A current patient of mine has severely worn-down teeth & an overbite, caused by several years’ worth of clenching & grinding. She has two choices for restorations: several veneers for the visible-when-smiling teeth in the front, or full crown restorations for just about the entire mouth.
Determining which course to take will be a $40,000 difference in cost, beginning from an already high price. See the importance of preserving an already-healthy bite or taking care to make minor improvements early on in life? Bioesthetic methods are low-maintenance, greatly cost-effective, and save a lot of headaches (literally). It’s better to have to wear a mouth guard every night than have to deal with the financial and physical pains later.
For patients whose bite needs slight adjustment to avoid the scenario described above, I design a MAGO — a maxillary anterior guided orthotic, for those of you who might understand and/or might be interested in this kind of terminology (not!) — or “mouth guard” for patients early on so that their bite might be protected. The MAGO will simultaneously protect their teeth from clenching/grinding at night (when we have the least control over our bruxing habits) and develop a healthy jaw alignment over time if worn consistently.
Dr. Sperbeck, West Los Angeles