Told You Couldn't Have Implants? We'd Like a Second Look.
Every week, patients come to us after being turned away elsewhere — for their bone, their age, their health history, or a past implant that didn't work out. Dr. Jandali reviews these cases personally, with a full CBCT 3D scan, before agreeing with the "no."
Four Reasons Providers Say No — and Why They're Often Wrong
A "no" from one provider is often a reflection of what that provider's protocol allows for — not a complete picture of what your anatomy actually supports. Here's what we hear most often, and how Dr. Jandali approaches each one differently.
Insufficient Bone Volume
Many practices only offer one protocol — a fixed number of implants in fixed positions. If your bone doesn't fit that template, you're told implants "won't work."
Dr. Jandali plans from your CBCT scan first, then decides on implant count, angulation, and technique — including zygomatic and graftless approaches — to fit your bone, not a template.
Medical Conditions Used as Blanket Disqualifiers
Diabetes, osteoporosis, and smoking are frequently treated as automatic disqualifiers, regardless of how well-controlled or individual the case is.
These conditions can affect healing, but they rarely rule out implants outright. Dr. Jandali evaluates the specifics of your case rather than applying a blanket policy.
Age
Patients in their 80s and 90s are routinely offered only a denture, on the assumption that they're "too old" for surgery — even when a denture is a poor fit for their anatomy.
Age alone is not a clinical contraindication. Health status, bone quality, and anatomy are what matter — and many older patients are excellent candidates.
A Previous Failed Implant Elsewhere
A failed implant at another practice is often treated as proof that a patient "can't" have implants — rather than a sign that something specific went wrong the first time.
Dr. Jandali reviews failed cases personally to understand why the original treatment failed before deciding whether — and how — a new attempt can succeed.
87 Years Old, Turned Away for Age Alone
30+ Years on a Partial Denture — Then Told She Was "Too Old" for Implants
This patient had worn a partial upper denture for more than 30 years while raising her family, managing with five remaining natural upper teeth. When those remaining teeth finally failed, she began looking for a permanent solution — and nearly every provider she saw offered only another denture, declining to consider implants specifically because of her age.
A CBCT scan told a different story. Several anatomical details made a denture the wrong solution for her — not just a less desirable one:
- She had retained most of her natural lower teeth, so a full upper denture opposing those teeth would absorb heavy biting force, accelerating bone loss in her upper jaw over time.
- Her palatal vault was unusually deep, making a conventional denture difficult to fabricate with a stable, comfortable fit.
- Her upper ridge and gum contour were uneven, requiring surgical contouring and smoothing that a removable denture simply can't accommodate.
None of this was about age. It was about anatomy — and it pointed toward a fixed solution, not a removable one.
Quoted $100,000+ and 18 Months of Bone Grafting — Treated Same Day, No Grafting Needed
This patient had worn a full upper denture for more than 30 years. Her lower jaw was failing too: a few remaining compromised teeth, a previously placed implant that had never functioned and was no longer usable, and an ill-fitting lower partial denture. Daily life meant embarrassment, pain, and a loss of confidence.
Multiple providers she consulted all recommended the same path: extensive bone grafting before implants could even be considered. The typical proposal was close to 18 months of treatment — roughly 5 months for grafting, 6 months for implant healing, and additional months to fabricate the final teeth — at a cost exceeding $100,000, with no guarantee of success. In the meantime, she would have continued living with dentures and repeated relines.
A CBCT scan told a different story. By working strategically with the bone she already had — rather than defaulting to a graft-first protocol — Dr. Jandali determined she could receive implants without grafting at all, positioning them to take advantage of the strongest available bone in both arches.
Zygomatic Implants Placed Abroad — Positioned Inside the Eye Sockets
This patient traveled outside the U.S. for full-arch treatment and received four zygomatic implants in his upper jaw along with four conventional implants in his lower jaw, restored with a temporary implant-supported prosthesis. When he returned home, imaging told a story he hadn't been told abroad: both upper zygomatic implants had been positioned into the orbital cavities — the eye sockets — rather than anchored safely in the cheekbone as intended.
By the time he sought help, several providers he approached weren't willing to take on a case this complex. Dr. Jandali reviewed the imaging personally and determined the safest path forward: the malpositioned upper zygomatic implants had to be removed, while the four lower implants had integrated successfully and could be preserved.
New implants were placed in the upper arch, planned strategically around his actual bone anatomy rather than repeating a fixed protocol. He ultimately received his final fixed prosthesis supported by a combination of the retained lower implants and the newly placed upper implants.
Every Case Reviewed Individually
Every patient's anatomy, health history, and prior treatment are different. If you've been told no for a reason not covered above, that's exactly what a second opinion is for.
Second Opinions Are Part of How We Practice
Dr. Jandali reviews complex and previously declined cases personally — it's one of the reasons patients travel from across Metro Detroit to see him.
Told No Elsewhere? Let's Take a Real Look.
Your free consultation includes a full CBCT 3D scan and an honest, personal review from Dr. Jandali — before anyone tells you what isn't possible.
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