To whom it may concern, This is in response to complaint ID# [redacted] involving [redacted] [redacted] was a patient that was diagnosed with Malocclusion previously by anther dentist and the recommended treatment made was for the fabrication of a Neuromuscular orthotic to help position the upper teeth to the lower teeth where the muscles are in a physiological rest position This diagnosis and treatment recommendations were confirmed by myself Both the previous treating dentist and I made the same treatment recommendations A balanced and relaxed rest position can be an effective treatment modality in the treatment of malocclusion and the myriad of symptoms that this can cause the patient This rest position is found using industry standard TENS unit that relaxes the muscles in the same way that physical therapist sometimes do on their patients as well as a Myomonitor Kcomputer that can measure the EMG’s (electric activity of a muscle) and allow a clinician to record a muscularly relaxed position where the orthotic can be fabricated to replicate this balanced and relaxed position As to the fee for treatment, the fee is something that is consistent with the skill, time and equipment required to provide this service I have multiple patients who have commented that my fee was not anywhere near what the results that they have received had in value in their livesThe patient agreed to this treatment and its subsequent fee and began treatment on 8/4/On 9/15/the patient came for an adjustment of her orthotic and was not able to seat it which is a clear indication that the patient was not following her treatment directions of wearing the appliance hours a day Patients that are following directions are very comfortable placing and removing their orthotics and get to this point within a few days of initial delivery Compliance with directions and that the patient needed to wear her orthotic hours a day was stressed to the patient at this appointmentOn 10/6/the patient came to the office for an adjustment She stated that she was doing “pretty well” The patient also stated that the orthotic felt “fine” Reconfirmed that the recommendation of orthotic wear is hours a day The patient had no other questions at this appointmentOn 11/10/the patient came to the office for another adjustment appointment At this time, the patient reported that the only pain that she now had was due to her biting her cheek on the left side but that was the only pain that she was reporting The patient still had a very difficult time placing and removing her orthotic, which as stated before is a clear indication that the patient is not wearing it We advised the patient that her treatment required minutes of TENS therapy in addition to adjusting her orthotic but the patient refused this as she was too busy to follow our treatment recommendations Again stressed to the patient that her treatment success is dependent upon her compliance with treatment recommendations because if she does not follow the recommendations of treatment, she is compromising her care and resultAt this point the patient did not return for any more additional treatment visits Compliance is a must for results with these cases and with all recommended treatment While it is true that additional medical factors can also play a role in the patient’s symptoms, arthritis as this patient states was diagnosed after her treatment was begun, the treatment will still provide relief of symptoms for the compliant patient [redacted] was NOT a compliant patient She did not follow recommended treatment guidelines and recommendations She is still welcome to continue to be seen for her treatment with the neuromuscular orthotic at our office However, unless she is willing to follow the directions of the treatment, she will not get the results she desires Compliance is a must for treatment that works As a provider of health care services, I cannot force a patient to follow the directions no matter how much I might want to do so The patient always has a choice whether or not to do this but as to the request to refund the patient her case fee, it is not something that I will do as I kept my part of the bargain with the patient and provided all services that I said that I would, for the fee that I said that I would provide themI am willing to continue to work with [redacted] to help her with her treatment but I simply cannot provide a refund for a non-compliant patient that has had second thoughts after spending the money after I provided everything that I said that I would for her as a patientThank you, Dr [redacted]
To whom it may concern, This is in response to complaint ID# [redacted] involving [redacted] [redacted] was a patient that was diagnosed with Malocclusion previously by anther dentist and the recommended treatment made was for the fabrication of a Neuromuscular orthotic to help position the upper teeth to the lower teeth where the muscles are in a physiological rest position This diagnosis and treatment recommendations were confirmed by myself Both the previous treating dentist and I made the same treatment recommendations A balanced and relaxed rest position can be an effective treatment modality in the treatment of malocclusion and the myriad of symptoms that this can cause the patient This rest position is found using industry standard TENS unit that relaxes the muscles in the same way that physical therapist sometimes do on their patients as well as a Myomonitor Kcomputer that can measure the EMG’s (electric activity of a muscle) and allow a clinician to record a muscularly relaxed position where the orthotic can be fabricated to replicate this balanced and relaxed position As to the fee for treatment, the fee is something that is consistent with the skill, time and equipment required to provide this service I have multiple patients who have commented that my fee was not anywhere near what the results that they have received had in value in their livesThe patient agreed to this treatment and its subsequent fee and began treatment on 8/4/On 9/15/the patient came for an adjustment of her orthotic and was not able to seat it which is a clear indication that the patient was not following her treatment directions of wearing the appliance hours a day Patients that are following directions are very comfortable placing and removing their orthotics and get to this point within a few days of initial delivery Compliance with directions and that the patient needed to wear her orthotic hours a day was stressed to the patient at this appointmentOn 10/6/the patient came to the office for an adjustment She stated that she was doing “pretty well” The patient also stated that the orthotic felt “fine” Reconfirmed that the recommendation of orthotic wear is hours a day The patient had no other questions at this appointmentOn 11/10/the patient came to the office for another adjustment appointment At this time, the patient reported that the only pain that she now had was due to her biting her cheek on the left side but that was the only pain that she was reporting The patient still had a very difficult time placing and removing her orthotic, which as stated before is a clear indication that the patient is not wearing it We advised the patient that her treatment required minutes of TENS therapy in addition to adjusting her orthotic but the patient refused this as she was too busy to follow our treatment recommendations Again stressed to the patient that her treatment success is dependent upon her compliance with treatment recommendations because if she does not follow the recommendations of treatment, she is compromising her care and resultAt this point the patient did not return for any more additional treatment visits Compliance is a must for results with these cases and with all recommended treatment While it is true that additional medical factors can also play a role in the patient’s symptoms, arthritis as this patient states was diagnosed after her treatment was begun, the treatment will still provide relief of symptoms for the compliant patient [redacted] was NOT a compliant patient She did not follow recommended treatment guidelines and recommendations She is still welcome to continue to be seen for her treatment with the neuromuscular orthotic at our office However, unless she is willing to follow the directions of the treatment, she will not get the results she desires Compliance is a must for treatment that works As a provider of health care services, I cannot force a patient to follow the directions no matter how much I might want to do so The patient always has a choice whether or not to do this but as to the request to refund the patient her case fee, it is not something that I will do as I kept my part of the bargain with the patient and provided all services that I said that I would, for the fee that I said that I would provide themI am willing to continue to work with [redacted] to help her with her treatment but I simply cannot provide a refund for a non-compliant patient that has had second thoughts after spending the money after I provided everything that I said that I would for her as a patientThank you, Dr [redacted]