Braces and Beers!

Second adjustment time came on Monday, and I managed to make it a very tough one for myself!

Back in Jan when I made my first few appointments of 2009 I had completely forgotten that the day before this one would be St David's Day - meaning a big party for all of us Welsh, and after celebrating well into the night I woke up the next morning with a hangover stright from the depths of hell! Immediately called work to tell them that I wouldn't be in, but what of my appointment? Dr H is generally booked up weeks in advance, cancelling would only delay my next adjustment and ultimately prolong treatment time, so despite feeling like the living dead it was out of bed and into the bathroom trying to make something presentable out of my dishevelled self. Didn't really want to inflict my morning-after breath on poor Dr H and his team, so after an intense cleaning and swilling session I was ready to face the world.


This time the adjustment lasted 50 minutes. Dr H announced it was time to increase the pressure on the top and brought out a strange looking rectangular wire for me. He also wanted to open out a gap in the lower set to bring back the tooth he rotated into alignment, fitting a spring device accross the teeth either side of it. Not sure why this is going on as I thought this was the tooth that was to be extracted or shaved down to ease crowding, but hey, he's the boss! He told me to come back in 8 weeks, by which time we should be making "good progress". Oooh, does that mean we can start involving Mr T in things? I really hope so!

But back to the square wire that's now fixed on top. At first sight I was NOT happy, it looks much thicker and more noticeable than my previous ones. It's also painful, and I spent the rest of the day trying to figure out if my throbbing head was down to the new wire or the hangover (I suspect a mix of both). A few days in and the rubbing has kicked in so i'm getting through a lot of wax, but i've chilled out a lot over the appearance as I doubt anyone other than myself can see much of a difference. Needless to say i've learnt my lesson about not going on massive benders just before appointments...

No regrets

Albert Steptoe wore braces as a child...

I shall be treating myself to a few glasses of champers this weekend, as today is the 3 month anniversary of my top brace fitting! I'm thrilled that i've reached this point with NO REGRETS about the whole thing, and if anything I'm now even more confident in my decision to go ahead with surgery and braces.

In many ways i'm also enjoying the insights that new experience is offering, as well as learning a few things about myself in the process. Chief amongst these is the reaction from others that an individual must have a lot of self confidence to wear a brace as an adult, even though a quick scan of any orthdontic blogs will tell you that this is usually not the case. It's good to know that none of us should have any fears about flashing the hardware in public, seems it can actually be good for your image :)

I also can't help noticing how much dental crime is going on out there. We brits do seem to have a reputation overseas of bad dental habits, but whilst I doubt that the american style of teeth will ever catch on over here, I have to admit that there is some serious neglect going on. Fortunately things do seem to be changing - as reactions to my own brace are testament - but I have been astonished by the number of these wonky-toothed individuals telling me that THEY wore a brace in their youth! Huh? Twice I felt compelled to know more, and asked as diplomatically as possible whether they were now in retainers. The answers I got both times were along the lines of 'I was given some, but..erm...forgot to wear them... then, er, lost them somewhere..and, y'know..' etc. What's the point in putting in all that time and effort when you're young only to end up with teeth like Albert Steptoe?! Makes me think that children should only be braced when they're older, when they'll appreciate it more and take care of the work that's been put into them. Paying for treatment yourself also makes a huge difference, as there's no way i'll be neglecting my lovely new gnashers once this is all over!

Speaking of gnashers it's about time I put down a few words on my own progress. Dr H. originally told me that both top and bottoms needed to be pulled upright first of all, and this indeed seems to be happening, as there is a subtle difference in the way my teeth look regarding their shape and prominance. This is great news for my deficient upper jaw, as the teeth now stand further forward and fill my mouth more, distracting attention somewhat from the fullness of my lower jaw. However what goes for the top also goes for the bottom, and my underbite has worsened - as Dr H said it would. Before my lower front teeth sat directly underneath the upper teeth (which wasn't a problem as they never met) but now there is definitely a widening gap between where the uppers end and lowers begin. I'm not too bothered by this though, as I was warned it would happen, however my trick of pulling back my lower jaw and lip when I smile is no longer doing its job of disguising my underbite so well. But like every underbiter in the world no doubt, I have a whole arsenal of tricks to disguise my underbite and turn my big square chin into a tiny delicate one, and i'll be relying on these more and more in the coming months.

So it's 12 days and counting until adjustment number 2. My ambition now is to get my gallery going and chart my dental progress accross the months, with my teeth moving already there's no time to loose. Watch this space.

The end of the beginning

Well i'm back from my snowboarding holiday in one piece, and so is my brace! It's more resilient than I expected, surviving a face-first dive into the piste that left my head spinning. But it did find other ways of tormenting me during my holiday - this new wire on the bottom has transformed previously harmless brackets into rubbing demons! Not as bad as the previous time, but thanks to some Gatwick airport bod confiscating my ulcer-busting clorhexidine mouthwash on the way out I didn't have anything to soothe them with. I also have a brand new pokey wire, and was seriously considering resorting to the DIY dentistry I was so opposed to in my last post, but have so far managed to resist, i'm going to make do with wax.

I've also got some great news regarding my mum - she actually asked after my brace!!! Back when I was first told her I was going through with surgery she got so upset that I havn't dared bring it up again, and ever since then it's been treated like some shameful family secret, not to be mentioned or spoken about. But the other day whilst chatting on the phone she comes out with "er..so how are things going..with the brace?". I was stunned into silence for a few moments before stammering "fine, fine!". Then a little while later she was talking about her holiday plans for the end of the year and said "i'll make sure I don't book anything until we know your operation date". Wow! Is she finally coming round to the idea? I hope so! I'm not going to say anything further until she brings it up again, and i'm sure she's still prefer that i'd caught leprosy than chosen surgery. But at least it's a step in the right direction!

So the next big date on the calendar is 2nd March for my second adjustment. I guess i'm through the 'first phase' of this process now that all the initial fittings and first adjustment nerves are out of the way, I suppose adjustments will become more routine with less excitement all round. But i'll still be biting my lip at each appointment, resisting the urge to ask about my surgery date - 6 months sounds a respectable amount of time to wait before I can bring it up so i've got until June. But each time i'm in the chair between now and then making small talk about the weather all i'll be thinking is "How's my progress? Am I moving quicker than you expected? HOW LONG DO I HAVE LEFT?"

News travels fast!

Another milestone reached! Monday was the big First Adjustment day and I was feeling a little apprehensive, having read on other blogs that it can be quite a painful experience, but I needn't have worried. The whole appointment took only half an hour, and apart from one or two momentary sharp twinges as the new wires were pressed back into the brackets it was more or less pain free! Dr H replaced both the top and bottom wires with slightly thicker ones than before (I think) and announced he was very happy with the progess I was making. I must confess the technical details of what is going on and which wire is being used is rather lost on me. As long as i'm still on target for surgery at the 12 month mark and am not experiencing anything too painful i'm happy for him just to get on with it :)

At the end of the appointment I quizzed Dr H about my most pressing brace-related concern - staining! It's really important to keep teeth looking as good as possible during treatment, but i'm convinced that they're slowly turning yellower as the weeks go by. I seem to be spending longer and longer brushing in the bathroom in the hope that I can undo some of the damage. He told me that some degree of staining is virtually impossible to avoid, particularly for avid tea drinkers like myself but that scrubbing away like a mad woman won't help that much. He told me to swill with plenty of water after each cup, and said he'd put me down for a polish each time I get a new wire to make sure that any staining is kept to a minimum.

I also asked Dr H about any patients of his who had problems with their braces whilst away on holiday. I'm off snowboarding next week to France and am concerned about what to do if I end up mangling my brace in some huge collision on the slopes. Thankfully he didn't know of anyone who had encountered serious problems, but did recommend I take a pair of sharp metal nail cutters, so I could clip any pokey wires that were giving me a hard time. Errr... I don't think so! Any DIY dentistry I attempted would probably end up in a blood-soaked local hospital visit, so I think i'd just cough up for a trip to a local dentist if the worst came to the worst.

I attended an extended family gathering with A's relatives at the weekend, many of whom I hadn't seen in years, let alone spoken to. But it seems that someone has been spreading my brace news far and wide, as "Hi Discantus, how's the brace?" seemed to be the opener to just about every conversation I had. How did they know?? I suspect they all wanted to have a good nose at it though, and it's highly disconcerting trying to maintain a conversation with someone who can't seem to tear their attention away from your mouth. They also seemed determined to 'console' me, telling me that it will be worth it, and that i'll get through it etc etc, as though some dreadful fate had befallen me. It didn't seem to occur to them that this could be a positive experience, and that I actually rather like having the brace as it's taking me towards a lifelong goal. This really is symbolic of how behind the UK is in its attitude towards teeth, thinking that no-one could willingly choose to have a brace and how terrible it must be. I've decided to answer all future queries about it with a cheery "It's great! I'm really enjoying the whole experience". That should make them think a bit more!

Say cheese!

My first christmas in braces has now been and gone, and other than few exceptions, it's all been good! I had been expecting a few difficulties, such as forgoing more chewy food or getting my wires clogged up, but no! It's amazing how the human body adapts to new circumstances. I'm hardly noticing the brace itself any more, when eating, talking or looking in the mirror it's as if they've always been there (it's only been 4 weeks on the bottom and 7 on the top). Hope I can keep saying the same thing as my journey progresses.

One aspect, however, which is definitely NOT amusing me is my new appearance in photographs. I've been browsing through various shots of me taken over the christmas period and can't help noticing that my brace does not take a good photo. Not sure whether it's due to camera's inability to pick up the detail of a brace, but every picture taken of me from more than about half a meter away shows the inside of my mouth as a murky grey/brown smear, as though i'm suffering from some dreadful teeth-rotting disease! Even worse is when the flash catches one of the brackets and creates a twinkle, it just looks terrible. I have started to practice my mouth-closed smiles, but at the moment this just makes me look constipated. I think i'll stick to ducking behind other people from now on.

I also enountered a situation over christmas that reminded me not to get too complacent about eating out in braces. It was the 27th December and A. and I decided to check out the sales at a new shopping centre that has just opened in West London. Needless to say it was bedlam, and after several hours in the shops we were both starving. We looked around for food places, but they all seemed to be either packed out or had huge queues outside. We trawled up and down looking for anywhere that had space and finally squeezed into a french cafe, only then to realise that they served hard, crusty filled baguettes! I was so hungry I had a go cutting one up with a knife and fork (much to the amusement of the waiters) and when that didn't work, resorted to scraping out the filling with a fork and eating it that way. Hardly enjoyable, or diginified, so i'll remember to think ahead and take an emergency banana out with me in case I get caught out again :)

So it's only 10 days now until the dreaded 'First Adjustment'. Seems that some other ortho-bloggers have found this more painful than the initial fitting, so i'll keep some painkillers to hand, just in case. I also have a few questions for Dr. H which i'll report on in my next post, i'm tempted to ask about timescale until my surgery but it's probably a bit soon!

Save the Archwired 1!

Did you see that the forum on archwired.com has been locked? Seems that the moderator has been getting so much stick recently from board users that she's had enough and shut it all down. I'm really gutted about this as it played a huge role in my decision to go ahead with braces and surgery. It helped me discover that orthognathic surgery wasn't some weird rare procedure to be feared, and that there are so many people out there going through the same thing. I was just getting into posting, and was planning to make the most of it throughout my entire journey, so to find it now disabled is very sad. Why can't some people just behave? If someone is giving up their time to run a forum like that they shouldn't have to put up with hassles from idiots so I don't blame the poor woman for dumping it, though I hope something can be worked out at some point in the future to get it back up and running. Can anyone suggest another similar forum? I've yet to find one that that matches the quality and content of archwired....

In other brace news, the lead up to Christmas day is proving most interesting as i'm still discovering what, and how, I can eat. My front teeth continue to be hyper sensitive so they're all but useless for the time being, but it hasn't stopped me putting away two roast dinners already. I do have to eat with my mouth open a little when I chew tougher food though to get some leverage from the back teeth, which is a little embarrassing in company or out in public. I've been dealing with this by raising my fingers to my mouth and looking away or down a little whenever I need to chew property. It seems to work and is not too obvious, or was until I was spotted by a colleague at our departmental Christmas lunch last week who hollered across the table "IS THERE SOMETHING WRONG WITH THE FOOD? YOU LOOK LIKE YOU WANT TO SPIT IT OUT!". Thanks, you arse!

Otherwise A has been much amused to see me eating mince pies with a knife and fork (much too sticky to rip apart), and hesitating at the point of biting into a huge turkey and stuffing sandwich, suddenly remembering I cannot eat that way any more - bugger bugger bugger!

Have a peaceful Christmas everyone :)

Down and Up again

It's been a painful 9 days since I last posted. The ulcers caused by my lower brace rapidly grew to humdinger proportions and triggered off others to develop all over my tongue and mouth (i'm susceptible to them when stressed or under the weather), by Friday the pain was excruciating! Eating was terrible, speaking painful and garbled, and sleeping difficult as I was continually woken up by the throbbing. I spent the weekend doing very little other than applying various ulcer treatments every hour or so and moaning about my terrible misfortunes. By Sunday evening, however the pain finally started to subside and the ulcers began to slowly retreat, beaten back by continual applications of Clorhexidine, Adcortyl in Orabase, TCB, Anbesol and salty mouth washes. Please god don't ever make me go through that again! I always knew that wearing braces meant a certain amount of pain and discomfort, but any more episodes like that and I'll be banging on Dr H's doors begging him to put me out of my misery and take them off, which would really be a disaster. I'm praying it doesn't have to come to that.

So with the ulcers dying away I am once again looking forward to my favourite part of Christmas - EATING! Don't think i'll have to avoid indulging, just take it a bit slower and more carefully, which is probably no bad thing given the masses of stodgy foods on offer. Also sensing that there could be a lot of advantages to be gained out of brace wearing, e.g. "Do you mind if I don't help with the washing up? Eating dinner has given me TERRIBLE tooth pain and I really need to go and lie down" or "I'll have the last of the brandy cream as this pudding will be too firm for me to eat otherwise" and might even try "I'M the one who's suffering around here, so should really get to choose what we watch on telly". May aswell make the most of any sympathy :)

PS - I've put up a few of my pre-brace pictures but am really not happy with the format. Want to put up a gallery so I can show proper before/after shots and progress pics, currently working out the best way of doing this. Watch this space...