December 12, 2014 

NOTATIONS REGARDING THIS FEDERAL COMPLAINT 

Re: Jacqueline Pinch --- Re: Dental Case 

PARTIES 

There may be other defendants named in this suit, and I reserve my right to name further 

defendants regarding this complaint, at any and all stages of the Court Proceedings, or at 

any and all times and days that Attorney General Eric Holder agrees are acceptable to do 

so, and as the evidence supports.* 

I reserve my Right to add other Individuals and/or Entities to the list of named defendants 

in this complaint, who may have committed, or that might commit, crimes against me, or 

against any Individuals, or Entities.* 

JURISDICTION AND RIGHTS AT ISSUE 

Please ignore the "nla" I entered on the line regarding this question. 

II - B: What Federal Constitutional, Statutory, or Treaty Right is at Issue? 

Innumerable People and Entities, including myself, cannot get access to Justice, despite our 

profoundly desperate and exhaustive efforts to have access to Justice. Our Rights as Crime 

Victims have not been upheld or enforced. In this case, and in so many cases, I believe 

there have been tremendous Intentional efforts by the opposing parties and their 

supporters, and their defenders, to keep Important and Revealing Cases, including this 

Dental Case, out of the Public Domain, and to keep Victims from accessing our Rights as 

Crime Victims, or as Victims of Injustice, and to keep us from our access to Justice. I 

believe there are many Constitutional and Statutory Rights that are constantly being 

violated, and that are at Issue in this Dental Case, and in most, if not all, Court Cases that 

are put forth by, or on behalf of, Victims of Crime and Injustice.* 

*See Next Page for Rights That Are at Issue in This Dental Case* 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 1 of 99
RIGHTS AT ISSUE IN MY DENTAL CASE* 

CRIMES AGAINST THE PUBLIC* 

INJUSTICE* 

UNFAIRNESS* 

OBSTRUCTION OF JUSTICE* 

FLAGRANT INJUSTICE* 

EXCEPTIONALLY SERIOUS OFFENSE*- Because Government Officers, and a Government 

Entity- Failed- to Uphold and to Enforce the Laws, that they are Responsible for Upholding and 

Enforcing, and, in fact, committed felonies, themselves, in doing so.* 

CRIMES AGAINST JUSTICE* 

INTENTIONAL OBSTRUCTION OF GOOD-INTENDED GOVERNMENT OR GOVERNMENT 

OFFICERS* 

INTENTIONAL OBSTRUCTION OF GOOD ACTIONS OF GOOD-INTENDED 

GOVERNMENT OR GOVERNMENT OFFICERS* 

MALFEASANCE IN OFFICE* 

PERVERTING THE COURSE OF JUSTICE* 

When I have Attorney General as my Counsel, he and I will further clarify the Question of 

what Federal Rights are at Issue in my Dental Case, and in my Complaint.* 

ADDRESSES OF THE DEFENDANTS Regarding the addresses of the Defendants, of 

this Dental Case, I am using, or I put forth, Dr. Sorensen's Dental Address, when he 

worked on my teeth, as his address in this Complaint, whether or not he currently works 

there. I am using the same address, for ClearChoice Dental Implant Centers, because 

ClearChoice Dental Implant Centers is the Business that Dr. John Sorenson Joined and 

became part of, at the same Dental Facility. In no way shall my Complaint against 

ClearChoice be limited to only that one facility. My complaint against ClearChoice Dental 

Implant Centers is against the entire Company of ClearChoice Dental Implant Centers, 

because I believe that at least some People in the Top Management and at top Positions 

within the Headquarters of ClearChoice, were involved in, and responsible for, Crimes in 

my Dental Case. AG Eric Holder and I will access and use or apply any and all addresses 

of the Defendants as needed.* 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 2 of 99
STATEMENT OF CLAIMS 

With this complaint, I am submitting a paper version of my 184- page Document called, 

"A Dental Story of Injustice." I created this Document, using 9 of the 10 Original Files that 

were released to me regarding my Dental Case, from the Oregon Department of Justice. 

This "Dental Story" explains my Dental Case, and it serves to make the Documents 

regarding this case more easily understood.* 

In all three of the Claims I put forth, under "Statement of Claims," please ignore the "#5," 

because it has no relevance, as I changed the way I put together this Document. 

Claim I- Complaints about: Dr. John Sorensen 

There are many points of Criminal wrongdoing, and of Criminal Conspiracy, I believe, 

that were done by Dr. John Sorensen, regarding my Dental Case. In order to further 

specify, and list the exact charges, I will need to consult with Attorney General Eric 

Holder.* 

Claim II- Complaints about: The Oregon Board of Dentistry 

There are many points of Criminal wrongdoing, and of Criminal Conspiracy, I believe, 

that were done by the Oregon Board of Dentistry regarding my Dental Case. In order to 

further specify, and list the exact charges, I will need to consult with Attorney General Eric 

Holder.* 

Claim III- Complaints about: ClearChoice Dental Implant Centers 

There are many points of Criminal wrongdoing, and of Criminal Conspiracy, I believe, 

that were done by ClearChoice Dental Implant Centers, regarding my Dental Case. In 

order to further specify, and list the exact charges, I will need to consult with Attorney 

General Eric Holder.* 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 3 of 99
IV. Relief 

I am bringing forth this Civil Action in order to make vast improvements in the Criminal 

Justice Systems and in Social Justice Issues of the United States, and in the Systems of 

Governance and of Rules and Laws of this Country. Because the United States is so 

influential throughout the World, I believe that as we make vast improvements here in the 

US, other Countries of the World will likely be inspired and motivated to make at least 

some of the same, or similar, changes in their systems of Justice and Governance and Rules 

and Laws.* 

Because my Dental Case so clearly and so absolutely proves that tremendous Wrongdoing 

was committed against me, and so far, the Entire Systems of Government, at all levels, have 

failed to work as they should, I believe that my Dental Case must be used to create and 

compel change.* 

I will need Attorney General Eric Holder's Counsel, in order to determine, specifically, 

what we will want the Court to do for The Public, and for me, and the amount of monetary 

compensation that we will be seeking, for the Public, and for me.* 

In this Federal Complaint, and in this Civil Action, I am hoping to be representing the 

Public, and I am hoping that we can use my Dental Case to make great and lasting changes 

in the United States, and in the World, in favor of what is universally considered to be 

Good, Right, and Just. 

Because I still have not had direct, 2-way communications with Attorney General Eric 

Holder, and because I am not an Attorney, the Federal Civil Action Complaint, and any and 

all of the documents, including the Complaint, that I am submitting to the Clerk of Court, are 

subject to any and all changes, deletions, and additions, and specifications that Attorney 

General Eric Holder specifies, and/or will specify, at any and all times.* 

* =and/or as specified by Attorney General Eric Holder, and/or as will be specified by Attorney 

General Eric Holder. 

No Person or Entity may ever block, or otherwise prevent, in any way, the Clerk of Court, and/or any 

other Person the Clerk of Court assigns to act on the Clerk's behalf, to file this Dental Case into the 

United States Federal Court. 

No Person or Entity may ever block, or otherwise prevent, in any way, Attorney General Eric Holder, 

from Contacting me, by any and all means, and at least by email. 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 4 of 99
A Dental Story of Injustice 

Presented by 

Jacqueline Pinch 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 5 of 99
A Dental Story of Injustice 

"Knowledge will forever govern ignorance. And a People who mean to be their own 

governors, must arm themselves with the power knowledge gives. A popular government 

without popular information or the means of acquiring it, is but a prologue to a farce, or 

a tragedy, or perhaps both." 

-James Madison 1822 

These Documents tell a disturbing story about dentistry and injustice .... It is my 

story, and it is a story that needs to be told. 

In January of 2012, I submitted the first of two notebooks of documents to the Oregon 

Department of Justice (DOJ), and I submitted the second notebook to them about a month 

later, in February of 2012. This case is now a public record and it is on file at the Oregon 

Department of Justice, Financial Fraud File Number FF0653-12. 

Within days after submitting my first notebook to the Oregon DOJ, I received a letter from 

them which named the Oregon Board of Dentistry as the (business or person) my complaint 

was about, instead of my intended named person, who is a specific dentist. I realized from 

this letter that the reason for this was because my complaint form was weighted with 

comments about the Oregon Board of Dentistry. Therefore, this letter to me addressed 

possible avenues to pursue regarding the Oregon Board of Dentistry, and it mentioned 

Oregon's "Unlawful Trade Practices Act (UTPA)." This letter then specified that the UTPA 

does not give the Oregon DOJ any authority (or jurisdiction) to handle or enforce any 

complaints about government entities or officers. 

This letter was a great surprise and disappointment to me, as the specific dentist did not end 

up being the named person whom my complaint was about, as I had primarily intended. 

Within days, I then emailed another 2-page complaint form to the Oregon Department of 

Justice, in which I excluded any fault ofthe Oregon Board of Dentistry, and I faulted only the 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 6 of 99
specific dentist. However, in this form I referred to the documents "I sent" to the Oregon 

DOJ, which I meant as the documents in the notebook they had received from me the previous 

week. 

It was sometime in February of 2012 that I learned from my own research that the criminal 

statute of limitations for fraud in Oregon is 3 years from the date or dates in which the act or 

acts occurred. I then realized I had no room for any more errors, because the initial events of 

this case took place in 2009. 

Close to the end of February of 2012, I sent my second and final notebook to the Oregon 

Department of Justice. In this notebook, most of the documents are duplicates of those in my 

previous notebook. 

The changes I made in this second notebook are: 

1. I changed the date(s) ofthe transaction on the complaint form, as a more accurate 

account of my appointments with this dentist. 

2. I carefully edited the documents to exclude any fault of the Oregon Board of Dentistry, 

which I had learned would apparently disallow any actions against this dentist by the 

Oregon Department of Justice, according to Oregon laws. 

3. I combined together my list of complaints about this dentist. 

4. I included a printout of an important and associated webpage that I had noticed 

shortly after my Dental Board Interview. 

After sending in my request for this public record from the Oregon Department of Justice in 

May of 2012, I received a copy of this entire file via email. Attached is the file that I received 

from the Oregon Department of Justice, which is mostly the documents I had originally 

submitted to them, but also some additions from the Oregon DOJ. 

After I submitted this dental case to the Oregon Department of Justice, and it became a public 

record, I began to realize this case was becoming widely known, and I knew there was 

something big about this case, but I did not know what it was, how to access it, or how to use 

it. I now believe this case presents a powerful opportunity to affect change for good in the 

World ...•. This is our evidence. 

3 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 7 of 99
I have redacted some of the names of People mentioned in these documents to preserve their 

privacy, but I left intact the names of the People and Entities primarily involved in this 

complaint, as well as their contact information, including my own. Also included are the 

names of some People who hold positions of responsibility regarding decisions that were made 

in this case. 

I believe the public interest and importance in disclosing this case greatly outweighs any 

arguments against disclosure. If I were to thoroughly redact all, or almost all, of the names 

and contact information of the People named in these documents, and the clues to such 

information, then I would be compromising the essence of this case. I believe it is essential 

that this case and this evidence be publicly accessible for everyone to read, to use, to 

understand, and to learn from. 

I have placed divider pages in these documents in order to organize them for clarity and 

understanding. In addition, I have included the 2011 version of the "Oregon Dental Practice 

Act," which is the 20-page document which specifies the rules pertaining to dentists practicing 

in Oregon. 

I have learned so much in my earnest, yet unavailing, pursuit of Justice in this dental case. 

I now realize that injustice is so common, and that Justice, which is a central and 

international ideal, is alarmingly difficult to achieve. The laws of Justice, as they are now, 

make it impossible, as far as I can tell, for me, and other Victims of Crime and Abuse of 

Power, to achieve Justice or to even gain access to Justice. 

I am presenting this "Dental Story of Injustice" on my own, and without legal counsel. 

My "Dental Story of Injustice" tells the truth of what happened to me. I have backed up my 

Story with overwhelming evidence. It is the documented detail, the truthfulness, and the 

actual events of this case that make it especially powerful. 

Ultimately, it is my great hope that this case will be used to help and empower People all over 

the World who are Victims of Crime and Abuse of Power to stand up against such crimes and 

abuses and achieve the Justice they so desperately need. I believe this case can be used to 

make the World a better place. 

- Jacqueline Pinch 

June 16, 2014 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 8 of 99
First Notebook of Documents 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 9 of 99
Ore~n Department of Justice - Comumer Protection, Comp1aint Form ... hltps://www.doj.state.or.uslcgi-biDifinftaud _ complaint.pl 

l of2 

Oregon Department of Justice 

Attorney General John Kroger 

'FF 0053 -12-

Oregon DOJ Home I About the Justice Department I Divisions I Civil Enforcement I Consumer 

Protection I Complaint Form I Complaint Form Confirmation 

Complaint Form Confirmation 

Your complaint has been submitted to coDSumer.hotJine@state.or.us. 

Submitted on: 1/20/2012 

Action Requested: Yes 

Consumer 

Name: Jackie Pinch 

Address I: 40 Crestfield Court 

Address2: Lake Oswego, OR 97035 

Email: Jpinch25@gmail.com 

Day Phone: (503) 6991717 

Evening Phone: (503) 6991717 

Cell Phone: (503) 6991717 

Business 

Name: Dr. John Sorensen 

Address!: 12750 SW 68th Avenue 

Address2: Portland, OR 97035 

Phone: 503 6395599 

Complaint Pertailling To 

Dates: May/June of 2009 

Lost Money: $33,314.00 

Attorney Contacted: please see note below 

Business Contacted: Oregon Board of Dentistry 

Other Contacted: 

'JYpe of Sale: Other 

Details: Regarding the question of an attorney, I did consult with two attorneys, but I have no written 

contract with either of them. DENfAL CASE SUMMARY: While undergoing the project of Full Mouth 

Reconstruction with Dr. John Sorensen in May/June of2009, I found that it was necessary to leave him 

due to unacceptable patient care. At this time, I still have 28 temporary restorations. despite my efforts to 

resolve this situation. In January of201 0, I sent a detailed complaint about Dr. Sorensen to the Oregon 

Board of Dentistry. One year later, in January of 2011, The Dental Board called to interview me about my 

case. In April of2011 the Dental Board announced their decision abput my case during their April 15th 

meeting. Three weeks later I received a letter from them which stated-On Apri115, 2011, the Board voted 

l/201201211:04PM 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 10 of 99
Oregon :Department of Justice - Consliiiiel' Prorection, Complaint Form ... 111ps:l/www.doj..state.or.llllcgi-binlfinfi:ao.i _ compla.inlpl 

2of2 

to close the matter with No Violation of the Dental Practice Act. I was stunned by this decision, as I had 

submitted to them so much evidence of wrongdoing, fraud. and false pretense - actions which were clearly 

below the Standard of Care. This coming week I will send you all of the supporting documents of my case. 

Thank you, Jackie Pinch 

1120/2012 11:04 PM 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 11 of 99
INDEX OF ENCLOSED DOCUMENTS 

1. ne Complaint (4 pages) 

2. DeJttal Case Summary (10 pages) 

3. . Delltal Board DocomeJtts 

A. Complaint Form 

B. Initial Letter From Board 

C. FiDai Letter From Board 

4. Letters From Dr. Sorensen 

A. Letter Describing Upet~ming Treatment 

B. Letter to Encourage Me to Have Him Continue My Treatment 

C. Settlement Letter Presented to Me That I Did Not Sign 

D. Letter from Dr. Sorensen Sent to a Friend ofMiae 

E. Offer and Letter from Dr. Sorensen after Interview with the Dental Board** 

5. Letters From Me to Dr. Sorensen 

A. Letter Requesting AD of the Dental Items of My Case 

B. Copy of Above Letter with Checked Off Items 

C. Letter Requesting a Copy of AD ofBis Photos ctfMe and My Theth 

D. Letter Requesting a Refund of AD of the Funds Given to Him for This Project 

E. Letter Requesting Insurance Information 

6. Documents from Dr. SoreDSen 

A. Treatment Plan from Dr. Sorensen (2 pages) 

B. Receipt for Initial Consultation with Dr. Sorensen 

C. Statement of Payment Due and Sehedule ofUpeoming Appointmeats 

D. Reeeipt for Payment of Project 

E. Statement of Payment Du.e for "Hard Tissue Crown Lengthening" 

7. Emails Between Me and Dr. Sorensen (13 pages) 

8. My Dental File from Dr. Sorensen (7 pages) 

9. Receipts from Other Dentists Who Did Any Treatmeiiiiliiir This Case 

A. Treatment PJan and Due from 

B. Reeeipts from 

C. Treatment 

D. Receipts 

**Any reference to Michelle in these doeu.ments is MieheBe Lawrence, a eonnltant for th.e 

Oregon Board of Dentistry, who was the person who interviewed me. 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 12 of 99
January 26,2011 

Dear Michelle, 

After our interview on January 24, 2011 and Janua.zy 25, 2011, I have made some more notations 

regarding my dental case in order to clarify (and question) some important points. They are 

following: 

1. It is clear to me that Dr. Sorensen altered my dental me, and this is especially clear 

because of the discrepencies on pages 2-3 regarding my ''treatment plan" which entirely 

contradicts the treatment plan I received on the same day, which was Feb. 20, 2009. 

2. Almost all of' the conversations between Dr. Sorensen and I were via email, and all of 

these emails were included with my dental report. There were no phone conversations 

other tban the few conversations on the _phone that I documented in my 10 page dental 

case summary. 

3. Dr. Sorensen has k• all of the money from this case. He has made no effort to contact 

me at all since August 31. 2009, despite several letters I sent him requesting him to do so. 

He therefore has been completely unaware and unconcerned of the status and health of 

my teeth with these temporaries d~.this entire time, and now it bas been about a year 

and a half since he placed these temporary teeth. 

4. Dr. Sorensen en,ga.ged. in unethical billing_practices. U_pon receiving the receiPt for full 

payment for all of this dentistry, included with this receipt was an additional bill for 

$3108 for "Hard Tissue Crown Lengthening" with no prior mention or discussion oftbis. 

The following week I said no to this during nzy follow Qp consultation and he had no 

comment in response on this issue. *See emails in which pricing of this entire project 

was discussed and decided on-there was never any mentioning of hard tissue crown 

lengthening. 

5. There were no x-rays taken of my previously crowned front teeth in order to reveal the 

prepped tooth structure underneath. Therefore, there was no way Dr. Sorensen would be 

able to make a _plan to preserve the underlying tooth structure as much as _possible as he 

removed the porcelain. In other words, he had no map to go by as he removed the 

_porcelain that was bonded onto the base teeth. 

6. I think Dr. Sorensen provided no prescriptions as to the size and shape of my upcoming 

restorations as directives to his technician(s). (*See pages 5-6 in my "Dental Case 

Summazy.') 

7. Patient abandonment. Dr. Sorensen gave away all ofhis regular prosthedontic patients 

via a letter because he no longer does this work .... He only does implants now. 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 13 of 99
8. There were no face bow measurements taken by Dr. Sorensen for this big project of Full 

Mouth Reconstruction. Also, where is the analysis of the articulation and study data? 

9. Dming the consultation I had with-in August of2009, I asked~hat 

percentage of the total cost of this procedure he would assign to this initial stage of the 

_procedure that I was _presently in (prepped teeth with tetnporazy crowns) if he was doing 

the worlr. He said he would assign about 20% of the entire cost to 1h.e work that was 

done so far. On the other hand, Dr. Sorensen was trying to charge me $20,300 out of the 

funds he had received of $33,314 intended to cover the entire _prQject, which comes to 

61%. And the wol:k he had done for which he was charging me 61% of the total was 

wmcce_ptable. (See Document 4-D). 

10. In subsequent written communications Dr. Sorensen blamed me for any errors in teeth 

design due to 1he 1 ~hours I ~ent with.,. the lab on Mzy 11, 2009. 

11. No one ever called me after eitber of my an day dental drilling appointments to check as 

to how I was doing. 

12. These current tem,porary teeth do not fit my face or my smlle. 

Please compare the two following items, in case of any discrepen.cies: 

1. The dental file I received from Dr. Sorensen that I enclosed with my rqJOrt (in the 

notebook). 

2. The dental file of my case that you received from Dr. Sorensen. 

On my top teeth day, before we got started, I told Dr. Sorensen to avoid taking any more of the 

base tooth structure off of any of my top :front teeth when removing the ceramic that was on 

these teeth because the teeth underneath were alrea4y really little. But it ttn:ned out that he 

ignored my request and went ahead and intentionally removed more of the base teeth structure, 

making these really little base teeth even littler, and thus weakening their ling-tenn strength 

when SQP.POrting the intended crowns. Later, when I addressed this frightening observation, Dr. 

Sorensen wrote that he removed some extra teeth structure in order to prevent the underlying 

color of the dentin of the teeth :from showing through the ceramic of the crowns. But the reality 

was that there was no dentin showing through the pre-existing ceramic crowns. The material that 

had been used the previous year was ''Empress" which is known to have a high level of 

translucency, and even with this high level of translucency, no dentin of my base teeth showed 

through in any of the .Photos that were taken before Dr. Sorensen began his wol:k on m.y teeth. . 

There was no yellow at all showing through, and instead the overall color of these previous 

crowns had a grey cast. 

A dentist has to be extremely careful when re-doing previously crowned ceramic teeth. This is 

especially true because in applying ceramic crowns, a special cement is used which bonds the 

ceramic material directly to the tooth structw:e underneath. Therefore. when a ceramic tooth 

ID 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 14 of 99
needs to be replaced. the ceramic part is drilled off, but the bonding cement also needs to be 

drilled off. And in this procedure, it is critical to make sure to avoid removing any healthy tooth 

st:ructure, or at least keep it to an absolute minimum in order to leave the underlying tooth 

structure as strong as possible. 

Thank you, 

J aclcie . .Pmcb. 

II 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 15 of 99
SUMMARY OF COMPLAINTS 

• See Letter to Dr. Sorensen, dated October 20e11, 2009 

• Dr. Sorensen failed to ensure that I had full and complete informed consent of various options 

in how to proceed, the costs of these options, and the potential risks involved. 

• Dr. Sorensen attempted to charge me a large additional cost for "hard tissue crown lengthening" 

with no prior mentioning or discussion of this, after the total was agreed upon and paid for. 

• No photos were reviewed (apart from 3 photos of his own clients) to plan the aesthetics of this 

big project. 

• No x-mys of previously crowned front 12 teeth were ever taken in order to reveal prepped tooth 

structure underneath. Every caution should have been taken to avoid mmecessary reduction of 

tooth structure in order to preserve the long-term strength and integrity of these teeth. 

• Dr. Sorensen made many changes to the shape of my upper temporary restorations while I was 

in the opemtory. without involving me, asking me, or showing me until he was done. 

• The temporary restorations that Dr. Sorensen installed in my mouth created an incorrect bite. 

Most of the weight of my bite is presently on the front teeth which are extremely vulnerable to 

shifting and breaking. I have to constantly work to keep the front teeth from connecting too 

forcefully for this reason. 

• My upper front temporary teeth now have a large overbite, which exactly contradicts our agreed 

upon initial goal of bringing in my bite. 

• Aesthetically these temporary teeth are unacceptable. 

• In the last two appointments I had with Dr. Sorensen which were to adjust the temporaries, the 

above 3 aspects were made worse. 

• Once I made the decision to leave his care with only my temporaries pla.ced. I was presented 

with a settlement letter from Dr. Sorensen which I refused to sign. In this letter, he offered to 

refund only $13, 014 out of the total amount paid to him of$33,314. He was chazging me $700 

per chair hom; even though at no time prior to July 2otJ. was any per hour charge ever 

mentioned or made aware to me. 

• I received no response from Dr. Sorensen regarding my letter requesting a full refund. I 

received no response from Dr. Sorensen regarding the letter I sent him requesting the photos he 

took of me and my teeth. I received no response to my letter requesting his insurance 

information. All three of these letters were sent to him via Certified Mail. 

12--

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 16 of 99
DENTAL CASE SUMMARY- updated January 1~2012 

CURRENT SITUATION 

While undergoing the project of "Full Mouth Reconstruction" with Dr. John Sorensen in May/June of 

2009, I found that it was necessary to leave him due to unaoceptable patient care. At 1his time, I still 

have 28 temporary restorations, despite my efforts to resolve 1his situation. 

In January of2010, I sent a detailed complaint about Dr. Sorensen to the Oregon Board of Dentistry. 

One year later, in January of lOll, the Dental Board called to interview me about my case. In April 

of 2011 the Dental Board announced their decision about my case during their Aprillsth meeting. 

Three weeks later I received a letter from them which stated "'n.Apri115, 2011, the Board voted to 

close the matter with No Violation of the Dental Practice Aet." 

I was stunned by this decision. as I bad submitted to them so much evidence of wrongdoing. fraud, and 

false pretense - actions which were clearly below the ''Standard of Care." 

BACKGROUND: 

In Deeember of 2803, In an appointment with Dr. I was made aware of the fuct that 

my teeth needed to be reoonstructed in order to re-build the size of my teeth. re-establish a nice smile, 

and protect the long-tenn health of my teeth and gums. I was crushed by these findings, and after some 

research, I realized the huge cost involved in this sort of procedure. At that time, I had no way of 

:funding this huge project However, I resolved to take the best possible care of my teeth in order to 

preserve them as much as possible. 

In Febmary of2008, I had another appointment with Dr. - Due to the fact that ftmding was 

still in question. he made a minimal plan to repair only three of my teeth (my two upper front teeth and 

one back tooth that had an extra big filling in it). I was not comfortable with his plan, particularly 

because be planned to also do root canals on those two front teeth, and I did not understand why that 

would be necessary at all. I decided to seek out another dentist 

BEGINNING THE PROJECT OF "FULL MQUTH BECQNS'fRUCilON" 

Almost four years ago, onAprilllfll of2008, I met Dr. -and soon we started the project 

ofF.MR to restore my teeth. In order 1x> fund this procedure, my parents got on board once they 

realized the importance and.neoessity of this project In my case. my gums and 1he roots of my teeth 

were found to be ~. and therefore I was a good candidate to undergo the necessacy procedures. 

He used the -method to estab~, after establishing where my jaw was most 

comfortable by having me wear a ~for a week. His plan was to crown and veneer the 

teeth in sections, front first, then one whole side, then the other side. But then together we changed the 

plan to doing the front teeth first, then the premolars, then the back teeth. 

However, problems arose due to a lack of communication regarding the color and shape of the 

upcoming ceramic restorationS after the temporary restomtions of the front 12 teeth were placed. I 

went in to his office and brought these concerns to his attention. said he would work on 

13 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 17 of 99
the design of these teeth some more in his lab and he gave me only the color choices of"Al or Bl," 

without reviewing any lighter options. A few days later I brought him a paper that described the 

changes in shape I wanted applied to the permanent front teeth and of these two color choices, I chose 

the lighter option ofBl. 

A few weeks later, on August 6* of2008, -placed the front 12 ~ (the 

upper front 6 and the lower front 6). Th~ in order to align the rest of my bite,~ bits of 

a composite or acrylic material on all of the rest of the bottom teeth, carefully ebding the bite as he 

applied this material. The bite felt very comfortable. And I wanted to be really happy with the 

appearance of these new front ceramic teeth, but the color did not seem right ..... it looked quite gray in 

the mirrors at work: and my clients were also commenting about the grayish color. A week later, I met 

with -and I wanted to discuss the teeth color with him. 

I explained to~ my new porcelain restorations looked gray, and that I bad not had a 

proper chance to approve the color of them before they were cemented. and that I bad only been given 

a quick glance before cementing began. I should have bad a chanee to walk around and look in 

not 

different 

know 

mirrors 

what to 

to 

do 

make 

about 

sure 

this 

of 

dilemma, 

the color, 

and 

because 

we met 

this 

again 

was 

a 

such 

few 

an 

weeks 

important 

later to 

aspect. 

see if we 

~ 

could work 

out a solution. In this follow"up meeting, he offered to re-do these teeth if I paid the lab fees of$3000 

to re-make these 12 ceramic teeth. In another meeting a week later, I suggested we only re-do the top 6 

teeth, and that then he would cover the cost of the Jab to make the 6 ceramic teeth. He said ''no, I can't 

afford to do that." 

Also, he talked to me about the difficulty in re-doing my front teeth, and he emphasized that it could 

lead to root canals and gum recessions. He also said that it would be very di:fficult to duplicate the bite 

I have and the shape of my teeth as they are now. So with all of this in mind, I decided to seek out 

another dentist in order to take on this project He gave me the dental items of the case that I requested 

and he refunded the remainder of the funds that had been prepaid for the entire project 

I now have renewed respect for-and his efforts and determination to get my bite very 

comfortable and conect, and he definitely achieved that goal for me. He did this by the design of my 

incisors, so that the top and bottom incisors did not touch, and by adding the right amount of composite 

material to all of the posterior bottom teeth in order to achieve good occlusion and to maintain the 

height of the new bite level. This situation using the composite material was intended to be temporary 

until the rest of the teeth were permanently restored, but I was very comfortable with this situa:d.on for 

many months. 

DR. .JOHN SORENSEN 

I found Dr. SOrensen in January of2009, via his website. From his website, I felt very confident that 

Dr. Sorensen would uphold the highest standards in dentistry. Being a Prosthodontist, I understood that 

he was a specialist in creating artificial teeth of all kinds. This specialty demands extremely high 

standards of both diagnostic and treatment services in order to achieve the best possible aesthetics, 

occlusion. and long-term dental health and comfort. 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 18 of 99
SUMMARY OF COMPLAINTS 

• See Letter to Dr. Sorensen, dated Oetober 20th, 2009 

• Dr. Sorensen failed to ensure that I had full and complete informed consent of various options 

in how to proceed, the costs of these options, and the potential risks involved. 

• Dr. Sorensen attempted to cluu:ge me a large additional cost for "hard tissue crown lengthening" 

with no prior mentioning or discussion of this, after the total was agreed upon and paid for. 

• No photos were reviewed (apart from 3 photos of his own clients) to plan the aesthetics ofthls 

big project. 

• No x-rays of previously crowned front 12 teeth were ever taken in'order to reveal prepped tooth 

structure underneath. Every caution should have been. taken to avoid unnecessary reduction of 

tooth structure in order to preserve the long-term strength and integrity of these teeth. 

• Dr. Sorensen made many changes to the shape of my upper temporary restorations while I was 

in the operatory, without involving me, asking me, or showing me until he was done. 

• The temporary restorations that Dr. Sorensen installed in my mouth created an incorrect bite. 

Most of the weight of my bite is presently on the front teeth which are extremely vulnerable to 

shifting and breaking. I have to constantly work to keep the front teeth from connecting too 

force:fully for tbis reason. 

• My upper front temporary teeth now have a large overbite, which exactly contradicts our agreed 

upon initial goal of bringing in my bite. 

• Aesthetically these temporary teeth are unacceptable. 

• In the last two appointments I had with Dr. Sorensen which were to adjust the temporaries, the 

above 3 aspects were made worse. 

• Once I made the decision to leave his care with only my temporaries placed, I was presented 

with a settlement letter from Dr. Sorensen which I refused to sign. In this letter, he offered to 

refund only $13, 014 out of the total amount paid to him of$33,314. He was charging me $700 

per chair hour, even though at no time prior to July? was any per hour charge ever 

mentioned or made aware to me_ 

• I received no response from Dr. Sorensen regarding my letter requesting a full refund. I 

received no response from Dr. Sorensen regarding the letter I sent him requesting the photos he 

took of me and my teeth. I received no response to my letter requesting his insurance 

information. All three of these letters were sent to him via Certified Mail. 

JsCase 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 19 of 99
INITIAL CONSULTATION 

February 20, 2009: Today was my initial consultation with Dr. Sorensen. He wanted to hear the 

entire story of how my teeth got this way. I told him the entire story of all of the events that worked 

together to result in the present condition of my teeth, including the front restorations with Dr. -

Dr. Sorensen seemed to be listening carefully to my story. and he checked the way I verbally went 

through a series of numbers, a:od then he took a series of pictures of my smile and my teeth. He 

seemed eager to take on this project, and I appreciated his enthusiasm He offered to laser some gum 

material from a couple of premolars at no charge, but I was not keen on this idea. Since finances were 

a big concern, I wanted to review my different options, including leaving my crowned front teeth as 

they were currently and only doing the rest of the teeth. and also the option of only doing crowns on all 

of the top teeth and then maintaining the bite with acrylic bits, as was presently the case. There was no 

more time left in our consult to review these options, and he then handed me a sheet of paper. which 

was the "Treatment Plan." On tbis sheet of paper was a list of all of my teeth and his plan was to 

crown them all using a "por/cer subst," which I interpreted as all-ceramic crowns. Then, upon my 

request, he removed 1he cost of my third molars, which would simply be left alone. 

COMMUNICATIONS 

Over the next few weeks, Dr. Sorensen and I communicated by email about the cost of the project. Dr. 

Sorensen eventually decided to offer me 1 OOA, off his initial estimate if I agreed to do the entire project 

as he intended and if it was paid for in cash up ·front. He felt strongly that the front teeth needed to be 

re-done to avoid having to "compromise several factors." This meant re-doing the front 12 teeth that --had done (my complaint with those restorations was 1he color, which looked gray on me). 

~ful for this discount, and we agreed on the reduced price of$33,314. 

MOLDS TAKEN IN OFFICE 

On Mareh 20*, Dr. Sorensen's assistant,~k two upper and two lower molds of my teeth, 

while one of Dr. Sorensen's two lab tecbni~ ~versawthis procedure. Dr. Sorensen later came 

into 1he room and made a few notations. I made it clear to him that I wanted my new front teeth to be 

more ''in" arid Dr. Sorensen reiterated this out loud and announced, "We will bring the (bite) jg, one 

millimeter towards the meridian." He 1hen placed some sort of device with some colored material 

on my teeth and took pictures of this. He did this a couple of times. I understood this procedure to be 

import:a¢ in reading how my teeth connected together. After an indication by Dr. Sorensen to get 

started, ~ed back to the lab with the molds of my teeth. 

PAYMENT MADE 

March 30, 200!): Two checks were received by Dr. Sorensen to cover the entire cost of the project of 

restoring my teeth. Dr. SQrensen's trea1ment plan total was initially $37,015, and with 10% e~ the 

total was reduced to $33,314. 

Aprill, 1009: I received receipts from Dr. Sorensen's office, but on these receipts was an additional 

charge for a never~before mentioned procedure of "hard tissue crown lengthening" at $795 per tooth, 

totaling $3180 extra for 4 of my premolars. 

,, 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 20 of 99
FOLLOW-UPCONSULTKQON 

April 7, 2009: On this day, I met with Dr. Sorensen, and I had a lot of questions for him. and I 1hought 

we would be going through some photos of teeth and smiles in order to most optimally design my new 

teeth. Instead, he showed me the already-done "wax-up" of the tee1h intended for me that were created 

by his technician. I thought this was strange, as we bad not bad a discussion about 1he cosmetic aspects 

of my new teeth before these teeth were designed. These teeth looked odd to me because they had deep 

grooves between all of the top six teeth. I pointed out these deep grooves to Dr. Sorensen. and he took 

notes. I told him that I was not at all interested in "hard tissue crown lengthening'• and that we had 

already arrived on a price for the entire project. He said nothing in response. The only pictures we 

looked at were 3 photos of three ofhis own clients' teeth. Dr. Sorensen's wife, V~ went ahead and 

set up my ali-day appointments. 

WAX-UPS 

I was very concerned about the wax-ups that I had seen on April -r',.and I was concerned that this was 

their design for my teeth. We had already paid Dr. Sorensen fur the entire project up fro~ and so I was 

determined to work out the design of my teeth with him and his technician. Therefore, through emai1s 

to Dr. Sorensen, I communicated that I wanted to see the wax-ups several more times in order to make 

sure they were as right as possible. It turned out tbat I saw the wax-ups only two more times before the 

temporaries were installed in my mouth. 

April17, 2009: I met with Dr. Sorensen in his classroom and looked over the wax-ups. The wax-ups 

were damp and Dr. Sorensen told me not to touch them. So I was not able to open them up and 

thoroughly check them out. 

May 11, 2009: This 5:30 appointment to have the final look of the waxups took place the night before 

my first ali-day appointment for Dr. Sorensen to prep all of my bottom teeth. It turned out that Dr. 

Sorensen was still with a client. dand so he told Vangi to ask me ifl wouldn~ mind to instead meet wi1h 

his technician, (the otller tedmician), who would go over my wax-ups with me. 

I said that would be just fine. 

-1hen directed me back. to the lab to look over the wax-ups. I was not given any instructions or 

restrictions from Dr. Sorensen .regarding my conversation with~nceming --ups. My 

concern was to make sure these wax-ups looked right. It ended up 1hat I sat with for about 1¥2 

hours, and this was a great relief to me because it was the first time that I was able to :ve direct input 

on the shape of the top six tee~ besides the ~hour onAprill.,..., when the teeth were too damp to 

handle. In 1his 1¥2 hours, we did not work on changing any aspects of the back teeth.. was 

especially good and efficient at doing was-ups, and together I felt that we perfected the appearance of 

the top six front teeth. I was starving for such an opportunity, especially becanse Dr. Sorensen and I 

never thoroughly reviewed design details of tooth shape and structure of my potential smile. This was 

quite surprising. considering that he was the one who insisted on re-doing my previously done front 

restorations, and he promised an "awesome" result. 

During the 1 ~hours I spent with .. working on the wax-ups in the lab, Dr. Sorensen came into the 

lab 2 or 3 times. At no time when he saw us working together on my teeth did he inquire as to what we 

were doing or otherwise give us any instmctions whatsoever. 

11 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 21 of 99
Also, knowing that it was .. not .. who made these teeth, I asked .. where .was. and 

.-wld me that~ no longer employed by Dr. Sorensen, but he said nothing further about 

him. At the end of1his 1% hours spent with .. adjusting my wax-ups, I was quite impressed with 

the aesthetic results. 

BOTTOM TEETH DAX 

May 12, 200.9: Dr. Sorensen was not happy with me today because I had spent 1% hours withthe night before, during which time I worked with~ adjust the wax-ups. . 

Today Dr. Sorensen prepped all of my bottom teeth, including the :front 6 bottom teeth which bad 

veneers. At about mid-day on this day, I asked Dr. Sorensen why~ "let go," and he said it was 

because "rm not busy enough to support two teclmicians, and he does bad work." 

This comment was very disturbing to me, because I knew that -the teclmician who Dr. Sorensen 

said "does bad work" was the person who made my teeth. 

We were in the midst of this part of the project, and my teeth were completely vulnerable in this 

condition, so I opted to not respond to this comment at that time, hoping for a positive result despite 

tbis new information. Also, Dr. Sorensen had told me that we will be able to correct any aesthetic 

aspects on my temporary restorations. And I absolutely assumed that Dr. Sorensen, being a 

prosthodontist. would be extremely careful about getting the bite exactly right. 

TOP TEETH DAY 

May 18, 200.9: Before we got started today, I wanted Dr. Sorensen to see the odd and uneven ron to 

the line of my new temporary lower restorations. I had been under the impression that one huge reason 

to undergo all of1his dental work was to achieve an optimal bite and great occlusion. Therefore, even 

though I only had the lower temporary :restorations placed so far at this point, I was expecting my lower 

teeth to appear to be in visual alignment and balance. But when I pointed out this observation to Dr. 

Sorensen, he did not seem to be conoomed, and simply asked me if that was a problem for me. So if 

things already looked off to me, I thought much attention would have been paid to correct the situation. 

He eventually said that we can make some adjustments later. 

I also told Dr. Sorensen that I wanted to preserve all or as much as possible of the base tooth structure 

under my :front crowns that he was re-doing. I was very ooncemed about the long-term. longevity and · 

strength of my teeth. He said he would do them just as he did the lower teeth, with no further 

explanation. 

I then had a :final glance of the top six teeth that .. and I bad care:fully adjusted. I gave my approval 

regarding the aetbetics of these teeth. Most of this day was spent removing the top 6 front crowns, and 

the rest of the top teeth were then also prepped. 

After the top teeth were all prepped, and after the late afternoOn/evening 2-hour break, Dr. Sorensen 

began applying the temporary teeth, taking them on and off several times to make many adjustments 

over a few hours. At no time during this procedure did he ask me my opinion of sbupe and length as he 

changed these dimensions. Finally, at 10 pm, when he had .finished installing the teeth, I was given the 

/f 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 22 of 99
mirror and I bad my first glance of these teeth. .••. and they were clearly different from what I bad 

expected. Also, they were mottled with bright white blotchy material, making the aesthetics of these 

teeth difficult to ascertain. 

At the end of that day, neither Dr. Sorensen nor I was happy with the appeanmce of my teeth, and the 

first appointment to adjust these temporary teeth was to be the following week. 

However, I was growing more uncomfortable with bow things were going ...• it seemed that more and 

more problems were sur.fiwiDg regarding this project. And the fact that the top six teed~. ~and I 

had carefully shaped were changed drastically that day without consulting me was very disturbing. 

FALLING OUT 

Two days later, on May 20*, I called Dr. Sorensen's office and left a message for bim to call me. On 

the morning of May 21st, his assistant, -called me. I told her that there were many factors I was 

not happy with regarding the current temporary teeth, including the bite and the aesthetics. A couple of 

days later, on My 23~"~~, I called Dr. Sorensen's office and left a message to cancel my next appt, which 

was booked for May l.,-., 2009. 

On Memorial Day, May 2st", I received a call from Dr. Sorensen and he could not understand why I 

canceled my upcoming appt. I reminded him of his comment about his technician who made my teeth, 

in which he said this technician "does bad work." Also, I told Dr. Sorensen that he was not involving 

me in his ideas and changes to my teeth and my smile, and I knew the only way to be successful was to 

work toged:J.er smoothly for the goal of a beautiful, comfortable, and physiologically con:ect set of 

teeth. 

The following Thursday, on May 28, 2009, Dr. Sorensen sent me an email referring to an attached 

letter, which I did not receive until the next morning via email. In this letter he insisted that he only 

does excellent work. and that he only bas the highest standards of excellence. 

I then understood this to mean that he would do everything in his power to ensure that I would end up 

with a very balanced, aesthetically pleasing. comfortable set of teeth, with an absolutely conect bite. 

And I thought that- who seems to be a very skilled technician, who now was Dr. Sorensen's only 

technician doing all of the lab work, would also be very involved with correcting the erroneous aspects 

of the current state of my tempomty restorations. 

In a response to this letter. I decided that I needed to give lli Sorensen a chance to correct the situation. 

I soon sent him a clarification note via email on May 31, 2009. In this email, reganting 1be idea that I 

was in any way 1rying to ignore the rules of dentistry in the design of my teeth, I made it clear that this 

idea was simply untrue. I clarified that I absolutely agree that I would only want to worl!: within the 

dental. gingival, and spacial rilles of dentistry. Any shape, aesdletic, and bite ideas I suggested or asked 

about would always be second to the essential rules of dentistry. 

In response to his suggestion that we would re-make the top 6 teeth, I tried to comnmnicate with him in 

this email1hat I wanted .him to go back to 1he teeth that we had started with early on the "top teeth 

day." He emailed me back on JDBe l, 2009 a response. saying, "Hi Jackie: OK, will do. See you 

Thmsday. John." 

19 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 23 of 99
BACK TO DR. SORENSEN 

What actually happened the following Thursday, on June 4, 2009, was quite different 1han wbat I 

expected. First of all, the top 6 teeth that Dx:. Sorensen had re-designed were really big, shapeless teeth 

that I had never seen before, and not at all the teeth that I had requested or that he had agreed to. But I 

still felt that it was critical to give him a chance to get this right, and I knew these were only temps, and 

I was hopeful that he would be working closely with .. in achieving a great result. 

Dr. Sorensen went ahead and bad me try on these top front 6 teeth, and he adjusted them a bit. and then 

had me look in a mirror. These teeth looked really bad, way too huge. Then Dr. Sorensen adjusted 

them again for quite a while, and again they looked really bad, a very odd shape. Then he said he was 

going to go back to the lab and have ~just these teeth. After a while. he came back and placed 

those teeth in my mouth and I said "that's better." I did not like these teeth very much, but at that point. 

I was in a rush to leave because I was dog-sitting, and I was now nmning late getting back to the house. 

So those teeth were cemented in, and we made another appt. to again adjust all of the 1emps, which was 

to be in tWo weeks. 

In the meantime, the bite continued to be oft: with most of the weight being on the front teeth and 

therefore the posterior teeth did not seem to be cozmecting properly. I now had a constant feeling that 

my front teeth were unnaturally full and more "out" and the goal of bringing ill the teeth was definitely 

not accomplished. These aspects remain to this day. · 

My final appt. with Dr: Sorensen was on JUDe 17, 2009. My entire bite, as well as the aesthetics, 

continued to be :incorrect Also, right after those top 6 teeth were replaced on June 4, I developed a 

major lisp. I thought today's appt would involve re-analyzing the situation and 1aking more molds of 

my teeth in order to make some major col'IeCtions regarding the entire bite and the aesthetics. Dr. 

Sorensen did not take any molds of my teeth today, and instead he made some small adjustments to my 

temporary restorations. But I was realizing that these minimal adjus1ments were not fixing things, 

except that we were able to mostly get rid of the lisp. 

It was clear that so many of these problems could have been avoided if the entire project was originally 

planned with great care and intention. I felt that he was continuing to patch up the original bad design. 

June 18, 2009: I sent an email to Dr. Sorensen inquiring about arranging some lab work with .. 

and possibly getting another mold of my teeth in order to make some nugor corrections. 

June 22, 2009: 1 received an email ftom Dr. Sorensen indicating that any changes in my teeth at this 

point he would be doing on me in the operatory. 'Therefore, I knew it would be more of the same. 

CANCEJJ.ATION OF LAST APPOINTMENT 

On June ll, 2009, I called Dr. Sorensen's office and canceled the only remaining appointment we had 

previously set up. I did not set up another appt. at this time. 

On July l, 2009, Vangi called me and left a message on my phone to set up my next appt. with Dx:. 

Sorensen. A little later I retmned her call, and I talked to Vangi. I said I wasn't happy with Dr. 

Sorrensen's work and I was trying to figure out what to do next And she said OK, and when I figure 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 24 of 99
that out, she will let me know bow much their fee is so far .•.. and that will be subtracted :from the total 

my parents had paid them. And then she said that in 1his kind of situation, they charge by "chairside 

hours." I then asked her how much that was, and Vangi said it was $700 per ehair hour. I couldn't 

believe it, and I said, "we'll see about that" 

SJJBSEOUENT COMMUNICATIONS WITH DR. SORENSEN 

On August 24, 2009, I sent Dr. Sorensen a letter requesting all of the items of my dental case. I told 

him I would come by his office on August 31 •m order to pick up these items. 

On August 31•, I went to Dr. Sorensen's office and I picked up almost all of the items I requested, 

including a duplicate copy of my file and most of the molds I requested. I was presented with a 

settlement letter which I refused to sign. 

On September 22DII, I sent Dr. Sorensen a letter requesting all of the photos he took of me, co:pied onto 

a CD. 

On October 20111, 200.9, I sent a letter to Dr. Sorensen explaining why I was leaving his care. In this 

letter I was requesting a full refund. I gave him 1 0 days to respond to this letter. 

On November 16, 2009, I sent Dr. Sorensen a letter requesting his insurance infurmation . I gave him 

3 days to respond to this letter. 

Dr Sorensen made no •ttempt to contact me regardless of all of my requests for him to do so -

until over a year later, in February 2011, after my Dental Board iBterview. 

CQANGEOFBUS~SNAME 

On October 30*, 2009, I received a call from a friend of mine who had gone to Dr. Sorensen earlier in 

the year for a very small procedui:e. She said that she had just received a letter from Dr. Sorensen 

indicating that he was narrowing his specialty and therefore he would no longer- be doing regular 

prosthodontics or general dentistry. She brought this letter in to me, and in this letter he referred the 

recipients of the letter to a list of 4 other dentists. Dr. Sorensen did not send me one of those letters. 

Now Dr. Sorensen's business (in the same location) is called "OearChoice" Dental Implant Center 

and the case with me from his previous business. "Pac:ifie Dental Institu.~ was left still pending, with 

no communications about this business change to me. He still has all the money given to him for my 

entire dental project 

QTHERDENTAL CONSULTS 

On May 28, 200.9, I had a consultation with Dr. who is a dentist who works close to 

where I work. I told him that I was having some very concerns about the communications and 

the work that Dr. Sorensen was doing, and that the work so far was only the beginning of this huge 

project. He thought it would be best if I go back to Dr. Sorensen and to do my best to work it all out 

with him, since he was the one who began this project It was the following week that I did return to 

Dr. Sorensen. 

.;2./ 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 25 of 99
On June 25, I had an initial consultation wi:th Dr. - This was a mini-consult, and we sat 

at a table and discussed the situation. He said his cost to do "full mouth reconstruction" is $45,000. 

And even though some work bad been done, there would be only a minima] discount :from this total for 

him to take over the project and start on my teeth at this point We looked over some books on 

cosmetic dentistry which illustrated all kinds of details of the shape, color, and texture of teeth. He 

explained that he works very closely with his clients to get all of the details just right, and he explained 

that these books were extremely useful in communicating and clarifying dental goals. He invited me 

back for another consultation after I had some time to think things over. 

On July 1, 2009, I had a consultation with Dr. I told him a summary of the current 

state of my teeth and he looked at my smile and checked all of my teeth. Since I had been going to Dr. 

Sorensen, who is a Prosthodontist, he decided to refer me to another prosthodontist, whom he knew, 

namely ••••• 

On Ju1y 2'J'h, 2009, I bad a consultation with-I told him my story in brief. He said he 

was willing to ''roll up his sleeves for me ... He seemed to lDlderstand the pickle 1hat I was in, especially 

due to the fact that I needed to get my money back in order to proceed. We communicated that some of 

my temporary restorations were now loose, which was very dangerous, and he said he would be willing 

to glue them back in. His assistant took :foD.-mouth x-rays. 

On August 'fh, 2009, I had a follow-up consultation with- Today he said that all of this 

is very expensive, and his profit margin is pretty narrow, but in my case he would be willing tQ give me 

I 00.10 off. He then walked me up to the desk to meet with his office manager about the cost. She 

showed me his treatment plan for me, after subtracting 10% off the total cost This total came to 

$45,972.90. I cried. 

On August to•, 2009, I bad another appt. with Financially, all I could do at this point 

was to have him take a mold of~t teeth and to glue in any loose tem.ps. It turned out that 

today he bad his assistant do this. _.came in to 1he room and informed me that since it may be a 

long time un1il I am financially able to move forward with this project, it was important 1hat the 

adhesive that was used to glue in the 3 loose sections of temps be of~edium" strength adhesive. I 

said OK to this. 

On September l2, 2009, I had a consultation with Dr.-I told him a brief summary of my story, 

and he looked over my teeth. He showed me some pictures of his patients' teeth that he had done. I 

was impressed with his work on other patients and with his ability to communicate clearly. He wanted 

to see all of the molds of my teeth, and so later in the day I returned to his office and sat with him while 

we looked over all of the molds. He was very thoughtful and he would want to .make a very careful 

plan to get my bite just right if he took on my case. He said he would only be Vvilling to.~ my case 

witbin 6 months of the installation of my current temps. These temps were installed iti. May/June of 

2009. 

..iiiiiiliilmy story in brief: and he and his assistant 

performed a dental exam on me. and he then over all of my molds. He did not seem to be 

comfortable with the idea of taking this case. 

.PattJ.-/0 

.22 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 26 of 99
OREGON BOARD OF DENTISTRY 

1600 SW 41H Avenue, SUite 770 

Portland, Oregon 97201 

Telephone 971-6'73-3200 

Fax 971-673-3202 

COMPLAINT FORM 

P/etJ$8 type or clearly print your concerns on the back. Use additional pages as 

necessary to explain the issues involved in your complaint. 

Full Name of Ucensee: ~),h. A , 3/W'.ta ?uz, ./)lh D Ph I? 

Clinic Name: c:./.tL.c l'h..,/u ../ City: lhrf/IIAL..c 

Your Name: cfii.Ciq~ /-f?/nr-h.... Day Phone: ~(l?;t)f..,'lq-/111 

Address: #() CA.U>!-(j; .LtL C-1-- Alternate Phone:.._. :V...,...nt.:a'L./...,"----

City: .i.a.b e a'$Ule¢0 State: Otl_ Zip: 9'/035: 

Patient's first and last name: qd<l:i.'-) .P~nch ....... 

Age of patient. if a minor when treated: __ _ 

NOTE: 

The Oregon Board of Dentistry regulates the practice of dentistry and dental hygiene tn Oregon. The 

Board can discipline a licensed dentist or hygienist who violates the law. The Boanl does not have 

jurisdiction over: Fees, personality conflicts, rude behavior, or the scheduHng of 

appointments. 

The Oregon Dental Association has a Peer Review Process. That process is confidential and available 

provided the complalnt falls wilhin peer review guidelines. For more infonnation about this process and 

its guidelines, contact the OOA Peer Review Director at 1-«KJ-452-5628 or 503-218-2010. 

11/112007 

.23 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 27 of 99
Dreg on 

Theodore R. KulOI\gO!Iki. Governor 

January 29, 2010 

JACQUELINE PINCH 

40 CRESTFIELD CT 

LAKE OSWEGO OR 97035 

Re: Case No. 2010-0129 

Dear Ms. Pinch: 

Board of Dentistry 

1600 SW 4th Avenue 

Suite 770 

Portlanc;L OR 97201-5519 

(971) 673-3200 

Fax: (971} 673-3202 

www .oregon.gov I dentistry 

The complaint you filed with the Board has been received and assigned the above case 

number. The case will be assigned to one of our investigators who may contact you for further 

information. 

You will be notified if the Board takes disciplinary action. In deciding upon discipline, one of the 

many options available to the Board is the awarding of restitution, however, the resolution of a 

complaint does not guarantee any damages will be awarded to you. In addition, you are free to 

seek all options avaHable to you legally. 

You will be notified when the Board takes final action on this matter. 

If you have any questions, please feel free to contact Dental Director Paul Kleinstub, D.D.S., at 

(971) 673-3200. 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 28 of 99
Dreg on 

John A. Kitzhaber. MD, Governor 

May 5, 2011 

JACQUELINE PINCH 

40 CRESTFIELD CT 

LAKE OSWEGO OR 97035 

Re: Case No. 2010-0129 

Dear Ms. Pinch: 

Board of Dentistry 

1600 SW 4th Avenue 

Suite770 

Portland, OR 97201-5519 

(971) 673-3200 

Fax; (971) 6~3202 

www.oregon.gov /dentistry 

The concerns that were raised in the above matter have been thoroughly investigated and 

reviewed by the Board in accordance with the provisions outlined in ORS 676.165 Complaint 

Investigation. On April 15, 2011, the Board voted to close the matter with No Violation of the 

Dental Practice Act. 

ORS 676.175(1) requires health professional regulatory boards to keep confidential and not 

disclose to the public any information obtained as part of an investigation. 

Thank you for your cooperation. If you have any questions, please feel free to contact the 

Bo ' ntal Director/Chief Investigator, Paul Kleinstub, D.D.S., at (971) 673-3200. 

lw 

---- ---------·---·----·-- - ·-

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 29 of 99
Pacific 

Dental 

Institute 

March 18, 2009 

Mr. Jackie Pinch 

Dear Ms. Pinch: 

John A. Sorensen, DMD, PhD 

Diplomate, American Board of Prosthodontists 

drjohn@pacdent.com 

503-639-5599 

12750 SW 68th Ave. Portland, OR 97223 

I am so glad that we will be able to start all of the treatment over again so that we can achieve 

an optimal result for you. I want to change the contours and proportioning of the front teeth 

to improve the esthetic result. Because the design of the back teeth is dependent on the 

shape, length and bite of the front teeth I will have total control of an factors for your full 

mouth rehabilitation. We will also open your bite slightly more than where you currently are 

with the bonding material building up the biting surfaces of the back teeth. 

A general desalption of your treatment is as follows: 

1. First appointment for esthetic analysis, analysis of your bite, Impressions for study models 

and jaw relations. 

2. My technician will place your study models on an articulator and we will buildup the teeth in 

wax to design the esthetics, bite and function. The wax-up serves as the three-dimensional 

blue print for the design of your teeth. We then duplicate the wax-ups In stone and make 

matrices used for design of the tooth preparations in the clinic and fabrication of your 

temporary restorations in the laboratory. 

3. On the first full day we will work on the lower jaw and cut off the existing ceramic 

restorations, modify the front tooth preparations and prepare the back teeth. I make two 

impressions at around 12:00 and then my technician will fabricate the arch of temporary 

restorations out of acrylic in the laboratory. Later In the afternoon we will acQust and cement 

the lower arch restorations. 

4. Within a week we will have the second first full day to work on the upper jaw and cut off the 

existing ceramic restorations, modify the front tooth preparations and prepare the back teeth. 

The same procedures are followed to make the upper arch temporary restorations. 

5. In the next 4 weeks we would see you for some short appointments to check the bite and 

get your feedback on the design of the teeth. I have found that the temporaries are the best 

means of communicating with you what you like and what you want to change in the design 

of the restorations. This is the time to speak up because additions and subtractions are easily 

.. ·-···----·--· --

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 30 of 99
made in the acrylic material. HopefUlly~ we can get the design of the temporaries so that you 

will say- this is what I want my teeth to look like. 

6. We will then have a half..c:fay appointment to make final impressions of the lower arch. The 

lower jaw Is numbed up, the temporaries removed, two final Impressions made,. jaw relations 

made and the temporary restorations recemented. 

7. Approximately 3 weeks later we will spend the day acfjusting. delivering and cementing the 

lower arch of ceramic restorations. 

8. In about a week we repeat the half-day of final impressions for the upper jaw. 

9. 3 weeks later we will spend the day adjusting.. delivering and cementing the upper arch of 

ceramic restorations. 

I 0. One to two weeks later we will see you for a follow-up visit to check the bite and make a 

night guard. About a week later we will deliver the night guard. 

Of course there are a lot more details and procedures that are done during the above 

appointments but this will give you a pretty good idea of what is involved at the appointments. 

This type of work is one of the most satisfying things r do. For me this will be lots of fun to make 

the transformation for you. 

Please do not hesitate to ask any questions that you may have about your treatment. 

Sincerely. 

john 

John A. Sorensen, DMD, PhD, FACP 

Diplomate, American Board of Prosthodontists 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 31 of 99
May28,2009 

Ms. Jackie Pinch 

40 Crestfield Court 

Lake Oswego, OR 97035 

Dear Jackie: 

I am a little surprised at our conversation on May 25th regarding your decision to cancel your 

appointment on Wednesday, May 27fi'. Although I can appreciate your concerns about my decision to 

release one of my technicians. the ultimate decision and responsibility for the outcome of your 

restorations is solely mine. Please keep in mind I have been completing cases like yours for nearly 25 

years. The recently released technician only worked for me for one year. I have extremely high 

standards. I'm the one who directs reshaping and coloring of tooth restorations; it is my work and 

input that makes the outcome awesome. 

Permit me to recap our relationship thus far: 

1) 

2) 

3) 

4) 

You came to us because you lost confidence in Dr. ability to complete your 

restoration. You believed he didn't understand the concept of using dentin bonding agents. 

You reported that you did not get to approve Dr. lporcelain restorations before he 

cemented them. Further, you said the restorations were too gray. According to our notes, 

you stated you only completed $14,000 of the approximate $30,000 treatment plan he 

outlined for you. We met for our first consultation on February 20, 2009. 

Prior to conducting the preparation for the upper (maxillary), you indicated you wanted to 

have some input for the upper design of your teeth. You spent 1.5 hours with-.. 

complied with your requests for changes to the diagnostic waxup, however, he stated that 

although he made your teeth broader at the gumline and filled in the spaces between the 

teeth. He told you that there may be restrictions due to the actual size and height of the 

teeth in your mouth and how it would actoally fit. He explained to you that Dr.. Sorensen 

would have to detennine that design on the day of preparation. 

On May 18,2009, we prepared your lower (mandibular) teeth. You were the only patient 

and you were in the chair from 9:00 a.m. to 7:30p.m. (with a 2 hour recess). 

On May 21, 2009, you were in the chair from 9:00a.m. to 10:00 p.m. with a two hour break. 

You kept insisting that you wanted the teeth exactly like the waxed up model you designed. 

When I placed the new temporaries you said that the front teeth were too pointy. You 

insisted that the neck of the teeth be a specific width to make the teeth look more square at 

the gumline. However, again I must reiterate that it bas to 

12750 S.W. 68th Avenue . Pordand, OR 97223 

Phone: 503-639-5136 • Fax: 503-620-0187 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 32 of 99
JACKIE PINCH 

May28,2009 

PAGE TWO 

4. (continued) 

be within the confines of where your teeth are naturally against the gums and cannot exceed that 

space without compromising your gum health. You claim your previous teeth were more 

comfortable even though they overlayed your tissues and were slightly inflamed below the 

gumline. You also called in while we were making the upper temporaries and said you wanted 

them a whiter and brighter bleaching shade. We made them OMl opaque white bleaching 

shade. I placed a second layer of an enamel shade at the edges of the teeth which nonnally 

creates beautiful esthetics. However, with the extremely white opaque bleaching color1he 

second layer enamel sbade looked yellow. I told you that I was unhappy with the appearance 

of the upper ftont temporaries and that at the next appointment we would fix that Frankly, by 

9:30 to 10:00 p.m., I was too tired to do anything more that night. 

My concerns are: 

I) That although both --my technician, and I have stated repeatedly that we are happy to 

comply with your specific requests for your restorations, your :final teeth need to be 

completed within the biologic confines of the actual space occupied by your teeth and 

tissues. There are gum health reasons your teeth cannot be built over your gums; doing so 

encourages bacteria and ultimately cause .serious periodontaJ. disease, damage to your gums, 

bone and teeth. Further. the thickness of the new teeth have to be able to fit against your 

lips properly but be thick enough to make the radical color change you are after. 

2) You seem determined to design your teeth exactly as you want them. Yet, I'm expected to 

make them work even though wbat you may be asking for isn't possible. Complying with 

all of the requests and directions you have outlined thus far could potentially lead to dental 

mal-practice and as the patient, you would suffer the negative consequences. 

3) Dming our appointments, you continually voiced concern that I was grinding off too much 

tooth structure. Fortunately for both of us, I filmed the entire process and it will 

demonstrate 1hat I only removed what was placed there by anothea- doctor and a small 

amount around the gingival area to enable me to achieve the huge color change to the 

whitening shade color of Bleach 020. Laying the color you have requested would be dark 

around those edges and you would be dissatisfied with the final outcome. For me, 

conserving tooth structure whenever possible is the rule I live by 

I take pride in the results I achieve for my patients. It is my regret that you have not given me 1he 

additional appointments and the time required to complete a good job for you. Worlting with the 

temporaries, especially for a patient like you where we are redoing 12 units and making a huge 

color and a form change is an iterative process taking up to 3 additional appointments to perfect 

your temporaries. I am willing to let you dictate the design as long 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 33 of 99
JACKIE PINCH 

May28,2009 

PAGE THREE 

as it is compatible with your actual bi~ tissue and tooth structure and will guarantee good long 

term dental health .. As much as I want to please you, I am unwilling to compromise my work 

professionally or ethically. I hope you understand my position and let me complete the process the 

way I have done it the last 25 years. 

Sincerest regards, 

John A. Sorensen, DMD, PhD 

Diplomate, American Board of Prosthodontics 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 34 of 99
August 31, 2009 

Ms. Jackie Pinch 

40 Crestfield Court 

Lake Oswego, OR 97035 

Dear Ms. Pinch 

1 am in receipt of your request to discontinue services. Honestly, this is a 

confusing tum of events since I thought your issues were resolved on June 2, 

2009 and we were moving forward to complete your restorations. There were 

still several appointments scheduled to modify the temporaries per your 

request. 

On June 22, 2009, Vangie informed me that you wanted to sit with .. to 

make ch~ to the waxups. Based on the last experience in May when you 

directed - I determined it would be best I do the work on waxups. When 

you sat with him last time, you directed him to make the necks of the teeth 

wider. He was unable to keep the design within resonable biologic countours 

and I spent a lot of practice chairtime to reshape them so they would fit. As the 

prosthodontist, it is my responsibility to make those design decisions and 

communicate changes to my technician. 

Based on the clinical notes and all of the email communications (which are 

attached), the teeth design you wanted kept changinng. You would ask me to 

lengthen them and we did, then you would ask to have them returned to their 

original size. Further, you often insisted on having the neck areas of the teeth 

near the gum tissues to be wider and more square. This results in the 

restorations being overcontoured and uncleanseable leading to long-term gum 

disease. To fulfiiJ your wishes would have uHimately been malpractice. 

As Vangie explained to you on July 2, our office policy in cases like yours is to 

charge $700 an hour for practice chairtime. This time wiH not include the time 

spent corresponding with you, planning your case, my time to work on your 

waxups and to remake your upper temporaries nor the hours spent b~ to 

alter your labworklwaxups and work with you. Additionally, we are waiving the 

normal fee of $150 for the cost to fulfill your request for the extensive 

12750 S.W. 68th Avenue · Portland, OR 97223 

Phone: 503-639-5136 · Fax: 503-620-0187 

31 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 35 of 99
Ms. Jackie Pinch 

August 31, 2009 

Page Two 

duplication of your entire fife, i.e. duplicating photos on COs, printing 

chartnotes, copying xrays, coping chart, downloading photos and copies of the 

eight models you requested. The following represents the dates and times my 

chairtime was devoted solely to you and your case: 

Friday, March 20, 2009 - Diagnostics 

Tuesday, March 12, 2009- Prepare Mandibular 

Monday, May 18, 2009- Prepare Maxilliary 

Thursday, June 4, 2009-Adjustments to Temporaries 

Wednesday, June 17, 2009-Adjustments to Temporaries 

Total Practice Chairtime Hours 

Hours 

1.5 

10 

13 

2.5 

.l 

29 

As I have invested over 29 clinical hours (which excludes your first office visit) 

on your case before you decided to end our relationship, in accordance with 

our office policy, the cost at $700 is $20,300. Of the original $37,215 quoted for 

the agreed treatment plan. I gave you a totaJ payment discount of $3,701 for a 

net balance due of $33 314. I received $33,314 ($16,657 fromand $16,657 from The balance left is 

$13,014. 

In signing this agreement you acknowledge that you: (1) officially ended our 

relationship before the completion of your aesthetic restoration; (2) you left my 

care while you were still in temporaries; (3) you resign your rights to any further 

treatment by me or any doctor of Pacific Dental Institute effective immediately; 

and (4) that you hold me and the entire staff at Pacific Dental Institute harmless 

of any liabiity and/or responsibility in connection with any and all of your dental 

care. 

If you agree to this settlement, please sign two copies of this letter; keep one 

for your files and return one for our records. Once executed and received by 

Vangie, she will issue you a check $13,014 for the balance remaining on your 

ledger. 

~nrerely~(\-~-

John A. Sorensen, DMD, PhD 

Board Certifred, American College of Prosthodontics 

Acknowledged and agreed: 

Ms. Jackie Pinch Date 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 36 of 99
October 28, 2009 

I am writing to inform you of the exciting and momentous changes happening at Pacific Dental Institute. 

We have been given the opportunity to become the region's premiere specialty implant center. Our new 

practice will focus on giving people with nugor dental problems a chance to acquire a great smile. To do 

this, we will implement the latest scientifically-smmd techniques in surgical and restomtive dentistry 

which employs the best implant technology available. This is an exciting time for us and we look furward 

to pursuing this new direction. To that end, my practice will begin this transition in November. 

Because of the new direction of the practice, I will no longer offer traditional prosthodontic and general 

dental'setViees:· It iS With·~~ that 1 will have to refer you to another general dentist or 

prosthod.OiltlSt for your coiltihued dental care. I believe each of the doct.om listed on the attached sheet are 

exemplary dental professionals. 

the hygiene program will end effective October 31, 2009 with ~oving to 

~UIJ•u.t..u""· As you are well aware.-is a top-notched hygieoist and has been an 

~-·oifiour staff. We will miss seeing her on a regular basis. AB I am tmfamiliarwith the 

dentist(s) at I can off~ their skill level. However, if you want her to continue to 

be your hygienist, her number is--

At this time, I want to extend my sincerest gratitude for choosing me to be ym.t( dentist and entrusting me 

with your dental treatment. One of the most &Yoyable aspects of my practice has been establishing 

relationships with you and taking the time to discuss all :fucets of each of our lives and the world in 

general. I will miss that and miss seeing you. I am grateful for the opportunity to know you. 

Attachment 

12750 SW 68111 Avenue · Portland, OR 97223 

Phone: 503-639-5599 · Fax: 503-620-0187 

33 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 37 of 99
Umall- new uttormanon mps:IIDIW.googlC:.COltVDJaW f\R=.l«<ll.=ecciDI:L.'fi6«VJtlW-ptc1U.f-lVJ 

1 ofl 

Jackie Pinch <Jplnch25@gmail.com> 

new information 

1 message 

Jackie Pinch <jplnch25@gmail.com> Wed, Mar 2, 2011 at 7:49AM 

To: Michelle Lawrence <Michelle.Lawrence@oregondentistry.org> 

Hi Michelle, 

The attached note is some information that recently came up and I thought I should send it 

to you, regarding this case. 

Thank you, 

·Jackie Pinch ·-.,....,~ ... ~ ... ...,~- ... - .. :_._. ........ >'IN~~-·-.~.-. .... ""' .. ..._.,_.: .......... ~ .... --t:" .... _,_,.... .......... ., .............. ., ... ~ .... ,.......,.. 

iiW'I March 2. 2011 Note to Michelle at Dental Board.docx 

"aS 13K 

5/161"2011 7:39 A 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 38 of 99
March 2, 2011 

Dear Michelle, 

On February 18, 2011 Dr. Sorensen called me out of the blue, and he told me he was sending me 

a check. I was not interested in talking to him and I did not inquire as to what amount he was 

offering me. He said he was going to send it anyway and that he did not care wbat I do with it. l 

then said," bye," and I hung up the phone. 

On February 22nd I received his letter with an enclosed check, written out to me for $16,657. I 

then sent him two separate short replies, including the return of his check back to him. 

Today I will mail to you oopies of this correspondence. 

Thank you, 

Jackie Pinch 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 39 of 99
Dental 

ln~titute 

February 18, 2011 

Ms. Jacqueline Pinch 

40 Crestfield Court 

Lake Oswego, OR 97035 

Dear Ms. Pincb: 

I reviewed your reeords and noted that you sigDed a treatment plan doeumeo.t admowledging our 

poliey of paying 25°.4 of the total fees to start treatment, 25% on tooth prep=aration nf die upper jaw, 

25% on tooth preparatioo of tile lower jaw, then 125% on eementatio.n. of eaeb areh of restoratioD.s. 

Since we were 75% of the way eompleted wileD you refUsed to continue my eare, I think that our 

offer to refund 39% of your fees was fair. I offered yea a 16% dlseotmt if you paid for a8 treatmeBt 

in advance. In view of your lengthy sean:JJ iDterviewiug at least five other deatists fl9 t.b over your 

treatni.ent and after serious eoBSidentien I would like to extead tile followin& offer. I• Allgu.st l809, I 

originaHy offered you a reflm.d ofSU,et4 or J90J(t of 'die total fee. You. refused it out of'lwld. 

However, io order to help you get yoar tnatm.etat eomplded by aaotller deatitt I am giriBg you a 

50% refund of the 533,314 paid toward your mn month rellabi6tation. Khldly fiDd enelosed Check 

#301949 in the amount of$16,657. 

The treatment that I provided you was above the .staBdard of eare. I am sorry that despite the many 

bou:n of preparatory work by myself and my tedtldeians as well as 29 houn of our ebair..fime that 

we were DOt able to satisfy your esthetic desires aud unperiodontally sound restoratiota desigD wishes. 

Best wishes iDloeating a praetioner that meets your expectations. 

Sincerely, ~ 

~·~ Jobn A. Sorensen, DMD, PbD 

Diplomate, American Board of Prostlrod.ontists 

12750 S.W. 68th Avenue. Portland, OR 97223 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 40 of 99
·"\.. 

:;-

·, ··-'.~·. . . '. .. ~: ~ .. : 

··:-:.·i 

. ~::~>:: 

·-:··:·:.._- .... 

37 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 41 of 99
Certified Mail 

R~ R~ Requested 

February 22, 2011 

Dr. John Sorensen 

ClearChoice Dental Implant Center 

12750 SW 681h Avenue 

Tigard OR 97223 

Dear Dr. Sorensen, 

At this time, I am awaiting the decision of the Oregon Board ofDentistry regarding this case. 

In reference to all future correspondence with me, please address only myself until further notice . 

•••••••••••• are no longer involved with these proceedings as I am 

managing this dental account 

Sincerely, 

cJaLf tu-JlJ0t1 iu:~L- Jacqueline Pinch 

c:·----· 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 42 of 99
Certified Mail 

~Receipt Reqyested 

February 24, 2011 

Dr. John Sorensen 

ClearChoice Dental Implant Center 

12750 SW 68111 Avenue 

T.ieard. OR 97223 

l)(:ar Dr. Sorensen, 

Enclosed is your check in the amount of $16,657 which I am returning to you. 

Sincerely, 

/2~·~-~~- JJI9·_£ /&l -~,h~~---

Jacque e Pinch 

enclosure 

c: ___ _ 

\ 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 43 of 99
August 24, 2009 

Certified Mail 

Return Receipt Requested 

Dear Dr. Sorensen, 

On July 2•, I notified Vangi. that I would no longer be working with you on my dental case. I now need 

to transfer this case to another dentist to take on this huge project and 1he reconstruction of my teeth. I 

have a long road to correctly complete this project. ..• so much work is ahead, and some of this work that 

bas already been done will have to be re-done. In order to most safely and 8CClll'ately proceed with my 

case, my new dentist will need all of1he items of the case and the case file ftom your office. Presently, 

I will be the custodian of all of the dental items and the case file. I now need to receive fi:om you 

eve.rything relating to my case including the following: 

Duplicate copies of all Xrays of mine held by your office. 

Items I brought to your office from Dr. -office before your initial consultation: 

1. CD of'<.Before" pictures 

2. Duplicate cast befure any dental work began 

3. Duplicate cast after Dr. -temporaries were placed on front teeth 

4. Print-out of gum pocket measurements 

Items originally made in your office: 

1. Duplicate cast of teeth before you began any work. taken on Maroh 20, 2009 

2. Duplicate castsofpreppedloweraod upper teeth taken on May 12*andMay 181h 

3. Duplicate casts of my lower and upper teeth taken at the end of the day on May 12• and Mayl81h 

4. Duplicate cast of upper teeth 1hat I worked on with your technician,~ May n•. 

5. My full dental records and my dental file prod.nced and maintmned by you and your office 

Your written estimate of the cost of your work done on my case ending on June 22, 2009. 

I will come by your office on the afternoon ofMonday, August 31• in order to pick up all of the above 

items. 

Sincerely. 

1XfJuJ, irJ/1 ~de- Jacqueline Pinch 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 44 of 99
. ._,.,.· 

August 24, 2009 

Cerlified Mail 

Retum Receipt Requested 

Dear Dr. Sorensen, 

On July 2Dll, I notified Vangi that I would no longer be working with you on my dental case. I now need 

to transfer this case to 8Il0ther dentist to take on this huge project and the reconstmction of my teeth. I 

have a long road to crurectly complete this project. ... so much work is ahead, and some of this work: that 

has already been done will have to be re-done. In order to most safely and accurately proceed with my 

case, my new dentist will need all of the items of the case and the case file from your office. Presently, 

I will be the custodian of all of the dental items and the case file. I now need to receive from you 

everything relating to my case including the following; 

Duplicate copies of all Xrays of mine held by your office. 

Items I brought to your office from Dr. ~:ffice before your initial consultation: 

v-1. CD of"Before" pictures 

......--2. Duplicate cast before any dental work began 

vi. Duplicate cast after Dr. temporaries were placed on front teeth 

.......... ·"'4. Print-out of gum pocket measurements ,/ ·· 

Items origiDally made in your office: \V;-' i ./ 

v--1. Duplicate cast of teeth before you began any work. taken on March 20, 2009 f ~.J~t,.'( 

v 2. Duplicate casts of prepped lower and upper teeth taken on May I21h and May !8)' · ,;r 

~J( y vJ. Duplicate cas1s of my lower and upperteethtakenatthe end ofthe day onMaj(_I21h andMaY18"' 

qj~ ~fl.. Duplicate cast of upper teeth tbat I worked on with your technician, -on May 11 111 • 

~ 1fl 1/5. My full dental ~ds and my ~ file produced &m! maintained by you and your office 

. --¥ w,Jirt>U;f ~Lf -Mt..5.t., \P -flu~ -1/..t. M..£t>r-d!l {wtt"tft;e )~ 

Your written estimate of the cost of your worlc done on my case ending on June 22, 2009. t~ t..&"fL 

I will come by your office on the afterooon of Monday, August 31 51 in order to pick up all of the above 

items. 

Sincerely, 

4~w..!tiRA1!tcLJacqueline Pinch 

--d_ abOi;~ ~t. at25 /IU?Ts 

lku L ..,{t.lj.., vul- . 

-¥ f~.,:UA.. t£/;f~ C.vft-1 t) P..:,/1111!1 'L .. 

H AU¢ _t,l{ /v{.~~Mf 0... c 0 D ~r/Lt..­ plfLft..utA ~jOU..- -!f>o/t:. g /1U tYttl"inq '...fi.t...fk.-

M F ~ ~' ;2aJ q. .._/) 5I d! /f...UJ. -fl:r r'!; 

1~ • {J/u..j.<_ .,j..u..d ,:; -1-o HtL--·, 1t -fk- mad 

11-J ,jMflt M f0"7 S ,'bU.._ 

t )hL"'IILLftJa. . ..flnek__Atu, ~t/.z<Joq 

"' 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 45 of 99
SepUrrnber22,2009 

Certified Mail 

Return Receipt Requested 

Dear Dr. Sorensen, 

In addition to the things I have already received from your office on August 31, 2009, I am now 

sending you an official request for all of the photos you took of me, copied onto a CD. This includes 

all of the "before" pictures taken of me on February 20, 2009, and all of the pictures you took of me on 

May 12, May 18, and June 4. All ofthesephotos are very important in order to safely, accurately, and 

aesthetically proceed with this huge project. Please send this CD to my home address as soon as 

possible. Thank you. 

Sincerely, 

CJa1/"J,~iu.L 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 46 of 99
Certified Mail 

Return Receipt Requested 

October 20, 2009 

Dear Dr. Sorensen. 

As you know, I am in the process of transferring my dental project to ano1her dentist Unfortunately 

from my experience in your office, tbings did not go as expected and it is necessary to work with 

another dentist who will1ak:e on tbis huge project and the reconstruction of my teeth. I came to the 

conclusion that under your care I was going to be unable to reach a successful resul.L 

Listed below are four major conflicts that made it necessary to pursue another dentist: 

I) The temporary restorations that you installed in my mouth created an incorrect bite. Most of 

the weight of my bite is presently on the front teeth wiUch are extremely vulnerable to shifting 

and breaking. I have to constantly work to keep the front teeth from connecting too forcefully 

for this reason. 

2) My upper front temporary teeth now have a large overbite, which ex.actly contradicts our agreed 

upon initial goal of bringing in my bite. 

3) Aesthetically these temporary teeth are unacceptable. 

4) In the last two appointments I bad with you which were to adjust the temporaries, the above 

aspects were made worse. 

Regarding the settlement letter I received from you on August 31st and which I refused to sign, it is 

unconscionable that you are offering only $13,014 out of the total amount paid to you of$33,314. The 

amount of $700 per hour of chair time has no application in this case because at no time prior to July 

21111 was any per hour charge ever mentioned or made aware to me. On July 21111 when Vangi mentioned 

this amount 'lJer chair hour" I couldn't believe it and it is nothing I ever would have agreed to. 

Here is a listing of what lies ahead for me in this process: 

1) Continue research and consulting with other dentists in order to most accurately choose an 

excellent dentist to whom I will transfer this case as soon as possible. 

2) The new dentist will need to re.design all new temporaries in order to correct the bite and the · 

aesthetics. And with 28 teeth already prepped, establishing a correct bite will be especially 

challenging. 

3) Once the temporaries are right, final impressions will be taken. 

4) All of the 28 permanent crowns (and veneers, if any) will then be made in a laboratory. 

5) All of the permanent restorations will be placed. 

I found a very direct and important piece of writing that clearly states the profound importance of the 

technical work on this kind of project 

/)o(.l.Lmur:/- 5-P 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 47 of 99
Because so many things went wrong while I was in your care, it was clear that I needed to transfer tbis 

case to another dentist in order to halt this downward spiral, re-design new temporaries, correct my 

bite, and move forward with the entire project as soon as possible. There are now more risks regarding 

the health of my gums under these temporaries, the possibility of leaks in these temps causing teeth 

vulnerability, and the :fiJct 1hat my bite is entirely inoorrect. Therefore, it is necessary for me to redeem 

the entire amount paid to you of$33,314 in order fur me to afford to pay my next dentist to take on this 

case and reach a successfuJ result With the return of 1hese :funds. I will1htm. sign a release form 

releasing you of any further liability. 

Please mail a check in the amount of$33,314 to 

account. ~is: 

who will manage this dental 

I regtet that this was the cow:se of events tbat bave lead to this conclusion. I will need fD hear from you 

within 10 days from the date o:f this letter. 

Sincerely, 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 48 of 99
Certified Mail 

Return Receipt Requested 

November 16, 2009 

Dear Dr. Sorensen. 

Regarding my letter to you dated October 20ill2009, you have not responded within the ten days that I 

requested. 

This is a formal request for the name of your insurance company and your policy number in order to 

report my claim. If you have recently made any changes in your insurance, the information I mn 

requesting would need to be that which is applicable to my case. Please provide this information to me 

within three days of this letter. 

Sincerely, 

c: 

enc. 

' 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 49 of 99
Treatment Plan 

Patient: Jackie Pinch Date: 02/20/2009 

Blrthdate: Chart #:P10010 SS#: 

Provider: John A. Sorensen DMD, PhD 

Phone: (503)639-5599 

Office: 12750 S.W. 68th Avenue 

Portland, OR 97223. 

_./ 

( 

Ord Th Surf D9$Cription Fee 

1 Diagnostic casts 115.00 

1 Diagnostic Waxup 500.00 

1 2 Crown-por/cer subst 1300.00 

3 Crown-portcer !Subst 1300.00 

4 Crown-por/cer subst 1300.00 

5 Crown-por/cer subst 1300.00 

6 Crown-por/cer subst 1300.00 

7 Crown-por/cer subst 1300.00 

8 Crown130ficer subst 1300.00 

9 Crown-portcer subst 1300.00 

10 CroWJ'li)Or/cer subst 1300.00 

11 Crown;Jor/cer subst 1300.00 

12 Crown-por/cer subst 1300.00 

13 . Crown-por/cer subst 1300.00 

14 Crown-por/cer subst 1300.00 

15 Crown-por/cer subst 1300.00 

18 Crown-por/cer subst 1300.00 

19 Crown-por/cer.subst 1300.00 

20 Ctown-por/cer subst 1300.00 

21 Crown-por/cer subst 1300.00 

22 Croym-por/cer subst 1300.00 

23 Crown-par/car subst 1300.00 

1 24 Crown-portcer subst · 1300.00 

1 25 .Crown-por/cer subst 1300.00 

1 •26 Crown-por/cer subst 1300.00 

1 27 Crown-por/cer subst 1300.00 

1 28 Crown-por/cer subst 1300.00 

1 29 Crown-por/cer subst 1300.00 

30 Crown-por/cer subst 1300.00 

31 Crown-por/cer subst 1300.00 

SubTotal: 37015.00 

·---··-· 

Treatment Plan Total 37,015.00 

Estimated Deductible to be Applied 0.00 

Estimated Insurance Payment 0.00 

Estimated Patlenfs Portion 37,015.00 

Vo~b-A 

t 

I 

I 

I 

t 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 50 of 99
Patient: Jackie Pinch 

Birth date: 

Provider: John A. Sorensen DMD, PhD 

Phone: (503)639-5599 

Office: 12750 S.W. 68th Avenue 

Portland, OR 97223 

'----·---

Treatment Plan 

Chart #:PI0010 

Date: 0212012009 

SS#: 

This treatment plan Is a financial estimate based on your comprehensive examination. Fees quoted are guaranteed for 90 

days only. From time to time, the treatment plan will be updated when new dental care is recommended. 

Because appointments for full mouth restorations requires securing large blocks of the doctor's time, to commence a full 

mouth restoration, Pacific Dental Institute requires a 25% payment upon making the first appointment; 25% payment would 

be required for the tooth preparation of the the tower jaw; a 25% payment would be required for the tooth preparation of the 

upper jaW. Balance of payment due per arch (12-5% each) when lower and upper restorations are cemented. 

Please be advised any treatment not listed on this treatment plan such as endodontic (root canals) or periodontal (bone-, 

sinus- or gum surgery) not listed on this statement wm be an additional charge and due at the time the services are rendere<l. 

Further, !f post and cores or buildups are not listed and required, due to loss of tooth structures, a separate fee will be 

charged and collected at the time the service Is rendered. 

In the event that temporary crowns need to be re-cemented an office visit fee will be charged after three courtesy visits. 

Some patients with removable partial dentures sometimes have difficulty adapting to a removable appliance. Three 

adjustments visits are included with the initial fee. Additional adjustments wm be billed as an office visit 

MISSED/CANCELLED APPOINTMENTS 

Kindly contact our office 48 hours in advance to cancel your appointment to avoid a broken appointment charge of $100. 

PAYMENTnNSURANCE POLICY 

Fees for dental services are due when rendered. 

PDI accepts Visa, Mastercard and Discover credit cards. 

Fees for periodontaUoral surgery/implants/endodontics must be paid in full prior to scheduled surgery. 50.% of fees for crowns 

and labWOrk are due at the time they are prepared; the remaining balance Is due on the day the completed work is delivered. 

With the exceptiOn of dental services that require labwork, all services are due and payable when rendered, 

As a service to you, we are pleased to submit your claim to your dental insurance with a request to reimburse insurance 

payment to you directly. 

Acknowledged and Agreed: 

'-11 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 51 of 99
::~ -.~~~~·' ,~.~~-~ __ ~ .. ·u. • ' ,•• • • < ,• • • • ' • .--.·• ''- -·~·~-.::!·_::-:.,:-:-;f'"'-I';:?'~ 

; }'- :.__ ' J • ·-r-:o..t... :;..... -1- • • • • • • -~ .• • ·~~ ;-~• 

Pacific Dental Institute 

12750 SW 68th Avenue 

Portland, OR 9n23 

(503)639-5599 

Jackie Pinch 

40 Crestfield Court 

Lake Oswego, OR 97034 

~ ~. ~: r - j -- • •- - - • ~ - ~ - - - • ~ -~~~~ 

- ' =--·- -- - -- . - -. ~ :;~~: 

Jackie 

Jackie 

©DENTRIX 1987-2005 DL'MK1 

Comp oral evaJ..newlestab pat 

Check Payment- Thank You Ch # 5215 

200.00 

-200.00 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 52 of 99
Jackie 

Jackie 

Jackie 

Jackie 

Pacific Dental Institute 

12750 SW 68th Avenue 

Portland, OR 97223 

(503)639-5599 

Jackie Pinch 

40 Crestfield Court 

Lake Oswego, OR 97035 

Tuesday- May 12,2009 

Thursday- May 21,2009 

Wednesday- May 27, 2009 

Tuesday- June 2, 2009 

©DENTRIX 1987-2005 DLWLK1 

9:00am 

9:00am 

4:00pm 

1:30pm 

PrepMandi 

Prep MaxlUary 

Temp Checks 

Finallmpr 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 53 of 99
Paclllc Denial Institute 

12750 SW 68th Avenue 

Portland, OR 97223 

(503)639--5599 

Jackie Pinch 

40 Crestlleld Court 

Lake Oswego, OR 97035 

Pf.EASE RETAIN THIS PORTION OF THE STA'TEIRNT FOR YOUR RECORDS 

02/28/2009 

03130/2009 

0313012009 

Balance Forward 

Check Payment- Thank You Ch # .. Check Payment- Thank You Ch # 

Jackie 

Jackie 

0.00 

lnsuran<:e Estimates ("Ins. Est") and •please Pay" amounts based on insurance estimates are provided as a cowtesy. In the event that your 

insurance carrier pays less than the estimated amount, you are responsible for !he unpaid balance. 

DL.STM 10 

-16657.00 

-16657.00 

©DENTRIX 1987-2005 Pacific Dentallnstlb.lte - 12750 SW 68th Avenue 

Portland, OR 97223 (503~5599 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 54 of 99
Treatment Plan 

Patient: Jackie Pinch 

Birthdate: 04/2511960 Chart I:Pf0010 

Date: 03/30/2009 

SS#: 

Provider: John A. Sorensen DMD, PhD 

Phone: (503)639-5599 

Office: 12750 S.W. 68th Avenue 

PorUand, OR 97223 

I Ord Th 

2 

3 

4 

5 

1 6 

1 7 

1 8 

9 

10 

11 

12 

1 13 

1 14 

15 

18 

19 

20 

21 

22 

23 

24 

25 

1 26 

1 27 

1 28 

29 

30 

31 

A 5 

A 12 

A 21 

A 28 

Surf Desaiplion Fee 

Dlagnosticcasls 115.00 

Diagnostic Waxup 500.00 

Crown-porlcer subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-porlcer subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-porlcer subst 1300.00 

Crown-polfcer subst 1300.00 

Crown-portcer subst 1300.00 

Crown-polfcer subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-por!car subst 1300.00 

Crown-por/cer subst i{ 1300.00 

Crown-porlcar subst 1300.00 

Crown-porlcer subst 1300.00 

Crown-porlcar subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-porlcer subst 1300.00 

Crown-por/cer subst 6 1300.00 

Crown-porlcer subst , 1300.00 

Crown-por/cer subst 1300.00 

Crown-por/cer subst 1300.00 

Crown-por/cer subst 1300.00 

Sub Total: 37015.00 

cnnfccrown lengthen-hardtiss0 ~ ~ ~ 795.00 

Clinic crown lengthen-hard tiss . 795.00 

Clinic crown lengthen-hard tlss '~ -795.00 

Clinic crown lengthen-hard tiss .ll 795.00 

3180.00 

( Treatment Plan Total 40,195.00 

I ..._ ______________________________ _ 

5} 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 55 of 99
of7 

Jackie Pinch <jpinch25@gmail.com> 

re: reviewing treatment plan 

18 messages 

Dr. John Sorensen <drjohn@pacdent.com> 

Reply-To: drjoiYl@pacdent.com 

SUn, Mar 1, 2009 at 6:12 PM 

To: Jackie Pinch <Jplnch@verizon.net> 

HI Jackie: 

I apologize for not getting back to you sooner. Somehow I missed your email and I left for Ollcago last 

Wednesday to lecture at a oouple of meetings. 

Anyway, for the $21,415 paid up front in cash would give you a 5% discount. 

But, I must tell you that I have some reservatloll? about doing only the bade teeth and utilizing the existing 

front restorations. If I use what you amently have, there are some oompromizes I ~II have to make. If I 

had full control by doing all of the restorations I could get a mud! nicer result. In fact. I want to redo the 

front teeth so badly that I would like to make the following offer. If we redo the front teeth and do the back 

teeth I will glve you a 10% discount If paid up front. 

I would love to do your whole mouth and get a magnificant result for you. 

Rnally, In my experience there is rrttle to no chance of you needing root amals if we redo the front 

restorations. In my expereince With veneers and ceramic aowns we have to perfblm root canals in less than 

1% of the teeth we retreat. 

I hope you will seriously consider my offer. 

best regards, 

john 

From: "Jackie Pinch" <jpinch@verizon.net> 

Sent: saturday, February 21,2009 8:05AM 

To: "Dr. John Sorensen" <drjohn@pacdent.com> 

SUbject: reviewing treatment plan 

Hi Dr. Sorensen, 

It was really nice to meet you yesterday, and I know that all of us who need artificial teeth of all kinds are 

very fortunate to have you in our area. 

Upon returning home from your office, I looked over your treatment plan for me and I realized that your 

estimate includes the mst of re-doing the front teeth, which would be Ideal, I know. But for now, as we 

disaJssed, I would only be able to afford to do the rest of the teeth, exdudlng the front ones at this time. Are 

you comfortable with the front teeth structurally as they are rtght now regarding the bite in order to go 

forward with the rest? If so, and exduding these U teeth, the total then be<:olnes $21,415. This would brfng 

things closer to the ball park for us. Do you think this adjusted plan is the best use of our limited funds for 

this projed:? Also, we would be paying In cash, and you mentioned some sort of a discount ••.•• is It a "paying_ 

in cash" discount? My Dad loves that sort of thing. 

One note regarding the re-doing of my front teeth at this time is that I know there is a greater possibility of 

11212010 8:30 P.M 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 56 of 99
!of7 

root canals being needed once that proced~ns. Also, I think that asking my parents to pay again for 

the re-¢ing of a big mistake made by Or-and the lab he uses would be simply unfair to my parents. 

Thank you, 

Jackie Pinch 

Jackie Pinch <Jplnch@verlzon.net> 

To: dljohn@pacdent.com 

Hi Dr. Sorensen, 

Mon, Mar 2, 2ti09 at 9:30 AM 

Thanks tor getting back to me. And thanks for your enthusiasm and for your generous offer. Bl.ITliTler that I did 

not find you sooner, before Dr. began the work. If I was able to afford to pay for this myself, I would 

absolutely give you the go-ahead to re-do the front and do aU the rest of the teeth. However. last year I had to 

ask my parents (divorced and both are now re-married) to spUt the cost of the project, which was going to be 

about $30,000 dollars. They were shocked and reluctant at first, but soon got on board. And now, as you 

know, the work that was done is not right, but about $14,000 dollars of theirs has already been handed over to 

this bad dentist whom I chose. So now I can't bear to ask them for more than they had originally agreed on, 

and so that means that about $16,000 is what is left from the original estimate. 

Would you be willing to do only part of this work that is needed at this point, in the range of $16,000 or so? 

'Mlat about if you re-did the top 6 teeth, and then you did the next 3 teeth on each side of the top, and then one 

broken one on the bottom right? What do you think of ttis idea? Wot*:f you then be able to keep the rest of the 

teeth in alignment with COflllosite material if I came in every 4 to 6 morths to make adjustments to that 

material? And then sometime in the future, with a stroke of luck, I wHI be able to afford to haYe you do the rest 

of my teeth. 

Thank you, 

Jackie 

(Quoted taxi hidden] 

Jackie Pinch <jpinch@verizon.net> 

To: drjohn@pacdenlcom 

H Dr. Sorensen, 

Wed, Mar 4. 2009 at 9:10AM 

Good news!!! My Dad and Mum are now on board to fund this project in full, as you stated. They will be paying 

you up front, and therefore wm be able to take advantage of your 1 OO.A, off offer, bringi!"(l the total to 

$33,313.50. Fortunately, I did not even have to ask, and my Dad called me yesterday and he easily reallzsd 

this is the best way to go forward at this point. He then caUed my Mum and they are in agreement. 

One thing my parents and I would like is a brief written summary of what will be happening in this procedure in 

layman's terms, just as a matter of curiosity and interest 

Also, I think I need a follow-up coosultation with you In order to get your feedback on your plan for my teeth, to -· 

ask you some dental questions, and to review pictutes of teeth and smiles. 1 have complete conficlence in you, 

and I look forward to working with you on this project. Let me know how we now proceed and also whether you 

need my parents to come in personally to your office to sign forms, etc. 

lf212010 8:30 P& 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 57 of 99
uu.aciL1. -.10.l0'fi.OnJ.USU~,t1.1.AU 

· of7 

Talk to you soon, 

Jackie 

[Quoted text hidden] 

Dr. John Sorensen <drjohn@pacdent.com> Wed, Mar 4, 2009 at 12:56 PM 

Reply-To: drjohn@pacdent.com 

To: Jackie Pinch <jplnch@oterizon.net> 

HI Jackie: 

Fantastic! 

I'll write something up this weekend for you. 

Please call my office to set up a consultation appoinbnent. Befort:! the meeting, please let me know if thert:! is 

anything specific I need to have for you. 

This will be great! 

John 

From: ".Jackie Pinch" <jpjnch@verizon.net> 

Sent: Wednesday, March 04, 2009 9:12AM 

To: drjohn@pacclent.com 

Subject: Re: reviewing treatment plan 

[Quoted text tidden] 

Jackie Pinch <Jpinch@verlzon.net> 

To: drjohn@pacdentcom 

Mon, Mar 16,2009 at 11:53 AM 

H Dr. Sorensen, 

I just wanted to check on whether you received my most recent email or whether it was lost in the internet 

ether. I sent this email last Thursday and it lrcluded ITrf parent's addresses. I'm looking forward to hearing 

from you. 

Thank you, 

Jackie 

[Quoted text hlddenl 

Dr. John Sorensen <drjohn@pacdent.com> 

Reply-To: dJjohn@pacdenlcom 

Wed, Mar 18, 2009 at 6:20 AM 

To: Jackie Pinch <jpinch@verizon.net> 

Good morning Jackie: 

Attached is a description of your treatment. 

let me know If you have any other questions. 

Looking fbrward to seeing you on Friday. 

John · 

John A. Sorensen, DMD, PhD 

Director, 

112/2010 8:30 PM · 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 58 of 99
l ofl 

Jackie Pinch <jpinch25@grnaR.com> 

teeth project 

1 message 

Jackie Pinch <Jplnch@vertzon.net> Thu, Mar 12, 2009 at 8:24 PM 

To: "Dr. John Sorensen" <drjohn@pacdent.com> 

Hi Dr. Sorensen, 

I was just wondering if you have had a chance to write up a brief summary of the procedt.re/plan for my teeth. 

When you have a chance to write this q:>, my parents and I are keen to read it. I wil be seeing you on April 6th 

for my follow-up consultation, and I'll be sure to let you know ahead of time if there is anything that may need 

some preparation, as you suggested. Please let us know when my parents can go ahead and pay for this 

project, and then l'H be able to begin to schedule the appropriate appointments Into your busy schedule. 

Here are the addresses and phone numbers of me and my parents: 

Jackie Pinch 

40 Crestfleld ct 

Lake Oswego OR 97035 

(503)699-1717 

Thank you! 

Jackie 

11212010 8:19 Pll 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 59 of 99
·Of7 

Padflc Dental Institute 

12750 sw 68th Ave. 

Portland, OR 97223 

From: "Jadde Pinch" <jDinch@verizon.net> 

Sent: Monday, March 16, 2009 U:54 PM 

[Quoted IBd: htlden] 

[Quoted ted: hi:lden] 

ra'l Plnsch Tx Description 09-3-18.doc 

'a! 34K 

Jackie Pinch <jpinch@verizon.net> 

To: dr]ohn@pacdent.com 

Hi Dr. Sorensen, 

Thu, Mar 19, 2009 at 7:14 M 

Thanks for the really good summary of my L4X=Oning teeth project. I printed off a couple of copies of your 

summary and today I am maU~ them to my parents. Also, I inciOOed a letter to them explalni~ how we arrived 

at the final cost, with 10% off the original estimate, specifically $33,314 (rounding up a bit). Arl:l then dMding 

this total by 2, the total financial undertaking for each of them win be $16,657. 

Regarding my upcomill.J consultation on Friday, I wrote down some questions and I think they wiR be easy for 

you to answer. The only things I can think of that may reqtire a uttle notice is that I would Hke to hear what you 

really think of my current front teeth, your general plan for the esthetics for my new teeth, and I'd like to see 

some pictures of smiles that you think took really great. 

See you Friday! 

Jackie 

IQUOiedtexl hidden] 

Jackie Pinch <jpinch@verlzon.net> 

To: drjoh~aodentcom 

Hi Dr. Sorensen, 

Mon, Apr 13, 2009 at 8:47AM 

It was good to sit and talk With you last week regarding the wax-up and tentative design of my new teeth. I can 

tell that you are very patient, kind, and you have high standards of excellence. 

In viewi~ the pictures you took of my present front teeth, I realized that I really like some things about the 

shape of them as they currently are. We need to re--do them, I know, particularly regarding the greyish cast of 

the color as I (and others) see them, under normal Hghting (no flash). And shape-wise, I like some of the 

changes that I saw in the wax-up, such as the stralghteling out of the lines, d&-bul~ the canines, and I Hke the 

idea of the extra bit of length that was added. Bt..1 the wax-up did not yet look quite right to me, and we talked 

about SOfOO adjustments that would be made. 

r am most focused on the top six front teeth, and I so wart them to be as nice as possible at every stage. 1 

know you have said you will be able to make additions and subtractions on the acryfic temps once they are 

installed, but then there will be so many other factors to be concerned with, in addition to aesthetics, to adjust 

and balance out. So if we could please take a little more time now to get the shape of the top front six teeth in 

the wax-up to Wilere I am comfortable with them before we proceed to the next stage, I feel that this wDI really 

112/2010 8:30PM 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 60 of 99
iof7 

simplify too adjustments that are needed later. 

Thanks for your patience, 

Jackie 

[QUilted text hlelden] 

Dr. John Sorensen <drjohn@pacdent.com> 

Reply-To: drjom@pacdent.com 

To: Jackie Pinch <jpinch@verimn.net> 

HI Jackie: 

Mon, Apr 13, 2009 at 9:52AM 

Hope you had a nice weekend. I was lecturing at UQ.A on Saturday and sat outside haVing lunch and again 

on SUnday for Easter brunch with my wife's family. It's still better living in Oregon. 

Anyway, know problem with modifying the diagnostic waxups. If you want you can stop by and look at the 

waxups again to check: them off If you would like. I agree that the doser we can get tn the final product from 

the first step is ideal. 

Have a great day, 

john 

From: "Jackie Pinch" <jplnch@velizon.net> 

Sent: Monday, April 13, 2009 9:48 AM 

[Quoted text ililden] 

[Quoted text tilden] 

Jackie Pinch <jpinch@verizon.net> 

To: drjohn@pacdent.com 

Hi Dr. Sorensen, 

Wed, Apr 15, 2009 at 2:33PM 

Sounds like a great weekend you had. I was helping a friend clean her place to move out late Easter Eve ... not 

so fun. Arryway, I'll be by sometime tomorrow (Thursday) to look at the wax-ups. 

Thank you, 

Jackie 

[Quoted text hidden] 

Dr. John Sorensen <drjohn@pacdent.com> 

Reply-To: drjolm@pacdent.com 

To: Jackie Pinch <jpinch@verizon.net> 

Hi Jackie: 

Wed, Apr 15, 2009 at 10:32 PM 

I am busy in the morning and am lecturing in the afternoon at OHSU. can we make it Friday? 

Thanks, 

john 

11212010 8:30PM 

S1 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 61 of 99
iof7 

From: "Jackie Pinch" <jpinch@verizon.net> 

sent Wednesday, Aprtl 15, 2009 3:34 PM 

[Quoted Wet h~n] 

[Qtmted text htlden] 

Jackie Pinch <jpinch@verizon.net> 

To: drjolm@pacdent.com 

HI Dr. SOrensen, 

Thu, Apr 16, 2009 at 6:45AM 

Yes, Friday is just fine .... I have a break in my schedule and I can make it over there in the late morning ..... 

around 11:30 or 12:00. 

Thanks, 

Jackie 

[Quoted text hidden] 

Jackie Pinch <Jplnch@verlzon.net> 

To: drjohn@pacdenlc:om 

Hi Dr. SOrensen, 

Tue, Apr 28, 2009 at 4:29 PM 

Would it be all right if l came by the office on this Wednesday or Thursday to take a look again at the wax-~ 

for me? I feel that I need to be familiar with them before they go in my mouth, and it has been a while since I 

saw them in your lab. Is it OK to stop by sometime or do I need to set a time? 

Thank you, 

Jackie 

[Quoted text hidden) 

Dr". John Sorensen <drjohn@pacdent.com> 

Reply-To: drjohn@pacdent.com 

To: Jackie Pinch <jpinch@verizon.net> 

HI Jackie: 

Fr~ May 1, 2009 at 11:13 AM· 

I'm in Chicago for an Academy of Prosthodontics meeting and won't be back in Portland until Sunday night. 

john 

From: "Jackie Pinch" <jpinch@vertzon.net> 

Sent: Tuesday, April 28, 2009 5:30 PM 

[Quoted text htlden] 

[Quoted text htfden] 

Jackie Pinch <Jplnch@verlzon.net> 

To: drjohn@pacdent.com 

Good MornillJ Dr. Sorensen, 

Mon, May 4, 2009 at 6:41 AM 

112/2010 8:30PM 

E /114• ·1 fJ#4J-7 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 62 of 99
'of7 

I'm excited to get started on this teeth project, and the start date wll be here soon. 1-bw about if we take a final 

look at the wax-up of my upper teeth on the day that we get started on the bottom teeth, on May 12th? 

Jackie 

[Quoted telCl hlddenf 

Or. John Sorensen <drjohn@pacdent.com> 

Reply-To: dljol'vl@pacdenlcom 

To: Jackie Pinch <jpinch@verlzon.net> 

Sure, no problem. 

Have a great week. 

From! "Jackie Pinch" <1pinch@vertzon.net> 

Sent: Monday, May 04, 2009 7:42 AM 

[Quoted text hkldenJ 

[Quoted text htldenJ 

Jackie Pinch <jpinch@verizon.net> 

To: drjoOO@pacdent.com 

Hi Dr. Sorensen, 

Mon, May 4, 2009 at 6:57 AM 

Thu, May 7, 2009 at 12:32 PM 

I was just thinking that I won't be able to talk very weB on Tuesday, the bottom teeth temps day ..... regarding 

the final looking over of the waxups. And so would it be OK if I came by on Monday (or tomorrow, Friday, if you 

are going to be In) to take a look? Please understand that I'm a little anxious now that we are about to get 

started, and after the big teeth adventure of last year. 

Thank you, 

Jackie 

(Quoted text hidd81l] 

Jackie Pinch <jplnch@verlzon.net> 

To: "Dr. John Sorensen" <dljohn@pacdent.com> 

---Forwarded message ---

From: Jackie Pinch <jpinch@verizon.net> 

Date: Thu, May 7, 2009 at 1:32PM 

Subject: Re: reviewing treatment plan 

{Quoted text flidden] 

Mon, May 11,2009 at 8:17AM 

11212010 8:30PM 

59 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 63 of 99
1 of7 

Re: reviewing treatment plan 

4messages 

Dr. John Sorensen <drjohn@pacdent.corn> 

Reply-To: drjohn@pacdent.com 

To: Jackie Pinch <jpinch@verizon.net> 

Hi Jackie: 

Jackie Pincb <Jpinch2fi0gmal.com> 

Thu, May 28, 2008 at 12:27 PM 

I hope that you got some of your questions answered by having another dentist to talk wft:tl. 

Again, I would reiterate that I want to mntinue your treatment to oompletion. To perlbnn your treabnent 

correctly I need several more appointments to wrrect your temporary restoratloi'IS. 

I have attached a letter wrftten In an attempt to dar1fy matters. I hope this helps and look forward to your 

response and cnntlnulng your treabnent. 

Sincerely, 

John Sorensen 

From: "Jadde Pinch" <jp!nch@Velizon.net> 

Sent: Thursday, May 07, 2009 2:04PM 

To: dljohn@oacdent.oom 

Subject: Re: reviewing treatment plan 

Hi Dr. Sore~n, 

I was just thinking that I won't be able to talk very wen on Tuesday, the bottom teeth temps day ..... 

regarding the final looking over of the waxups. And so would it be OK if I came by on Monday (or tomorrow, 

Friday, If you are going to be in} to take a look? Please understand that rm a little anxious now that we are 

about to get started, and after the big teeth adventure of last year. 

Thank you, 

Jackie 

On Mon, May 4, 2009 at 7:57AM, Dr. John Sorensen <d!john@pagjent.oom> wrotE: 

Sure, no problem. 

Have a great week. 

From: "Jackie Pinch" <jpindl®verizon.net> 

Sent Monday, May 04, 2009 7:42AM 

To: dljohn@oacdent.com 

Subject Re: reviewing treatment plan 

----- -------------~-

6fl9fl009 2:30 ~ 

--------------- - -·-··--- -··-···--------·-

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 64 of 99
6of7 

structurally as they are right now regarding the bite in order to go fOrward with the rest? If 

so, and excluding these U teeth, the total tnen beoomes $21,415. This would bring things 

closer to the baD park for us. Do you think this adjusted plan Is the best use of our limited 

funds for this project? Also, we would be paying in cash, and you mentioned some sort of a 

disoount. •.•• Is it a "paying in cash" discount? My Dad loves that sort of thing. 

One note regarding the re-doing of my front teeth at this time is that I know there Is a 

greater possibility of root canals being needed once that procedure begins. Also, I think that 

asking my parents to pay again tor the re-doing of a big mistake made by Dr. net the 

lab he uses would be simply unfair to my parents. 

Thank you, 

Jackie Pinch 

Jackie Pinch <Jpfnch@verizon.net> 

To: drjohn@pacdent.com 

Thu, May 28, 2009 at 2:00 PM 

Hi Dr. Sorensen, 

I receiVed your phone message, and your email message, but I did not receive yoll" attached letter. Would you 

please re-sencl it. 

Thank you, 

Jackie 

{Quoted t&ld hidden! 

Dr. John Sorensen <drjohn@pacdent.co.-r.> 

Reply-To: drjohn@pacdent.com 

To: Jackie Pinch <jpinch@verizon.net> 

HI Jackie: 

Sony, hopefully It will be attached. 

We started making the new upper front temporaries. 

Fri, May 29, 2009 at 12:17 AM 

6/29/2009 2:30 ~ 

,, 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 65 of 99
7of7 

John 

From: "Jackie Pinch" <jo!ndl@verlzon.net> 

Sent: Thursday, May 28, 2009 2:08 PM 

[Quob!d text hilden] 

[Quoll!d text ttilenJ 

i!fl Plneh. Jackie Clarlication Lettar.doc 

=..! 60K 

noreply@google.com <norepfy@googJe.com> 

To: jpinch25@gmail.com 

Frl, Mey 29, 2009 at 7:36 AM 

You used Gmail's "'pen as a Google document'' link to view the attachment called "Pinch, Jackie Clarification 

Letter". 

By doing this you saved an editable copy online at Google Docs: https:/ldocs.google.com/Poc? 

id-ddxzbghm 2f7 4y8ffl&btr=Emailtrrport 

Google Docs allows you to: 

• Create and edit documents, spreadsheets and presentations online, from anywhere you have Internet 

access. 

• Share documents with others, even collaborating on the same doclment. at once, in real time. 

• Know that your documents are safe. Since yot.r cortent is stored on Google's secure servers, even If 

something happens to your hard drive, your documents are protected. 

You can always get back to Google Docs directly at https:/ldocs.google.com 

Thanks, 

The Google Docs Team 

QU6Siions? Take a gujck tour or visit the Goog/e Docs Help Center. Please note this is an automated message 

- we won't see it if you Reply to this. 

6/2912009 2:30 PI 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 66 of 99
1 of2 

Jackie Pinch <jpincll2.5@gma 

reviewing treatment plan 

2 messages 

Jackie Pinch <jpinch@verlzon.net> Sun, May 31, 2009 at 9:27 PM 

To: "Dr. John Sorensen" <drjo~com> 

Hi Dr. Sorensen, 

1 just wanted to say that I tho1.19ht your letter was very professional and clarifies your point of view, your goal of 

excellence, and your insistence of staylrtJ within the gillJival and spacial rules of dentistry. I absolutely agree 

that we need to stay within such dental confines. I know this is a lort~ process, and It Is a very expensive 

process, too. 

From everything I have read about full-mouth reconstrootion and cosmetic deriistry, the inl>ortance of ~r 

good communication between the dentist and the client is always emphasized. I need to feel comfortable with 

my new smile when we are done with ttis project, and the frt and ftn:tion are just as important as the aesthetics 

tor the longevity of this project. I appreciate your enthusiasm and confidence, and your willingness to work 

Closer with me in our mutual goal of a great set of teeth. 

Since you and~re re-makillJ the front teeth, I thought I would make a few notations about~ thoughts 

about this to hopefully make things easier ..... understand that I know that the rules of dentistry come first. So 

here goes: .•... Please rettrn the shape and size to the teeth that you presented earlier that day, before the top 

and bottom shapes were changed ...... the lines on those teeth I thought were just rlgtt. But on those teeth, we 

do need to take in {towards the meridian) the two frort teeth, like you did with the teeth In rrtf mouth row, only 

maybe adding more thickness to the inside, (if this will work) thickening the biting edge, so that these teeth Will 

be more resistant to chipping. And then we can make other adjustments as needed. I think that adding some 

height to some of my back teeth will give my front teeth more room to wor1< and not touch too ll1liCh. 

Thanks so much .... .l'R look forward to seeing you on Thursday. 

Jackie 

Or. John Sorensen <drjohn@pacdent.com> 

Reply-To: drjohn@pacdent.com 

To: Jackie Pinch <jpinch@verizon.net> 

Hi Jackie: 

OK, will do. 

See you Thursday. 

john 

From: "Jackie Pinch" <jpinch@verizon.net> 

sent: Sunday, May 31, 2009 9:28 PM 

To: "Dr. John Sorensen" <drjohn@oacx:lent.oom> 

~~~---------------- -----~-----------·- -- ----

Tue, Jun 2, 2009 at 9:18 PM 

6fl9/2009 2:28 PI 

E. ~tt«t ., P"P- 12-

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 67 of 99
I of2 

Jackie Pinch <Jplnch26@gmal.cwP 

reviewing treatment plan 

2 messages 

Jackie Pinch <jplnch@verizon.net> Sun, May 31, Z009 at 9:27PM 

To: "Dr. John Sorensen" <drjohn@pacdentcom> 

Hi Dr. Sorensen, 

1 just wanted to say that I thought your letter was very professional and clarifieS your point of view, your goal of 

e:xcellence, and yOU" insistenoe of staying within the gingival and spacial rules of dentistry. I absolutely agree 

that we need to stay within such dental confines. I know this is a long process, and it is a very expensive 

process, too. 

From everytting I have read about full-mouth reconstruction and cosmetic dentistry, the importance of super 

good communication between the dentist and the client is always emphasized. I need to feel comfortable with 

my new smile when we are done with this project, and the fit and function are just as ifl1;lor1:ant as the aesthetics 

for the longevity of this project. I appreciate yotr enthusiasm and confidence, and your wilngness to work 

closer with me in our mutual goal of a great set of teeth. 

Since you and ~re re-making the front teeth, I thought I would make a few notations abot.4 my tholghts 

about this to hopefully make ttings easier ..... understand that I know that the rules of dentistry come first So 

here goes: ..... Please return the shape and size to the teeth that you presented ear1ier that day, before the top 

and bottom sf:lapes were changed ...... the lines on those teeth t thought were just right. 81.4 on those teeth, we 

do need to take in (towards the meridian) the two front teeth, like you did with the teeth in my mouth now, only 

maybe adding more thickness to the inside, (if this w~t work) thickerVIQ the biting edge, so that these teeth wm 

be more resistant to chipping. And then we can make other adjustments as needed. I think that adding some 

height to some of my back teeth Will gille my front teeth more room to work and not touch too much. 

Thanks so much .... .I'll look forward to seeing you on llusday. 

Jackie 

Dr. John Sorensen <drjohn@Pacdent.com> 

Reply-To: drjohn@pacdent.com 

To: Jackie Pinch <jpinch@verizon.net> 

Hi Jackie: 

OK, will do. 

See you Thursday. 

john 

From: "Jackie Pinch" <jpinch@verizon.net> 

Sent: Sunday, May 31, 2009 9:28 PM 

To: "Dr. John Sorensen" <ddohn@oaa:lent.com> 

Tue, Jun 2, 2009 at 9:18 PM 

10/1212009 10:07 p~ 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 68 of 99
l of1 

Jackie Pinch <JplnchH@gmaU.com> 

Moldfor2 messages 

Jackie Pinch <jplnch@verizon.net> Thu, Jun 18, 2009 at 6:53 AM 

To:"Dr. JohnSonenserl'<dijoh~pacdenlconn> 

Hi Dr. Sorensen, 

Thank you for seeing me last night. .... I'm sorry that I did not emphasize the main iss~.e and reason I needed to 

see you before our Monday appl I had thought that we were going to meet with~t night in order to 

arrange some lab work because the~ teeth again need some size changes -both ~ and width. So 

what should I do as far as the mold~ould probably need in order to make these changes? Or shoud I 

change the Monday appt? 

Thank you, 

Jackie 

Or. John Sorensen <drjohn@pacdent.com> 

Reply-To: drjotn@pacdent.com 

To: Jackie Pinch <Jpinch@verizon.net> 

Hi Jackie; 

Mon, Jun 22. 2009 at 8:12 AM 

Sorry, I have not checked this email box in about 5 days. As I told you on the last appointment this is 

something that I would do In the operatory as I can see what Is biologically possible. Anything done in the 

lab is fantasy and not necessarily dinically possible. So we'll do it in the operatory when I see you. 

John 

From: "Jackie Pinch" <joinch@verizon.net> 

Sent: Thursday, June 18, 2009 6:54 AM 

To: "Dr. John Sorensen" <ddohn@pacdent.com> 

Subject: Mold~ 

[Quoted text hklden] 

10112/2009 10:09 P! 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 69 of 99
Patient Progress Not.s 

Patient Jackie Pinch 

Blrthdata: 0412511960 

Provider. John A. Sorensen OMD, PhD 

Phone: (503)639-5599 

Offk:e: 12750 S.W. 68th Avenue 

Portland, OR 97223 

Charti:PI0010 

Date: 0812612009 

SS#: 

32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17 

Progress Notes 

Date Tooth Surf Proc Prov Description 

02/2012009 Clinical Note 

---Frl- Feb 20, 2009 ---JAS/LDD 

BP: 

HHRIPARQ. Pt presents comp oral evaluation. 

CC: 

Stat Amount 

History of primary dental Issues' had great teeth her whole life. pt hadn't gone to dentist for a 

long time, was a low maintained dental pt, and teeth were gone. Pl's skin started to ha>1e 

problems; pt was dancing and had a reaction to cologne, a few weeks later pt had a rash of 

blue and red, was sent to the emergency room and was diagnosed with infitago (sp •.. Skin 

disease}. pt was In pain because It was sensitive so pl's hygiene went down hiH. Pl than 

started to eating sour gummles aD the time. skin healed inside, It was lumpy though. pt moved 

back 1o Lake Oswego. Pl's gums were bad at this point Regular mouth wash was extremely 

painful. Pt answer was to rinse with vinegar water daBy, pt knew It was good for gums, but 

didn't know It was bad for 1he teelh. Pt used vinegar for about a year. Pl's teeth began to fill 

Continued -on Next Page 

" 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 70 of 99
Patient Jackie Pinch 

Blrthdate: 0412511960 

Provider: John A. Sorensen DMD, PhD 

Phone: (503)639-5599 

Office: 12750 S.W. 68th Avenue 

Por11and, OR 97223 

Patient Progress Notes 

Chart #:PI0010 

Progrus Notes Continued 

Date Tooth Surf Proc Prov Description 

Date: 08/26/2009 

SS#: 

stat Amount 

"weird". Pt 1han began to use dental whitening strips for 7 days straight and pfs teeth started 

to hurt. Pt stopped using them, a few days later the pfs enamel started to fall off her teeth. Pt 

says teeth were achy, not sote. The teeCh did get whiter. Pt's client refemKf to dentiet who 

said her teeth were fine, and the hygienist said pt's teeth seemed smaller than they should be. 

dentist office, and went to another dentist who said they would get better, It was Dr 

3rd dentist finally said pt's teeth need to be re-done; Pt was than referred to Dr 

was 5 ynJ ago. For 10K ptwas told she could do the 4 rnax ~2 was and pt didn't think she needed RCT's. Another client referred pt to Dr 

When pt saw this Dr He was the first one who had a clue what to do. Pt was m 

to do this. Pl's 1st appt of Pf9P8IIng teeth made her feel "weird". Pt reports that the Dr didn't 

know if he was wo~or enamel. Pt says the Dr was changing the plan. Pt was 

trying to be careful Dr temps that were missed shape, and the denlist 

changed them. Pt gaps between the temps and tooth. Pt told the dentist and he 

didn't do anything. When pt looked at temps before cemented they staried to come off the 

teeth and the dentist didn't want the pt to see them like that. When pt got home, she didn't 

approve of the bottom temps because they W8f'8 at an angle. Pt went back in to have 1he 

temps fixed, and dentist fixed. Ptasked about color, and the answerwasA1 or 81, and pt 

was confused. Pt chose the whiter shade. Pt brought a pJece of paper In of aH the changes 

she wanted with a drawing, and the dentist assured pt that the gaps wiD be fixed. Next visit was delivery; the 1emps had to be drtlled off. This all happened In August 2008. The dentist was overly excited. About a week later the pt noticed that the color was wrong, It was 1oo 

darK. Pt canines seem to be "sttckkng out" and pt told the dentist. Pt has had a few oonsUts, 

but dentist keeps teUing pt that she chose the shade. He offered to re-do them but pt would 

have io pay for the lab fee's. Pt didn't want him to re-do them because the dentist was seoond 

guessing himself, teiUng the pt that they may not tum out as well, and there might be a risk of 

gum recession. Pt went to three other dentists who said It was good dentistry. Pt asked if she 

could only re-do the top 6 and the dentist's response was •no I can't afford II." the 2nd of the 

3 consults, pt asked to show the temps for the rest of the teeth, and the pt thought they 

looked Uke onlay instead of crowns. The 3rd consult the assistant told the pt that the Dr was 

going to make the temps again without the pt saying something. The dentist !han slated he's 

not going to re-dot the temps, than pt 

Radiographic findings: 

Ox: 

Tx today: DrS explains to pt the process before we cement, and get the pfs approval. Pt 

shows 3mm of gums on the upper, and show's a lot of the lower teeth. 

Txplan: 

Futur 

02120/2009 00150 DM01 Camp oral eval-new/~b pat C 200.00 

02/2012009 5 04249 DM01 Clinic crown lengthen-hard tis TP 795.00 

02/2012009 6 02750 DMD1 Crown-pore fuse high noble EO 

02/2012009 7 02750 DMD1 Crown-pore fuse high noble EO 

02120/2009 8 02750 OMD1 Crown-pore fuse high noble EO 

02/20/2009 9 02750 DMD1 Crown-pore fuse high noble EO 

02/20/2009 10 02750 DMD1 Crown-pore fuse high noble EO 

02/20/2009 11 02750 DMD1 Crown-pore fuse high noble EO 

02120/2.009 12 04249 DM01 Clinic crown lengthen-hard tis TP 795.00 

02f2012009 21 • 04249 DMD1 Clinic crown lengthen-hard tis TP 795.00 

02/2012.009 22 02750 DMD1 Crown-pore fuse high noble EO 

0212012009 23 02962 OMD1 Veneer (poroeln lam }lab EO 

0212012009 24 02962 DMD1 Veneer (porceln lamrlab EO 

02/2.0/2009 25 02962 OMD1 Veneer (porceln lam}-lab EO 

02/2012009 26 02962 DMD1 Veneer (porceln lam)-lab EO 

Continued on Next P e 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 71 of 99
Patient Jackie Pinch 

Blrthdate: 04/2511960 

Provider. John A. Sorensen DMD, PhD 

Phone: (503)639-5599 

Oftlce: 12750 S.W. 68th Avenue 

Patient ProgniSS Notes 

Charti:PKI010 

Date: 0812612009 

SSt: 

,'~------~--~_n_d_,OR---9~----------------------------------------~J Progress Notes Continued 

Tooth Surf Proc Prov Description stat Amount 

0212012009 27 02750 DMD1 Crown.porcfuse high noble EO 

02/2012009 28 04249 DMD1 Clinic crown lengthen-hard tis lP 795.00 

02/2312009 Ctical Note 

---Fri- Feb 20, 2009 new pt camp exam notes continued) 

Pl has only paid $14,000, andthewholeamountwas about$30,000. Ptthlnksthatfhe1eeth 

look grey, and olhers are giving the pt that feed back as wen. Pl feels that the upper canines 

are slicking out Dr explains that we would repair one arch at a time, and lnvasfon with the 

temps hoW the shape and bite wiR work out. Tumed the veneer temps inlo crown temps with 

acrylic. When pt was gelflng the pennaneots, 3 wks latar, the dentist learned how to do the 

dentin bonding agant. Pt didn't feel comlbrlable with it because 3 wks eartler the dentist didn't 

know how to do this. Original plan was to do the front. than thelEthan left sides. 

Today's be Pt doesn't have any sensllivily. Pt was treatBd by had an "acryyic 

blobs" method done to use on teeth to hold them in a c:ertain • Pt says her mouth is 

contortable where it is now. pt now says that her upper front teeth are sensitive, but not that 

horrible. At the time right now can't feel any sensitivity? Pt wanls to use the rest of her money 

to fix the upper and evan1ualy re-do the lower as well Midline deviafes the left about about 

1 mm. There is bonding material on the posterior, P! referred liO it as acrylc blobs, which was 

jUst a temporary approach. 1.5nvn AP mo~ld the lab VIIOJt<. Dr Sorensen took 

diagnostic pholos. No contact on lhe anterior. Pt iliii"UU"ng ftuorlde. CE=Negative. 

Composite buDd ups for 0 contacts on al mand. Posterior teeth. All 0 contacls on the max are 

on lhe L wsps. Contacts between the canine ceramic restorations, and not and the incisors. 

Would want to open bite up 1mm of where a: Is now. Would make the posteriors longer. 

Discrepancy of the length of #6 that has a clinical length of 9.5 mm. the restorations on #5 

that we woukf make would be about 7rrm. DrS show's pt in a pt mirror about the length. 

Gums look good, a Utile tartar on the anterior lowers. Used empress restorations. Too 

translucent, picking up the under A6 color of fhe tooth. 

TX possibly crown lengthening on max premolars. 

Presented pt with 1x plan and had pt sign .. Pt wants to come in about every 6 months to have 

bonding or acrylic placed on the posterior teeth. 

0312012009 Clinical Note 

----Fri-Mar20,.2009 ASJLDD PARQ/HHR 

pt present for folow up. Took 2 alginates of the upper and two of the lower. Took one kols 

bow. Pt has many questions for Dr Sorensen. Scheduled a follow up appointment to show pt 

wax up compared to the taeth she has now and to answer au her questions. 

NV April7 

0511212009 Cf~nical Note 

•

12, 2009 --JASJLDD PARQ/HHR 

Pt had asked shorten the teeth-now there out of contact-pt thought~he uld 

have told pt 11ot correct. Pt also discussed re-shaping the gl&TIS with nd Dr 

S-pt stated she never spoke of this. PARQ the gums and how the gums and are. Can 

make smaD changes but not large changes. Pt wants the taeth to be less grey tone, not 

yeUow. Will use 81-pt is a bit llghler than 81-ahould we use the bleaching color for the teelh to 

compare it? Need to use 81 and use a more opaque matarial. Better to air more light-can 

always tone down. Pt haS a couple mm of tarter. Used 2 carps marcaine 1:100,000 EPI. Took 

pllolos. Removed veneers #22-ZT. Than prepped teeth #18-31. Used laser aroUnd L of#30 

where toolh was cracked. Took 2 lower aJglnatB Impressions and used mach2 and blue mouse. DrS made temps on the lab. Fabricated-checked bite and adjusted. Cemented with 

systamplink-removed excess and lght cured. Gave PO inslructions. 0 complications. 

NV may 18 prep maxilla 

Continued on Next Pa 

....•... ····-·-·········--- ··-------

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 72 of 99
Patient Progress Notes 

Patient Jaclde Pinch 

Blrtlldata: 04125/1960 Chart II: PI001 0 

Date: 08/2612009 

SS#: 

Provider: John A Sorensen DMO, PhD 

Phone: {503)839-0599 

Office: 12750 S.W. 681h Avenue 

Portland, OR 97223 

Progress Notes Continued 

Date Tooth Surf Proc Prov Descrtption Stat Amount 

05112!2009 

05/1212009 

05/1212009 18 

05/12/2009 19 

0511212009 20 

0511212009 21 

05/12/2009 22 

05112/2009 23 

05112/2009 24 

05/1212009 25 

05/1212009 26 

05/1212009 27 

05/1212009 28 

05/1212009 29 

05112/2009 30 

0511212009 31 

05118/2009 

00470 

66612 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

DMD1 Diagnostic casts 

OMD1 Diagnostic Waxup 

DMD1 Crown-por/cer subst 

DMD1 Crown-por/cer subst 

DMD1 Crown-por/cersubst 

DMD1 Cmwn-por/cer subst 

OMD1 Crown-porlcer subst 

OMD1 Crown-por/cer subst 

OMD1 Crown-porlcer subst 

DMD1 Crown-porlcer subst 

DMD1 Cmwn-por/cer subst 

DMD1 Crown-por/cer subst 

OMD1 Crown-porlcer subst 

DMD1 Crown-par/car subst 

DMD1 Crown-por/cer subst 

DMD1 Crown-por/cer subst 

Clinical Note -t---::;,__ __ Mon- May 18, 2009 ·'ASILDD PARQ/HHR 

c 

c 

c 

c 

c 

c 

c 

c 

c 

c 

c 

c 

c 

c 

c 

c 

115.00 

500.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

Pt present for prep of max. Pt requests the four ant. teeth are sens. and that not very much 

!Doth sbucture be removed. DrS told pt it wtU b& just Bke the lower, remove some, check, and 

remove. #3 is sensitive-has a filling. Pt feels it's on the verge of aching. pt cracked i about 1 

yr ago eating something hard. Pt wanted to see the wax up agaln-pt Is very happy with them. 

Pt said the lower teeth are too gappy around the canines- that it's not smooth arollld the 

curve. Dr S explains that if we over contour It we can cause plaque build up, bone loss, gum 

Issues, ext Gingival embrassers and the size is what the pt Is raferring to. Teeth are 

malpositioned. Used 8 carps marcaine 1:100,000 EPI. Pt states there Is a roll to her bite-the 

angles of the sides on the mand. are dlff. position of 1eeth are dlff though originally-pt is not 

symmetrical to start off as. Irs not ~ visional problem, but a mental. Pt had balanced teeth 

before aile wrecked them. Pt states were trying to correct the teeth. DrS says we can 

concentrate to adding to this and making adjustments. Adding to the length from #18-21. Pt 

doesn't want the front gums Jasered. Offered to do free but pt doesn't want to-with the 

problems we have had DrS doesn't know how we can make the teeth the same vertically 

without laser-pt s1ates she just wants them to blend horizontally. DrS tells pt It's not enough to 

make a diff. Existing resfDrations are slighUy lighter than 81 but defiantly not bleaching B040. 

Right now existing tooth s1ructiB'e is ND8. Average about 2mm thickness of pore. on f. wiU try 

to strike a balance between bringing them back and blocking out the dark. Prepped 1st the 6 

ant teeth. than l side than R side. Took 2 upper alginate Impressions of temps and placed 

mach3 and blue mouse inside Impressions. DrS made temps with shade OM1-pt called and 

asked Vangie 1D change shade-81 was not bright enough for her. Pt got shade from home 

bleaching kit Fabricated temps. Tried In, checked and adjusted bite. Added XWD file 

supreme comp. and light cured. Took 1 alginate of temps and one with ter'IW off. Cemented 

with systemp link and light cured each surface. Gave specific lnslruclions for home care 

dealing with temps and what NOT to dol 

Pt when first saw fBmps seemed to like them a lol loves the color. Pt thinks that the neck on 

the teeth on the centrals are too polnty-pt doesn't want them to be more pointy-Or explains 

that the veneers before were over conloured. Pt says she wants them just barely more added. 

Pt says that the veneers before were working before, that they were comfortable. Dr S says 

that the gums were inflamed before be of this. Pt is self conscious of the shape of tiS, #9. Pt 

said she'D have to go home and see if she likes the color of the uppers. Pt doesn't like the 

lower color-greenish. 

NV may 27 check temps-once the temps are all in we can work more on the shape and 

Continued on Next Page 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 73 of 99
Patient Progress Notes 

Patient: Jackie Pinch 

Birthdate: 0412511960 Cha1#:PI0010 

Date: 0812612009 

SSI: 

Provider: John A. Sorensen DMD, PhD 

Phone: (503)639-5599 

Oftlce: 12750 S.W. 68th Avenue 

Portland, OR 97223 

Progress Notes Continued 

Date Tooth Surf Proc Prov Description stat Amount 

con1Durs. 

*"take off the aspect of the palatal cusps. 

05118/2009 2 

0511812009 3 

05118/2009 4 

05/1812009 5 

0511812009 6 

0511812009 7 

05/1812009 8 

05/1812009 9 

0511812009 10 

05118/2009 11 

0511812009 12 

05/1812009 13 

0511812009 14 

0511812009 15 

05121/2009 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

02740 

DMD1 Crown-porlcer subst 

DMD1 Crown-por/cer subst 

DMD1 Crown-por/cer subst 

DMD1 Crown-poricer Sl.ibst 

OMD1 Crown-por/cer subst 

OMD1 Crown-poricer subst 

OMD1 Crown--porlcer subst 

DM01 Crown-porlcer subst 

DM01 Crown-podcer subst 

OMD1 Crown-podcer subst 

DM01 Crown-podcer subst 

OM01 Crown-por/cer subst 

OMD1 Crown-por/cer subst 

OMD1 Crown-por/cer subst 

Clinical Note 

---Thu -May 21, 2009 LDO Phone coversation 

c 

CC 

c 

c 

c 

c 

c 

c 

c 

c 

c 

c 

c 

pt wants to go back to the other teeth before he changed them (referring to the wax up). 

Wants the bite 1aller for the new front teeth. Pt feels like the teeth need to more cusps, bite 

doesnt fill right Pt wants the bite and the teeth, especially the front teelh to be just right. pt 

feelS that the front upper teeth are too little as well. Wants them to be exactly Rke the wax up. 

Pt knows each tooth has Its own anatomy-pt feels that its been •smoothed" down to much. 

"Exactly 6ke the model!' pt feels DrS changed them too much on monday-so there not 

Identical to the model. Pt chose Dr S because he's an expert about bites and restorative 

denlsfly per pt Bite is hilling to much In the front, the cusps in the back are not present states 

pt She seems very worried, but expressed how appreciative she Is for aD the hard work. 

0512512009 Clinical Note 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

1300.00 

---Mon- May 25, 2009 Just finished phone conversation with Jackie. When 

I told her that I was looking forward to seeing~~,~ to alter her mx temps, correct the occlusion, and even offered to have ke her temps #6-11. She brought 

up a number of concerns and said she wanted to about it another week and was therefore was cancelling her appt this week. Upon further quesltoning she admllled that she 

was going to have another dentist evaluate the work. 

I asked her what her co~re? She said: 

1. • I heard you say that you let because you did not ~v~.IIIW.!!h. work for two 

technicians and that he did bad wo • I told her I dod not say~ bad work but she 

was quiiB Insistent that I did say that. . 

2. She said that I cut too much tooth structure off. "You said you were just going to grind off 

the porcelain and cement that was it • I Informed her that I took very little additional axial 

tooth structure. I only dropped the margins sightly below the level of the gingiva because of 

the big change In shade we are making from A5 to Bleach 020. 

3. She said I wanted you to make the taeth more :11the gumllne and you made them more pointed. I told her that just !;Jecause she guided the lab to add more wax to 

round off or square off the gum line area does mean I actually do that I told her that 

there are limits to how out we can build the teeth and avoid causing periodontal disease. 

Despite my offer to remake the tamps from 6-11, modify the occlusal plane and work with her 

on the Wednesday appt, she was insistent on not wanUng to come in until after she has 

another dentist evaluate her temps. I told her that It was not fair llecause t still have much 

work to do on them until I am happy with them. JS 

Continued on Next Page 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 74 of 99
Patient: Jackie Pinch 

Blrthdate: 0412511960 

Provider. John A Sorensen DMD, PhD 

Phone: (503)639-5599 

Oftk:e: 12750 S.W. 68th Avenue 

PorUand, OR 97223 

Patient Progress Notes 

Chart#:PI0010 

Progress Notes Continued 

Tooth Surf Proc Prov Descrtptlon 

06/0412009 Clinical Note 

---Thu-Jun 4, 2009 ---JASII..DD PARQIHHR 

Date: 0812612009 

SSt: 

stat Amount 

Pt present for adjustments of temps. PARQ different shades and ~shades. Right now 

pt is at a 020 bleaching shade. DrS shows pt the new ~made-not as pointy at the 

gums. Dr explains that we 1ook an Impression of the tempS atl;';9 made them, than redid 

them. Pt took the temps we made and looked at the mirror to compare them. •pt doesn't 

know, just Is not sureu. Dr S explains fo the pt that we can work with them, take some aff and 

add. Pt has been avoiding chewing, especially on the anterior. Pt faeJs Uke when she looks at 

the teeth, everything Joolls in allgment, but the loWer jaw is off, pt thlnks1he posU!rior teeth are 

too high on the left side compared to the other side. Than the pt said it •swoops" down going 

foward the anteriors. Around #18 and 19 remove some off of the cusps. Pt wants the linguals 

to be more smooth, without any bumps. Dr explains that's how natural teeth are, but wiD go 

ahead and smooth them out When Dr said that, pt decided to place fhem in aod see haw 

they feel since that's how natural feeth are. Pt now has a sm.lsp and 1hinks that may be the 

cause be Its not "smooth•. Dr agrees that the cusp are a bit lower, and wiU work with it. 

Removed temps .and cleaned. Placed new temps, and m8de adjuslmen1s.. Shewed pl Pt 

wants some changes. Pt likes the temps, said there a lot betler. Says she will have to live 

with them for a little while to see what changes she wants to make at the next appt. Still need 

to fix the bite. Polished. Cemented with systemp link, removed excess, light cured and 

removed Rll1laining excess. 0 oanpUcations. Pt was very excited about the temps. 

0611112009 Clinical Note 

liE 12, 2009 JASILDD PARQ/HHR 

Pt had asked shorten 1he teeth-now there out af contact-pt thought fhat!E 

have told pt t correct. Pt also discu\;sed re-shaping the gums with both Dr 

5-pt stated she never spoke of this. PARQ th& gums and how lhe gums and • can 

make small changes but not large changes. Pt wants the lee1h to be less grey tone, not 

yellow. Will use 81-pt is a bit lighter than 81-should we use the bleaching color for the 1Beth to 

oompare it? Need to use 81 and use a more opaque material. Better to air more light-can 

always tone down. Pt has a couple mm of tarter. Used 2 carps marcalne 1:100,000 EPI. Took 

photos. Removed veneers 1122-27. Than prepped taeth #18-31. Used laser around L of#30 

where tooth was cmcked. Took 2 lower alginate Impressions and used mach2 and blue 

mouse. DrS made temps on th~ lab. Fabrica1ed-check bite and adjusted. Cemented with 

systempllnk-removed excess and Bght cured. Gave PO Instructions. 0 complications. 

NV may 18 prep maxilla 

06/17/2009 COnical Note 

---Wed-Jun 17, 2009 JASIL.OO PARQ/HHR 

Pt says she has hard lime speaking-lisp. Pt said the lowers are cut to be crowns-Or S explains 

that there veneers. Pt said there's room there for crowns. Pt said plaque Is buDding up=Or s 

explains to pt thats where Is accumalates. Pt says the reason she wants a full crown is 

because it would be a smoother surface, and be pt did so much damage previously she wants 

to protect 1he area. DrS says that area had 1he least erosion. Pt said its just a thought Pt said 

the lower left side angle needs to be oorrected. A lower tooth lc>oks crloked to pt..:f#26. As far 

as the IE. caused from the lump on the upper. DrS saki he will smooth them out. Pt 

said Dr a $IIIOOfh surface. Pt said 'We need to definently-when her and. 

worked there were originally in, and now they are way out • Pt said •My 

teeth are luatlly connecting, scary wavy in front". Pt has been mashing food so that the front 

teeth won't oonnecl Pt thinks right now the height of the lower teeth are higher than the 

upper teeth. Pt said once we dlconnect the front-pt daesn't think there wil be anything 

stopping the teeth. DrS explains if we take off the back of the teeth, It will be a stronger bJte _j in the back, and lighter In the front DrS asked pt if the teeth look too long. Pt answered that 

Continued on Next Page 

'1/ 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 75 of 99
Patient: Jackie Pinch 

Blrttldate: 0412511960 

Provider: John A Sorensen DMD, PhD 

Phone: (503)639-5599 

Office: 12750 S.W. 68th Avenue 

Portland, OR 97223 

Patient Progress Notas 

CharU:Pf0010 

Progress Notes Continued 

Date Tooth Surf Proc Prov Description 

Date: 0812612009 

SS#: 

Stat Amount 

the uppers need to have heighth added to them. Pt doesn't want the upper to look any 

shorter. DrS answeres that 1hey will look the same length, but deeper. Pt states • one dim9ma 

when she smiles and looks at me 8'1raight on, the left Is higher than the right side. • DrS teas pt 

she wouldnt let us do crown lenghthlng, and pt said she didn't want any bone removed. 

PARQ crown lengthing prooeduJ&. Dr s explains since he can't do laser work on premolars, 

he can't do work on the others. Pt saki her teeth were never a level off at the gumline-Dr S 

explains to pt thafs the condition the pt came here In, and there's nothing we can do for that 

Pt says -ns off a mm, and asks If the whole side can be removed, and drilled a little bit more. It 

seems to pt It would connect more. • Dr S explains to pt its not good for the gums to cut further 

off. Pt said it may just be this one tooth that's bothering her, to change the counfour. Pl thinks 

If the whole shape was changed it would be okay. DrS says he can try. Pt says she would 

need adding and width to know It that's what she wants. Thinks that visually that's what it is. 

Now pt says it doesnt feel off but looks off. Pt says says she doesn't Dke the gap, and that its 

feels even bigger. Dr S says he will try flaten~ out the canines. For the lower convert the 

veneers to crownw #23-26 per pt request. Adjusted per pt request, added comp. to #21 t122 

cusp. Shmtened #18 d cusp per pt request Checked bite and made many ~uslments. 

Shortened mand. anterior teeth. Pt said she doesn't want the grooves lnbelween the teeth. Pt 

wants the teeth to be a straight Hne across, with no grooves. Mand. ant temps came off. 

Cleaned out and RKeme(ned with systemp link, rrght cured, removed excess. 

NV July 22-adj. temps. 

0612212009 Clinical Note 

---Mon - Jun 22, 2009 :yps for JAS: pt sent email to JAS requesting 1hat she 

be able to sit wilh~ reshape her temps. JAS explained via emaD that the ~time he let 

her do that, the temps were too big and he ended up having to shave off most of the excess 

waxup (especially around the gingiva). She phoned In this a.m. to tel vps that she had a 

stomach ache and she wasn't coming to the appl VPS offered her 3:00 p.m. the next day 

(6123) but she declined. Pt did not resched appt pt cancelled aU appts made. 

07/0212009 Clinical Note 

---Thu- Jul2, 2009 VPS: 9:35A.M. CALLED PT TO RESCHEDULE THE 

APPT. SHE CANCELLED ON 6122109. Pl returned caD said she wasn't happy right now and 

was trying to evaluate what her next step was. VPS advised patient that we deduct chair time 

at $700 per hour and then refund the difference. VPS explained to patient that chalrtime was defined as time spent with the doctor and When doctor was working oh her case and would 

not Include the time she spent with~ technician, or time JAS spent planning her case 

redoing her waxups everytime she ~ her mind about her temporaries or corresponding 

with patient She said she would think about thal 

12-

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 76 of 99
Apri130, 2008 

Re: Jackie Pinch 

I just wanted to drop you a note with the treatment plan for Jackie: 

I divided it into 4 r: so :can see what we will be worldng on and the cost for each 

part. SO far, a1l the .records needed for the Occlusal aoalysis- moUiliM 

case. He will spend a weebmd doing the technical part fur the lab and will then send it to 

the lab for about a momh fur 1bem to 'WBX-np 1he case.. 

Jackie's next appointment on July 1st will be for preparing an the upper and lower front 

teeth (12 teeth) fur crowns and wneers and taking final impn:ssio.ns fur the Jab to 

construct these. We will also be putting temporary restmations on these teeth 1D keep 

everything aligned properly and also to give Jackie a chance to see what her new crowns 

will be like. 

After about 4-5 weeks we will have Jackie back on August 6h to try-in the crowns and 

veneers and make sure everything is completed they way we want. If all is OK, we will 

cement the restorations. 

So far we bave not made appointments for the right side and left side. It will be done in 

much the same way as the fi:ont teeth. Each side will take two appointments and be about 

4 weeks apart. 

. • I 1ft I j I. fill d 

I am sme on the second appoiDtment yon may want to see wbat the case looks like. If you 

are interested, I will find out 1he best time fur you to come in to view it. 

Please do not hesitate to call if you have questions ............. if I don•t know the answer, I 

wi11 find out for you. 

-

.-' 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 77 of 99
Traatment PJan 

Ord Th Surf 

1 

1 32 

2 6 

2 7 

2 8 

i 9 

2 10 

2 11 

2 22 

2 23 

2 24 

2 25 

2 26 

2 27 

3 1. 

3 2 MOD 

3 3 MOD 

3 4 MOD 

3 5 MOD 

3 28 MOD 

3 29 MOD 

3 30 

3 31 

3 32 

4 

4 

4 

4 

4 

4 I 4 

I 1 

a1.trS?i 

12 MOD 

13 MOO 

14 MOD 

15 MOO 

16 

17 

18 

19 

20 MOD 

21 MOD 

Labial veneer (porceln lam~ 

Cruwn-porcelainl.-ar 

~subefr 

Crown-pon:slalnlcaramic Slbotr 

~substr 

labial veneer (porcaln lam)-fab 

Labial veneer (pon:eln fam)-lab 

Labial veneer (poroeln lam)-lab 

Labial veneer {pOn:eln lam}lab 

Labial veneer (port;e(n lam)-lab 

labial veneer (poroeln lam)-lab 

Labial veneer (poroeln lam)-lab 

Crown-fUR cast high noble mU ~·surfai:es 

Onlay-porcellce swface 

Onlay-pon:ellt> SUifacle 

OnJay-poroallce surface 

Onlay-poroBIIoe &Ufface 

OnJay-pon:ellc:er surface 

Cn:Jwri.:porc fuse high noble mU 

Crown-fuR cast high noble mU 

Crown-fuR cast high noble mt1 

.. n. tu: t•' ... s L.Jlli'z t.iAi«i' .... _ 

_____ _) 

----

-----·- ---

f~~~~{ ..2~'100 

kl/dt~C Z8; 3/0ffw 

----~ ( 5Z dr7( ~ 

\J;w rJ dL(r~ /11 b uJI) 

.OocfLn1U2+- 9-Jr 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 78 of 99
SINGLE FAMILY LEDGER 

Date: 04111/2008 

Guar Name: Jackie Pinch Chart Number: 

40 CJestfield Ct 

lake Oswego, OR 97035-1306 Billing Type: 1 

DATE TEETH DESCRIP110H PAllENT CHARGE PAYMENT 

0313012008 Balance FOIW8I'd 266.00 

• 0313112008 Check Payment- Thank You Jackie -266.00 

0410112008 OraUFaciaJ Photog!aphic Images Jackie 0.00 

0410112008 Records Jackie 0.00 

04/1112008 Removable appliance therapy Jackie 340.00 

04/1112008 Check Payment-Thank You Jackie ~3.00 

04/11/2008 Courtesy Discount Jackie -17.00 

TOTAL FAMILY BALANCE AS OF 0411112008: 

YTD Finance Charga&: 

YTD l.al8 Charges: 

YTD Flmi(J P.,ments: 

YTD 111111rance Payments: 

Procedures that have been placed in History. 

Page: 

266.00 

0.00 

0.00 

0.00 

340.00 

17.00 

0.00 

0.00 

0.00 

0.00 

589.00 

0.00 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 79 of 99
Dam: 

DATE 

03fl712008 

03128fl008 

. 0312812008 

0312812008 

03!.2812008 

0312812008 

SINGLE FAMILY LEDGER 

03128J2006 

Guar Name: Jackie Pinch Chart Number. 

40 Crestfield ct 

lake Oswego, OR 97035-1306 Bitling Type: 1 

TEETH DESCRIPTION PATENT CHARGE PAYMENT 

Balance FOJW8l'd 0.00 

Comp oral evaklewles1Bb pat Jackie 75.00 

Intraoral-complete series (bw) Jackie 110.00 

Diagnostic casls Jackie 95.00 

Check Payment - Thank You Jackie -266.00 

Courtesy Discowlt Jackie -14.00 

TOTAL FAMILY BALANCE AS OF 0312812008: 

YTD Rnanc:e a...ge.: 

YTD ... Chargee: 

YTD FIMnlly PaJmen1s: 

YTD fnsuranl:e ....,_.: 

Page: 

0.00 

75.00 

185.00 

280.00 

14.00 

0.00 

0.00 

0.00 

0.00 

266.00 

0.00 

,, 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 80 of 99
~I 

~ePinch 

The fees in this proposal are vaHd u~that, fees may inmlflSe. 

Visit#1 

Code Descr1ptlon T# Surface Fee You pay 

00470 

e~ 181.00 

09950 Mounting • 570.00 

02931 

09950 

Provisional 

SetUp/~J 378 630~ i5~?,W 02750 Crown. pore & high nobl 2 1.698.00 

02750 Crown, pore & high nobl 3 1,698.00 

02750 Crown, pore & high nobl 4 1,698.00 

02750 Crown, pore & high nobl 5 1,698.00 

02750 Crown, pore & high nobl 6 1,698.00 

02750 Crown, pore & high nobl 7 1,898.00 

02750 Crown, pore & high nobl 8 1,698.00 

02750 Crown, pore & high nobl 9 1,698.00 

02750 Crown, pore & high nobl 10 1,698.00 

02750 Crown, pore & high nobl 11 1,696.00 

02750 Crown, pore & high nobl 12 1,896.00 

02750 CrQwn, pore & high nobl 13 1,696.00 

02750 Crown. pore & high nobl 14 1,698.00 

02750 Crown, pore & high nobl ~ 1,698.00 

02750 Crown, pore & high nobl 18 1,698.00 

02750 Crown, pore & high nobl 19 1,698.00 

02750 Crown. pore & high nobl 20 1,698.00 

02750 Crown. pore & high nobl 21 1,696.00 

02.750 Crown, pore & high nobl 22 1,698.00 

02750 Crown, pore & high nobl 23 1,698.00 

02750 Crown, pore & high nobl 24 1,698.00 

02750 Crown, pore & high nobl 25 1,698.00 

02750 Crown, pore & high nobl 26 1,698.00 

02750 Crown, pore & high nobl 27 1,698.00 

02750 Crown, pore & high nobl 28 1,898.00 

02750 Crown, pore & high nobl 29 1,698.00 

02750 Crown, pore & high nobl 30 1,698.00 

02750 Crown, pore & high nob! 31 1,698.00 

/00103 Reposition 630.00 

f09940 Orthotic Bruxism Modifi 1,148.00 

TOTAL 51,081.00 51,081.00 

==== -----------

IOOZo 5i t)<i$.1 0 

z+~q/2- 40 

...) 

Cyrrent Denial Terminology ICDD ©American Dental Association (ADA). All Tights reserved. 

Page1 

Printed on 08-07-09 at 10:07a 

I <6 I 

31~ 

V5sq .oD 

. .......... _. __ _ 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 81 of 99
Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 82 of 99
Second Notebook of Documents 

19 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 83 of 99
John R. Kloger 

Attxlmey General 

Pordand Area (503) 22g..5576 

Salem Nea (503) 378-4320 

Toll Free Area (871) 877-9392 

www.doj .state.or.us 

OREGON DEPARlMENTOF JUSTICE~ ~ © ~ I w ~ ~· CONSUMER COMPLADlT FORM 

,...,., Nola the Followina: FEB 2 8 2012 

Under Oregon law, the Attnmey General cannot act as your private attorn~ll\oU~FSBOiMENMilWISJIN:IIlnes may prevent you from starting a lawsuit if you wait too long. ADng this complaint does not change those deadlines 

or guarantee the results y.ou want You may wish to contact a private attorney. 

1. Please use dark ink. Type or print clearly. 3. Keep your original papers. 

2. Return this form with copies of important papers. 4. Attach any additional explanation. 

Jaokle Pinch 

First Name last Name 

40 Crestfield Court 

Mailing Address 

Lake Oswego Oregon 97035 

City State Zip 

503-699-1717 503-699-1717 503-699-1717 Jplnch250gmail.com 

Day Phone Evening. Phone cell phone nunber e-maD address 

Dr. John Sorensen 

Name of Business or person about which you are complaining 

ClearChoice Dental Implant Center- 12750 SW 68th Avenue 

Mailing/street Address 

Portland Oregon 97223 

State Zip 

503-639-5599 

Phooe 

Date ofTransaction(s): Feb/2009 -Au~009 How mudl money, if any, do you believe you lost? $33,314.00 

Whom have you contacted concerning your complaint? 

[{] Attorney see note below [{] Business Oregon Board of Dentistry 0 Other ______ _ 

0 No Action requested. I j_ust wanted you tD know of a questionable practic::e. 

What type of sale was this transaction? Door-to-Door ___ Telephone ___ Fair/Tent Sale. ___ _ 

Mail Order ____ Seminar ____ Mailer ____ Retall Internet Other. Dental work 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 84 of 99
DETAILS OF COMPLAINT 

(attach additional pages If n~ry) 

If your complaint is about a cell phone account, please Ost the cell phone number here •. ________ _ 

Please refer to the attached documents for details of my complaint 

Regarding.the question of an attorney~ I did consult with two attorneys but I do not have an written contract 

with either one. 

Please be advised that this complaint wiD become part of our pennanent recatls. Consumer complaints may be 

released to the business or person about whom you are mmplaining, members d the public or other agencies 

attempting to establish ongoing patllms or prad:lces which violate Oregon's Unlawful Trade Practices Ni. This 

to regan s u c may 1D persons request to review its 

9601r-10EL6 *> 'wa1es 

'3'N ''lS :j.lnOJ l9H 

UOfP8S UOj:pe:I()Jd .JaWnsUOJfpneJ::i JepUeu!:J 

a:>!:!Snuo luaw:t.~edaa .uo6alo 

:ol.1HIY1dttOO_llflOA. 1IVW 

!I 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 85 of 99
INDEX OF ENCLOSED DOCUMENTS 

1. The Complaint (3 pages) 

2. Dental Case Summary (10 pages) 

3. Letters From Dr. SoRnsen 

A. Letter Describing Upcoming Treatment 

B. Letter to Encourage Me to Have Him Continue My Treatment 

C. Settlement Letter Presented to Me That I Did Not Sign 

D. Letter from Dr. SoRDsen Sent to a Friend of Mine 

E. Offel' and Letter from Dr. Sorensen after IDterriew witJa dw DOJltal Board 

4. Letters From Me to Dr. Sorensen 

A. Letter Requesting AD ofdae Dental Items of My Case 

B. Copy of Above Letter with Cheeked Offituas 

C. Letter Requesting a Copy of AD of His Photos of Me and My Teeth 

D. Letter Requesting a Refund of All of the Funds Given to Him for TIUs Project 

E. Letter Requesting Insurance Information 

5. Documents from Dr. Sorensen 

A. Treatment Plan from Dr. SoRnsen (2 pages) 

B. Receipt for Initial Consultation with Dr. SoRnsen 

C. Statement of Payment Due ad Seh.edule ofUpeomingAppointments 

D. Receipt for Payment of Project 

E. Statement of Payment Due for "Hard Tissue Crown Lengthening" 

6. My Dental File from Dr. SoRnsen (7 pages) 

7. Em.ails Between Me and Dr. SoRBJen (13 pages) 

8. ClearChoice Web Site Opening for a Lab Teeh. in Portland 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 86 of 99
Complaints about Dr. John Sorensen: 

1. It is clear to me 1hat Dr. Sorensen altered my dental file, and 1his is especially clear 

because of the discrepancies on pages 2-3 regarding my "treatment plan" which entirely 

contradicts the trea.1ment ,plan I received dated the same day, which was Feb. 20, 2009. 

2. Dr. Sorensen failed to ensure that I had full and complete informed consent of various 

options in how to proceed. the costs of these options, and the potential risks involved. 

3. Almost no photos were reviewed (apart from 3 photos of his own clients) to plan the 

aesthetics of this big project. 

4. I believe 1hat Dr. Sorensen worked witheut a prescription (describing the size, shape, 

and dimensions of my upcoming restorations) to his tecbni.cian(s) who made my teeth. 

(*See pages 5-6 in my "Dental Case Summary.'') 

5. Dr. Sorensen made many ebanges to the shape of my upper t.empoiary restorations while 

I was in the operatory, without iuvolving me, asking me, or showing me until he was 

done. 

6. The temporary restorations that Dr. Sorensen installed in my mouth created an incerrect 

bite. Most of the weight of my bite is presently on the front teeth which are extremely 

vulnerable to shifting and~ I have to constantly work to keep the front teeth 

from connecting too forcefully for this reason. 

7. My li'pei front temporary teeth now have a Iaqe overbite, which exactly contradicts our 

agreed upon initial goal of bringing in my bite. 

8. Aesthetically these temporary teeth are unacceptable. 

9. In the last two appointments I had with Dr. Sorensen which were to adjust the 

temporaries, the above 3 aspects were made worse. 

10. Once I made the decision to leave his care with only my temporaries placed, I was 

presented with a settlemeot letter ftom Dr. Sorensen which I refused to sign. In this 

letter, he offered to Rfund only $13.,014 out of 'the total amount paid to him of $33.,314. 

He was charging me S700 per chair hour, even though at no time prior to July ,2"'1 was 

any per hour clwge ever mentioned or made aware to me. 

11. Dr. Sorensen has kept a1l of the money from this case. He made no attempt to contact 

me regardless of all of my requests fur him to do so- until over a year later, in February 

2011, after my Dental Board Interview. He therefore has been completely unaware and 

83 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 87 of 99
unconcerned of the status and health of my teeth during this entire time, and now it has 

been over 2 %years since these temporaries were placed. 

12. Dr. Sorensen engaged in unethical billing practices. Upon receiving the receipt for :full 

payment for all of this dentistry, included with this receipt was an additional bBI for 

$3108 for "Hard Tissue Crown Lengthening" with no prior mention or discussion of this. 

The following week I said no to this during my follow up consultation and he had no 

comment in response on this issue. *See emai1s in which pricing of this entire project 

was discussed and decided on-there was never any mentioning of bard tissue crown 

lengthening. 

13. There were no x-rays taken of my previously crowned front teeth in order to reveal the 

prepped tooth structure underneath. Therefore, there was no way Dr. Sorensen would be 

able to make a plan to preserve the underlying tooth structure as much as possible as he 

removed the porcelain. In other words. he bad llO ma.p to .go by as he removed the 

porcelain that was bonded onto the base teeth. 

14. Patient abandonmeat. Dr. Sorensen gave away all of his reglllar prosthodontic .patients 

via a letter because he no longer does this work.... According to this letter. he only does 

implants now. 

15. There were no face bow measurements taken by Dr. Sorensen for this big project of Full 

Mouth Reconstruction. Also. where is the analysis of the articulation and study data? 

16. During 1he consultation I had with-inAugust of2009, I ask~ what 

percentage of the total cost of this procedure he would assign to this initial stage of the 

procedure that I was presently in (pre.pped teeth with temporary crowns) if he was doing 

the work.. He said he would assign about 20% of the entire cost to the work that was 

done so far. On the other hand, Dr. Sorensen was trying to charge me $20,300 out of the 

funds he had received of $33,.114 intended to cover the entire .project, which comes to 

61%. And the work he bad done for which he was charging me 61% of the total was 

unacceptable. (See Document 4-D). 

17. In subsequent written communications Dr. Sonasen blamed me for any errors in teeth 

design due to the 1% hours I spent with~ the lab on May 11,. 2009. 

18. These eurrent temporary teeth do not fit my face or my smile. 

**Note: Almost all of the conversations betweeD. Dr. Sore:uen and I were via email, and all 

of these emails are included here in my attached documents. There were no phone conversations 

other than the few conversations on 1he .phone that I documented in my 10 page dental case 

summary. 

On my top teeth day,_ before we got started. I told Dr. Sorensen to avoid taking_ any more of the 

base tooth structure off any of my top front teeth when removing. the ceramic crowns on these 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 88 of 99
ignored my request and went ahead and intentionally removed more of the base teeth structure, 

making these really little base teeth even littler, and thus weakening their long-term strength 

when supporting the intended crowns. Later. when I addressed this fiigb.tening observation, Dr. 

Sorensen wrote that he removed some extra teeth structure in order to Prevent the underlying 

color of the dentin of the teeth :from showing through the ceramic of the crowns. But the reality 

was tbat there was no dentin showitJ& throtJ&h the pre-exi~ ceramic crowns. The material that 

had been used the previous year was "Empress,. which is known to have a high level of 

1ranslucency, and even with this high level of translucency, no dentin of my base teeth showed 

through in any of the photos that were taken before Dr. Sorensen began his work: on my teeth. . 

There was no yellow at an showing tbrougb, and instead the ovem.U color of these previous 

crowns bad a grey cast 

A dentist has to be extremely careful when re-doing previously crowned ceramic teeth. This is 

especially true because in applying ceramic crowns, a special cement is used which bonds the 

ceramic material directly to the tooth structure underneath. Therefore, when a ceramic tooth 

needs to be replaced. the ceramic part is drilled off: but the bonding cement also needs to be 

drilled off. And in tbis procedure, it is critical to make sure to avoid removing any healthy tooth 

structurt; or at least keep it to an absolute minimum in order to leave the underlying tooth 

structure as strong as possible. 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 89 of 99
DENTAL CASE SUMMARY -updatedFebl1lary26,_2012 

CURRENT SITUATION: 

While undergoing the project of "Full Mouth Reconstruction" with Dr. John Sorensen, I found that it 

was necessary to leave him due to unacceptable patient care. The plan for the treatment began in 

Feb111ary 2009! with my initial consultation, and I was last in his office when I picked up my file and 

the other items of my case in August 2009. Currently. I still bave 28 temporary restorations, despite 

my efforts to resolve this situation. 

I believe this is a case of wrongdoing, fraud. and false pretense. This includes materially altering my 

dental file, working without current x-rays, and apparently working without writing a prescription to 

his technician(~).. who made my teeth. Dr. Sorensen has kept all of the money gj.ven to him for this 

entire project. and now it is even more expensive to move forward with the dental work I urgently 

need. 

BACKGROUND: 

In December of2003, in an appointment with was made aware of the fact that 

my teeth needed to be reconstructed in order to re-build the size of my teeth, re-establish a nice smile, 

and protect the long-term health of my teeth and g)Jtli.S. I was crushed by these fin~ and after some 

research, I realized the huge cost involved in this sort of procedure. At that time, I had no way of 

fim.ding this huge project. However, I resolved to take the best possible care of my teeth in order to 

preserve them as much as possible. 

In February of2008, I had another appointment wi~ Due to the fact that funding was 

still in question, he made a minimal plan to repair only three of my teeth (my two upper front teeth and 

one back tooth that had an extra big filling in it). I was not comfortable with his plan,_ particularly 

because he planned to also do root canals on those two :front teeth, and I did not understand why that 

would be necessary at all. I decided to seek out another dentist 

BEGINNING THE PROJECT OF "FJTLLMOUTB RECONSTRUCTION" 

Almost four years ago, onAprilll• of2008, I met and soon we started the project 

ofFMR to restore my teeth. In order to fund this procedure,. my parents g9t on board once they 

realized the importance and necessity of this project In my case, my gums and the roots of my teeth 

were found to be healthy, and 1herefore I was a good candidate to undergo the necessary procedures. 

He used the~ethod to~ after establishing where my jaw was most 

comfortable by having me wear a ~r a week. His plan was to crown and veneer the 

teeth in sections, ftont first, then one whole side, then the other side. But then together we changed the 

plan to doing_ the front teeth. first,_ then the premolars,. then the back teeth. 

However, problems arose due to a lack of communication regarding the color and shape of the · 

upcoming ceramic resorations after the temporary resorations of the :front 12 teeth were placed. I went 

to his office and brought these concerns to his attention. ~said he would work on 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 90 of 99
the design of these teeth some more in his lab and he gave me only the color choices of" Al orB 1," 

without reviewing any lighter options. A few days later I brought him a paper that described the 

changes in shape I wanted applied to the permanent front teeth and of these two color choices., I chose 

the ligb:teroption ofBl. 

A few weeks later. on August ()flo of2008,-placed the front 12 ceramic restomtions (the 

upper front 6 and the lower fumt 6). Th.en, in order to align the rest of my bite,-put bits of 

a composite or acrylic material on aU oftbe :rest oftbe bottom teeth, carefully checking the bite as he 

applied this material. The bite felt very comfortable. And I wanted to be really happy with the 

appearance of these new front ceramic teeth, but the color did not seem right. ..... it looked quite gray in 

the mirrors at work and my clients were also commenting about the grayish color. A week latec, I met 

with~ I wanted to discuss 1he teeth color with him. 

I explained to-that my new porcelain restorations loolred gray, and that I had not bad a 

proper chance to approve the color of them befOre they were cemented, and that I had only been given 

a quick glance befure cementing began. I should have had a chance to walk around and look in 

different mirrors to make sme oftbe color, because 1his was such an important aspect.- did 

not know what to do about this dilemma, and we met again a few weeks 1aler to see if we could work 

out a solution. In this follow-up meeting, be o:ffered to re-do these teeth if I paid the lab fees of$3000 

to re-make these 12 ceramic teeth. In another meeting a week later, I suggested we only :re-do the top 6 

teeth. and that then be would cover the cost oftbe lab to make the 6 ceramic teeth. He said "no, I can't 

afford to do that." 

Also, be talked to me about the difficulty in re-doing my front teeth, and he emphasized that it could 

lead to root canals and gum recessions. He also said that it would be very difficult to duplicate the bite 

I have and the shape of my teeth as they are now.. So with all of this in mind, I decided to seek out 

another dentist in otder to take on this project He gave me the dental ile.ms of the case that I requested 

and he refunded the remainder oftbe fonds that had been prepaid for the entire project · 

I now have renewed respect for-and his efforts and determination to get my bite very 

comfortable and correct, and he definitely achieved that goal for me. He did 1bis by the design of my 

incisors, so that the top and bottom incisors did not touch, and by adding the right ammmt of composite 

material to all of the posterior bottom teeth in order to achieve good occlusion and to main1ain 1he 

height of the new bite level. This situation using the composite material was intended to be temporary 

until the rest of the teeth were permanently restored, but I was very comfortable with this situation for 

many months. 

DR. JOHN SORENSEN 

I found Dr. Sorensen in January of2009, via his website. From his website, I felt very confident that 

Dr. Sorensen would uphold the highest standards in dentistry. Being a Prosthodontist, I 1JDderstood that 

he was a specialist in creating artificial teeth of all kinds. This specialty demands extremely high 

standards of both diagnostic and treatment services in order to achieve the best possible aesthetics, 

occlusion, and long-term dental health and comfort. 

91 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 91 of 99
For a Summary of Complaints, see Part 1 in my Documents of dlis Case. 

!8 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 92 of 99
INITIAL CONSULTATION 

February 207 2009: Today was my initial consultation with Dr. Sorensen. He wanted to hear the 

entire story of how my teeth got this way. I told him the entire story of all of the events that worked 

together to result in the present condition of my teeth. including the front restorations withDr. Sorensen seemed to be listening carefully to my story, aud he checked the way I verbally went 

through a series of numbers, and then he took a series of pictures of my smile and my teeth. He 

seemed eager to take on this project, and I appreciated his enthusiasm. He offered to laser some gum 

material from a couple of premolars at no cbatge, but I was not keen on this idea. Since finances were 

a big concern, I wanted to review my different options, including leaving my crowned front teeth as 

they were currently and only doing the rest oftbe teeth, and also the option of only doing crowns on all 

of the top t=th and then maintaining the bite with acrylic bits, as was pr:eseutly the case. 1'bere was no 

more time left in our consult to review these options. and he 1hen handed me a sheet of paper, which 

was the "Treatment Plan." On this sheet of paper was a list of all of my teeth and his plan was to 

crown them all using a "porlcer subst," which I interpreted as all-ceramic crowns. Then, -upon my 

request, he removed the cost of my third molars, which would simply be left alone. 

COMMUNICATIONS 

Over the next few weeks, Dr. Sorensen and I communicated by email about the cost of the project. Dr. 

Sorensen eventually decided to offer me 100,.{, off his initial estimate ifi agreed to do the entire project 

as he intended and if it was paid for in cash up front. He felt strongly that the front teeth needed to be 

re-done to avoid having to "compromise seveml :factnrs." This meant re-doing the front 12 teeth that -had done (my complaint with 1hose restorations was the color, which looked gray on me). 

I was grateful for this discol.m.t, and we agreed on the reduced price of$33,314. 

MOLDSTAKENINOEUCE 

On Mardt 20*, Dr. Sorensen's assistant,_ took two upper and two lower molds of my teeth, 

while one of Dr. Sorensen's two lab ~cians, .. oversaw this procedure. Dr. Sorensen later came 

into the room and made a few notations. I made it clear to him that I wm:rted my new front teeth to be 

more '1n" and Dr. Sorensen reiterated this out loud and announced, "We will bring the (bite) in. one 

millimeter towards the meridian." He then placed some sort of device with some colored material 

on my teeth and took pictures of this. He did this a couple of times. I UDderstood this procedure to be 

important in reading how my teeth connected together. After an indication by Dr. Sorensen to get 

started, .. walked back to the lab with the molds of my teeth. 

PAYMENT MADE 

March 30, 2009: Two checks were received by Dr. Sorensen to cover the entire cost of the project of 

restoring my teeth. Dr. Sorensen's treatment plan total was ini1ially $37,015, and with 10% o~ the 

total was reduced to $33,314. 

Aprill, 2009: I received receipts from Dr. Sorensen's office, but on these receipts was an additional 

charge for a never-before mentioned procedure of "hard tissue crown lengthening" at $795 per tooth, 

totaling $3180 extra for 4 of my premolars. 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 93 of 99
FOLLOW-UP CONSULTATION 

April 7, 2009: On tbis day, I met with Dr. Sorensen, and I had a lot of questions for him, and I thought 

we would be going through some photos of teeth and smiles in order to most optimally design my new 

. teeth. Instead, he showed me the already-done "wax-up" of the teeth intended for me that were created 

by his technician.. 11hought this was strange, as we had not had a discussion about the cosmetic aspects 

of my new teeth before these teeth were designed. These teeth looked odd to me because they had deep 

grooves between all oftbe top six teeth. I pointed out these deep grooves to Dr. Sorensen. and he took 

notes. I told him that I was not at all interested in .. hard tissue crown lengthening" and that we had 

already arrived on a price for the entire project. He said nothing in response. The only pictures we 

looked at were 3 photos oftbree ofhis own clients' teeth. Dr. Sorensen's wife, V~ went ahead and 

set up my ali-day appointments.. 

WAX-UPS 

I was very concerned about the wax-ups that I had seen on April 7", and I was concerned that this was 

their design for my teeth. We had already paid Dr. Sorensen for the entire project up front, and so I was 

determined to work out 1he design of my teeth with him and his technician. Therefore, 1hrough emails 

to Dr. Sorensen, I communicated that I wanted to see the wax-ups several more times in order to make 

sure they were as right as possible. It turned out that I saw 1he wax-ups only two more times before the 

temporaries were installed in my mouth. 

April17, 2009: I met with Dr. Sorensen in his classroom and looked over the wax-ups. The wax-ups 

were damp and Dr. Sorensen told me not to touch them. So I was not able to open them up and 

thoroughly check them out 

May 11, 2009: This 5:30 appointment to have the :final look of the waxups took place the night before 

my first all -day appointment for Dr. Sorensen to prep all of my bottom teeth. It turned out that Dr. 

Sorensen was still with a client. dand so he told Vangi. to ask me ifl wonldn't mind to instead meet with 

his technician, CDT (die otller tedmieian), who would go over my wax-ups with me. 

I said that would be just fine. 

then direcred me back to the lab to look over the wax-ups. I was not given any instructions or 

restrictions from Dr. Sorensen regarding my conversation ~~~-ups. My 

concem was to make sore these wax-ups Jookcd right. It ended up that I sat ~for about 1 Y2 

hoUIS, and this was a great relief to me because it was the :fust time that I was able to have direct input 

on the shape of the top six teeth, besides the % hour onAprill ~.when the teeth were too ~to 

handle. In this 1% homs, we did not work on changing any aspects of the back teeth.. was 

especially good and efficient at doing was-ups. and "together I felt that we perfected 1he appearance of 

the top six front teeth. I was starving for such an opportunity, especially because Dr. Sorensen and I 

never thoroughly reviewed design details of tooth shape and structure of my potential smile. This was 

quite surprising, considering that he was the one who insisted on re-<ioing my previously done front 

restorations, and he promised an .. awesome" resuh. 

During the 1¥2 hours I spent with .. working on the wax-ups in the lab, Dr. Sorensen came into the 

lab 2 or 3 times. At no time when he saw us working together on my teeth did he inquire as to what we 

were doing or otherwise give us any instructi.ons whatsoever. 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 94 of 99
~ knowing1batit was .. not .. wbo made theseteetb, I asked~was, and 

-told me ~was no longer employed by Dr.~ but he said nothing further about 

him. At tbe end of this 1 Yz hours spent with .. adjusting my wax-ups, I was quite impressed with 

the aesthetic results. 

BOTI'QM TEEm DAY 

May 12, 2009: Dr. Sorensen was not happy with me !Q9ay because I bad spent 1 Yz hours with .. 

the night before, dming which time I worked~ adjust the wax-ups. 

Today Dr. Sorensen prepped all of my bottom teeth, including 1be front 6 bottom teeth which had 

veneers. At about mid-day on this day, I asked Dr. Sorensen~ "let go," and be said it was 

because "I'm not busy enough to support two 1ecbnicians. and •e does bad work." 

This comment was very disturbing to me, because I knew~ the technician who Dr. Sorensen 

said "does bad worlC'' was the person who made my teeth. 

We were in the midst of this part of the projed:, and my teeth were completely vulnerable in this 

condition, so I opted to not respond to this comment at that time, hoping for a positive result despite 

this new information. Also, Dr. Sorensen had told me that we will be able to correct any aesthetic 

aspects on my teJnpor8ry restorations. And I absolutely assumed that Dr. Sorensen, being a 

prosthodontist, would be extremely careful about getting the bite exactly right. 

TOP TEEm DAY 

May 18, 2009: Before we got started today, I wanted Dr. Sorensen to see the odd and uneven ron to 

the line of my new temporary lower restorations. I had been under the impression that one huge reason 

to undergo all oftbis dental work. was to achieve an optimal bite and great occlusion. Therefore, even 

though I only had the lower temporary resto:rations placed so far at this point. I was expecting my lower 

teeth to appear to be in visual alignment and balance. But when I pointed out this observation to Dr. 

Sorensen. he did not seem to be concern~ and simply asked me if that was a problem for me. So if 

things already looked off to me, I thought much at1cnti.on would have been paid to correct the situation. 

He eventually said that we can make some adjustments later. 

I also told Dr. Sorensen that I wanted to preserve all or as much as possible of the base tooth structure 

under my front crowns tbat he was re-doing. I was very concerned about the long-term longevity and 

strength of my teeth. He said be would do them just as he did the lower teeth. with no further 

explanation. 

I then had a final glance of the top six teeth that .. and I bad carefully adjusted. I gave my approval 

regarding the aethetics of these teeth. Most of1his day was spent removing the top 6 front crowns. and 

the rest of the top teeth were then. also prepped_ 

After the top teeth were all prepped, and after the late afternoon/evening 2-hour break, Dr. Sorensen 

began applying the temporary teeth, 1aking them on and off several times to ma1re many adjustments 

over a few hours. At no time during this procedure did he ask me my opinion of shape and length as he 

changed these dimensions. Finally, at 10 pm, when he had finished installing the teeth, I was given. ihe 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 95 of 99
mirror and I had my first glance of these teeth. .... and they were clearly different from what I had 

expected. Also, they were mottled with bright white blotchy material, making 1he aesthetics of these 

teeth difficult to ascertain. 

At the end of that day, neither Dr. Sorensen nor I was happy with the appearance of my teeth, and the 

first appointment to adjust these temporary teeth was to be the following week. 

However, I was growing more uncomfortable with how tbings were going. ••. it seemed that more and 

more problems were Stii:fiwing regarding this project. And the fact that the top six teeth~ I 

had carefully shaped were changed drastically 1hat day witbout consulting me was very~ 

FALLING OUT 

Two days later, on May 2oth, I called Dr. Sorensen's office and left a message for him to call me. On 

the morning ofMay 21•, his assistant,- called me. I told her that there were many factors I was 

not happy wi1h regarding the cw:rent temporary teeth, including the bite and the aesthetics. A couple of 

days later, on My 23 .. , I called Dr. Sorensen's office and left a message to cancel my nelrt appt. which 

was booked for May 27*, 2009. 

On Memorial Day, May 25*9 I received a call ftom Dr. Sorensen and he could not unders1and why I 

canceled my upcoming appt. I reminded him of his comment about his teclmician who made my teeth, 

in which he said this technician .. does bad wmk." Also, I told Dr. Sorensen 1hat he was not involving 

me in his ideas and changes to my teeth and my smile, and I knew the only way to be successful was to 

worlc. together smoothly for the goal of a beautiful, comfortable, and physiologically correct set of 

teeth. 

The following Thursday, on May 28, 2009, Dr. Sorensen sent me an email referring to an attached 

letter, which I did not receive until the next morning via email. In this letter be insisted that he only 

does excellent work and that he only has the highest standards of excellence. 

I then understood this to mean that he would do everything in his power to ensure that I would end up 

with a very balanced, aesthetically pleasing. comfortable set of teeth, with an absolutely correct bite. 

And I thought ~who seems to be a very skilled tecbnici~ who now was Dr. Sorensen's only 

technician doing all of the lab work, would also be very involved with correcting the erroneous aspects 

of the current state of my temporary restorations. 

In a response to this letter, I decided that I needed to give Dr. Sorensen a chance to correct the situation. 

I soon sent him a clarification note via email on May 31, 2009. In this email. regarding the idea that I 

was in any way trying to ignore the rules of dentistry in the design of my teeth. I made it clear that this 

idea was simply untrue. I clarified that I absolutely agree that I would only want to work within the 

dental, gingival, and spacial rules of dentistry. Any shape, aesthetic, and bite ideas I suggested or asked 

about would always be second to the essential rules of dentistry. 

In response to his suggestion that we would re-make the top 6 teeth. I tried to comm.Ullicate with him in 

this email that I wanted him to go back to the teeth that we bad started with early on the "'top teeth 

day." He emailed me back on JuDe 2, 2009 a response, saying, "Hi Jackie: OK, will do. See you 

Thursday. John." 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 96 of 99
BACK TO DR. SORENSEN 

What actually happened the following Thursday, on June 4, 2009, was quite different than what I 

expected. First of all. the top 6 teeth that Dr. Sorensen bad re-designed were really big, shapeless teeth 

that I bad never seen before, and not at all the teeth that I had requested or that he had agreed to. But I 

still felt 1hat it was critical to give him a cbance to get this right, and I knew these were only temps, and 

I was hopeful that he would be working closely ~in achieving a great result. 

Dr. Sorensen went ahead and bad me try on these top front 6 teeth. and he adjusted them a b~ and then 

had me look in a mirror. These teeth looked really bad. way too huge. Then Dr. Sorensen adjusted 

them again fur quite a whil~ and again they looked really bad, a very odd shape. Then he said he was 

going to go back to the lab and bave-acljust 1hese teeth. After a while, he came back and placed 

1hose teeth in my mouth and I said "that's better.'• I did not like these teeth very much, but at that point, 

I was in a rush to leave because I was dog-sitting, and I was now running late getting back to the house. 

So those teeth were cemented~ and we made another appt. to again adjust all of the temps, which was 

to be in two weeks. 

In.1he meantime, the bite continued to be o:ff, with most of the weight being on 1he front teeth and 

therefore the posterior teeth did not seem to be connecting properly. I now bad a constant feeling that 

my front teeth were unnatorally full and more "out" and the goal of bringing in the teeth was definitely 

not accomplished. These aspects :remain to this day. 

My final appt. with Dr. Sorensen was on June 17, 2009. My entire bite, as well as the aesthetics, 

continued to be incorrect. Also, right after those top 6 teeth were rep1aced on June 4, I developed a 

nuijor lisp. I thought today's appt would involve re-analyzing the situation and taking more molds of 

my teeth in order to make some major corrections regarding 1he entire bite and the aesthetics. Dr. 

Sorensen did not take any molds of my teeth today, and instead he made some small adjustments to my 

temporary restorations. But I was realizing that these minimal adjustments were not :fixing things, 

except that we were able to mostly get rid of the lisp. 

It was clear that so many of these problems could have been avoided if the entire project was originally 

planned with great care and intention. I felt that he was continuing to patch up the original bad design. 

June 18, 1009: I sent an email to Dr. Sorensen inquiring about arranging some lab work wi~ 

and possibly getting another mold of my teeth in order to make some major corrections. 

June 22, 2009: I received an email from Dr. Sorensen indicating that any cbauges in my teeth at this 

point he would be doing on me in the opemtory. Therefore. I knew it would be more of the same. 

C.ANCEI.T.ATION OF LASTAPPQINTMENT 

On June 2l, 2009, I called Dr. Sorensen's office and canceled. the only remaining appointment we had 

previously set up. I did not set up another appt. at this time. 

On July 2, 2009, Vangi called me and left a message on my phone to set up my next appt. with Dr. 

Sorensen. A little later I returned her call, and I talked to Vangi. I said I wasn't happy with Dr. 

Sorrensen's work and I was trying to figure out what to do next. And she said OK, and when I figure 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 97 of 99
that out, she will let me know how much their :fue is so far .••• and that will be subtracted from the total 

my parents bad paid them. And then she said that in this kind of situation, they charge by "cbairside 

hours." I then asked her how much that was. and Vangi said it was $700 per ehair hour. I couldn' t 

believe it, and I said, "we'll see about that." 

SUBSEQUENT COMMUNICATIONS WITH DR. SQRENSEN 

On August 24, 2009, I sent Dr. Sorensen a letter requesting all of the items of my deatal case. I told 

him I would come by his office on August 3151 in order to pick up these items. 

On August 31ot, I went to Dr. Sorensen's office and I picked up almo~ all of the items I requested, 

including a duplicate copy of my :file and most of the molds I requested. I was presented with a 

settlement letter wbicb. I refused to sign. 

On September 221111, I sent Dr. Sorensen a letter requesting all of the photos he took of me, copied onto 

a CD. 

On October 20111, 2009, I sent a letter to Dr. Sorensen explaining why I was leaving his care. In this 

letter I was requesting a full refimd. I gave him 10 days to respond to this lettet:. 

On November 16, 2009, I sent Dr. Sorensen a letter requesting his insurance information. I gave him 

3 days to respond to this letter. 

Dr Sorensen made no attempt to contact me Rg81'dless of an of my requests for him to do so -

until over a year latet; in February 2011, after my Dental Board interview. 

CHANGE OF BUSINESS NAME 

On Oetober 30*, ~'I received a call from a friend of mine wbo had gone to Dr. Sorensen earlier in 

the year for a very small procedure. She said that she had just received a letter from Dr. Sorensen 

indicatillg that he was narrowing his specialty and therefore he would no longer be doing regular 

prosthodontics or geneml dentistry. She brought 1his letter in to me, and in this letter he referred the 

recipients of the letter to a list of 4 other dentists. Dr. Sorensen did not send me one oftbose letters. 

Now Dr. Sorensen's business (in the same location) is called "CCearChoiee" Dental Implant Center 

and the case with me :from his previous business, "Pacl:fie Dental I:nstitu.te" was left still pending, with 

no communications about this business change to me. He still has all the lllODeY given to him for my 

entire dental project 

OTHER DENTAL CONSULTS 

On May 28, 2009, I had a consultation with~ho is a dentist who W01b close to 

where I work. I told him tbat I was having some very serious concems about the oommunications and 

the work that Dr. Sorensen was doing. and 1hat the work so filr was only the beginning of this huge 

project. He thought it would be best if I go back to Dr. Sorensen and to do my best to work it all out 

with him, since he was the one who began this project. It was the followmg week that I did retam to 

Dr. Sorensen. 

Case 3:14-cv-01995-KI Document 2-1 Filed 12/12/14 Page 98 of 99
On June 25, I had an initial consultation with Dr. This was a mini-consult, and we sat 

at a table and discussed the situation. He said his cost to do mouth reconstruction" is $45,000. 

· And even though some work had been done, there would be only a minimal discount from this total for 

him to take over the project and start on my teeth at this point. We looked over some books on 

cosmetic dentistry which illustrated all kinds of details of the shape, colm; and texture of teeth. He 

explained 1hat he works very closely with his clients to get all of the details just ri~ and he explained 

that these books were extremely useful in communicating and clarifying dental goals. He invited me 

back fur another consultation after I bad some time to think things over.. 

On .July 1, 2009, I bad a consultation with Dr. told him a summary of the cmrent 

state of my teeth and he looked at my smile and all of my teeth. Since I had been going to Dr. 

Soo:mse~ who is a Prosthodontist, be decided to refer me to anotherprosthodontjst, whom be knew, 

On July 2'1*, 2009, I bad a consultation I told him my story in brief: He said he 

was willing to "roll up his sleeves fur me." seem.ed to understand the piclde tbat I was in, especially 

due to the fact that I needed to get my money back in order to proceed. We commmncated that some of 

my temporary restu.rations were now loose, which was very dangerous, and he said he would be willing 

to glue them back in. His assistant took full-mouth x-rays. 

On August,.._, 2009, I had a follow-up consultation with he said that all of this 

is very expensive, and his profit margin is pretty narrow, my case be willing to give me 

100/o off. He then wa11red me up to the desk to meet with his office manager about the cost She 

showed me his trealment plan for me, after subtracting 1 OOAt off the total cost. This total came to 

$45,972.90. I cried 

On August to•, 2009, I bad another appt. F.inancially, all I could do at this point 

was to have him 1ake a mold of~ teeCh and to glue ia aay loose felu.ps. It turned out that 

today he bad his assistant do 1his.~e in to the room and infonned me that since it may be a 

long time until I am finaocially able to move forwaid with 1his project, it was important that the 

adhesive that was used to glue in the 3 loose sections of temps be of'1n.edimn" strength adhesive. I 

said OK to this. 

On September 22, 2009, I had a consoltation with Dr.-I told him a brief smnmary of my story, 

and he looked over my teeth. He showed me SOJIIfl pictures ofhis patients' teeth that he bad done. I 

was impressed with his work on other patients and with his ability to communjcare clearly. He wanted 

to see all of the molds of my teeth, and so 1aier in the day I returned to his office and sat with him while 

we looked over all o:f the molds. He was very thoughtful and he would want to make a very care:fu1. 

plan to get my bite just right if he took on my case. He said he would only be willing to 1Bke my case 

within 6 months of1be installation of my current temps. These temps were insmlled in May/June of 

2009. 

story in brief, and he and his assistant 

over all of my molds. He did not seem to be 

{Joltl--/0 

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