I have several missing and broken teeth and went to a dentist who wanted to save the teeth he could. With that and the implants it would cost me a good $40k. I am 64 years old with teeth rapidly falling apart and I don’t want to save them. I then went to Clear Choice and they quoted me about $55K doing extractions and the all-on-4 procedure. When I explained my financial situation they went down to $28K. This is by far my cheapest option. Are there any complaints or problems with Clear Choice I need to know about?
Denny
Dear Denny,

All-on-4 Dental Implants
Most complaints about Clear Choice are three-fold. First, their sales tactics. Second, is they tend to stick to do a one-size-fits-all type of dentistry with a heavy emphasis on using the all-on-4 dental implant procedure. Three is a lack of follow-up with patients.
Other than that, though each office differs a bit from one another, they tend to hire good dentists who know how to do the procedure.
Let’s start with the first one. You don’t seem to have felt pressured and are happy with what they are suggesting, so I don’t think there is a problem for you in that regard. The second issue is a bit different. As I mentioned above, they tend to favor the all-on-4 dental implant procedure. It sounds like that is what they recommended for you as well. It can be a useful procedure for those who have lost too much bone structure for traditional implant overdentures.

Implant Overdenturesr
If you have enough bone, however, you may want to consider implant overdentures. Having more implants will give you greater bone preservation. Plus, with the all-on-4 procedure, if one part of it fails the entire unit will have to be replaced. That is not the case with traditional dental implants. You can just replace the one that failed and leave the rest.
When you spoke to the dentist, did they refuse to extract the teeth or did they just not suggest it? If they didn’t refuse, my suggestion would be to talk to them about your desire to just have complete extractions and see what they say. I only say that because the dramatic drop in price they offered you sounds suspicious to me. Either they had grossly inflated their original price or there’s something else odd going on.
The third issue I mentioned at the beginning is follow-up. If everything goes perfectly, then not having any follow-up is no big deal. But, the human body can be unpredictable and you may not know what to look for in complications.
One final consideration is aesthetics. While the dentists at Clear Choice are good with implants, very few (if any) of them have training creating smile makeovers. This means you will not get as attractive a smile as you could with another dentist. Be careful, though. Not all private dentists have that training either. It has to be done post dental school. Make sure you ask whomever you are considering what post-doctoral training they received in cosmetic dentistry.
This blog is brought to you by San Antonio Cosmetic Dentist Dr. Imam.