An oral surgeon expressed concern about Dr. Nicholas LaFeber's competency in placing dental implants, citing numerous patients with complications. This surgeon's opinion was solicited by Utah's Division of Professional Licensing. Another dentist who reviewed LaFeber's patient files also recommended his license be revoked. The state's dentistry board agreed, recommending revocation in December 2022. However, the director of the licensing agency, Mark Steinagel, reinstated LaFeber's license in May 2023. This occurred after LaFeber completed a three-year probation that included remedial classes. Despite the board's recommendation and prior warnings, Steinagel allowed LaFeber to continue practicing. Since his license reinstatement, new patients have reported experiencing pain and requiring corrective procedures. One patient, Michelle Lipsey, filed a complaint that was subsequently closed without disciplinary action. LaFeber stated he always acted in his patients' best interests and believed his complication rate was comparable to other dentists. A spokesperson for the licensing division explained that license revocation is reserved for egregious conduct, emphasizing the goal of professional rehabilitation. The dental board's role was advisory, and their recommendations were not binding. Some former board members expressed frustration that their concerns about public safety were seemingly disregarded in LaFeber's case.