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    teeth pain after bite adjustment
    An_240552 posted:
    I recently had some bonding work done along the gumline of my canines. I was told that there was some wear along the tooth joint due to my teeth grinding. Aside from this, I was told that my teeth were fine, also, I was not experiencing any pain or discomfort. Also, the dentist told me that this procedure is more or less a preventive measure. After the bonding was completed, he began a bite adjustment procedure (which I did not ask for or agree to). I was unaware what this procedure actually was and thought that it may have been something to do with the bonding. About a week and a half later, I was experiencing pretty severe sensitivity of the same canine teeth that I had the bonding done. I called the office and was told to come in for more of the bite adjustment which may help to alleve the problem. Afterward, the dentist said that I had some pretty severe issues with my teeth, I was also charged an extra $235 for the additional bite adjustment and told that I may need additional bite adjustments. I left feeling perplexed and upset. Why would he do something without consent and also without knowing how many procedures I would need. I began researching about the bite/occlusal adjustment and found out that it may be contraindicated. A friend who is a dentist mentioned that she never grinds away the enamel unless she is working on fixing a cavity. Now, a month and a half after the initial procedure, I am experiencing more teeth sensitivity, jaw pain and occasional headaches. My plan was to have bite guards made eventually to treat my teeth grinding, however, I can't afford to have everything done at one time. I have spent a lot of money, but am still in discomfort and worried even more about my teeth. I don't know how to proceed as I don't want more bite adjustments. I am worried that this may have affected the integrity of my teeth and I may be more vulnerable to cavities. I feel as though the dentist took advantage of me. Not only did he not explain what he was doing, but I had not agreed to have it done. I have thought about going for a second opinion but I'm not sure what/if anything that would resolve.
    Zev Kaufman, DDS responded:
    Dear An_240552:

    I am so sorry to hear about the troubles you have been having. About 30 or so years ago, equiliberation (bite adjustment) was very much "in vogue". What many dentists have realized since, is that unless a patient reports symptoms such as pain, or joint discomfort, the procedures SHOULD NOT be performed. They can cause more problems. Most people DO NOT have a perfect bite, and function just fine. At this time, since your homeostasis was disrupted, you should go and see a Prosthodontist (the specialist in restorative, cosmetic, and implant dentistry). The Prosthodontists get specialized training in the science of occlusion (how teeth come together), and will be able to analyze your bite and recommend treatement. There are some general/family/cosmetic dentists who take courses on the subjects and might be able to help, but if you can access the specialist, you stand better chances. will have a link to locating a specialist near you. This is, unfortunately, all that I can say online.

    Best of luck,
    Dr. Zev Kaufman
    Rosiekw replied to Zev Kaufman, DDS's response:
    I visited a periodontist who recommends laser therapy in 3 quadrants even if only 4 teeth has high readings between 5 and 8 and the rest low reading 1, 2, 3. Also recommends bite adjustment which I don't want because my teeth are very sensitive. I don't grind, clench my teeth. I had braces twice, my bite if not perfect should be better than average after braces. For braces the orthodontist remove the 4 bicuspids and could not close some gasp and he explained that in order to maintain a good bite he could not close the gaps. The periodontist who also does implants, says he would not treat me with the laser therapy unless I agree to do the bite adjustment. Is a bite adjustment part of the laser therapy and not optional? It that means I can't have a laser therapy without a bite adjustment? Can I have laser treatment only on the teeth with high reading? What do you recommend to treat my 4 teeth with high reading?
    eeberkun responded:
    One thing I can recommend is a $35 mouth guard at any drug store. If you heat them they form to your bite. If the fit isn't good you can reheat and try again. There are also types that don't require heating.

    Sometimes dentists do what they think is best without asking. However they need to stand by their work. I would recommend asking for a credit for the charge to fix the bite. I think the charge was both wrong and excessive.

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