I'm 26 years old, and I've had non-stop oral pain every day for three straight years. Until I started having problems three years ago, I'd only had one filling in my entire life. Now I've had countless restorations. Two root canals, all four wisdom teeth extracted (a partially impacted and fully impacted pair on the bottom, removed in separate surgeries a year apart), and an abnormally positioned bicuspid on the upper right extracted as well.
To be fair to the dentists, they've probably saved a few of my teeth, and my mouth doesn't feel as bad as it once did. Unfortunately my mouth still doesn't feel good, either.
I've had quite a few people look at this problem. What I can tell you is this: most general dentists look at the x-rays (like they care what I say, I'm just a silly patient, of course) and conclude that my caries have been addressed and I should be fine. Maybe they think I'm a hypochondriac, who knows.
Orthodontists analyze my malocclusion and conclude that it is quite considerable, requiring at least one, if not more teeth to be extracted; this in addition to two years of torture and risk of dental caries with their over-rated, low-tech orthodontic appliances.
My teeth are not in the best of shape, but I think that they are not so bad that I should need to endure great hardship to recover from my dental pains. I'm not seeking perfection here, I just want to cut my long term risks a little bit, and get my mouth feeling good again.
As I've said, many general dentists would have me think I have no major pain-causing problems, and orthodontists would have me think that I would have to endure a boatload of crap from them in order to feel good again.
I suspect that there might be other options that would work reasonably well, and cause me much less grief than the alternatives of non-treatment or full-blown orthodontics. So if you've got any good ideas, I'd love to hear them.
Here's a link to a flickr page where I have uploaded recent mouth and x-ray pictures:
http://www.flickr.com/photos/30404992@N08/
I do have higher resolution versions of these images, flickr just doesn't go higher than 1024x768. And I apologize for not shaving the day of the pictures. ;)