Braced @30 - Started 10/2

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jjjmac
Posts: 126
Joined: Fri Jul 18, 2008 11:47 pm
Location: Portland, OR

Braced @30 - Started 10/2

#1 Post by jjjmac »

I was going to start a blog online, but for now I think I'll just post in here. I thought with a blog, then I could just have my mom and maybe a few other people go to the site to read about all the braces stuff - instead of having to write about in emails all the time (I'm sure it would get tedious and boring to others to have to read about my teeth all the time).

Okay... I looked into getting braces about 5 years ago, when I was around 25. I have a lot of student loan debt and a minimal income, so I basically couldn't afford it at that time. I could have gone on a payment plan, but it still would have been very difficult to manage. I was also actively dating at the time and the idea of dating with braces was pretty daunting. Over the next few years, I managed to save up some money but for whatever reason, using the money for braces just didn't really occur to me. I think I was broke for so long that I wanted to hoard all I could in case of emergency!

Anyway, in June (2008), a co-worker was telling me all the gory details about her dentures and I decided then that I in no way wanted to have dentures if I could avoid it! Honestly, as I've gotten older I just accepted getting dentures as inevitable (and maybe it is) but I'd like to put it off as long as possible. Getting my teeth straightened might help with that and it might not, but at least they will be easier to clean. I wasn't given the opportunity to get braces when I was growing up, and we didn't have regular dental care when I was younger either. Add into that the fact that I never lost my baby molars - and you can guess my teeth are not in great shape. My back two molars on each side (and I've already had wisdom teeth removed) are all about 80-90% filling at this point - tops and bottoms. I can't really see how they will last all that much longer, so it seems like I'd end up with dentures. :-/

I remembered from my consultation years before (I went as far as having the records done) that it's best to get braces as soon after a dental cleaning as possible. I happened to have a dental cleaning that same week in June, so I called the dental school around here (Portland, OR - so it's OHSU) and made an appointment. I was told to think carefully about what day I wanted the appointment on because that day of the week would be when ALL of my future appointments would be scheduled (due to having to have the professor and resident there at the same time, which only happens one or two days a week). Even with having money saved up, I still couldn't afford what a regular orthodontist would cost ($5-$7k most likely given my time frame). The dental school charges $3,400 for everyone, so it's a decent deal for me. Treatment time takes, on average, about 6 months longer however. :(

When I went for the appointment a week later, the (professor) orthodontist gave me a brief exam and wrote down a bunch of stuff. Painless. My 30th birthday was coming up at the end of July and I was kind of hoping to get the braces on right after that (as depressing of a birthday present as that would be). Well, my next appointment - for records - wasn't until a month later.

In the middle of July, I had my first records appointment - where they took the molds and did a few other things. I met my resident for the first time, and didn't like her that much at first. Largely due to her being completely gorgeous and having a perfect, white smile (of course). I think she was a bit nervous - and I wasn't the happiest camper either when she took my pictures for the chart. I don't really smile, and she asked me to smile wider like I do for "normal" pictures - I said, "Well, I don't smile wider for normal pictures otherwise I wouldn't be here." That appointment wasn't bad overall - some of the molding stuff seemed like it was going to go down my throat when she did the top mold so I gagged a little on that, but it was fine otherwise.

Then comes the second records appointment - which is for x-rays only - and it took me another full month to get that appointment. Aaaargh! So I showed up in the middle of August and they did the x-rays. While I was there, I saw my resident walking around blowing bubbles with her gum and I have to admit, it didn't do anything to raise my confidence level in her! Plus, it just seems sort of mean to go around blowing bubbles in front of a bunch of people who can't chew gum!

The next appointment was only 3 weeks later, second week in September, and this appointment was just to go over my treatment plan. My resident presented it to me and I liked her a little more this time. They estimated the treatment time at 2 1/2 years, but that's pretty much what they tell everyone. I was told I'd have to get four teeth extracted (no surprise there), and that I was going to get my braces put on in "sections" (all but my four front teeth top and bottom). I didn't know they did that, so that was unexpected. No headgear, so that was good. No jaw surgery - very good. Then she told me I'd have to have an arch in my mouth (TPA) for a long time - at least a year? I didn't even know to be afraid of the TPA and after looking it up at home, I am DREADING it. That's going to be the worst part of it all for me. Well, except she also told me that (a while into treatment), I'm going to have to get a plaster-like substance put on top of my back molars so my bite won't close, and that will allow the rest of my teeth to straighten out (I have a crossbite). Now, how can you eat anything if you can't close your bite (and thus, chew)? And that's supposedly going to go on for months. I wanted to lose weight, but this is ridiculous!

The dental school had to send the records to my regular dentist (at Kaiser - boo!) where I'd have the extractions done. Kaiser calls me and tells me they don't have my records. I call my resident and she assures me she sent them. I call Kaiser back and, oh, wait - they do have them. I go to the appointment and find out that my regular dentist (a woman - who I really like) is on maternity leave. Her "substitute" looked less than thrilled to be stuck with her patients (or maybe just with me). He told me he couldn't do anything because they didn't have my records. (!!) I told him, uh, yes, you do. So they asked some other dentist about it, and he didn't have them. I told him that they wouldn't have let me make the appointment unless they had the records, so they had to be around somewhere. No one could find them. Meanwhile, the hygienist is sitting there in a chair beside me smiling the whole time. Why she was even there when all the dentist did was have me open my mouth and look in there for about 5 seconds, I have no idea. Probably to guard against sexual harassment lawsuits or something. Finally I suggested that the records probably went to my regular dentist and did anyone check her stuff? Oh, no, they hadn't thought of that. They check her box and sure enough, there they are. Who knows what the hell else was in there! geez. I didn't like the substitute dentist at all - but it was either go ahead and have him pull the teeth on Nov. 4, or else wait until my regular dentist was back at the beginning of Dec. I never thought any of this would take so freaking long! So I signed up for Nov. 4 and I haven't decided yet if I'm going to ask for more than just the nitrous oxide (as a sedative/painkiller). The gas costs $10, everything else costs a lot more. We'll see.

My first appointment to have anything "real" done was last week - Oct. 2. I had to go in for spacers. She tried to fit the elastic spacers between my teeth, but my teeth are very tight and she only managed to get one of them in. I was pretty glad at the time, because when she was putting them in it felt like she was going to pull out my teeth! She told me she was going to have to use metal spacers - another thing I didn't know existed. She pulls out a pair of pliers and these tiny clamp-like things that look like a cross between a thick staple and a safety pin. She put those in without too much hassle - except for one, which took a long time to get in. And there was the one clamp that flew out and attached itself to the inside of my lip. My poor resident was really sweating out this appointment. She kept asking me if I was okay - but she was the one who seemed to be having issues! I was fine.

At least, I was fine until the next morning when I woke up and - you guessed it - then I felt the pain. I expected pain, but nothing like this. Some people say having spacers are the worst part of the process, and I hope they are right! I guess it's worse for you the more your teeth are crowded/tight, which mine certainly are. I couldn't even get dental floss between tow of them - yikes! Three days into it now and the pain isn't any better. The pain doesn't bother me so much if I'm not trying to eat anything. Even eating soup noodles hurts - so it's all broth and pudding for me. I knew there would be a lot of pain at some points in the process, I just didn't expect it so early into it - so that is very disheartening. Most of what I've read from other people is how the spacers them crazy because it feels like something is stuck between their teeth. My mouth aches so much, I can't even tell there is anything between my teeth (because they are still trying to clamp down and work their way between my teeth, I guess). The metal spacers also have a little rounded "o" end that sticks out (again, think safety pin) - after a day or two, those start to feel pretty darn sharp. Oh well, I guess I might as well start toughening up my cheeks now, right? Luckily, the metal spacers pretty much stay put. If I would have gotten the elastic ones and would have had to keep replacing them myself, I don't think I ever could have done it. The one elastic one I have in I can't even tell it's there and I keep checking to make sure it hasn't fallen out. Oh, if only they all felt that way!

I get the spacers out on the 6th, at which time I have to have bands put on all my molars (because of the aforementioned 90% amalgam in them). Then I get the brackets put on the back teeth (uppers and lowers) on the 16th, and the wires on the 23rd. Why the brackets and wires are two separate appointments, I have no idea.

My boyfriend has been very supportive, but he's still annoying me. He says he knows what it's like (he had braces for about a year as a teenager). But it's really NOT the same at ALL. He's never had a cavity and has no fillings - he never had to have spacers or bands. He didn't have to have a stupid TPA or get plaster added onto his molars so he can't chew. He didn't have to have 4 teeth pulled. His teeth needed minor adjustment - mine need major overhaul. They have a long way to move! And as most of you know, I have root resorption to worry about (and I already have one "tooth" that's a candidate for a root canal). I'm also the only person I know my age who has braces. Turning 30 and having only getting braces to look forward to - while all my friends are having babies (or more babies) and living in houses and having good careers.... while I'm getting braces, sharing my car, sharing a room in a shared house, and have two jobs and nary a day off.... I'm not in great spirits about this all.
Last edited by jjjmac on Wed Oct 15, 2008 8:46 pm, edited 2 times in total.

flesh-was-sweet
Posts: 157
Joined: Thu Jun 08, 2006 2:51 pm

#2 Post by flesh-was-sweet »

Hello jjjmac!

Welcome!

Congratulations on making the decision to begin orthodontic treatment, I know it can be a tough choice but I'm totally sure than you'll never look back :)

Keep us posted on your progress - can't wait to see the results!

Anni

jjjmac
Posts: 126
Joined: Fri Jul 18, 2008 11:47 pm
Location: Portland, OR

what it's getting braces at a dental school

#3 Post by jjjmac »

Thanks, flesh! I was writing my blog offline for a while, so I have a few more posts until things are caught up and current on here.

And if people were curious - the main ways going to a dental school is different from going to a regular ortho (at least at my dental school here) -

1. You have everything done in a huge room with everyone in it. It's not to noisy, but it does mean that pretty much anytime you have a question conversation, the patients next to you hear it (ans they can also see you). As you can imagine, most of the patients are pre-teens and teens, so it can be pretty embarrassing for me but I try to ignore them. Sometimes it seems like they are staring at me and I think they must be thinking - what are YOU doing here, you're OLD!" aw, crap

2. Longer treatment time, longer to get started. As written above, I started this back in mid-June and it's now mid-October and I just had bands put on. It also seems like everything has been made into a separate "step," which I suppose has to do with the learning process. So I had bands last appointment, brackets the next, then wires are a separate appointment too, etc. It probably also has something to do with time.

3. You don't get much advice or instruction, or anything written out. I would like to have my treatment plan written out, but they seem to not provide that. I'll have to ask about it next time. I also feel like I should be getting warned about things and I'm not (like, oh, hey, in preparation for your TPA, I've put these two huge brackets on your bands that will tear your tongue apart).

4. My appointments always have to be on the same day.

5. If something goes wrong (say, a bracket breaking/falling off), I think I can get in for an appointment other than my regular day, but someone other than my regular ortho will be fixing it. :-/

6. After each thing is done, the professor is called over to look in my mouth and make sure it was done right. hmmm

7. The good thing - it is cheaper. It's a base cost for everyone, paid all up front, due the day treatment officially starts. $3,400. I was given a 2 1/2 year timeline, so my cost at a regular ortho would be at least twice that.

8. I feel like I'm getting (at least) two orthos for one! I convinced myself this is a good thing... I get the student ortho working on me, the professor observing, and the whole class probably looking at my stuff too at some points. So I figure I'm getting pretty good care - the more brains figuring out my teeth puzzle, the better!

9. No choice in hardware. (at least not at the school I use). It's metal brackets - no choices of clear or ceramic. I don't know yet if you can even get the smaller metal brackets (are those Damon's?), but I don't think so.
Last edited by jjjmac on Wed Oct 15, 2008 8:48 pm, edited 2 times in total.

jjjmac
Posts: 126
Joined: Fri Jul 18, 2008 11:47 pm
Location: Portland, OR

Oct. 10

#4 Post by jjjmac »

Oct. 10
I had 8 bands put on yesterday, which I guess is considered a marathon session in the orthodontic world. My resident ended up saying there with me, in the empty lab, for 20 minutes after everyone else had left. She didn't seem to mind (and in some ways, I guess it was her own fault). Getting the spacers out didn't really hurt - it was just an oncomfortable feeling. By Wednesday, I had finally gotten used to them for the most part, so there wasn't much of a sense of relief either.

Putting the bands on went rather smoothly. It was a bit time consuming, and "cement" they use is (as everyone says) "vile." Very sour and hard to describe, but it's really the least of my concerns. Some of my bands are a little thicker, on account of having to be folded down because my teeth weren't high enough above the gumline. But they're smooth and, for the most part, not bothersome at all nor do they hurt. The brackets on the bands really don't bother me much either - the top right back one does pinch something awful, but it's really nothing compared to the bigger problem. Mostly my mouth just seems heavier and more full (which it is!).

As I've mentioned, I'm getting a TPA, so two my my bands have "brackets" on the inside to, where the wire will connect my two back molars. Only these brackets are bigger than regular brackets, and these brackets constantly irritate my tongue. Even just sitting with my mouth closed, the brackets press painfully into it. And eating anything without scraping my tongue all to hell is jsut impossible. And that is eating anything at all - even a milkshake or even just swallowing. Try doing anything with your mouth without your tongue moving. ugh. Someone said it gets better once the wire is in, but I don't see how that will help except then I'll have problems with the roof of my mouth too. I am really doubting this is all going to be worth it, and I'm so soon into starting that it's pretty pathetic to say that. :(

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shinyRiver
Posts: 244
Joined: Sat Aug 23, 2008 6:14 am
Location: Dayton, Ohio

#5 Post by shinyRiver »

Hey, I don't know if I revealed this in my braces story, but I'm going to a dental school too! Ohio State University's College of dentistry! I don't care if the treatment takes longer, though. I'm a broke college student, saving money, and I'm going to have these things on for my graduation, my sister's wedding, my wedding, and god knows what other fancy schmancy photo-happy event! You just gotta stay positive and flaunt it as best you can I guess! Plus at the dental school, it's like you have 2 or more orthodontists watching your case, so it's like a second opinion for free! Plus, my orthodontist graduated from Harvard before coming to OSU! I've got an Ivy-League-educated dentist/student orthodontist working on my teeth! How awesome is that!? I'm really happy with my dentists and orthodontist at OSU and I really trust their work. Plus, I had my 4 wisdom teeth extracted, 4 more "complex" extractions (crooked roots), and a TON of dental work all done in THE SAME building by AWESOME doctors. How convenient, right? My old private practice dentist had planned to bounce me all over town to get those extractions done. Plus the whole building is super clean and high tech (G.E. digital x-rays, all the latest equipment, comfy dental chairs...) I just love it.

And immediately after my upper braces we put on, it was actually EASIER to floss between my teeth! And they said it would be harder! They gave me all of this special floss and threaders and stuff, but the plain old Oral-B satin floss they gave me has been the perfect fix. It is stiff enough to thread right under my wires, tastes great and is really easy to work with... My first adjustment was the first time in my life a dentist has ever told me that my teeth looked "really clean" and that I was doing a "great job". Unbelievable how much less crowded how much more clean they feel already, after just one month in braces.

They hurt for a little while each month, but so far, I am so happy to have them, and it's been more than worth the pain already! I'm so excited for you and I can't wait to read more about your progress!

Best of luck with everything!

-River
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shinyRiver
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Location: Dayton, Ohio

#6 Post by shinyRiver »

I failed to confirm your story of not having a written treatment plan. I don't have one either. However, from listening to all the ortho-jargon my student and his professor have been throwing around, they're kind of making it up as they go along. There seem to be several ways to get my teeth where they're going, and I think my student's real test is picking the right thing to do at the right time in order to get my teeth moving efficiently. So far I think he's doing his job, though cuz man do they hurt!

Also, during my second records appointment, he explained which teeth he was going to move first and how things would probably progress, and that it would probably take more than 3 years. (Does anybody else think it's really creepy to see a physical model of your teeth and gums? It's like looking at your disembodied jaw in someone's hands. STRANGE.) Anyway he did all of his pointing and talking and explaining and talked briefly about tooth shaving and gum grafts. YUCK no thanks. But yeah, I didn't get a written treatment plan either. I did with my dentist, but not my ortho.
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jjjmac
Posts: 126
Joined: Fri Jul 18, 2008 11:47 pm
Location: Portland, OR

#7 Post by jjjmac »

Hey, River. Thanks for the input. I didn't realize you were going through a dental school also (it's OHSU for me). My school's orthodontic department is kind of stuck in the basement and while the equipment there seems current (and clean), nothing stands out as "cutting edge" to me so far except maybe the x-ray machine. I know it's a really good school though, so I feel good about being there - but I wish I'd see at least one other adult with braces in there sometime!

I'm going to be really relieved when everything is in place. I know the monthly adjustments will be a pain, but I'm driving myself crazy right now thinking about the extractions I have to get done (11/4) and the TPA I have to put in (11/6) - plus, I'm trying to survive just having the TPA cleats in my mouth. I keep telling myself it has to get better, because otherwise no one would ever do this!

I've never seen the mold they did of my mouth - but I don't really want to either!

They told me two and a half years, but I'd be surprised if it's under 3 (surprised, but pleased!). When I had my records done by another orthodontist a few years ago, he quoted me 3 - 3 1/2. I'm just bummed because it doesn't look like I'm going to stay living in my current location for that long. I know they have orthodontists everywhere but I really don't want to switch and get used to another person (plus pay more!)

I mostly would like a written plan because it seems like a lot of people on these boards reference specific things they're having done to specific teeth, or specific problems, and I don't really know what all of mine are. I guess I don't NEED to know, but it would be nice. I know the treatment plan could change depending on my teeth, but having something written would be nice - especially after all the money I paid! I don't know about you, but I had to pay for all of mine up front. It was a lot cheaper, but it was still a lot of money to me! I may not be a student anymore, but I'm going to be paying off having been a student for the rest of my life. Luckily, I didn't have to put it on a credit card or take out a loan - which is why I put it off the last time.

jjjmac
Posts: 126
Joined: Fri Jul 18, 2008 11:47 pm
Location: Portland, OR

#8 Post by jjjmac »

Another appointment tomorrow. I'm getting the rest of my brackets put on, so does that count as my brace day? Or is that when the wire goes in?

It has been a very long week. I'm really frustrated right now because my expectations for what this was going to be like were way off-base. In part, that's my fault, but I also feel like my orthodontist should have warned me what to expect. It feels like everything they do is worse than the thing that came before it. I just want to be through all the "new" stuff and get to a point where I'm used to the torture. Last week with the spacers, I hadn't expected my mouth would be that sore/tender, but it wasn't too bad overall and it really didn't bother me much unless I was eating. And I could still manage some decent soft foods most days.

This week, I have the bands with brackets on (8 total) along with the prep brackets where the TPA wire is going to go in. The brackets have been scraping my cheeks and my gums in around my back molars especially are pretty sore. All of that is fine - I expected that and I can deal with that. What I'm having a lot of difficulty with are those inside TPA brackets. No one told me that those would scrape my tongue up all to hell - that I wouldn't even be able to swallow my own saliva without scraping my tongue or that I was going to end up with a groove that is completely rubbed raw. Admittedly, it has gotten a little better (as of today) than it was a few days ago, but to think that I'm going to be stuck like this for over a year (with the TPA) is just ridiculous. And the wire isn't even yet! I can deal with the regular braces stuff, the scraping brackets and the soreness from tightening, but I don't know how to handle the tongue issue. I'm fine with being on an extended soft food diet, but I can't even swallow pudding, or talk at all, without being in a lot of pain. I've lost five pounds this week, and while I am wanting to lose weight and need to lose more than that, it does worry me a bit. I almost had to leave work on Monday because I was feeling so sick and weak from not being able to eat anything all week.

Besides pudding, ice cream and broth all week, the only "solid" food I've had was some risotto last night and that hurt so much to eat that it really wasn't even worth it. What I do eat isn't even enjoyable at all because, with the molar bands around all my molars, it doesn't even feel like I'm chewing/biting down on my own teeth. It's hard to explain. Nothing tastes quite right either when I'm doing all I can to not use my tongue in the eating process. I've been trying to use wax, on the TPA brackets only, but in some ways that's as annoying as the poking pain is. And I've swallowed more than my fair share of wax in the last few days!).

I also have to say that I am really tired of everyone telling me that they know how it is, because they had braces when they were younger, etc. With some people it doesn't bother me so much and others it does - not sure why. I think it's a LOT different if you're getting braces as an adult as opposed to when you were a teen though. I also have a lot more to correct than those people did. And, I'm sorry, but I have an abnormally small mouth and I think that makes it all the worse.

Another thing I'm worried about now is that, ever since these stupid TPA brackets went in, I seem to be really thrusting my tongue forward and pushing against my front teeth. I never had that habit before, and i hope it subsides as I get used to everything. I know they have a special torture device for the tongue thrusters and I can't bear the thought of having anything else poking at my tongue.

I feel like I'm clamping down, or keeping my jaw clenched much more often too. I never really had that habit either (and luckily, I'm not a grinder either). I even wake up that way, and I think that can't be good.

I really want to try and stay positive, but I think I'm failing, and the disappointment in myself makes me feel all the worse. I'm really trying not to complain much to my boyfriend and I'm trying not to act too dour, but it's really difficult. One of my friends says I have every right to complain, but I told her that it's going to be a long road if I start complaining this early in. I really hope it's true, what some people have said - that the spacers and the TPA brackets/wire were the worst things.

I don't know why it didn't occur to me before, but I realized this week that when Christmas comes, and I'm having to go to Texas with my boyfriend to see his family (most of which I haven't met), it's just going to be miserable. I'll have had the wires and TPA in for about 6 weeks at that point, and I'll have had the 4 teeth pulled.... so I'm going to have to meet his family not with just braces, but also with the TPA that's going to make me talk funny, and huge gaps near the front of my mouth because I know my teeth aren't going to move *that* fast. On the plus side, at least I will have lost even more weight by then so maybe his mom can shut her trap this time about saying I eat too much. Well, problem solved lady! (and, for the record, while I have gained weight, I'm not huge or anything!). The ONE thing I was looking forward to about going to Texas was the food (I love Mexican food!), and now I'm not going to be able to eat anything. My boyfriend says he's "sure" I can manage some mashed potatoes or pie. That may be, but really, why would I want to sit around a table full of people eating a Christmas meal with all the trimmings, while I have to sit there gumming on dumb mashed potatoes. I would so much rather stay home by myself this year, and have him go to Texas by himself, but he doesn't want to go without me (and was less than pleased when I expressed my lack of desire for going). *sigh* I just have this vision of having to stuff my suitcase full of pudding cups and sneaking them out at night to eat.

I have so many other things going on and stressing me out right now, that I probably should have waited to do this. I was already at my limit! I'd already waited too long, and I think if I had put it off yet again, I never would have come back to it. In some ways, it's nice to have something to focus on besides all of my life crap, and in other ways it's loads worse. I'm not really sure what to do.

pitterpat
Posts: 19
Joined: Thu Oct 02, 2008 3:57 pm

#9 Post by pitterpat »

Can you put wax on the things that are scraping your tongue? I have 2 regular molar bands. The first few days were horrible with my tongue rubbing against the upper molar band. I finally globbed wax on there and figured if I had to, I would buy a case of wax to have for the next 2 years. About 2 days later my tongue adjusted to the fact something is on the inside of my tooth and I felt much better. Now, no wax! I think my tongue was going "oh something on the tooth, rub up against it" and just making life worse.

I also feel like I'm clenching my teeth at night. Maybe I'm just more aware of my mouth than ever before.

Hang in there!

jjjmac
Posts: 126
Joined: Fri Jul 18, 2008 11:47 pm
Location: Portland, OR

#10 Post by jjjmac »

t's been a couple of weeks already - where does the time go? I hope the next 3 years go by like this. (And yes, wax helps a lot!).

So, I have my brackets on now and it's not too bad. As many people say, it's just the bottom brackets that are bothering me. Eating/chewing is fine but for the scraping those brackets do. Sometimes I make myself eat anyway, sometimes not. As I don't have brackets on my four front teeth, top and bottom, and I don't have the wires in yet, no one can really tell I have them on (I think). I did see a dumb picture my boyfriend snapped the other day and I can tell my mouth looks a bit different though. What I'm mostly concerned about is not being able to talk right.

The pain and bother from the TPA brackets has subsided for the most part because I had the prongs bent back a little, but I do talk a bit funny from them, and I can only imagine what it'll be like once the dumb TPA wire is in place. :( I can handle pain a lot better than humiliation. I do a lot of customer service at my job, and I've thought about asking my supervisors to move me to some less "talking intensive" desks for a couple of weeks, but I'm afraid they'll think I'm retarded (and refuse). Or that they'll think I'm overreacting, like my boyfriend keeps saying. And sorry, but having braces as an adult is a lot different than having them when you're a kid and he never had to have a TPA or bite pads, or any of that.

I'm mostly used to the brackets during the day, but it's when I wake up first thing in the morning that I think - okay, I'm ready to take these things out now. Like when I've been wearing my contact lenses all day, and I'm more than ready to get them out by the end. The brackets seem to make me really thirsty so I wake up with my mouth all dry and my tongue all sore from the TPA brackets. Talk about uncomfortable! They're nowhere near as bad as they were that first week, but it's still the part I have the most trouble with so far.

I get my extractions done tomorrow and I'm kind of freaked out about it. I've read a bunch of accounts online and it doesn't sound all that bad. Unfortunately, I've experienced the pain of novacaine needles more than once so if that's really the worst part, then I should be fine. The bleeding and drooling will be pretty gross though!

I found out this morning that the person who was going to take me to get the extractions done can't do it... I'm pretty angry right now. I understand the reasons, but the person knew they weren't going to be able to do it before this morning and didn't tell me. Now I don't really have time to find someone else to ask. I didn't want someone to stay with me all day or something, but I at least wanted to know someone was waiting for me out in the waiting room for moral support, or just in the case something did go wrong. Now I feel really alone. :( I also know I'm probably going to get a bit upset because of the emotional pain of getting the teeth out. That might not make sense, but getting them pulled makes this all real - and makes it too late to change my mind. That IS a good thing, but it's still scary, especially when the 4 teeth they're pooling are some of the few I have that are in great shape. Why they couldn't pull the one beside, which is nearly gone, I wish I knew. But I have to trust they know what they're doing! (even if it is a first-year student!).

I looked up the ortho program I'm using and saw this week that my resident is a first-year - so now it makes more sense why she's always asking the other residents questions (especially one lady in particular, who's apparently second-year).

Thursday I get my wires and TPA in... and I think I'll be done with the worst of it after I get used to that. I remember hearing something about bite pads later on, but I think (hope) that's the only "new" thing I'll have to look forward to - well, that and elastics of course, and I might be getting those right away too, not really sure.

I have been a little worried this week.. looking up other types of braces, like the Damon system, and wondering if I should have stepped outside of my budget for the sake of comfort. Maybe I should have asked more questions, but I also didn't really know all the right questions to ask! I wish it had been explained to me what the differences are between having it done the "old-fashioned" way like I am at the dental school, and what other options are out there. Well, I've got what I've got now and in the long run, the results should still be good. :)

jjjmac
Posts: 126
Joined: Fri Jul 18, 2008 11:47 pm
Location: Portland, OR

Extractions today

#11 Post by jjjmac »

Extractions today

I had 4 premolars pulled this morning. It was better and worse than I expected. It took a little less than an hour total, but most of that was talking beforehand and then getting the novocaine shots and waiting for that to kick in.

I decided to go with nitrous oxide, though in some ways I wish I'd done conscious sedation. The gas was cheaper, and honestly, I thought it would work better than it did. What I'd been told about it was that I'd be aware, but not care what was going on. Well, I cared - I cared a lot! I kept myself pretty calm, but I don't think the gas did anything at all except make me slightly light-headed. Maybe they didn't give me enough - I don't know? But it's done.

The novocaine shots hurt like they always do. Once I was sufficiently numbed up, the dentist took some forceps and started pushing on and wiggling the tooth he was going to extract. I felt a lot of pressure, and a little pain, so they gave me more novocaine. Then he started to wiggle it something fierce and I could feel it - strange and not pleasant, but not really painful. I think he must have gotten them really loose before pulling them, because when they came out, it was much less dramatic than I expected. Two of them I felt a pull - the other two, not so much. I got lucky and all my teeth were "clean" pulls - no roots breaking off, nothing to dig out. whew!

They stuffed me with gauze and game me a prescription for 5mg Hydrocodone pills. I went home and ended up having to go back out to go to the pharmacy with my boyfriend to get the pills, because we didn't know if he'd be able to pick them up for me. (Good thing to ask first!). Going back out wasn't fun, but I wanted to have the pills in case I needed them and I knew I wouldn't have a chance to get them tomorrow.

I didn't expect there to be so much bleeding - or not so much the bleeding, but the drooling. I popped in a dvd and kept a small trash can by me and I kept leaning over and drooling into it. That went on for 90-minutes to an hour. I changed the gauze after about 45 min. - 1 hr. of leaving the dentists office and put some clean gauze in. I already have my brackets on, and the threads in the gauze got wrapped around some of my brackets so that sucked. I almost cried at that point because I just felt so damn pathetic. I got some small scissors and cut it out.

Once the novocaine started to wear off, it was a bit easier to tell if I was biting down and thus, easier to remember to bite down on the gauze. I kept at that for another hour, then took it out and the bleeding was mostly done by then - and most of the excessive drooling too.

Once the novocaine started to wear off, it did start to hurt quite a bit, so I took one of the pills and that took the edge off. One of my teeth, which was really tight beside one of the extractions, really hurts and I'm guessing it's because it unavoidably got wiggled around a lot too. Hopefully, it will still be okay. My extraction sites might hurt more than some other people's too because of how tight all my teeth were.

I didn't really expect it to hurt much at all because it seemed like most things I read online, people said it was no big deal and some people even went to work afterwards. I don't know if I'm abnormal, but my mouth/extraction sites hurt pretty damn bad. (And I have a decent pain tolerance - last time I broke a bone, I didn't go to the hospital for 6 hours). They actually felt better with the gauze in my mouth because there was something to fill the huge holes. I know it's really bad to suck on anything after extractions, and I got dry socket when I had my wisdom teeth out, so I'm being very careful to adhere to all the instructions and am trying not to move around at all so that my blood pressure stays down. They told me not to even do housework - no problem! Actually, it is hard for me not to do "things," but I'll do anything to avoid the dry socket. Man, that was bad.

The holes in my mouth feel HUGE. It's really uncomfortable, and it's really hard not to unintentionally suck just because there is still a bit more saliva than normal and I keep catching myself sucking a bit when I swallow the saliva and such. I did one small salt water rinse (no real swishing!), and saw a tiny part of blood clot (or that's what it looked like anyway), so that freaked me out a little. I think I'll save any more rinses until tomorrow.

I don't know why I expected different, but I didn't think the holes would feel so big or hurt like they do. It's hard to imagine them ever closing up! :-/ It was pretty difficult emotionally to have the teeth pulled out - which may sound sort of silly. But they were parts of me - and they were 4 of my really good teeth (absent of fillings), so that was hard. My molars are almost all filling - never got adult molars, so these are the ones I've had forever! Plus, like I think many people here, I had pretty poor and spotty dental care growing up.

As I said in yesterday's post, now that the teeth are out, it makes this all seem real and not like some nuisance. I can't imagine I would have backed out before, but now there's no way I can - which is good, but scary too. And of course, having these huge holes does make me feel more self-conscious. I'm not a big smiler anyway, and since my mouth and smile are already small, I don't think the gaps are *too* noticeable, but still ... At least now that I have braces, while I might be more self-conscious about my smile (we'll see), at least there will be an end date to it - and at least people will know I'm doing something to fix my teeth. I always felt like before, people would look at me and my horribly crooked teeth and they'd wonder why the hell I hadn't had them fixed yet.

I've talked about getting the braces a lot at work, and people have been really supportive and sympathetic overall. I also got really lucky that one of my co-workers is also getting braced now! What are the odds on that? He is about 10 years younger than me (21), so it's a bit different. But we've had fun comparing our ordeals so far and, as awesome as this board is, it's nice to talk to and see someone in-person who really knows what I'm going through right now. We are having slightly different things done, but enough of it is the same. I'm also pretty grateful that where I work (a library) there are quite a few people with messed up teeth (even one of my bosses), so I know they won't be judging either. Hey, maybe between me and the other guy, we can inspire someone else to take the plunge! You never know.

My "vampire teeth" feel especially sharp now that they're empty on one side. I really don't see how those teeth are going to make a decent smile, and I'm guessing they'll have to file them down, and I'm afraid that might look strange too. aah. That's a long way off.

Now, on to the wires and the TPA on Thursday. Then hopefully I can relax a little, and not have anything new done to me for a couple of weeks! That will be nice. It's been a really long month! I'm super worried about talking with the TPA. I'm also quite concerned about trying to put wax on poking wires that are in the back, as well as any elastics there might be. I have a really hard time getting to the back of my mouth, even to floss. We'll see how it goes.

I'm so hungry.

jjjmac
Posts: 126
Joined: Fri Jul 18, 2008 11:47 pm
Location: Portland, OR

first week

#12 Post by jjjmac »

Okay, here I am a week after the extractions and the braces. Honestly, it was a pretty rough week! I had a lot of pain from the day of the extractions (last Tuesday) until about the following Tuesday morning. I took two days off from work and left early another day... I'm really glad I was given the Vicodin for the extractions now.

The only problem is I still have some pain - more than I think there should be - and I'm out of Vicodin and they won't give me more. I never ask for pain meds, and hardly ever even use half of what I'm given. It figures the one time I do ask, they refuse! My boyfriend goes in for a sore throat and they give it to him! But me - nooooo.

The pain I have now is in my lower jaw where the last premolar they extracted was. I know I should probably call the dentist and see if I can get in for an emergency appointment, but I really don't want to take off work. I'm also embarrassed because the day after I had the teeth pulled, I did go in because I was afraid I'd gotten dry socket from having gotten sick that same day - and they said it was all fine. So now I'm hesitant to go back again. The pain has been lessening...I'm hoping it goes away tomorrow. The other issue is I don't know if the pain is from the extraction or if it's just normal from the braces and I'll look like some retarded baby for going back in there. I've had dry socket before, and I know it's rare to get it from a premolar extraction, but I swear that's what's going on. It's so confusing.

As I said, the pain the first few days was pretty bad. I don't know if that's because I had both things done at the same time, but it was worse than I expected. I think another part of the problem is that my abnormally small mouth is not used to being stretched open for so long - and definitely not for long periods twice in the same week - so my jaw joint has really been bothering me. I didn't really feel like I'd been hit in the teeth with a hammer, which is a description I've read before... My actual teeth felt mostly fine - they were much more sensitive when I had the spacers in. It really seemed like most of the pain was in my jaw bones - which I guess makes sense if you consider that's what the teeth are rooted to and the roots are being pulled on for the first time.

Some of my teeth do feel a little "loose" when I bite down - mostly my back molars, which aren't the ones I would have expected to feel loose. I have molar bands around all of them and sometimes when I bite down it makes a slight "crunching" sound and that freaks me out a little. Everything seems to freak me out. I'm not usually so prone to paranoia .On the plus side, I've noticed that it's easier to floss in a few spots so that must mean my teeth have moved ever so slightly.

The TPA has been going alright. It's making one side of my tongue really sore, but it doesn't have an effect on my eating very much (the gaping holes in my mouth are the main problem). I can see that it would be a problem if I was going to try and eat a sandwich or something, but it seems fine with soft foods. At first I didn't think it had an effect on my speech, but it really does. It's not quite as bad as I'd feared... but the more I talk, the worse it gets! If I just say one or two words, they sound fine... but if I put a few sentences together, it gets bad fast!

I was going to post some pictures up here... I might still... the thing is that I'm embarrassed. I'm not so embarrassed because of how crooked my teeth are, because I know we're all on here for that. But when I see other people's pictures, their teeth might be crooked, but they're so healthy! I mean...about half of my teeth are 90% amalgam and seeing so many pictures of untarnished teeth, well, it hurts a little. And makes me hate my parents a little.

My nephew is 5 - almost 6 now - but earlier this year he had 6 cavities! He had to have 3 teeth pulled and he had two bridges put in! Even I don't have a bridge yet and my teeth are crap! I chewed my sister out a little bit over it this week and tried to get her to understand how critically important it is for her to teach him good oral hygiene - that she needs to teach him to brush AND to floss and make sure he does it. Her general parenting philosophy goes something like, if he doesn't want to do it, how can I make him? or he'll do what he wants to when he's ready to. That might work for Montessori school, but by the time he is ready to take proper care of his teeth, it might be too late for him - just as it was for me! :( Anyway, that's been bothering me but there's not much I can do about it, being on the other side of the country and all. Being so far away from my relatives definitely has both bonuses and drawbacks.
First Ortho Consult: 6/12/08
4 premolars extracted: 11/4/08
Braced Upper & Lower w/TPA: 11/6/08
Debraced: 11/18/10

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