Honest review. No pressure. Sometimes our answer is "they got it right."
Most of the people who come to us for full arch or complex implant work already have a quote from somewhere else. We'll review what was proposed against your Primary iD risk picture, and tell you what we'd verify, what we'd do differently, and why.
A $30,000 dental quote should feel like a real decision, not a sales meeting you're already trying to back out of.
If something about your quote felt off, like pace, pressure, vagueness about materials, or no mention of your medical history, that's a signal worth honoring.
Not a critique of the other practice, but a structured second pass at whether the proposed plan fits you. Here's what we evaluate.
We re-read the CBCT against the proposed implant placement. Bone density at each site, sinus position, nerve location, angulation. Sometimes a plan looks right on paper but the imaging tells a different story.
Titanium vs. zirconia. Acrylic vs. hybrid vs. monolithic zirconia for the prosthesis. We check whether the choice was discussed or defaulted, and whether it accounts for any sensitivity, autoimmune, or bruxism (teeth grinding) context.
All-on-4 vs. All-on-6 vs. All-on-8 isn't a marketing decision. It's a biomechanics decision. Bone volume, bite force, opposing arch all matter. We re-check the math.
Diabetes, smoking, bisphosphonates, sleep-disordered breathing, family periodontal history. Each one shifts the prognosis. A plan built without these isn't a plan. It's a quote with a 3D scanner.
Industry-standard is 25-year implant warranty (manufacturer-backed) and 5-year prosthesis warranty. If the proposed terms differ meaningfully, that's worth flagging.
Same-day full-arch is possible in some cases, not all. Staged approaches over months are appropriate for others. We check whether the proposed timeline matches the case.
Inclusions, exclusions, what counts as a re-do, what the cost looks like if grafting is needed mid-procedure. We surface anything ambiguous.
In some high-volume practices, the doctor who consults you isn't the doctor who operates on you. Worth knowing in advance, not a problem necessarily, just a question you have the right to ask.
Email or upload your CBCT scan (DICOM files), recent X-rays, the proposed treatment plan in writing, and any quote you've received. If you don't have the CBCT, we can request it from the practice that took it, or take one ourselves. Brief intake form takes ~5 min.
60–90 minutes with Dr. Gabi. We review your records together, discuss your medical context, examine you in person if needed, then walk through what we'd do differently and why. Same-day write-up if you want to take it back to compare.
Sometimes our answer is 'they got it right.' Sometimes we'd verify or change specific items. Sometimes we'd recommend a fundamentally different approach. Whatever the answer, it's structured, written, and free of pressure.
That's the structural reason the opinion can be honest. We're a referral-driven practice serving a wellness-literate Los Angeles patient base. Whether you proceed with us, return to your original practice, or take our read to a third provider, the consultation is the same.
About half of second-opinion patients eventually choose to do the work with us. About a quarter take our read back to confirm or renegotiate with their original practice. The rest go elsewhere with a clearer picture. All three are good outcomes.
Send us your treatment plan →If you bring your existing CBCT scan, X-rays, and treatment plan from another practice, the case-review consultation is offered at a reduced rate compared to a full comprehensive intake. If we need to run our own diagnostics, that's billed separately and discussed up front. Most patients spend $250–$500 on the consult itself, meaningful relative to a $25K–$50K case decision.
We will. That's the point of the opinion being honest. Some second opinions confirm, and that's a valid and useful outcome. You leave with confidence in the plan instead of paying for work you weren't sure about.
No. Some second-opinion patients take our findings back to their original practice and continue care there. Others switch. Both are fine. We don't make the consultation contingent on you becoming a patient.
Most useful: your CBCT scan (DICOM files), recent X-rays, the proposed treatment plan in writing, and any quote you've received. If you don't have the CBCT, we can request it from the practice that took it, or take one ourselves if needed.
Only if you ask us to. Most second-opinion patients prefer privacy at this stage, and we honor that. If you want us to coordinate or share findings with your current practice, we will.
60–90 minutes. We review your records, discuss your medical context, examine if needed, then walk through what we'd do differently and why. Same-day write-up of our findings if you want to take it back to compare.
Either way, the conversation starts honest. If you have the records ready, email is the fastest path. If you want to talk through your situation before deciding what to send, call.
Read more about our full implant & full-arch approach →