Guest guest Posted February 19, 2004 Report Share Posted February 19, 2004 Thanks, Virginia, for your helpful info. on Cigna. I'll be writing an appeal, submitting photos, persuading my oral surgeon to write a more persuasive letter, then hoping for the best! I saw my dentist this morning, who refused to say that the cracked tooth and crowns on my molars over the years constituted " excessive wear. " She just didn't want to get involved, bottom line. She said that people with good bites still have those things happen, so I can't prove the open bite caused the tooth problems. Of course, it's well known that open bites frequently cause those problems, because all the force of closing is on those back teeth, but nobody can prove for certain that's what caused it. Sounded like she was firmly on the side of the insurance people. She won't be getting any more of our business. I can't prove, either, that my severe jaw fatigue (so severe it makes eating difficult), is the result of my open bite, even though it's almost certain that it is. I have a feeling they're going to say that's just TMJ, and lots of people who don't have bite problems get TMJ; therefore, your TMJ could be unrelated to your open bite. I know this is wrong, but I can't prove it. My fear is having to prolong this surgery until I'm older (I'm 37 now), and having a harder recovery period, and more jaw troubles along the way. Thanks, again! Glad you had your surgery approved. --Amelia Quote Link to comment Share on other sites More sharing options...
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