I am writing in desperation, as I have seen over 7 specialists in the past 3 months trying to address my condition. I have (what I've been told is significant) bone loss for a woman in her mid 30s. I have seen orthodontists, perios, my general, implant specialists, and more recently a TMJ expert to help me. I have notoriously had impeccable hygiene since a young age, but no matter, I have experienced bone loss and recession. I have pain along the gum lines and a slight cross bite and open bite. I grind heavily at night and wear a nightguard. As I approach my 40s, this pain has increased. I'm being pulled in so many directions. Do I have enough bone to warrant orthodontic work or would that be risky? Should I consider bone and soft tissue grafting? Should I consider a full mouth extraction with all on 4s for both arches? I am at a loss. Please, any advice would be much appreciated. The pics are a little old, but the condition is relatively the same.