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Dentistry/Question about braces (with crowns)

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Question
I have a cracked molar and the dentist put on a crown (a gold one as he said they last longer) and this crown hasn't helped hugely to fix the discomfort i get when i eat hard food on it. He said there's no much else he can do short of a RCT, but he said i can either get that or just put up with the discomfort as he thinks the crown will support the tooth. However he said my overbite is no good and that it is causing my molars to crack. He said the molar above my crowned molar is also "looking bad" and the crown is only buying time.

So he suggested i get braces which will (apparently) fix my overbite and change the pressure points on my molars. Is he correct? Also will the white braces work just as well (I'm quite vain, not sure i want those all-steel braces). Lastly, i have a few crooked front teeth, will the braces have the added benefit of fixing that as well as my overbite?

Answer
You've asked some good questions about a somewhat complex issue and you deserve to get answers. However, in order to give you proper answers to these specific issues you're going to need a proper orthodontic evaluation. I can give you some general answers to some of your questions.

It is quite possible that orthodontic treatment can result in a more balanced bite which can distribute the biting pressures in a more even and appropriate manner. There are some orthodontic appliances that are more esthetic than the metal braces. Orthodontic treatment can also correct the crooked teeth while fixing the overbite.

I would suggest that you have an orthodontic evaluation done by an orthodontist. Bring copies of all your most recent x-rays.

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Dr. Randolph Myerson

Expertise

Please limit your inquiry to questions about orthodontics (braces) and children's dentistry. I am both an Orthodontist and a Pediatric Dentist, having been trained in both of these dental specialty fields. Orthodontics is the dental specialty that treats problems of tooth, bite and jaw alignment using braces and removable appliances. Pediatric Dentistry is the dental specialty also known as dentistry for children, which deals specifically with the dental problems of this special age group from infants to adolescents. I am also experienced in Forensic Dentistry, the application of dentistry to law enforcement and identification using dental records.

Experience

I have been in the private practice of orthodontics and pediatric dentistry for over 20 years. Prior to that I served for three years on the Cleft Palate and Cranio-facial Reconstruction team at Children''s Hospital of Philadelphia and was an Assistant Professor of Dentistry at University of Pennsylvania School of Dental Medicine. I also served as a dentist in the U.S.Air Force, stationed at Andrews AFB in Washington, DC.

Organizations
I am a Fellow in the American Academy of Pediatric Dentistry, and a member of the American Association of Orthodontics, as well as a member of the American Dental Association and the Dental Society of the State of New York.

Education/Credentials
I received my BA in Biology from Frankin & Marshall College in 1969, and my dental degree from University of Pennsylvania School of Dental Medicine in 1973. In 1978 I received both my Certificate in Orthodontics from University of Pennsylvania School of Dental Medicine, and my Certificate in Pediatric Dentistry from Children''s Hospital of Philadelphia after completing a three year Teaching Fellowship in Orthodontics and Pediatric Dentistry in 1978.

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