L.Kevin Metsger,D.M.DProgressive Dental Studio

Revdex.com: [On Aug./ 4,at 1:PM - our initial appointment - according to Dr.M`s chart progress notes- was for comprehensive oral evaluation On Aug18,at 2:PM [our 2nd visit] we had an appointment for case presentation detailed and extensive treatment planning for upper dentures and lower plate I don`t know what they are talking about when they say "already had exam elsewhere this year." We didn`t see anyone else for dentures On Oct13,I called to make an appointment for [redacted] to have his lower teeth built up so his plate would fit tightly DrMhad told both of us that we would talk about what needed to be done with the lower teeth It says in his progress notes that on Oct.20,at 11:AM we had an appointment with the description- case presentation detailed and extensive treatment planning I made the appointment for this reason We didn`t go there for an adjustment DrMknew he wasn`t going to build up the teeth, since he put a stop on both sides of the plate t rest on my existing teeth He needed an excuse for no treatment He knew if he changed my existing teeth, the plate wouldn`t fit at all We have the mold for the plate showing the stops on both sides.we would like to know your view on the matter.] Regards, [redacted] ***

January 10, ID [redacted] / [redacted] Dear Revdex.com;Patient presented to our office 8/4/for initial examPatient had maxillary teeth extracted June 17, at Allegheny General HospitalPatient presented with lower teeth mandibular left 1st bicuspid #through mandibular right cuspid #and a single tooth #All remaining teeth had excessive wear from the facial & occlusal surfaces.DrM [redacted] discussed with patient a couple treatment plans to retain the teeth on the mandibular archTreatment plan #was to make a new maxillary denture and to place crowns on the remaining mandible to protect them, also by connecting the crowns would stabilize the entire arch and enable us to add a cantilever crown to #20, giving patient the advantage of not wearing another mandibular partialTreatment #was to simply fabricate patient a new maxillary full denture and madibular partial denture that clasped onto existing worn teethOn 8/18/patient decided to have treatment #Patient stated he would not spend that much money and did not want any crowns.October 21, we delivered maxillary full and lower partial denture.November 12, we adjusted upper denture & partial lower, patient left office very pleased.October 20, patient presented to our office complaining and wanted mandibular teeth built upHe was very loud and belligerent to staffDrM [redacted] came in and explained to patient that he had that option up f*t & decided against itTo change the teeth now would affect the fit of the partial dentureDrM [redacted] tightened partial clasps and it fit great.The following is the actual chart notes from 11/20/for you to review.Pt presents lower partial is not fitting too wellPt very unhappy and very loudPt did have two options when we proposed treatment plans, lower roundhouse vslower partialWhen DrM came in to room, pt started raising his voice & saying DrM needs to build up teeth because partial isn't fittingDrM tightened clasps, patient still popping it up with tongue, DrM explained he should avoid that because it will make it come upDrM explained this is what happens with lower partialsThey will get loose and we will need to tighten, pt started yelling saying DrM [redacted] should build up teeth and DrM [redacted] just took patients money and he's a crookDrM [redacted] said patient was antagonistic from the start and dismissed patientPatient continued to yell, so no further treatment would be done and we dismissed patient from practice.In our office we do a great job accommodating our patient's needs and work hard on customer service.If ever we would have an issue with something that's outcome is less than expected, we graciously refund any moneys and refer patients to a specialist, etcI may have addressed this once or twice in my year careerIn this case we feel we performed services a year ago to the patient's requests, and therefore will not refund the patient [redacted] acted very unstable in our office to staff and to myself, and therefore is not welcome to return.Sincerely,