A proposed treatment plan
You have been advised to have grafting, extraction or implant surgery and want to understand why, what the alternatives are and how the stages fit together.
All treatmentsA second opinion.
Periodontal & implant second opinions · Barcelona
A second opinion.
A clearer understanding.
When a treatment decision feels complex, another assessment can help you understand the options. We review periodontal, grafting and implant concerns, including questions after previous treatment.
Consultations with Dr. Sahand Shirzadi Maryan and/or Dr. Sergi Rivas Frau, according to the needs of your case.
Appointments take place at collaborating dental clinics in Barcelona. The clinical location is confirmed when your visit is arranged.
At a glance
- Understand your options before decidingA second opinion helps you understand options before deciding. It does not commit you to surgery or to changing your dentist.
- Use the records you already haveAsk which radiographs, reports or treatment plans are useful and how to share them. Do not arrange a new scan simply to send an enquiry.
- Understand the limits of a remote reviewExisting records may help prepare the consultation. A final diagnosis and treatment recommendation may still need an in-person examination.
Meet the periodontist team
Bring the questions that matter to you: the reason for treatment, the alternatives and what each option involves.
Space to understand your options
Before a major decision.
Or after a difficult experience.
A review starts with your question and the available evidence. It may support the existing recommendation, identify an alternative or show that more information is needed.
A concern after treatment
You are worried about healing, gum recession, an implant complication or an outcome that differs from what you expected. A review considers the history and current findings.
A complex reconstruction
Several teeth, tissues or previous treatments may be involved. The assessment considers how periodontal, surgical and restorative decisions affect each other.
The aim is to help you make an informed decision. A second opinion does not commit you to treatment with OsteoPerio, and further surgery is not an automatic recommendation.
From your first enquiry
Your question.
A structured assessment.
Tell us what you want to clarify
Start with a brief enquiry: the main concern, any treatment already proposed and whether you are based in Spain or travelling. The team can explain the appropriate next step and consultation arrangements.
Identify the useful records
Existing radiographs, reports and treatment plans may help. The team will explain which records are relevant and how to share them. Any preliminary records review has limits and may identify the need for examination or further information.
Assess the current situation
An in-person assessment considers your history, current tissues and existing restorations. Periodontal measurements or appropriate imaging may be needed before a clear treatment recommendation can be made.
Discuss options and next steps
Compare the expected benefits, risks, alternatives and possible stages. Clarify what remains uncertain, what any proposed fees include and who would provide surgery, restorative care and follow-up if you proceed.
A useful starting point
Gather what you have.
Ask before arranging more.
You do not need a complete set of records to make an initial enquiry. Tell us what is available; the team can identify what would be useful for your consultation.
The enquiry form does not upload files. Start with a brief description, then follow the team’s guidance on which records to send and how to share them.
Your main questions
What are you hoping to clarify? Include any priorities about appearance, function, surgery, cost or travel.
The proposed plan
A copy of the current diagnosis, treatment proposal and estimate, if you have them.
Existing images and measurements
Available radiographs, CBCT files and reports, photographs or periodontal charts. New imaging is considered only when clinically justified.
Previous treatment details
Dates, surgical reports and implant-system information where available. Your health history and medicines are discussed during assessment.
Clarity before commitment
Understand the findings.
Know what still needs assessment.
What a review can help clarify
The reason for a proposed treatment, relevant alternatives and how surgery, restorative work and follow-up may fit together. It can also identify missing information and questions to discuss with your current dentist.
Ask which findings support the recommendation, what the main uncertainties are and what could change the plan.
What records alone cannot confirm
Photos and scans cannot replace examination of your current condition. A tooth or implant may not be retainable, and the reason for an earlier problem may remain uncertain even after assessment.
This is a clinical consultation. If you need a formal expert or medico-legal report, clarify that request separately before arranging a visit.
Your questions
Before arranging a second opinion.
What kinds of cases can I ask about?
You can enquire about periodontal, grafting or implant plans, implant complications, gum recession and concerns after previous treatment. The team can advise whether the question falls within the review offered and whether another discipline needs to be involved.
Do I have to change dentists or have treatment with OsteoPerio?
Seeking an opinion does not commit you to surgery with us. Tell us whether you want help understanding your current plan or are considering treatment here. You can discuss the findings and your options with your existing dentist before deciding.
Can you tell from my scans whether an implant or tooth can be saved?
Scans may provide useful information, but they do not show every factor that affects the decision. Clinical examination, tissue measurements, symptoms and restorative options may all matter. Neither an online enquiry nor a scan alone can guarantee that a tooth or implant can be retained.
What if my graft or implant treatment has not worked?
We review the treatment history and current findings before considering further surgery. Some contributing factors may be identifiable; others may remain uncertain. An unsatisfactory outcome does not by itself establish why it happened or whether previous care was inappropriate.
Should I arrange a new CBCT scan first?
Tell us which existing records you have. Additional imaging should be requested only when clinically justified; the team can advise what is needed after reviewing the question and available information. You do not need to arrange a new scan simply to send an enquiry.
Can I have a preliminary review before travelling?
Existing records may help clarify whether an in-person assessment in Barcelona is appropriate. Ask the team what review can be arranged and what it includes. Remote information cannot confirm a final diagnosis, treatment suitability or a surgical date; contact us before booking travel.
Will you contact my current dentist?
If communication with your dentist would help, discuss what information needs to be exchanged and agree this with the team. You can also ask your dentist for copies of the records relevant to your consultation.
How much does the consultation cost, and will I receive a report?
Confirm the fee and scope before arranging the consultation. Ask whether review of existing records, new imaging, a written summary or a formal report is included or would be arranged separately. The website enquiry does not confirm a free consultation or a report.
What if I have pain or swelling now?
Seek prompt dental care for acute pain, swelling, persistent bleeding or a loose implant or restoration. Do not wait for a second-opinion enquiry to be answered before obtaining assessment of an urgent problem.
For patients in Barcelona and abroad
Start with the question
you want answered.
Briefly explain your concern and the treatment you have been advised to consider. In the enquiry form, choose “Second opinion for a complex case” as your main concern.
An enquiry does not confirm an appointment, diagnosis or treatment plan. Agree the consultation arrangements before booking travel.