Have you had crowns on most or all teeth to correct misaligned bit?

Discussion in 'Dental Restoration' started by NiceSmile_off-center-bite, Jun 6, 2019.

  1. NiceSmile_off-center-bite

    NiceSmile_off-center-bite

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    I have been referred to prosthodontists to have crowns put on all teeth to correct malocclusion (misaligned bite.) Who here has had that done and can talk about what the journey is like? What did you do that worked? What would you do differently if you did it all over again? What results did you get?
     
    NiceSmile_off-center-bite, Jun 6, 2019
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  2. NiceSmile_off-center-bite

    Busybee

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    That's a very radical approach. Are you in the US?
     
    Busybee, Jun 6, 2019
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  3. NiceSmile_off-center-bite

    MattKW Verified Dentist

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    Misaligned bites are not always harmful, so correcting them just because they're different is open to debate. Anyway, the usual 1st step would be to consider orthodontics.
     
    MattKW, Jun 6, 2019
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  4. NiceSmile_off-center-bite

    NiceSmile_off-center-bite

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    I came here to ask patients who have been through what I'm about to go through what I need to know.

    But since they're not responding and I'm getting challenges from dentists, I'll ask you experts to indicate what options I have. Please respond quickly because I've got 48 hours in which to make initial decisions.

    The primary problem is potential damage to the few teeth that take the brunt of the chewing load. The cause is an upper jaw that's V-shaped and a lower jaw that's U-shaped. A secondary problem is TMJ tension and discomfort. The teragoids (sp?) are tight 24/7 and nightguards, physical therapy, acupuncture, and medication for focal distonia have hardly made a difference. On a side-note: I've always been a slow eater, and now I understand that it's because the upper and lower molars never meet and therefore it takes a lot more chews for me to process food. Thank G-d I enjoy food mindfully.

    I have a hairline crack in one tooth, which happened in an unusual incident trying to bite into a traditional hard cookie in a foreign country and I pulled on the cookie while biting. (Yes, I understand now that was a bad idea.) My dentist is worried that although that's a one-off incident it's also a harbinger of future damage. The jaw tension comes from muscles compensating for malocclusion. (I won't be able to explain the specifics of that.)

    Jaw surgery and orthodontics were considered, but the difference between the shapes of the upper and lower arch are too different for either of them to work. Now I know why an orthodontist told my parents when I was a teen that braces for me would be much more expensive and uncomfortable than for other kids. They didn't do orthodontics back then. After jaw surgery was ruled out by a highly regarded maxillofacial department at a highly regarded hospital in the large U.S. city where I live, my dentist suggested prosthodontics. Three prosthodontics clinics gave the same general solution: crowns on most or all teeth to even out the bite, stabilize the jaw's movement, and hopefully as a result also allow my jaw muscles to unlearn the need to stay tense.

    So, in your countries, what treatment would solve malocclusion bad enough to cause tooth damage and jaw tension and pain? I'm not interested in normative arguments about expensive U.S. healthcare and just interested in solutions and their attendant likely outcomes, risks, and risk prevention steps.
     
    Last edited: Jun 12, 2019
    NiceSmile_off-center-bite, Jun 12, 2019
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  5. NiceSmile_off-center-bite

    NiceSmile_off-center-bite

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    Yes. If you're expert enough to suggest solution options, please see my writeup and share your ideas.
     
    NiceSmile_off-center-bite, Jun 12, 2019
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  6. NiceSmile_off-center-bite

    NiceSmile_off-center-bite

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    Thanks for reviewing my case. If you're expert enough to suggest solution options, please see my long post and share your ideas.
     
    NiceSmile_off-center-bite, Jun 12, 2019
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  7. NiceSmile_off-center-bite

    Busybee

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    I'm not an expert but I have experience of dentists (unnecessarily) fiddling with my bite and either grinding down or building up teeth. It is hit and miss and in order to place a crown your teeth are irreversibly reduced. So you may find that you have problems now, but having a mouthful of crowns and a different bite could be a heap of new problems that are harder to fix. What they should do is put on some temporary changes to see whether it fixes your bite. There are ways to do this without going all the way. You just need a patient dentist that is happy to see you through this journey. You should be reasonably confident that this will work before you start.
     
    Busybee, Jun 12, 2019
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  8. NiceSmile_off-center-bite

    MattKW Verified Dentist

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    Despite your efforts to describe your situation, it really is too complex to give much useful info here. You seem to have a particular set of conditions that no-one else can relate to directly. Although you say you've been to 3 prosthodontic practices that all suggest crowns, you also say that they are "hopeful" it will work. That's a risk.
     
    MattKW, Jun 12, 2019
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