off, I restored just your upper arch, and advised you that this would not be ideal because the design of your teeth would be dependent on your existing lower arch, so that you would have some function and be able to masticate food. The reason for this is that you had no lower molars, and your reaming teeth were not in the best shape. You stated that you understood this and you elected to move forward with no treatment to your lower arch.
I think a good way to summarize for readers is to highlight an email exchange you had with my office manager Carlos; (I have redacted any identifiable information)
When you first contacted us your #1 priority was how soon you could get in to have the procedure done:
"It feels like I have spent the entire Thanksgiving weekend reviewing your dental program, trying to find out what would be right, or wrong about this. Here is my situation briefly. I am a healthy …. year old female and set to go into the peace corp in May of 2015. I need to have a 100 percent okay dental clearance in December or January. Following my acceptance I started working on implants, and bridges, you know. I then researched Clear Choice. I do not like the snap in snap out aspect at all. I am in ………... I feel the biggest concern for me is when can we do this and how fast can you see me. I believe I can do the top arch. I had extensive work done at Clear Choice and paid a thousand (by work I mean a six hour work up) to see if I was a candidate. But my huge issue is time. When possibly could I get in. I would drive from ……… and my …….. will come with me, if we can still get the stay in the room. I would like to go with the non zirocnia one having researched the benefits of the step up grade. Forgot the name as I write this. I terrified of pain and swelling but will plan a week down there if we can cover some of the room and will just surrender and trust. I watched every video and I do mean every video. So it comes down first and foremost to time. What is the absolute earliest that I can be seen and can a certificate be written saying I have perfect teeth then for the PC. Clear Choice said they could do this even though I would not have the permanent bridge until a year later. I don’t feel comfortable going with the temp bridge and I am assuming yours is not the temp bridges although in some chat rooms it appears it is. I am ready to get in the car and come down. I have excellent health but have had very high blood pressure in the chair due to anxiety……. this anxiety is in part due to the fact I don’t like having to snap my teeth in and out. Other than that I have never had high BP or any other health issue. I would need ………. following procedure as I have arthritis and that is all that relieves the pain so I know if I am going to have pain I need to be ready. I know how to ice well. Let me know your thoughts. The biggest questions is How Soon. I bet you get that a lot.
We did our best to accommodate you and were able to schedule you at last minute just 1 week later. Amanda does her best to coordinate Patient stays with the hotels, but in the your initial communication above you state "if we can still get the stay in the room" and "I will plan a week if we can still cover some of the room" I am sure you can see how this may be confusing, it implies that YOU will be getting the room and want to be compensated. This however was not the case, so with even less notice Amanda did get you a room at the Monte Carlo. Since you ultimately stayed at a hotel you chose, we have no control over whether they have internet or not. Both Amanda and Kealy were unaware that you had stayed in a different hotel, and needed transportation, since you drove to Las Vegas. However, when we were made aware, Kealy used her own transportation, in an effort to accommodate you, and prevent you from waiting any further.
Regarding the surgery itself, Dr Golpa had squeezed you in to an already busy schedule, again in an effort to accommodate you. Being that you are a ………, I am sure you can appreciate the fact that the "……." is most often the front line in Patient care. Doctors concentrate (for good reason) on performing complex surgeries, so that Patients can have the best outcomes and their symptoms are alleviated. It is the same in Dentistry, the "Assistants" and the office "Staff" are the front line in Patient care, so that Dr. Golpa can concentrate on performing complex surgeries. We (the assistants and staff) document and convey your preconditions, concerns and wishes to the Doctor. Your preconditions, concerns, and wishes were summarized in this letter, coauthored by you, following your surgery:
"This is to inform you about the care of my patient ………. Last week she began to have increased pain in various parts of mouth due to faulty dental work, this was causing severe headaches, swelling and elevated blood pressure due to the headaches, and pain. The right side had a faulty bridge and there was an incomplete Implant on a front tooth that was cracked. Both of these areas were causing her stress, anxiety, and pain and she needed to see me as soon as possible. It was medically impossible for her to function normally. I sent 3 prescriptions to her pharmacy in ……….. last week and worked with her to begin her treatment as soon as possible as this involved being sedated. She was running a risk of infection or abscess with additional problems and her condition as not good. ……. had the surgical procedure yesterday and left my office at about 9 pm. She had several teeth extracted and additional implants were done. We feel that this will solve her problems on a permanent basis and that this will alleviate the dental problems that she was having. Her blood pressure due to anxiety and pain was frequently above 175/115 but returned to normal following the procedure.. She was able to walk out of the office and will return to her work and plans for the future. She did exceptionally well during the procedure except the elevated Blood Pressure but this was due to stress as her BP is normal without the pain and stress. We hope that she is on her way to a bright new tomorrow. And ask you to take into consideration the pain and the stress she has been under these past months."
………, when you left the office, we all felt that we had delivered on your wishes for a permanent bridge in less than 2 weeks after initially contacting us. You appeared and stated that you were happy, and the pain seemed to be alleviated. This is, and will always be the goal of Dr. Golpa and the entire staff. This is what we want for all Patients, it may not always be immediate, but 99% of the time this is the case after a period of adjustment. Every Patient is different however, things are not always perfect, but in the end I am confident that we can get there.
In the month following your procedure and after the long Holiday vacation, you called to express concerns that you have. There are 3 staff that answer the phones. When we receive calls from you, we don't "toss" you off, we were all trying to address your concerns personally. When I spoke with you, you told me that the bridge seemed "loose" on one side and that you had went to a local Dentist and he stated that "the bridge was well anchored" and "appeared fine", but prior to that the bridge was "flopping" around in your mouth. So to clarify I asked you if you could "move" the bridge and you said "no", but the space between the bridge and gums was greater on the one side. This indicated to me that you need to have the bridge re-lined. So I stated that you needed to come back so we could do this for you. The reason I said the 20th (8 business days later) was in an effort to allow you to make arrangements. I was not aware that this was an emergency situation because you did not mention the Pain. Now that I have received your email, I would like you to come Monday 1/12.
Dr. Golpa's primary concern is "Patient Care”. Now that we are aware you are experiencing the same symptoms as you stated prior to surgery, he will do his best to alleviate them. Attacking someone's moral and character, that has dedicated their life to helping others, will not help anyone.
Please let us know if you will be able to come Monday. We will call you today. Again …….., we all want the same outcome.
Following email summary;
Jan 7th
I waited patiently and noticed that day by day my speech has become worse, and worse, the denture is so loose that it is flopping in my mouth. I went to my dentist two weeks ago to have a cavity filled on my remaining lower natural teeth. At that time he did not touch the upper denture but noted that it appeared to be well anchored and in good condition on my Peace Corps forms.
The reply email in summary;
Jan 15th
I sat down in front of my laptop and had to look for something in my junk folder from Costco and to my absolute shock Carlos this email from you was in there. You wrote this to me on the 8th of January and I did not reply. I am so sad, confused, and upset, about this entire thing. I realize that what I said was not at all appropriate, nor does it reflect the goals that all of you are trying to accomplish, as someone who works in ……… I know how people can be. I hope that you will take into consideration the fact that I wrote this while I was very upset, very worried that I could not get back in to see Dr. Golpa and to be honest just flat out scared too death that I will lose my job and my ability to ever be “normal” again. Your message today was reassuring and I wanted to remind you that when we spoke we talked about me coming out on the 2nd of Feb. as I am so afraid to leave work. After today I realize that I can’t talk right at all and the ache from the TMJ is terrible. My jaw is just way too far open and two dentist have verified this. I am willing to take off and come back out there so that I can meet Dr. Golpa ASAP if you think it will do any good at all. I apologize again for writing such a nasty spirited letter to all of you. Please give my apology to Amanda and Kelly as well. All I can say is that I have been in pain and had an ache in my mouth so badly that I have not been in my right mind, top that off with me not being able to teach, and I am just nearly crazy. For a time driving back today from the conference I wondered if I even wanted to live, nice smile or not! That is how awful having your jaw so wacked out can feel. No, I am not suicidal, just scared..
Jan 19th
I clearly told Carlos I would not be able to come for an appointment on Jan 20th. I called Kelly on Friday. She wasn't interested but I told her I would not be tgere. Just got a text about the appointment. We set the appointment for first week of Feb. Carlos told me it was best to come on Tuesday. We set the appointment for 3rd Feb. Cherie
Feb 3rd visit
PT present for changes to upper bridge. RMHx with no changes.
PT states she has been having pain around #10 implant.
X-rays were taken, led apron was placed. X-rays look good. Explained to PT to focus around that particular area for hygiene.
Removed upper bridge and sent to lab for changes.
Lab slip: take away from the ridge as much as possible so PT has more room for her tongue, wants the teeth brought in, close the bite 2mm (PT can’t close mouth), light contact on left side, bring #12 and #13 out just slightly.
Placed bridge back on and torqued to 20 NCM. PT was happy with the changes but wants to take them for a test drive. PT will come back tomorrow for a follow up. Access holes were not filled.
Patient did not return the next day…………
Next communication was that you had chipped the front tooth of the bridge. Again I cannot emphasize enough that when you choose to restore just one arch your bite will not be ideal. Because of the absence of your lower molars, your chewing surface is limited to your anterior teeth, which are not intended for masticating food. Also, with the absence of lower molars patients tend to bring their lower jaw forward, in order to masticate food. In doing so not only are the natural teeth compromised, but this also compromises the prosthetic. The symptoms experienced can be exacerbated by not having an equally opposed arch.
Additionally, we provided compensation for all travel to Las Vegas, as well as, accommodations.
The materials and processes I use are proven to be the strongest restorations available. Again, this is not in theory or conjecture, this insight comes from the experience of patients, certified lab techs, and 2 decades of experience. Your bridge is custom milled from a solid piece of material, with a one piece titanium framework. It is not processed acrylic, with denture teeth. The certified lab techs that design and mill your bridge, are world class. They have worked at some of the largest labs in America.
In summary, my goal is 100% satisfaction for all of my patients, and I stand behind all of my work. I will always be here for my patients. This is not a perfect process, and I will always strive to improve. I am sure that most all of my patients would agree that we will go above and beyond to make things right, but communication is the key. It cannot be done in a chat room, it needs to be face-to-face between patient and Doctor. An example of this is on this website from patient Unhappy... . After not being happy with the outcome (she also was an upper arch only restoration), she called a year later and wanted me to perform her lower arch surgery.
I am grateful for all my unique, diverse, and wonderful patients. Patients like NYTodd , who feel passionately enough about me to defend my integrity, skill, and expertise. I do not actively solicit reviews, I do not use reputation services or post fake reviews. All of my reviews are honest, and come from honest patients, and yes this includes you trubluelefty .
I am in no way denying YOUR personal experience, or the feelings and motivations you may have. What I can no longer do is sit idle while you continue to post comments that portray a picture that is in complete contrast to the overwhelming support and gratitude felt by hundreds of patients.
I welcome forums like this that give an honest opinion and allow patients to exchange experiences. I also welcome and encourage patients research any Dentist or practice before they entrust them with their care. The one issue I have with forums like this is it also allows other Dentists to post gratuitous adverts for themselves by creating fake users, which are easily identified by the fact that the practice or dentist will have 0 or 1 review, and no profile. Any dentist that has performed this procedure regularly will have several reviews and comments, which can be attributed to their experience.
I appreciate everyone that gives their opinion because it helps me improve as an individual and as a Practice. I constantly strive to improve the procedure and its delivery, by input from patients. All procedural modifications and improvements are made to improve the experience of my patients. I base these changes on the experience of actually performing this procedure, rather than text books, forums, antiquated studies, and conjecture.
That being said, I feel it is important to tell my side of the story so that others can make an informed decision regarding my practice, my level of experience, and my dedication to patients.
First, let me start by explaining what this procedure is, and what it is not;
This procedure is an alternative to removable dentures, partials, snap in dentures, and over dentures. It is not a replacement for one’s natural teeth. It gives patients an alternative that is as close as possible to their own natural teeth, while remaining cost efficient. It is still a prosthetic and will have a period of adjustment. This period can vary by patient. No one would expect an amputee to receive a prosthetic leg and run a marathon weeks later, but with the right attitude and work, many amputees do run marathons, and some never seem to fully recover.
It is important to have realistic expectations going into this procedure, because this procedure will not change all aspects of one’s life, unless we work on these extraneous circumstances. This phenomenon is evident in all areas of medicine, but is most prevalent in the plastic surgery and dental professions. This procedure will not cure anxiety, depression, low self-esteem, or any existing extraneous condition. Often time’s people lose weight and expect that this will drastically change their lives and are often more depressed when it doesn’t, or the alcoholic who gives up drinking, yet their lives continue to spiral out of control.
Again, trubluelefty my intention is not to deny the way you feel, but rather to tell my side of the story:
First off, I restored just your upper arch, and advised you that this would not be ideal because the design of your teeth would be dependent on your existing lower arch, so that you would have some function and be able to masticate food. The reason for this is that you had no lower molars, and your reaming teeth were not in the best shape. You stated that you understood this and you elected to move forward with no treatment to your lower arch.
I think a good way to summarize for readers is to highlight an email exchange you had with my office manager Carlos; (I have redacted any identifiable information)
When you first contacted us your #1 priority was how soon you could get in to have the procedure done:
"It feels like I have spent the entire Thanksgiving weekend reviewing your dental program, trying to find out what would be right, or wrong about this. Here is my situation briefly. I am a healthy …. year old female and set to go into the peace corp in May of 2015. I need to have a 100 percent okay dental clearance in December or January. Following my acceptance I started working on implants, and bridges, you know. I then researched Clear Choice. I do not like the snap in snap out aspect at all. I am in ………... I feel the biggest concern for me is when can we do this and how fast can you see me. I believe I can do the top arch. I had extensive work done at Clear Choice and paid a thousand (by work I mean a six hour work up) to see if I was a candidate. But my huge issue is time. When possibly could I get in. I would drive from ……… and my …….. will come with me, if we can still get the stay in the room. I would like to go with the non zirocnia one having researched the benefits of the step up grade. Forgot the name as I write this. I terrified of pain and swelling but will plan a week down there if we can cover some of the room and will just surrender and trust. I watched every video and I do mean every video. So it comes down first and foremost to time. What is the absolute earliest that I can be seen and can a certificate be written saying I have perfect teeth then for the PC. Clear Choice said they could do this even though I would not have the permanent bridge until a year later. I don’t feel comfortable going with the temp bridge and I am assuming yours is not the temp bridges although in some chat rooms it appears it is. I am ready to get in the car and come down. I have excellent health but have had very high blood pressure in the chair due to anxiety……. this anxiety is in part due to the fact I don’t like having to snap my teeth in and out. Other than that I have never had high BP or any other health issue. I would need ………. following procedure as I have arthritis and that is all that relieves the pain so I know if I am going to have pain I need to be ready. I know how to ice well. Let me know your thoughts. The biggest questions is How Soon. I bet you get that a lot.
We did our best to accommodate you and were able to schedule you at last minute just 1 week later. Amanda does her best to coordinate Patient stays with the hotels, but in the your initial communication above you state "if we can still get the stay in the room" and "I will plan a week if we can still cover some of the room" I am sure you can see how this may be confusing, it implies that YOU will be getting the room and want to be compensated. This however was not the case, so with even less notice Amanda did get you a room at the Monte Carlo. Since you ultimately stayed at a hotel you chose, we have no control over whether they have internet or not. Both Amanda and Kealy were unaware that you had stayed in a different hotel, and needed transportation, since you drove to Las Vegas. However, when we were made aware, Kealy used her own transportation, in an effort to accommodate you, and prevent you from waiting any further.
Regarding the surgery itself, Dr Golpa had squeezed you in to an already busy schedule, again in an effort to accommodate you. Being that you are a ………, I am sure you can appreciate the fact that the "……." is most often the front line in Patient care. Doctors concentrate (for good reason) on performing complex surgeries, so that Patients can have the best outcomes and their symptoms are alleviated. It is the same in Dentistry, the "Assistants" and the office "Staff" are the front line in Patient care, so that Dr. Golpa can concentrate on performing complex surgeries. We (the assistants and staff) document and convey your preconditions, concerns and wishes to the Doctor. Your preconditions, concerns, and wishes were summarized in this letter, coauthored by you, following your surgery:
"This is to inform you about the care of my patient ………. Last week she began to have increased pain in various parts of mouth due to faulty dental work, this was causing severe headaches, swelling and elevated blood pressure due to the headaches, and pain. The right side had a faulty bridge and there was an incomplete Implant on a front tooth that was cracked. Both of these areas were causing her stress, anxiety, and pain and she needed to see me as soon as possible. It was medically impossible for her to function normally. I sent 3 prescriptions to her pharmacy in ……….. last week and worked with her to begin her treatment as soon as possible as this involved being sedated. She was running a risk of infection or abscess with additional problems and her condition as not good. ……. had the surgical procedure yesterday and left my office at about 9 pm. She had several teeth extracted and additional implants were done. We feel that this will solve her problems on a permanent basis and that this will alleviate the dental problems that she was having. Her blood pressure due to anxiety and pain was frequently above 175/115 but returned to normal following the procedure.. She was able to walk out of the office and will return to her work and plans for the future. She did exceptionally well during the procedure except the elevated Blood Pressure but this was due to stress as her BP is normal without the pain and stress. We hope that she is on her way to a bright new tomorrow. And ask you to take into consideration the pain and the stress she has been under these past months."
………, when you left the office, we all felt that we had delivered on your wishes for a permanent bridge in less than 2 weeks after initially contacting us. You appeared and stated that you were happy, and the pain seemed to be alleviated. This is, and will always be the goal of Dr. Golpa and the entire staff. This is what we want for all Patients, it may not always be immediate, but 99% of the time this is the case after a period of adjustment. Every Patient is different however, things are not always perfect, but in the end I am confident that we can get there.
In the month following your procedure and after the long Holiday vacation, you called to express concerns that you have. There are 3 staff that answer the phones. When we receive calls from you, we don't "toss" you off, we were all trying to address your concerns personally. When I spoke with you, you told me that the bridge seemed "loose" on one side and that you had went to a local Dentist and he stated that "the bridge was well anchored" and "appeared fine", but prior to that the bridge was "flopping" around in your mouth. So to clarify I asked you if you could "move" the bridge and you said "no", but the space between the bridge and gums was greater on the one side. This indicated to me that you need to have the bridge re-lined. So I stated that you needed to come back so we could do this for you. The reason I said the 20th (8 business days later) was in an effort to allow you to make arrangements. I was not aware that this was an emergency situation because you did not mention the Pain. Now that I have received your email, I would like you to come Monday 1/12.
Dr. Golpa's primary concern is "Patient Care”. Now that we are aware you are experiencing the same symptoms as you stated prior to surgery, he will do his best to alleviate them. Attacking someone's moral and character, that has dedicated their life to helping others, will not help anyone.
Please let us know if you will be able to come Monday. We will call you today. Again …….., we all want the same outcome.
Following email summary;
Jan 7th
I waited patiently and noticed that day by day my speech has become worse, and worse, the denture is so loose that it is flopping in my mouth. I went to my dentist two weeks ago to have a cavity filled on my remaining lower natural teeth. At that time he did not touch the upper denture but noted that it appeared to be well anchored and in good condition on my Peace Corps forms.
The reply email in summary;
Jan 15th
I sat down in front of my laptop and had to look for something in my junk folder from Costco and to my absolute shock Carlos this email from you was in there. You wrote this to me on the 8th of January and I did not reply. I am so sad, confused, and upset, about this entire thing. I realize that what I said was not at all appropriate, nor does it reflect the goals that all of you are trying to accomplish, as someone who works in ……… I know how people can be. I hope that you will take into consideration the fact that I wrote this while I was very upset, very worried that I could not get back in to see Dr. Golpa and to be honest just flat out scared too death that I will lose my job and my ability to ever be “normal” again. Your message today was reassuring and I wanted to remind you that when we spoke we talked about me coming out on the 2nd of Feb. as I am so afraid to leave work. After today I realize that I can’t talk right at all and the ache from the TMJ is terrible. My jaw is just way too far open and two dentist have verified this. I am willing to take off and come back out there so that I can meet Dr. Golpa ASAP if you think it will do any good at all. I apologize again for writing such a nasty spirited letter to all of you. Please give my apology to Amanda and Kelly as well. All I can say is that I have been in pain and had an ache in my mouth so badly that I have not been in my right mind, top that off with me not being able to teach, and I am just nearly crazy. For a time driving back today from the conference I wondered if I even wanted to live, nice smile or not! That is how awful having your jaw so wacked out can feel. No, I am not suicidal, just scared..
Jan 19th
I clearly told Carlos I would not be able to come for an appointment on Jan 20th. I called Kelly on Friday. She wasn't interested but I told her I would not be tgere. Just got a text about the appointment. We set the appointment for first week of Feb. Carlos told me it was best to come on Tuesday. We set the appointment for 3rd Feb. Cherie
Feb 3rd visit
PT present for changes to upper bridge. RMHx with no changes.
PT states she has been having pain around #10 implant.
X-rays were taken, led apron was placed. X-rays look good. Explained to PT to focus around that particular area for hygiene.
Removed upper bridge and sent to lab for changes.
Lab slip: take away from the ridge as much as possible so PT has more room for her tongue, wants the teeth brought in, close the bite 2mm (PT can’t close mouth), light contact on left side, bring #12 and #13 out just slightly.
Placed bridge back on and torqued to 20 NCM. PT was happy with the changes but wants to take them for a test drive. PT will come back tomorrow for a follow up. Access holes were not filled.
Patient did not return the next day…………
Next communication was that you had chipped the front tooth of the bridge. Again I cannot emphasize enough that when you choose to restore just one arch your bite will not be ideal. Because of the absence of your lower molars, your chewing surface is limited to your anterior teeth, which are not intended for masticating food. Also, with the absence of lower molars patients tend to bring their lower jaw forward, in order to masticate food. In doing so not only are the natural teeth compromised, but this also compromises the prosthetic. The symptoms experienced can be exacerbated by not having an equally opposed arch.
Additionally, we provided compensation for all travel to Las Vegas, as well as, accommodations.
The materials and processes I use are proven to be the strongest restorations available. Again, this is not in theory or conjecture, this insight comes from the experience of patients, certified lab techs, and 2 decades of experience. Your bridge is custom milled from a solid piece of material, with a one piece titanium framework. It is not processed acrylic, with denture teeth. The certified lab techs that design and mill your bridge, are world class. They have worked at some of the largest labs in America.
In summary, my goal is 100% satisfaction for all of my patients, and I stand behind all of my work. I will always be here for my patients. This is not a perfect process, and I will always strive to improve. I am sure that most all of my patients would agree that we will go above and beyond to make things right, but communication is the key. It cannot be done in a chat room, it needs to be face-to-face between patient and Doctor. An example of this is on this website from patient Unhappy... . After not being happy with the outcome (she also was an upper arch only restoration), she called a year later and wanted me to perform her lower arch surgery.
I am grateful for all my unique, diverse, and wonderful patients. Patients like NYTodd , who feel passionately enough about me to defend my integrity, skill, and expertise. I do not actively solicit reviews, I do not use reputation services or post fake reviews. All of my reviews are honest, and come from honest patients, and yes this includes you trubluelefty .
Dr. Golpa, thanks for your response to this patient's review.
Aside from the misplaced implant that worked it's way through her gum, the biggest surprise to me is you agreed to do her upper arch only while she had no lower chewing teeth! Especially as she planned to travel abroad with the Peace Corps on the heels of the placement.
Although individual implants need healing time, one solution she deserved to know is she could have 4 individual titanium implants placed by a specialist for about $1500 each, not including the crowns; that's in the US. My own 5 zirconia implants (4 of them replacing failed root canals) were placed about 6 years ago for $2500 each, not including crowns, by Texas periodontist who does only periodontics and dental implants, including All-on-4 when he feels it appropriate.
From your reply above I understand now that the patient wanted a permanent solution sans the usual healing time; none the less she might have been presented this option to preserve the lower teeth while adding 4 lower molars at a cost of less than half the All-on-4 lower arch solution. Even though individual implants need 3 to 6 months healing time, depending on implant type chosen and whether they are placed in the upper or lower arch, she might have chosen to reschedule her Peace Corps journey, and you both might have been spared many of the problems suffered in this case.
I hope you and this patient find her best solutions together, and she is able to go forward successfully.
Aside from the misplaced implant that worked it's way through her gum, the biggest surprise to me is you agreed to do her upper arch only while she had no lower chewing teeth! Especially as she planned to travel abroad with the Peace Corps on the heels of the placement.
Although individual implants need healing time, one solution she deserved to know is she could have 4 individual titanium implants placed by a specialist for about $1500 each, not including the crowns; that's in the US. My own 5 zirconia implants (4 of them replacing failed root canals) were placed about 6 years ago for $2500 each, not including crowns, by Texas periodontist who does only periodontics and dental implants, including All-on-4 when he feels it appropriate.
From your reply above I understand now that the patient wanted a permanent solution sans the usual healing time; none the less she might have been presented this option to preserve the lower teeth while adding 4 lower molars at a cost of less than half the All-on-4 lower arch solution. Even though individual implants need 3 to 6 months healing time, depending on implant type chosen and whether they are placed in the upper or lower arch, she might have chosen to reschedule her Peace Corps journey, and you both might have been spared many of the problems suffered in this case.
I hope you and this patient find her best solutions together, and she is able to go forward successfully.
Trust me, all options were presented. It is dangerous to comment on cases based on conjecture. It is impossible for you to know all the facts in this case.
Dr G, I know you are one of the country's foremost All-on-4 experts, and you have lots of happily chewing patients. What I don't understand is presenting as a viable option the placing of only an upper arch on a patient who had no balancing molars of any kind, even were she begging for it. Doesn't alveolar bone preservation with the All-on-4 procedure depend partly even largely on properly aligned and balanced chewing forces? Our ever-efficient bodies resorb unused bone including alveolar bone, as well as alveolar bone subject to bite trauma. And I'm wondering if bone resorption might have exposed one of her implants, and it might have been better placed than it looks in her later post-photo?
Either way, her experience furnishes an example to folks who can save their teeth that All-on-4 is not a procedure to be undertaken lightly.
Either way, her experience furnishes an example to folks who can save their teeth that All-on-4 is not a procedure to be undertaken lightly.
I can tell you that this was discussed at length. There were plans to have bottom restored by local dentist. Can't really get into more detail than that. There was a complete treatment plan that included the full mouth.
Well, doctor, knowing there were plans to restore the bottom makes more sense and I'm glad to know. You can only do what you can do.
I read all and looked at the pictures , that last picture was scary . To let someone leave thd office like that is mind blowing . I hope this poor lady gets her mouth in order .
Replies (5)
Good luck, hang in there. I bet it works out for ya.