manuel esteban
March 2026 · ★ 1
I do not recommend Dr. Kepa for invisible orthodontics in adults. 1. My treatment has ended, I'm wearing retainers, I have malocclusion, and I chew worse than before treatment. 2. I couldn't move my canine tooth any further due to receding gums, which have been like this since the beginning. I should have been informed that this could happen before starting treatment. He assured me that the teeth would align on their own after the attachments and aligners were removed. 3. Given the terrible result, it was unnecessary to file down the interdental spaces of my lower teeth due to crowding. 4. When Dr. Kepa removed the adhesive from the attachments, he damaged my enamel. The enamel of all the teeth that had an attachment bonded with adhesive cement is damaged and scratched. When removing them, he also filed down some teeth and damaged an aesthetic filling. 5. They advertise holistic and integrative dentistry. But when I asked Dr. Molina about having my wisdom teeth (which only had cavities) extracted, he said it was all the same to him. I asked Dr. Delgado the same question, in case their extraction was necessary for orthodontics, and her answer was ambiguous. I agreed to the extraction. But in holistic dentistry, all teeth serve a purpose and are not extracted without reason, and now, with my malocclusion, I would need my wisdom teeth. 6. None of the professionals I mentioned deserved my trust. Thank you for putting me through such a bad experience. I feel like my desire to improve my physical appearance and dental health was taken advantage of. Inmaculada Carmona.
Clinic response ():
Response from the owner 2 months agoWe are deeply sorry to read about your experience and the discomfort you expressed. 1- At our clinic, a correct bite and patient comfort are always our top priorities. We do not consider any treatment complete if the patient is not comfortable. Regarding occlusion, in invisible orthodontics, the end of aligner use and the beginning of the retention phase with retainers does not signify the end of the orthodontic process, but rather the start of a stabilization phase that requires clinical follow-up and adjustments. Occlusal adaptation is progressive and depends on multiple individual factors. It is essential that patients attend their follow-up appointments to assess this progress; otherwise, we cannot guarantee an optimal result. We remain available for a follow-up appointment at our clinic. 2- We regret that you felt the information provided was insufficient. As a healthcare center, we assume it is the clinic's responsibility to clearly and understandably explain the risks, limitations, and conditions of each treatment. In adult patients with pre-existing gingival recession, tooth movement should be limited and conservative, always prioritizing gum health. This circumstance is always assessed beforehand, and the patient is informed before starting orthodontic treatment. If necessary, connective tissue grafts may be recommended after orthodontic treatment to address existing gingival recession. 3- Inter-adjacent polishing (IPR) is a common, minimally invasive orthodontic technique clinically indicated in certain cases of crowding, especially in aligner treatments for adult patients and in cases of existing recession. This procedure is performed in a controlled manner, respecting the enamel, with the aim of creating the necessary space for proper alignment, thus avoiding more invasive treatments. IPR is always indicated according to clinical criteria and is part of the previously agreed-upon treatment plan. 4- The removal of attachments and adhesive cement is carried out following standardized clinical protocols, using tungsten burs specifically designed for the removal of adhesive cement without affecting the tooth enamel. It is normal for the patient to perceive changes in the surface texture of the teeth. It is important to note that old fillings, not being made of natural enamel, can be affected by this type of instrument, which could also explain the described perception, without implying any damage to the tooth enamel. Follow-up visits allow for these types of adjustments or polishing of old restorations to optimize aesthetics and functionality. These visits are offered as part of the post-orthodontic treatment care. If an old filling falls out, we always replace it free of charge. 5- At the clinic, we work under a holistic and integrative approach to dentistry, understood as a form of care that values oral health within the overall context of the person, always prioritizing harmony, functionality, safety, and long-term well-being. This approach doesn't involve standardized decisions, but rather individualized assessments that analyze various clinical and functional factors before recommending any treatment. Wisdom tooth extraction is always discussed with the patient, especially if they have cavities or are causing malocclusion. Thank you for sharing your experience. Comments like yours help us review our processes, strengthen communication with our patients, and continue improving the quality of care. We are available to listen to you personally and discuss your case further in a suitable setting. Translated by Google ・ See original (Spanish)
