My son had braces in 2009 at 11 years old with a palatal expander-( http://en.wikipedia.org/wiki/Palatal_expander A palatal expander, also known as a rapid palatal expander, rapid maxillary expansion appliance, palate expander, orthodontic expander, Haas, or Hyrax, is used to widen the upper jaw so that the bottom and upper teeth will fit together better.[1][2] Although the use of an expander is most common in children it can be and has successfully been used in adults, although the effects of expansion are slightly more uncomfortable. Also, depending on the amount of correction, it may result in surgical separation of the top jaw. Use of a palatal expander is most often followed by braces to straighten out all the teeth now that room has been created.)
I had a palatal expander at 24 years old with braces. Back then (30 years ago) my orthodontist sold it to me by telling me that once the palette splits apart to the desired width- the expander stays in place until tissue fills in the split palette. That is a lie. The palette will close after the expander is removed and the teeth will shift. I did not know this because the expander failed completely. It did not split my palette and the roof of my mouth swelled around it. The orthodontist had to do an emergency removal and cut it out. It was brutal.
Had I known that tissue does NOT fill the newly expanded palette I would have not gotten the expander and I would not have allowed one to be put on my son. The teeth are almost guaranteed to relapse after the braces are removed. The orthodontist's do not tell. The the expander split the palette on my son, it appeared to be working. The added room allowed for the aligning of his teeth and after one year the braces and appliance were removed by his NJ orthdontist- Dr. Frantz.
One year later, the teeth shifted and we went to a new ortho in Belfast, Maine. Dr. Zanca. www.mainecoastortho.com/ Dr. Zanca blamed it on a tongue thrust. Now I am at 3 orthodontist that do not advise me of the failures of palatal expanders. All 3 orthodontist used tongue thrust as the cause. My orthodontist told me that 30 years ago. However, I never went for speech therapy. After the expander was cut out, he extracted 2 teeth and successfully aligned my teeth. Braces off and my "tongue thrust" did not shift my teeth. 30 years later, no problems, no shifting, no spacing. The thrust seems like a scape goat for orthodontists that sell the expanders. I believed Dr. Zanca when he told me the problem was the tongue.
Dr. Zanca advises to placed prongs on the back of the front teeth to jab the tongue back. Dr. Zanca put the prongs in on 10/20/11 for 6 months and charged me $1,680.00. After the prongs came off, Dr. Zanca said the prongs failed. He advised speech therapy and gave 3 options for treatment. 2 options included another palatal expander. We rejected those citing failures for both of us. Dr. Zanca was not interested in my history and he certainly should have been. My son' inherited my mouth. Dr. Zanca gave a 3rd option that would NOT need the palatal expander. SARPE - surgical expansion of the palette. This would be done when my son stops growing- in approx. 4 more years- 2015. And braces. This is the option we chose specifically because it did not use the useless expander.
Next appointment is for records on 2/11/2015. Done. Next appt. is consultation with Dr. Zanca on 2/25/2015. Dr. Zanca side blinds us by telling us that a palatal expander will be placed in my son's mouth before the SARPE surgery. We are shocked and tell Dr. Zanca that he knew we chose this procedure because it didn't require the expander. Dr. Zanca does not respond and moves ahead. We are over the barrel now. My son will be going out of state to college after graduation 2016. Dr. Zanca has sand bagged us.
Dr. Zanca gives us an oral surgeon referral in PORTLAND. Two hours away when he had told us he had an oral surgeon in Bangor- less than an hour away. I balk at Portland but Dr. Zanca stays with Portland. Dr. MacCarthy of Oral & Maxillofacial Surgery Associates. I asked Dr. Zanca for treatment stats using the SARPE surgery. He told me to ask Dr. MacCarthy. I didn't think about that then but I did later. I sent an email to Dr. Zanca (below) and he never responded to it.
| rom: | LAURIE ALLEN (laurieallen55@msn.com) |
| Sent: | Mon 4/13/15 11:29 AM |
| To: | Lisa Collins (lisa@mainecoastortho.com) |
Hi Lisa,
Please ask Dr. Zanca how many SARP patients he has had?
During treatment, did any relapse?
After orthodontic treatment how long does Dr. Zanca do follow ups and did any relapse after treatment? If so how long after and what was the resolution?
I'm thinking the orthodontic doctor would have more success and failure stats since they may see the patient possibly for years after the SARP.
Dr. Towey's office still has not called to schedule an appt. which will be 2-3 weeks out from when they do call. XXXX is doing ALL the tongue thrusts exercises in the below video, 3x a day.
Thanks,
Laurie
Dr. Zanca refers us to speech therapy with Dr. Towey, Speech and Therapy WCGH appointment today 5/13/2015).
Our appointment with the oral surgeon on 4/13/2015 was jarring. After taking my son out of school to make the 3:30 appointment we drove 2 hours. Dr. MacCarthy was professional and astute. I asked him for SARPES stats and he told us that it has the highest failure rate of all oral surgeries. He explained the sawing of the bone and splitting and stated he performs the SARPE maybe 2 times per year. https://www.youtube.com/watch?v=8m3GPT2wynA
The failure is not due to the skills of the surgeon, it is due to the procedure itself. I was flipping out internally, trying to remain composed in front of my son. Dr. MacCarthy read me well. At that time Dr. MacCarthy advised me of a note by Dr. Zanca that a 2nd SARPE may be required. I almost hit the floor.
A 2ND SARPES MAY BE NEEDED??? MEANING BRACES AGAIN AS WELL???? DR. ZANCA NEVER DISCUSSED THAT. THAT IS MALPRACTICE.
I contacted Dr. Zanca immediately on 4/19 for accountability and resolution. It became clear Dr. Zanca was not interested in accountability through the facts. After several emails to his coordinator, and over a a week passing without Dr. Zanca scheduling an appointment to meet with me, I got stern. Dr. Zanca would see me on 4/29- another week!!! I don't think so. Documented emails were necessary. He did not want to write emails and with good reason. This is clear malpractice. To be continued, or not. I think this may be all I need to say on the matter. Appliances and SARPES are cash cows for some corrupt orthodontists. Parents beware. I trusted Dr. Zanca completely. Makes me sick to think I was fooled again and was steps away brutal surgeries. Now, I am over a barrel because of 4 wasted years waiting. I have full documentation to support this and will list it below.
1.
| rom: | LAURIE ALLEN (laurieallen55@msn.com) |
| Sent: | Tue 4/14/15 9:51 AM |
| To: | Lisa Collins (lisa@mainecoastortho.com); LAURIE ALLEN (laurieallen55@msn.com) |
Hi Dr. Zanca,
I have several
concerns about my son's treatment plan. It is much more
complicated than what I thought I understood. Dr. MacCarthy advised
that SARPE has the highest rate for failure is what I heard. He said
that the procedure is rarely done- for him maybe 2 per year. He said
my son may need to come back for a 2nd procedure after
orthodontic treatment is completed. Say what???
I was shocked and
not prepared. Dr. McCarthy misunderstood my questioning SARPE failure
citing he performs much more complicated surgeries and that all his
SARPE surgeries have been successful. I understand that but with only
2 per year, I question the procedure itself. Especially after he told
me it may have to be repeated.
My son has
inherited my mouth. I did not get braces until I was 24. I got the
clear braces and also had a failed splitter appliance. Teeth were
then pulled out- I forget how many. My open bite was worse than
my son's (pictures @24 with the appliance- I came up here for a
friend's wedding that weekend- don't you know the expander sent the
whole roof of my mouth into swell city that very weekend. Absolute pain
and misery till I got home to NJ and the ortho plied me with wine as he
cut it out- yowza) but I am not sure about the rest of the bite. I have a
very
high pallet (sp?). My ortho told me that I had tongue thrust issue as
well but I never did therapy. I don't know why my teeth didn't open
again.
I had believed that
the SARPE was a sure resolution and a one time surgery. I am now
understanding that the expansion may fail even after a 2nd
surgery and orthodontics. I'd like to know if pulling teeth would
yield the similar
results as mine.
Sincerely,
Laurie Allen
2.
| rom: | LAURIE ALLEN (laurieallen55@msn.com) |
| Sent: | Sun 4/19/15 2:36 PM |
| To: | Lisa Collins (lisa@mainecoastortho.com) |
Our consultation on 3/18 was over a month ago and I have unanswered questions. I had asked you in that consultation for SARPE stats. Your response was to ask Dr. MacCarthy and cited several questions for me to ask him. Later, I thought that you should have offered me your experience with SARPE and orthodontic relapse. I sent you this email before we met with Dr. MacCarthy.
| From: | LAURIE ALLEN (laurieallen55@msn.com) |
| Sent: | Mon 4/13/15 11:29 AM |
| To: | Lisa Collins (lisa@mainecoastortho.com) |
Hi Lisa,
Please ask Dr. Zanca how many SARPE patients he has had?
During treatment, did any relapse?
After orthodontic treatment how long does Dr. Zanca do follow ups and did any relapse after treatment? If so how long after and what was the resolution?
I'm thinking the orthodontic doctor would have more success and failure stats since they may see the patient possibly for years after the SARPE.
Dr. Towey's office still has not called to schedule an appt. which will be 2-3 weeks out from when they do call. My son is doing ALL the tongue thrusts exercises in the below video, 3x a day.
Thanks,
Laurie
I have not received a response and after consulting with Dr. MacCarthy, I am very concerned. Why didn't you tell me that you advised Dr. MacCarthy that my son may need to come in for a 2nd SARPE? This tells me that when I asked you about the stats on 3/18, you knew that SARPE fails frequently and chose not to share that with us. With that information alone, I would not have wasted any more time on SARPE. To hear Dr. MacCarthy read me your referral that a 2nd SARPE may be necessary has me even more concerned. I am so upset to think I may have went ahead with this not knowing all could fail. Dr. MacCarthy mentioned it at the end when I was shocked when he told me it was the most failed oral surgery. I question if he would have mentioned your notes for a possible 2nd SARPE . Why didn't you discuss any of this with us when you clearly know the rate of failure? We never would have went all the way down to Portland in fact we wouldn't have wasted all this time waiting for my son to stop growing.
Am I missing something, or do you agree that this is wrong? A long time ago- 2012?, you gave options of braces and the splitter or the SARPE and invisalign. You did not advise us that a splitter would be needed with the SARPE. That is why we chose to wait for the SARPE . The splitter did not work the first time, it did not work for me, putting in another was not an option. Had you told us that SARPE has a failure rate and that he would have a splitter we would not have given this another thought. I would have asked for the same plan I had after the splitter failed. Extractions, braces and by graduation he would be all set.
As the days roll by, I get more upset with this situation. I was waiting to meet with you in private to discuss this but I have yet to receive an appointment.
Sincerely,
Laurie Allen
3.
rom: LAURIE ALLEN [mailto:laurieallen55@msn.com]
Sent: Monday, April 20, 2015 9:04 AM
To: Lisa Collins
Subject: RE: Dr. Zanca
Dr. Zanca,
I am available this week and I have been very patient waiting for a meeting and any response as to why sawing and breaking my son's mouth, possibly two times, with a high rate of failure was almost scheduled. I expect this meeting to be quite upsetting and I don't want my son involved. He is away this week and I will need time to make decisions before he comes home.
My schedule has been filling. I am available anytime today, Thursday 4/23 and Friday 4/24.
Sincerely,
Laurie Allen
I am available this week and I have been very patient waiting for a meeting and any response as to why sawing and breaking my son's mouth, possibly two times, with a high rate of failure was almost scheduled. I expect this meeting to be quite upsetting and I don't want my son involved. He is away this week and I will need time to make decisions before he comes home.
My schedule has been filling. I am available anytime today, Thursday 4/23 and Friday 4/24.
Sincerely,
Laurie Allen
5.
rom: lisa@mainecoastortho.com
To: laurieallen55@msn.com
Date: Mon, 20 Apr 2015 07:58:28 -0400
Subject: RE: Dr. Zanca
Good Morning Laurie,
I understand your questions and Dr. Zanca asked me to set up an
appointment for you to come to rather than emailing back and forth.
Could you come in the Belfast office next Wednesday 29th at 4:40??
6.
| rom: | LAURIE ALLEN (laurieallen55@msn.com) |
| Sent: | Mon 4/20/15 10:15 AM |
| To: | Lisa Collins (lisa@mainecoastortho.com) |
7.
| rom: | LAURIE ALLEN (laurieallen55@msn.com) |
| Sent: | Mon 4/20/15 11:01 AM |
| To: | Lisa Collins (lisa@mainecoastortho.com); LAURIE ALLEN (laurieallen55@msn.com) |
Lisa left me a message that you will have a phone consultation with me today. This is not acceptable and at this point written resolution via email is necessary. I am at poverty level and I am responsible for 40% of my son's medical. Michael also has MaineCare. I hope you make this right. I will wait for your email with written resolution.
Sincerely,
Laurie Allen
Speak with your orthodontist. Before you file a complaint against your orthodontist, speak with him/her about your treatment. Discuss your initial expectations and why you are disappointed with the level of service you received. Refer to the notes you prepared during step 1. Ask your orthodontist to resume or continue treatment, at no additional charge, to address your concerns. If your orthodontist balks or refuses to do so, calmly inform them that you will explore alternatives and may file a complaint. If your orthodontist is open to discussion but wishes to charge a fee, you may consider negotiating.
8.
| rom: | Edward Zanca (drzanca@mainecoastortho.com) You moved this message to its current location. |
| Sent: | Mon 4/20/15 1:52 PM |
| To: | laurieallen55@msn.com (laurieallen55@msn.com) |
| Cc: | Lisa Collins (lisa@mainecoastortho.com) |
Good Day Ms Allen,
I
would like to start off this email conversation by making it clear that
I would much rather meet with you face to face so that records can be
reviewed on the spot to answer your questions as well as to explain to
you and to educate you on the treatment options available to your son
in an attempt to resolve his craniofacial growth anomaly, after your
consultation with Dr . McCarthy .
In
response to your email dated 4/13/15 and address to Lisa Collins: In my
35 years of practicing orthodontics , I have had the opportunity to
manage and treat approximately 35-38 patients who elected to have a
SARPE procedure.
During active orthodontic
treatment , not one of those patients experienced surgical expansion
relapse in the tranverse dimension. Following my patients after active
orthodontic treatment was discontinued, for an average of 18-24 months,
approximately 25-33 % experienced some post treatment relapse in varying
degree of change. None of the patients relapse to their pre-treatment
dimension, although a measurable change was noted in that 25%. Was the
relapse due to the SARPE surgery, was it due to the physiological
recovery of the periodontal ligaments and fibers , was it due to the
patient not wearing their retainers as prescribed? Was the relapse due
to neuromusculature imbalances, tongue thrust, mouthbreather ?? All
great questions, yet quite difficult to answer.
Prior
to our consultation meeting on March 18, I took the liberty of sharing
your sons’ diagnostic orthodontic records with two orthodontic
colleagues, for the purpose of getting another professional opinion.
Between the three of us, we have a total of 105 years of experience in
orthodontics. We evaluated your son’s original records and subsequent
records since your first visit to this office and we all agreed that the
treatment plan due to the complexity of the skeleton-dental
malocclusion would involve: resolving the posterior skeletal crossbite,
managing the forward tongue posture/tongue thrust, aligning the teeth
and resolving the anterior open bit
My
standard of care , my usual and customary way of reviewing these
questions and to address your concerns about your visit with Dr
McCarthy, has always been to scheduled an appointment after the
patients’ orthognathic surgery consult visit and to go over any and all
questions that are directly related to the topic and reason for the
consult. Along with the surgeons dictated notes , for 35 years , I
have attempted to answer all questions and to inform the parent and
patient to the best of my ability as to how I would proceed if this was
my child.
I
obviously have not met your expectations and by the tone and content of
your letter/emails , I have most likely lost any trust that you develop
with me, over the past four years. I am happy to meet with you, with or
without out your son to address your concerns and frustrations, as well
as your questions . I am sorry and apologize that you feel like your
visit to McCarthy to gain insight and information into the procedure was
a waste of your time. As well as I am disappointed that you have found
no value to our services over the past 3 years .
In
Closing, I am concerned about the well being of all of my patients,
including your son. I am not clear as to your expectation around me
resolving “this” with integrity. I do not believe that I have promised
you something nor have given you my word and then have not followed thru
with my word…if so then I would invite you to sit down with me to clear
up whatever your really upset about. Please advise me as to how you
wish to proceed with this relationship.
Regards
Dr Ed Zanca
9.
| rom: | LAURIE ALLEN (laurieallen55@msn.com) |
| Sent: | Tue 4/21/15 9:57 AM |
| To: | drzanca@mainecoastortho.com (drzanca@mainecoastortho.com); LAURIE ALLEN (laurieallen55@msn.com) |
You chose not to advise me of your SARPE success and failure that I specifically asked about at our consultation on 3/18. That was wrong and unethical. This information should have been given to us 4 years ago when you proposed SARPES, while also neglecting to inform us that a splitter would be required in addition to the SARPES. The ONLY reason we chose the SARPES was because it was sold to us without need for a splitter and without knowledge of the HIGH failure rate.
If we had known that a splitter was required, we would have refused that option then and there, forget about the outrage with known undisclosed failure. We waited 4 years for this procedure and then you advise us that treatment requires a splitter. My son and I were stymied. The last thing my son needs is another confrontation where he is subject to non-accountability of adults. I bit my tongue because I was over a barrel with my son's treatment in peril.
Then to find out through Dr. MacCarthey, instead of you, the high failure rate of SARPES and that you also with held informing us the possibility of a 2nd SARPES procedure AFTER this plan was completed... and who knows what would follow after that for I would be the last to know. Your nondisclosure is wrong and unethical. Your response is inappropriate. I did try to meet with you privately. Your new diagnosis of craniofacial anomalies is extreme. https://www.google.com/search?q=craniofacial+anomalies+pictures&sa=X&biw=1536&bih=770&tbm=isch&tbo=u&source=univ&ei=zEs2Vd6KAomtyAS8-4DYBw&ved=0CDYQ7Akhttps://www.google.com/search?q=craniofacial+anomalies+pictures&sa=X&biw=1536&bih=770&tbm=isch&tbo=u&source=univ&ei=zEs2Vd6KAomtyAS8-4DYBw&ved=0CDYQ7Ak
Your pictures of my son's's mouth and bite are almost identical to mine and were resolved with out all this reference to severe surgeries that are of no guarantee.
From: lisa@mainecoastortho.com
To: Laurieallen55@msn.com
Date: Wed, 25 Mar 2015 11:28:34 -0400
Subject: my son
To: Laurieallen55@msn.com
Date: Wed, 25 Mar 2015 11:28:34 -0400
Subject: my son
Good Morning Laurie,
I want to apologize for Dr. Zanca not getting in touch with Dr. Towey
or McCarthy before he left for two weeks. He was only in the office on
Friday after he met with you and son that Wednesday but I will call
both office today and give them the information they need to set you
guys up for appointments. Attached above are son's pictures for you
to send to his father.
Enjoy this beautiful weather J
Lisa Collins
Hands on experience with tongue thrust did not affect the success of my treatment. Hands on experience for both my son and me with the splitter appliance proves failure . 4 years ago the option to extract teeth with braces, the treatment that worked for me after a failed splitter, was an option that was not given by you. It is the only option I see now. My son is over the barrel with time, graduating next year and then to college, out of state.
Son has no choice. You do. Please make this right and advise in writing the plan of teeth extraction and clear braces, wire support after removal, retainers and cost. I was wrong when I stated I was at poverty, I am below poverty. Extractions are requested from the nearest, in network, respected oral surgeon. Resolution and compensation is at your integrity. I have no choices. My only focus is son and immediate resolution and treatment.
Sincerely,
Laurie Allen
10.
| rom: | LAURIE ALLEN (laurieallen55@msn.com) |
| Sent: | Tue 4/21/15 11:37 AM |
| To: | edward zanca (drzanca@mainecoastortho.com) |
I cannot get my email through. I did not want to publicize this, we have been through enough. I made a blog to get the message to you since your email does not accept the files and pictures. I hope you can deal with this objectively and professionally. I am sure this blog is going to upset you. That is not my intent and if you can provide me with an email address that I can get this email through to, I will mark the blog private, for my eyes only. It must be public for you to have access.
Sincerely,
Laurie Allen
11.
| rom: | LAURIE ALLEN (laurieallen55@msn.com) |
| Sent: | Tue 4/21/15 1:44 PM |
| To: | edward zanca (drzanca@mainecoastortho.com); LAURIE ALLEN (laurieallen55@msn.com) |
I am assuming that you were able to view the blog, there were 4 views on it. I have marked it as private so that no one else can view this very private and difficult situation. I have taken out the pictures, all of which you already had. Your original quote in 2011, the financial agreement for the torture prongs, 2 pictures of me and the pictures of son that you took. I will leave the blog private until further notice. I will wait for a response for this portion copied from below email with hopes for accountability, retraction and resolution.
Son has no choice. You do. Please make this right and advise in writing the plan of teeth extraction and clear braces, wire support after removal, retainers and cost. I was wrong when I stated I was at poverty, I am below poverty. Extractions are requested from the nearest, in network, respected oral surgeon. Resolution and compensation is at your integrity. I have no choices. My only focus is son and immediate resolution and treatment.
Sincerely,
Laurie Allen
12.
| rom: | LAURIE ALLEN (laurieallen55@msn.com) |
| Sent: | Wed 4/22/15 8:09 AM |
| To: | edward zanca (drzanca@mainecoastortho.com); Lisa Collins (lisa@mainecoastortho.com) |
Please keep my son's pictures confidential. They are not for public view to anyone except Dr.'s that are treating my son. Thank you.
Sincerely,
Laurie Allen
13.
| rom: | LAURIE ALLEN (laurieallen55@msn.com) |
| Sent: | Thu 4/23/15 10:35 AM |
| To: | edward zanca (drzanca@mainecoastortho.com); LAURIE ALLEN (laurieallen55@msn.com) |
What is your resolution, please respond today. The facts are clear and I am offering you an opportunity to resolve this and protect your reputation. I am on the cusp of corruption exposure. Today's post will burn the views on my blog like wildfire. You should know that I have over 50,000 views, 100 daily prior to today.
For 5 years, I have been relentless in posting Belfast and State corruption throughout any media I could access, local to global. Where I should be gainfully employed and independent, I am fighting to save my home and the stress is killing me. My father, sister and 2 brothers have died from cancer at the ages of 54, 56, 61 and 67. My time may be short and Belfast is speeding up the decline. I have one more year until son is safe regardless of my protection. I do not want to harm your reputation and I hoped this would have been resolved. Your lack of response is a problem.
I will sign a privacy contract (after attorney review) to seal your treatment to my son under the conditions that you complete treatment of 40% of the full expense as charity and good will to me. My son's Dad is responsible for 60% and is employed with a high salary compared to my $18,000, below poverty. Extraction (including wisdom teeth), clear braces, after braces, wire retainer behind teeth and remove-able retainers with follow up. As stated, this was my successful treatment after the cash cow appliance failure. The SARPES intent is atrocious. To begin at square one with another orthodontist is beyond detrimental to my son. You have the ability and the means to fix this without hurting my son further. I am willing to maintain a professional, ethical relationship with you for the sake of my son and the barrel he has been placed over with time.
My son's mouth is almost identical to mine. My treatment was completed at 26 and at 54- it's all good enough.
www.boycottbelfast.blogspot.com
Laurie Allen
15.
| rom: | Edward Zanca (drzanca@mainecoastortho.com) This sender is in your contact list. |
| Sent: | Fri 4/24/15 7:12 AM |
| To: | laurieallen55@msn.com (laurieallen55@msn.com) |
Ms.Allen,
After
considerable thought in this matter and review of the situation , with
respect to your son’s orthodontic treatment of his skeleton-dental
malocclusion, I have decided to dismiss myself, to discontinue the
doctor, patient relationship with respect to continuing to counsel and
treat your son as a patient within the scope of my private practice.
In
my 37 years as a dentist I have always felt and believed that the
doctor- patient- family relationship and the trust established between
the parties involved has been an integral piece in the success and
outcome of clinical treatment. It has been my experience that when
there is a compromise in the trust and communication between the doctor
and the family, for whatever reason, that it is in both parties best
interest to seek another professional opinion and chose what feels right
or is perceived to be what is in the patients’ and family’s best
interest. Since the consult on March 18 and the subsequent consult with
an oral surgeon, the current doctor-family relationship with respect to
trust in the judgement and recommendation of the doctor’s proposed
treatment has been eroded, diminished and essentially nonexistent. For
this reason, I choose to excuse myself and choose to dismiss myself from
the ongoing and continuing monitoring of your son’s dental health .
Secondly,
as I narrated in an earlier email, the proposed treatment plan
recommended for your son to resolve and improve his dental health and
masticatory function, was a plan that had been proposed after I spent
additional time with other orthodontic colleagues, reviewing your son’s
history and data, since becoming a patient of record. The consensus
amongst the orthodontists was the treatment plan proposed and
recommended. The patient and the family do have a choice, and your
choice has been to decline the proposed orthodontic/surgery treatment
plan. Instead , you have proposed your own treatment plan for your son,
which in your own experience, work for you. I am unwilling to work with
your treatment plan and with the parent dictating the course of
treatment. There are always options to treatment , yet I am unable to
embrace your proposed option because I do not believe based upon 35
years of experience that the plan you propose will produce the outcome
desired. Possibly in someone else’s hands and practice, yet not in
mine.
So for
the above two reason’s , I am communicating to you, that I will no
longer be the doctor of record for your son, orthodontic
treatment. My office is empathic to your position and if we can be of
any assistance to provide current diagnostic records for another
orthodontist to review, please do not hesitate to contact our office.
In regret and regards,
Dr Edward R Zanca
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