Poor service from consult after trying to fit me for sleep apnea device ( which never fit properly damaged teeth) to filing insurance claims. Returned to my original Dr. that sent me for consult and they had never received any follow up about my visit. Not happy. Unprofessional and very self absorbed . Excuses is entire office main approach.
I would suggest you contact the orthodontist's office right away and discuss this with him/her. Schedule a follow-up visit if this has not already been done.
The symptoms you describe are commonly associated when an improper bite is affecting the temporomandibular jaw joint (TMJ) and the related facial muscles. An orthodontist who understands occlusion and TMJ will check for these symptoms throughout treatment. As the teeth shift, so does the occlusion - or how the teeth come together when you bite down. Even a very slight change may trigger some of these symptoms. Hopefully by the time your ortho treatment is complete, the bite will be in a stable, comfortable and functional position and all symptoms will subside. Keep your orthodontist posted, though, as you realize these symptoms, especially if they worsen.
Since the tooth has broken off at the gumline, you may be at risk of losing the tooth altogether because there may not be enough tooth surface left to build a crown on top of. With pain and swelling, you should get to a dentist sooner rather than later. You have an open access for bacteria to enter your blood stream, and this can be quite dangerous. Even if money is an issue, this is something that cannot be ignored. Consequences could be severe.
Crown lengthening and/or Botox would appear to be your best solutions. If the Botox did not give you a noticeable result, it may be because not enough was used. A two-week follow-up is usually recommended to evaluate the effects and sometimes add a little more if indicated. I've had some really nice results using my laser to raise the gumline, but it's imperative the dentist know how much is the right amount to raise. There's little to no bleeding with the laser, and healing is accelerated. It's important to consult with a general dentist who is trained in cosmetics first and foremost - periodontic expertise does not necessarily equate to aesthetic results in smile design.
First of all, your insurance may be irrelevant because most carriers do not include coverage for a cosmetic procedure. Having said that, your teeth appear to be healthy, and it's possible that some minor reshaping of the teeth to allow them to freely move into better alignment may help. It's also possible that some fairly simple orthodontics, or minor tooth movement, could move them back into line. Veneers could certainly work but I'm not sure the cost would be significantly less than orthodontics.
