When is braces treatment deemed to be medically necessary? (photo)Braces & Invisalign Dental
I'm 20 and I've been dealing with uncomfortable malocclusions and overcrowded teeth my whole life. I have layers of teeth, and some baby teeth still. My mouth physically hurts due to the teeth pushing on each other. When is braces or orthondontics treatment deemed to be medically necessary? Is my condition bad enough to be considered medically necessary for treatment? Most insurance plans do not cover the work I need done unless it's deemed necessary.
I am sorry that you are suffering from malocclusion.
Unfortunately, insurance rarely covers orthodontic treatment as it is usually considered as an elective procedure.
Cases that are deemed medically necessary include: cleft lip, difficulty in eating due to malocclusion such as open bite, and compromised airway (debatable).
These condition usually require orthodontic treatment in conjunction with other treatment modalities such as orthognathic and plastic surgery.
In general, most orthodontic treatment for crowding is considered elective and cosmetic. An instance in which orthodontic treatment could be deemed medically necessary include crossbites causing trauma to other teeth, such that non-treatment can potentially lead to early tooth loss.
Crowded teeth do not usually push against one another to create forces high enough to cause pain. The discomfort you have been experiencing might be due to inadequate oral hygiene leading to gum disease. Hence, it may be helpful to go for regular teeth cleaning and to upkeep good brushing and flossing practices.
Malocclusions are, however, evaluated on a case-by-case basis. Thus, to determine if your malocclusion is considered medically necessary, it would be best evaluated with a proper clinical consultation by an orthodontist