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    Thread: Equilibration?

    1. #11
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      Default Re: Equilibration?

      This is my concern. I wish teeth could be built up rather than ground down so that any changes made could be reversed.

      Getting a second opinion isn't really a practical option because so few dentists in the UK seem to offer this. Time isn't on my side either because my worst tooth is getting worse by the week and can't be repaired until after the equilibration, which is to form the first step in my treatment.

      I think I trust the dentist and his opinion but I just wish I could find someone else in the UK who's either had this done due to teeth breakages (rather than grinding) or an opinion from a dentist who offers it.

      Just 2 working days to go before my teeth are ground down....

    2. #12
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      Default Re: Equilibration?

      How many crowns are proposed and will these be prepped as part of the equilibration?(=Bite balancing)
      It's the 21st Century.......dentistry can and should be painless but we patients come unstuck because all dentists are not created equal

    3. #13
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      Default Re: Equilibration?

      Yes - two crowns each side to replace cracked LL6 & 7 plus LR6 & 7 and these will be prepped as part of the bite balancing.

      Does this sound like the correct procedure?
      Attached Images

    4. #14
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      Default Re: Equilibration?

      http://occlusionconnections.com/TMJ/...ind-the-teeth/

      NO idea if this is good advice but it does discuss dos and don'ts.
      It's the 21st Century.......dentistry can and should be painless but we patients come unstuck because all dentists are not created equal

    5. The Following User Says Thank You to brit For This Useful Post:

      Karenw (20th June 2013)

    6. #15
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      Default Re: Equilibration? Need to decide whether to go through with it.

      Thanks for this.

      It's left me even more confused though! Like most of the other articles I've read, it refers to tooth grinding, tender jaw muscles, headaches etc - none of which I have. My only problem is my breaking molar teeth.

      I'm due to have this procedure on Monday so time is very short now and, when facing having all my teeth drilled, spending £1200 and enduring 2 hours on the dreaded chair, I need to be 100% confident that I'm doing the right thing - but I'm not. There seem to be pros and cons including reducing tooth enamel making my teeth more prone to decay in the future and the risk of vertigo (which I suffered from for years and have no desire to repeat).

      Originally, I understood the bite analysis I had done was to help the dentist design optimum-shaped crowns so that my bite would be adjusted via these, or possibly I misunderstood.

      Can any of the dentists here offer an opinion on this please? Time is running out and I need to decide by tomorrow (Friday) if I'm going ahead with it.

    7. #16
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      Default Re: Equilibration?

      Is it possible for you to reschedule your appointment for another week or so, and get a second opinion? Even if they don't do equilibration themselves, an orthodontist might be able to give you an evaluation since they specialize in bite problems....

    8. #17
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      Default Re: Equilibration?

      I don't think so. I've already had to pay a £200 deposit towards to the equilibration appointment and the few local orthodontists I've found don't appear to do equilibration (braces, cosmetic work etc but no mention at all of this).

      I'm happy about the pending crowns but not certain at all about this.... My crowns are urgent (first are booked for 16th July) but can't proceed until the equilibration has taken place.

    9. #18
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      Default Re: Equilibration?

      QUOTE ARTICLE: 'WHEN TO GRIND and WHEN EQUILIBRATION IS ACCEPTABLE

      • When the patient is not experiencing any masticatory pain or discomfort. (This means, no tender muscles of the temples, facial muscles, lower jaw muscles and shoulder muscles, prior to any dental procedure).
      • When there exists a solid stable habitual bite and routine single tooth dentistry is performed and the dentist needs to adjust the new filling or crown only into position.
      • When there is no clicking or popping of the jaw joints prior to any dental procedures. (Patientís and dentist should be aware of this)!
      • When there is sufficient vertical height and dimension of tooth structure available.
      • When there is sufficient enamel to adjust.
      • When a single tooth is hitting or contacting prematurely and is sensitive or having tooth pain.
      • When it has been recognized that jaw joint degeneration does not exist. (No clicking sounds, grating sounds (crepitus) exists)'


      It sounds then that you do fall more into the 'equilibration' camp but of course it is the skill of the dentist that really counts. PM one of the dentists on here but of course they can't say for sure since they cannot know what the quality of care will be.
      I am always suspicious of 17k treatment plans - full mouth rehab etc but he is currently saying this limited 2k treatment should deal with your most pressing issues...it is a leap of faith.

      Have you checked his GDC listing? When did he qualify? Has he any qualifications over and above the BDS? Past work done? Maybe he can discuss his thoughts in more depth - it is an elective procedure you are allowed to stall and re-group.
      I think I am right in saying that the specialist which would do this kind of work would be a Prosthodontist as part of restoring bite when replacing missing teeth?
      Last edited by brit; 21st June 2013 at 20:08.
      It's the 21st Century.......dentistry can and should be painless but we patients come unstuck because all dentists are not created equal

    10. #19
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      Default Re: Equilibration?

      I raised my concerns at the cost and whether it is necessary, also re my failure to find anyone who has gone through this procedure and been advised that it is essential to reshape my teeth to improve my bite before the teeth are crowned.

      I'm not a dentist and I'm having to put my trust in him. On a positive note, he can see that I am not going to be an easy patient to treat and it's going to be rather like watching a jack-in-a-box in dealing with me on his dental chair so I don't think I'm being viewed as a cash cow. He could earn money much more easily from more relaxed and conventional patients.

      I've been reading about his background online via LinkedIn and other sources and it seems he is a mentor for students learning the equilibration process, which is reassuring. I don't feel he is a typical High Street dentist and does appear to have undertaken further specialist training:

      He is a director on the board of the British Academy of Cosmetic Dentistry, a member of the American Academy of Cosmetic Dentistry, the British Academy of Cosmetic Dentistry, The Association of Dental Implantology, the British Dental Association and others. He is a graduate of the Dawson Academy UK. He has a keen interest in cosmetic and aesthetic dentistry, and has lectured internationally on cosmetic dentistry.

      From the first assessment when he looked at my teeth, this consultation was like no other I'd had - it took 20 minutes rather than 2 minutes and my concerns re the cracked molars were not brushed aside as 'nothing to worry about'. I was unprepared for the cost and the process though at £1600 for the bite analysis and this equilibration though.

      So, on balance, I probably am doing the right thing in proceeding. The nerves are starting to kick in a little now, but he has promised to be gentle with me and the work will all be at my pace.

      If this goes well, I might just have struck gold in finding a dentist who's a cut above some others and couldn't be further removed from the NHS dentist I saw last October then April which triggered my search for a more helpful dentist.

    11. #20
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      Default Re: Equilibration?

      Hi,
      It does sound like you could use some treatment to prevent your teeth continuing to break. Occlusal equilibriation needs a very skilled dentist to carry it out effectively. An alternative is to wear a nigjtguard ( a hard plastic covering worn on either the upper or lower jaw
      Your dentist sounds like he knows what he is doing. However, if you feel unsure get a second opinion. If you pm me I can suggest some suitable practitioners.
      Lincoln
      Lincoln Hirst, BDS
      www.beehivedental.co.uk

    12. The Following User Says Thank You to drhirst For This Useful Post:

      Karenw (22nd June 2013)

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