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Question:
On 9/02 I consulted a dentist for dentures and as in the past I was persuaded to do restorative except this time a complete oral reconstruction. On 5/03 it was completed and after approximately 1 month, veneers broke about one a month. Those were replaced with caps at tha dentist's expense.
On 9/03 after complaining of pain since 4/03 an RCT was done through a crowned molar, finishing in 11/03. On 2/4/04 a corner of crown broke from weakening due to RCT. This molar had gum surgery and special prep prior to the first crown.
I also have continuing problems with splint and suggested a neuromuscular dentist but my dentist said they are basically charletons.
This 2 and 1/2 months is the longest I have gone without something falling out. Shouldn't I be stablized by now? How patient should I be? The dentist seems a bit testy, getting that attitude that doctors get when they wish you'd go away and seems bothered by my need for reassurance. I have approximately $20,000.00 invested so far. How much replacement work am I responsible for? ... Visitor from IL
Answer:
Your situation does seem to be very frustrating. If the teeth are breaking frequently it may be due to many reasons. Oftentimes thought it is due to weak teeth and improper loading force on them due to the position of the cusp and the bite.
A neuromuscular dentist is a dentist who is designing the teeth to be harmonious with the jaw structure, muscle and patterns that you move the teeth with. Every dentist should be a neuromuscular dentist. Another type of dentist that you may want to consult with is a prosthodontist.
Teeth do sometimes need to have root canal after crowns due to them dying. Crowns should last about ten years and you could average out the average length of time to determine what additional cost would be appropriate.
John Purpura, DDS
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