Only 1 in 6 Dentists Guarantees Dental Work

Malpractice Insurance Says “No” to Formal Guarantees

Dental Survey ResultsWhile dentists feel strongly about standing behind their work, only one in six offers an official guarantee to their dental patients. In this survey, only 18% of dentists reported that they formally guarantee their dental work.

“My malpractice insurance carrier doesn’t want me to guarantee anything verbally or in writing,” said one dentist. “However, if the treatment hasn’t held up due to something I could have done better, I always redo it at no charge.”

Overall, dentists were not enthusiastic about formal guartantees.

  • “A guarantee? Are you nuts?” (California dental implantologist)
  • “I never offer a written formal guarantee. I do assure patients that I stand behind my work and that any work done will be modified or replaced if need be.” (New York dentist)
  • “I feel that a guarantee would just add legal problems with non-compliant patients.” (Tennessee dentist)
  • “I stand behind my work 100%. I do not offer a written guarantee. You can’t be responsible for patient neglect.” (Utah dentist)
  • “I would not guarantee the sun will come up tomorrow.” (Pediatric dentist)
  • “I guarantee my best effort.” (Kentucky endodontist)

Post your own thoughts or read the complete dental guarantee survey results

About Julie Frey

Julie Frey is the Editor of TheWealthyDentist.com blog. She has dedicated her career to Internet marketing and communications, working side-by-side with dental marketing guru Jim Du Molin since 2006. She has a degree in Linguistics from Stanford University, has a passion for language and writing, and lives in San Francisco. Julie Frey+

  • dentist

    Guarantees are a violation of the Code of Ethics as set down by the CDA.

  • J R Williams

    It would be interesting to hear from the 1 in 6 who offer guarantees. What makes them think it’s not going to get them in trouble?

  • http://www.unioncitycosmeticdentistry.com amandeep virk

    i would not guarantee anything to my patient ,but i will redo it for free if it is not patient negligence .

  • Dr V R Balaji MDS.,

    i will not guarantee the procedures done to the patient… but will redo it if not due to patient negligence…moreover its not ethical to do so…

  • DANIEL ROSINSKI

    MY GUARANTEES EQUAL THE SAME GUARANTEE THAT I RECEIVED FROM MY $25000 CAR WHEN PURCHASED AT MY DEALER . OR

    ASK THE PATIENT TO BUY AN WARRANTY INSURANCE TO COVER THE WORK .

  • http://www.thevisibledentist.com/ The Visible Dentist

    I received similar answers recently when asking dentists what they thought about guaranteeing their work.

    Those opposed said dentistry was a dynamic process with too many variables, or local/state restrictions prohibited them from offering a warranty.

    Those in favor of a guarantee suggested that an “implied warranty” together with informed consent might be a better overall solution.

    John Barremore
    Houston, TX

  • Dr. Gerald Rudick

    A number of years ago, a dental collegue in Montreal was interviewed by the local newspaper on impplant dentistry.

    He explained the training he had to go through to become a credential member of the American Academy of Implant Dentistry.

    The reporter asked him what he does if an implant fails in the first year, and he, being a decent person and a good cand caring dentist, simply stated that he would replace the impplant free of charge.

    The Quebec Order of Dentists disciplinary department simply picked this statement us “as offering a guarantee”…which is illegal in Quebec.

    My collegue, fought the Ordre in several courts, until he arrived at the superior court, and out of the lower courts which are managed by the Order of dentists and the Tribunal des Professions.

    In the Superior court, he won his case……however it cost him over $30,0000.00 in legal fees to make his point.

    Since that time, most dental implant manufacturers offer the dentists a five or ten year warranty on their implants,bascially saying that if their implant system has failed, they would give the dentist another free implant for him to surgically put back into the patient.

    Bottom line, be careful when offering or implying a professional guarantee for services rendered, especially if you practice in Quebec.

    Lawyers do not offer their clients a guarantee that they will win a case… but absolutely guarantee the clients that they will come after them if they do not pay the full fee ….win or lose!!!

  • JJM

    I am concerned that anyone who would conduct a survey of any kind would publish results on just 55 respondents. There are well over a hundred thousand dentist in the USA so is this really a quality sample? It is certainly not a quantity one!

    Responsible media will typically present reasonable content on both sides of an issue. Of the respondents that do offer a written guarantee, what is their local impact from a competitive perspective? I suspect these Dentists draw more new patients and keep more of the ones they have than there peers, but then again, this supposition has no more weight than the survey we’ve just witnessed.

    I would be very interested to see the legal doctrine referenced in a couple of the respondents. Is a written guarantee really illegal in GA? Please blog with a direct reference.

  • Patti Depaola

    After a $30,000.00 reconstruction resulting in TMD I suffered a newly crowned molar abscess. My DDS kept shrugging it off as grinding…”Learn to deal with it!” I am not a grinder. My face was swollen from my eye into my neck & my DDS refused to look at an xray till I had one taken by his colleague. Tho he stated he didn’t do root canals he performed 4 unsuccessful rct’s all necrotic. All untreated with antibiotics.
    My newly crowned molar broke due to weakening & my DDS angrily slathered a rough substance over it with visible debris under it. I questioned crown replacement guarantees but on the day of final impressions for my free crown replacement my DDS chose to drill thru the sole of my molar destroying it & any chance of sectioning. My DDS stated he owed me nothing & sealed the infected gap with silver amalgam. My DDS never perscribed any antibiotics stating he didn’t believe in antibiotics. My DDS wrote a letter to my doctor stating I was a hypochondriac wanting antibiotics. Three days after seeing my physician I ended up on life support in septic shock with renal & respiratory failure. All my internal organs relocated outside my body with ileus, intra abdominal abscess & ongoing renal failure. Without repair I would die & no surgeon could make such a huge repair till 2 years later & Dr Soper, Chgo’s Northwestern Memorial Hospital.
    The day my DDS intentionally destroyed my molar rather than honor a cheap replacement I requested my file to see another DDS. My DDS refused stating he had to check my molar for infection he never treated. My DDS without a control substance license sedated me without my knowledge or consent & intentionally drilled & severed my molar into 2 pieces. He also destroyed the gum surgery, crown lengthening & everything above the gum. My DDS orally emptied a syringe of a foul smelling liquid. When I asked he responded, “That’s the smell of your stinking rotten crotch.” My DDS also went on to file down my teeth to make me appear I have dentures but don’t have them…toothless. He slapped at the sides of my face calling me “pooch” & “grammaw” “where’s your corncob pipe?” My DDS stated he took back my reconstruction because I didn’t deserve it. He told me my reconstruction “collapsed.”
    I was told I got what I deserved for being rude to him but mostly to his staff & for making a fool of him by seeing another DDS…A DDS he called a “piece of shit.”
    Can you imagine any DDS so miserable as to destroy a life because of a cheap crown? I am very lucky to be alive.
    The new DDS told me to request a properly placed reconstruction. He also told me to sue after my molar was destroyed. He even referred me to attorneys. But I was to sick & it took 2 years to find a surgeon to repair me.
    My new DDS said he was in contact with my old DDS. He told me he could reconstruct me for another $30 to $50 thousand dollars. He offered no guarantee I wouldn’t have TMD again.
    I continued my 6 month check ups & had to beg for flouride treatments & an RX flouride rinse. I was always told I had no cavities. I was ecstatic! Till a front bridge broke off at the gum from decay. The new DDS wanted $40,000.00 to replace 2 bridges. He never mentioned the mass decay under the rest my reconstruction. When another crown fell & obviously decayed he said it was fine…I’m going to reconstruct you. He told me, “If you are in pain Xmas eve don’t call me.”
    Joking or not I knew I had to seek a reputable DDS…a DDS I could count on any day of the year. I found another DDS & intentionally misspelled my name. I had 3 abscesses & mass decay under my reconstruction. The DDS showed me the mass decay with a mirror.
    While some DDS’s did nothing some RX’d 2 MRI’s knowing I had no insurance. One had the nerve to charge twice the consult fee after stating he couldn’t give a consultation because he never recieved a “treatment plan.” That DDS examined me while seated on a table with a floor lamp.
    I found a great DDS who immediately RX’d an antibiotic. Thank God because I was rapidly losing weight & becoming weak. (My old DDS would’ve called me a whining baby & he did’nt have time to “babysit” me.) My old DDS threw my life away like a piece of garbage sedating patients without a control substance license. Leaving patients to drive home alone under the influence.
    I had 3 abscesses. An extracted molar had an abscess attached at the root.
    An oral surgeon stated my reconstruction was either improperly prepped or intentionally left decayed under my $30,000.00 reconstruction.
    My DDS promised a reconstruction to last till I was 80 years old yet he did everything in his power to prevent doctors & dentists from treating me…from saving my life.
    The doctor (also a patient of this DDS) who referred me to this idiotic DDS?…DEAD.
    I’m very lucky to be alive & have a beautiful new smile!
    What the hell’s going on in DDSTRY?

  • Patti Depaola

    I almost lost my life asking for a free crown replacement guarantee. I ended up on life support over a cheap crown replacement. I’m left permanently disabled. But dont worry, I don’t collect disability.

  • Imabigskycarver

    After I found out from a prosthodontist that my dentist improperly orally reconstructed me my dentist offered me “anything” to ignore that diagnosis. Other dentists had the same improperly placed diagnosis. Returning for final impressions for a “FREE” crown replacement my dentist intentionaly drilled through & intentionally destroyed a viable body part. Sectioning was impossible. I was verbally & physically abused. After paying $30,000.00 I was told I got what I deserve for seeing another dentist. Run don’t walk from a dentist like this.

  • patti depaola

    Jim Du Molin
    Please don’t overlook my dentistry responses. I almost lost my life due to unfulfilled dental guarantees. We need sites like yours…true & honest.
    Thank you for being here not only for dentists but also for dental patients.
    Patti Depaola

  • Ehrlich

    I too have spent over 30,000. in reconstruction and continue to ask for adjustments for the last 16 months and keep getting told that I am probably grinding at night. So annoying. Everything he does that I don’t like he keeps telling me that I will get used to it and that sometimes it can take several months.
    One of the problems I was complaining about for 8 months, was a new crown he placed and I kept telling him that it was hitting to high and causing me pain and tenderness. He kept saying he did not want to mess with the integrity of the crown. Finally, I was sent to a root canal specialist that decided he would take down the bite of that crown and little bit to see if it helped my pain. Within an hour, all of the tenderness was gone. My dentist never even apologized, he just said “well, good, that’s taken care of”. This is a very reputable dentist who works on 5th avenue in NYC! His arrogance gets in the way of hearing my complaint! Unbelievable, and yet it costs a lot of time and money to find someone else to go to! I agree with you, what is going on?
    It is like dentists have NO ACCOUNTABILITY because they just blame everything wrong on the patient! Meanwhile, I have invested OVER 30,000 dollars and still am considering finding someone else to do the final “tweaking” for me. I am just afraid of who to go to.
    Thanks for letting me rant! This has really been building up in me!

  • Gord

    I find the guy that comes every spring to scrap the dog doo off my back lawn warrantees his work better than my dentist. Ditto the guy who cleans the eavestrough. Personally I think if that’s the best the dental profession can offer, they shouldn’t be a profession at all. I know for a fact dental nurses can do a lot of basic dentistry. Why are we protecting dentists from competition again? I thought we all had to compete these days. Unless you’re a member of the dental union, apparently.

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