The tall tale of a splint, a joint and a journey...

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Bling
Posts: 3
Joined: Sun Jan 07, 2007 2:40 am

The tall tale of a splint, a joint and a journey...

#1 Post by Bling »

The Toothbling Trilogy, part 1: Memories and visions


Just read my third post if you don't wanna go thru' 3 pages. All my questions are there. Thanks.

Background information: I am a guy living in Singapore. I have 6 months left on my gap year before entering college in Claremont, Southern California. My malocclusion is class 2 'chimp look' (4mm overbite), i.e. it takes conscious effort to close my mouth, and when I do my lips look bit full. I think both rows of teeth are slightly protruding - so I will have to have both arches on braces, right? :roll:

Once upon a time, there was a young boy who though that having braces was only for the snobs and involved a as much pain and life-changing shock views that he wondered why would anyone be crazy enough to go for this procedure. :wink:

I have always had a thing with dentists, you can say that the early experience of seeing 2 full grown adults gyrating with all their weight on one tooth would have traumatized anyone. Even now my mouth hurts thinking about it. After my last baby tooth extraction I bid good riddance to a dentist ever laying hands on my mouth again. Well, a lot of time has since passed, and I should have known it was going to come up again. This issue has brought itself up increasingly over the past few years. Let me tell you the story of fighting my decision.

My mother took me to see an ortho recommended by my dentist (who, BTW knows that my teeth are amongst the healthiest she's seen). Ortho #1 told me that I would have to knock 4 teeth and lisp it through my freshman year of college in the US. So I thought, tooth shock + culture shock + social shock in freshman year = easy decision. :)

BTW, I went purely becuz my parents said I should get it checked out, and since I didn't see the need they left it to me.

Then about a year later (6 months ago) I went to ortho #2 (recommended by my aunt) and she said she could get it done in 9 months, before I entered college. Told me that my case wasn't too bad. But I decided to get a second opinion, went to ortho #1 again, who said she could only do it safely in 2.5 years, even with Damons. Then I began wondering what kind of medieval tree bark and hammer crazy ortho #2 was planning to use on my face to pull everything off it 9 MONTHS. I never went back to this ortho again.

So I did 2 straight weeks of research, reading every damn article on the internet and eating through the archives of this forum. Thought for so long and finally decided - you guessed it - go for it, that's why I'm writing now. But then my parents start to have questions, about how I would find life in college, how will I get it transfered, how much pain I would have to go through, how would I return to adjust every few weeks if I'm going all over the place in my gap year blah blah blah...... but I finally realized why I wanted to do it, and that is usually when things get done. :arrow:
Last edited by Bling on Mon Jan 08, 2007 10:35 am, edited 2 times in total.

Bling
Posts: 3
Joined: Sun Jan 07, 2007 2:40 am

#2 Post by Bling »

The Toothbling Trilogy, part 2: Fellowship of the fools

So we went to ortho #1 to clear this up. Parents liked her, much more capable. They told me to go for it if I wanted to. :) So right on that day I took the pan X rays of my neckbone, full mouth view, my TMJ joints (was told this is just a cautionary procedure since she knows that I have clicking and messing around with my jaw might have unknown consequences). Took mould for braces = $400

Next week when I returned she showed us the X-rays of the TMJs, which looked in pretty bad shape. Yes I am a grinder/bruxer/sleep singer who can wake the house with my canines. So she recommended me to see a TMJ specialist - ok so I thought I was lucky that I found this problem. :roll:

What I have:
Image

The equivalent of a slipped disc there, my clicking is wearing down the ball part (although mine isn't that far off from round). To get my problem he put me through a half hour torture session of putting 2 pounds of force on different parts of my nerves until my toes curled. OK, so it cost $900, fine, fine...the doctor made it sound like if I did braces first it would worsen the condition (could push the lower jaw further back and up, antagonizing the muscle and locking whatever future TMJ problems in there forever. :roll: Treatment plan was a splint (plastic thing that goes over my teeth so when I brux I beat the splint to pieces, instead of my enamel). We asked if it was possible to do both at once to get the braces on (save time) and have my teeth protected with the splint, he brushed it off becuz of biting problems, other complications. At that time we felt so lucky to have uncovered this problem early. :roll:

Next week, the TMJ doctor said he discussed with my ortho. Now he makes it seem that my problem is no big deal and tells me to go ahead with the braces and he would watch for any worsening symptoms. But because of our talk with him last week we felt that curing the TMD was of first priority, and pushed for it. So he thought a compromise (one arch braced, one arch splint - of course! Split between the two f***ing dentists so they could each get a slice of the profit!) He began saying the braces could help in that when the teeth are pushed back, the jaw would come forward, allowing the lower jaw to relax and come forward, curing my TMJ problem. I began to wonder what in the h*ll he was on about since just last week he suggested so strongly to do the splint first. I said I would think about it but made an appointment to do the mould for the splint (I had to do at least one splint to protect my teeth).

Got the moulds done for the splint, next thing I knew he was fitting me with two splints instead of the one he originally said he would do. When I asked the nurse why she just said becuz the doctor feels I need to do it. Well this went on for the next few appointments to assess my progress and to adjust the splint. I was already pretty damn confused and frustrated as h*ll about his switching stories and hiding behind his so called 'professionalism'. They think they can hide behind their bull technical terms and think their patients will follow like lambs and churn out whatever $$$ they want? He won't cheat this one no more.

And the last straw was, that throughout the entire time, both doctors (and the nurses kept saying how lucky I was to have found both the ortho and TMJ doctor who could work together). In fact when I told them the case would have to be transfered to the US they insisted I returned every 3 months (3 MONTHS! ARE YOU OUT OF YOUR F**KING MIND?!?). Ahem. Think of the financial, schedule constraints! 'Warning' me that if I transfer to America the dentists would not take the trouble to fix my sort of complicated problem. They said it would be hard to find a pair like them capable of performing orthodontics and assessing the TMJ problem at the same time. For the record California is quite a few hundred times larger than Singapore. The ortho refused to help to find a pair in South California whom I could be transfered to. :roll: That is when I ended it. Got all my X-rays and documents on a disk, and stopped short of giving them the finger.

Resolution: Never cast my eyes upon the moral defectives that are ortho #1, TMJ doctor #1 EVER AGAIN.
:arrow:
Last edited by Bling on Mon Jan 08, 2007 10:13 am, edited 1 time in total.

Bling
Posts: 3
Joined: Sun Jan 07, 2007 2:40 am

#3 Post by Bling »

The Toothbling Trilogy, part 3: A split in the unknown road

A few weeks later I went to Bangkok to get a second opinion. *sigh* (This won't go on for much longer). First I went to see TMJ doc #2, who said that my problem was nowhere near as bad as it sounded from TMJ #1 and that about half the population gets clicking anyway. Told me that if she saw my case first she would just tell me to go get the braces done, then see if the problem remains after that (I've heard that grinding can actually stop after braces?!).

Then went to see ortho #3 (bangkok, same hospital), and she basically said the same thing as ortho #2. Both said it wouldn't be a hard task finding a pair (ortho + TMJ specialist) or even one person capable of watching my TMD - if I told them what they wanted. I would probably go back to this ortho if I really want to do it, but she said first I had to find a doctor in California. :roll:

The entire consultation cost $40, about a tenth of the price I paid in Singapore. :shock: Well, the $3000 thrown in the splint and all the checkups was a small price to pay for the lesson: Never trust a single opinion and a single doctor. Of course the money could have gone to a better use, like shoving it down his throat or up his......3 generations of my family, and now I learnt this lesson the hard way.

So thats the end of the road. What I have to ask, is.....which road do I take now?

1) Choose a dentist in Singapore/Thailand and do the braces starting now. Then transfer to a reputable dentist in LA to complete treatment. Advantage: Save time in my last growing phases, get it over with since my TMJ problem is actually nuts.

2) Same as option #1, but with one arch of teeth on braces, the other on splint. This is a bit of a compromise, and will likely take twice as long as #1. TMJ doctor and ortho will have to work more closely - because my teeth will be moving in braces, the splint will have to be re-shaped much more regularly.

3) Do the braces after my freshman/Sophomore year. In the meantime, wear the splint (which means I have to find a doctor in Singapore, and then LA, to grind the splint every few months till I'm ready for braces).

The same questions keep coming: Worth it to lose 4 beautiful, perfectly healthy (8 actually, including my 4 wisdoms), for the sake of...beauty. :? Heh heh. Will any facial/voice changes happen because of the braces (tried searching for this one). Will I find it tough, socially I mean, together with all the adapting I will have to go through in college? That means the next chance to get this done will be after my first or second year after my stuff is in place. But damnit I can't wait that long and I'm sick of postponing this sh*t! ARGH! :x

I'm asking for your help, dear readers (in this battle of good vs evil, yeah yeah), to answer these questions based on your experience. I know that there are some very capable people here, I have read most of what you have wrote. Also go ahead and reply/correct me if you think any of what the orthos and TMJ Docs told me was right or wrong.

And finally, please do answer if you know of an ortho and/or a TMJ, any of these people, or even a dental clinic in Southern California, because I will stop at nothing short of emailing every dentist in California. This trilogy is still far from complete.

Sorry if the language here is harsh enough to make some dentists commit mental Seppuku over their jobs, but I have to tell my experience like what it is. I know not all are like that, I was just fortunate to meet one with a…heightened sense of business, should I say.

Thank you and a very happy new year.

Jason

:D

Chris
Posts: 2326
Joined: Sun Aug 29, 2004 9:18 pm
Location: Southern California

#4 Post by Chris »

Wow, what a story! "What do I do now?" is the million dollar question. Lots of us have been there when we get differing opinions from orthos and dentists. I'm surprized with your overbite that they didn't also recommend lower jaw surgery. Was that an option?

The idea of using the splint thereby treating both the teeth and the TMJ together successfully is called functional jaw orthodontics and I think you can find orthos through the internet that specialize in that. I did go see one dentist who offered that (I shyed away from it because I didn't want to wear that splint and have difficulty eating throughout treatment) but looking back I think it was an excellent treatment option. When you have TMJ problems its always good to find an ortho who will treat you taking into consideration those issues and not just "straighten teeth".

As you know whenever they do anything to your bite there are risks to the TMJ. Some people get better others dont. You have to make your decision based on whether you can live with what you got or take the chance of improving it.

Good luck with whatever you decide. I know its frustrating...believe me, it can be even after you enter treatment and things don't go as planned.
Top Braces June 2004
Bottom Braces November 2004
Debanded January 2007

platinum
Posts: 980
Joined: Fri Dec 08, 2006 1:26 am
Location: California
Contact:

#5 Post by platinum »

I would take all the records with me and look for treatment in California.
It was me quite a culture schock to come to USA ( I am from Finland). First two months I had to find out how everything works here. I had to find quickly a special doctor because of my medical condition. That was really a pain in the arse...

Now, after three months I was settled down and started to look for ortho in no hurry. If you are not in urgent need for treatment, you should start the whole show when you have settled down in USA.


And flying back to Singapore for tratments... I think that's too much.

Kimochi Warui
Posts: 7
Joined: Tue Dec 26, 2006 11:20 pm

#6 Post by Kimochi Warui »

I have been wearing a TMJ splint since last June and will finally get braces in 2 weeks. I was originally inquiring about braces when I found out that I had to fix my tmj problem first. That was a huge disappointment because I just wanted to get the whole adult braces thing over with (I was 25 then and now 26). My jaw had dislocated a few times - stuck completely open - had to go to the hospital to get it closed - docs gave me muscle relaxant - so I was actually glad to know that that unfortunate problem could be fixed. My jaw still clicks a little but I guess it's better - fewer headaches and I'm not as worried about locking it open. Still a pain in the ass. I actually go to a dentist who specializes in TMJ disorders and has taken orthodontic courses though is not an orthodontist. I'm a little leery of that but whatever ... he's been doing it for 20 years so I'm sure he knows what he's doing. I don't know if this answers your question ... but you shouldn't have to wear a splint for longer than 6 months as far as I know. Good luck.

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