This might be difficult to explain in writing, but here goes. I have been going to the same dentist for 21 years. He did a lot of work on me in the early years and I didn't have any real problems. Gradually, his work has gotten shoddier, with an ill-fitting bridge (since corrected after a good deal of discomfort) and an ill-fitting crown. He has also gotten a bit heavy-handed and sloppy and I believe that he twice went into my mouth without gloves. About 2 months ago I broke a tooth, the narrow one just to the right of the front teeth. I was fitted for a crown. The temporary crown did not last one day. When the new crown was installed, it was cemented in. It did not last a day. On 3 subsequent trips back (20 miles each way), he again attempted to cement it back in place after cutting grooves in the stub of the original tooth. On the fourth try, he made a sort of inner tooth (poor description, I know) and cemented the crown over that. We had a somewhat intense discussion before this last procedure because I was $675 co-pay into this and I was getting pissed. He said there was no charge. Well, this crown was okay, for awhile. Then I got a statement from his office for a $5 co-pay. I know it was only 5 bucks but the principle of the whole thing made me very angry. I paid the 5 bucks and wrote a nasty note in which I called him incompetent and told him he was fired. Well, guess what? This morning during breakfast, the crown fell out again. What are my options? I refuse to go back to him although I'm damn sure going to let him know that it fell out again. Will a new dentist reinstall the crown? Or will he want to start over? I do not want to come up with a nearly $700 co-pay all over again. Will I have to go back to the original dentist? Should I just forget about it and walk around looking like a hillbilly?