TH

Much of your post involves legal issues, and as such are beyond any response we are qualified to give.

We get your point about how the first set of crowns for the lower teeth should have matched the upper ones pretty closely if the same shade of porcelain had been used.

There might be some technical issues involved with the color mismatches you've experienced (differing porcelain thickness, differing types of crown construction, etc...). But everyone involved should have known that the overall goal was a unified, pleasing appearance. with your dentist primarily in charge of achieving that.

In passing we'll mention that:

Every time a restoration was made for you, the shade chosen would have been documented in your chart.

The dentist's instructions to the lab to make the restoration(s) are in the form of a written prescription, and the shade chosen will be on that prescription. Your dentist is almost certainly legally require to retain his copy of the prescription for a certain period of time (this would vary state by state). The prescription blanks are typically pre-printed and numbered sequentially in a bound book.

The fact that the lower crowns were remade (as in the dentist acknowledged that some mismatch existed) will be documented in your chart, at least by the fact that completing your case took more than the usual number of visits. We're not sure a second lab prescription would be required for the remake.

Other than legal recourse, another alternative that should exist for you is a complaint to your state's dental board. This page on the website Dental Watch explains things pretty well.

What's good about the dental board option is that your situation is considered by multiple dentists, and probably a "consumer/general public" member too, who together determine if the treatment you've received seems reasonable.

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