Q. Dear Dr Caplan I am 56 years old I have regular dental treatments. My latest dentist who I have been seeing for about 3 years now isn very good, he comented on the fact that my lower jaw sticks out more than my upper jaw and asked if anyone ever mentioned treatment for this, I said no and was not awere that I could have or had treatment, although of course i have always been aware of the problem. he sent me to a dental hospital as my teeth are also chipped and said this is because I grind my teeth at night and they may fit me with a dental shield to wear at night. The speciaist I was to see was not there that day so I see someone else, she seemed to ask me odd questions one being did the teeth alignment bother me I said not really as to be honest I am 56 years old I have lived with it this long. She said I needed fillings to repair he chips and a shield to wear at night and my dentist would do it. i have an appoinment soon, is this the best thing, do you think will it look odd, I do not fancy a tooth shield.I am a national health patient and do not pay anything for my dental treatments as I am a carer for my husband. If I was a private patient what would you suggest I have done? thank you for your time.