I'm a 45 year old mother of 3, overcrowded crooked...

I'm a 45 year old mother of 3, overcrowded crooked teeth for as long as I can remember. Couldn't afford braces as a child, consult at age 15, dentist said insurance wouldn't cover them because it was cosmetic so that was the end of that. Decided to start this journey now because of a few things. My 2 girls wear braces which made me start paying more attention to my own mouth. Also, I started having gum issues...turns out that crooked "cosmetic" tooth is experiencing some bone loss due to its positioning. I decided to do a review because reading these reviews have helped me so much so far. and I haven't seen or read much about Invisalign with patients who have some gum recession. I'm starting out with the dreaded "black triangles" due to gum surgery to reduce the pockets that I had. I think it will be interesting and helpful to share my journey for those that might have this issue as well. I'm hoping my end result will be worth it.

Started tray 3 on 3/19/14...

My Invisalign treatment consists of 31 trays, upper and lower. I was instructed to change them every 12 days. My treatment is a little different from what I have been reading here. I had IPR done before I had the imaging done for my trays. I also had 13 attachments put on at my initial fitting- 7 upper, 6 lower. I wanted to cry when I saw myself with the buttons on my already prominent front teeth... And with the trays... Ugh. I called them Inspitalines for the first two weeks or so because I was a mess! The first three days were the worst but it slowly got easier. I am very compliant, only taking them out to eat, then brush, floss, and use my waterpik water flosser. Oh and clean my aligners. I average 22+ hours a day. I cheated once due to a wedding, but it was my last day of aligner1 so I didn't feel so guilty! Tray 2 was very difficult to get in initially, I'm not sure if it's because my aligners were out about 5 hours before I put it in. These first photos are right before I started tray 1, and then immediately before tray 3. No difference as of yet that I can see.

Oh, and...

I find the waterpik to be invaluable. Even after brushing with my electric toothbrush and flossing, there is still somehow debris left behind. Gross. I don't even want to imagine what would happen if I put my trays in without getting that crap out! I also use mouthwash in the water well. I am experiencing some staining on my teeth... Not sure if it's because of the trays... My oral surgeon said the dentist could remove it at my next cleaning in a few weeks. I'm only eating twice per day on average. It's just not worth the trouble of the whole rushing to eat then clean regiment... On the bright side I may be able to finally rid myself of that last 5 pesky pounds I want to lose! I'm starting to feel more comfortable with the trays in rather then not...

Waterpik Water Flosser

Staining and stannous fluoride?

I'm starting to think the brownish staining that is developing on my teeth is due to the stannous flouride products I've been using. It's not permanent, but annoying as can be. I will talk to my dentist and Ortho and see if they concur. Problem is, I have tooth sensitivity that I believe is helped with the fluoride. So I have to figure it all out.

Starting Tray 4 Tonight!

Tonight, (after Walking Dead), I will start on Tray 4. Tray 3 was the first tray where my teeth felt real pain. I think it was working on my two front teeth because they were very tender and it was hard to bite with them for the first few days. I actually thought I saw a little bit of shifting with them until I took some pics this evening :( Not so much... I think what's happening is that my top is being broadened out now. It feels like my front teeth have pushed in some. I'm actually liking the shape my smile is taking on. The last four days of so I've been experiencing intermittent pains, mostly on my upper right side. Almost a throbbing pain that goes away as soon as I decide I need to take something for it. Not sure why. Hopefully this resolves itself with the next tray.

My next Ortho appt is on April 22nd. I was given 5 trays to start with. When I go, it will be about my last day of tray 5. I know I have more IPR in my future so maybe then(?). I took my daughter the other day for a brace appt and asked one of the gals if they used chewies and she said yes and got a few packages for me. She said they give them to patients that have trouble seating their aligners. I had been using a pen at home but the aligners are much more fun! I have been experimenting with different toothpastes and mouthwashes and have concluded that Sensodyne is doing nothing for my gum sensitivity. The only thing that seems to work is the Crest ProHealth toothpaste and mouthwash so I will be using that from now on, even if it means I have to deal with some temporary tooth staining. I have to get cleanings 4x yearly anyway so I will try to stay on top of it that way. I started using baking soda and warm water to rinse my mouth after eating, as per PreOrtho's regiment. It really soothes my teeth and makes it easier to get back into the aligners with as little discomfort as possible as soon as possible. I still haven't made my cleaning appt but should have it done before April 22 so I will update with any info I get in regards that might be helpful.

Did want to say that two people at my gym have commented on my recent weight loss ( in a good way)! Seems this Invisalign diet is working! On the not so great side I'm still having trouble talking for extended periods of time. I start out ok but then it's like that episode of Spongebob when he tells Sandy he can breathe air and goes into her habitat and slowly dries out, gasping for air. Well that's me when I talk too long. I mostly just smile and nod my head a lot now. This better be worth it!

I noticed I was wearing the wrong aligners..

Tonight after dinner I picked up my aligners and noticed some lipstick or something on them. Upon closer inspection, I see they are tray 3. I'm on tray 4 now. Not sure when I mixed them up. I do know that last night I was completely miserable, kept waking up in pain and then had to end up sleeping sitting up. Lower right pain. I'm back into tray 4 trays and don't have the pain again (please don't let that come back). So since I'm completely confused I'm starting over and making this day 1 of tray 4 again. Moral : don't keep the old aligners around. I was drying them off before storing and somehow mixed them up.

Tray 5--no real change seen yet...

I won't post pics this time as the teeth look the same, only the tiniest change. This is a little discouraging, but I'm sure I will see something soon. I wanted to clarify that my teeth were very overcrowded. My before pic shows spaces in between a lot of them. Every space seen is due to IPR performed by my Ortho. I never had the slightest space, my problem was the opposite--- teeth so close that flossing was extremely difficult. So I've been measuring my progress by those man-made gaps, and they are all still there. My top arch has widened out for sure but the problem area ( that front left tooth and the one to its left) is still a glaring blazing pain in my arse...I think that when those two teeth are actually straightened out I might actually cry tears of joy! Those are the teeth that have bothered me since the age of 15, the ones my mother couldn't afford to fix for me. So it's been 30 years...of taking pics from the other angle... So I will definitely be celebrating when that happens, and I am looking forward to that. My bottom crowding happened gradually over the years. It only became obvious to me when one started migrating upward a few years ago... Which became completely unacceptable really quick. I found myself not wanting to talk much because I felt like it was so unattractive.

I consider myself blessed to have a wonderful husband who works his butt off so that I can stay home and raise our children. We are also blessed to be able to afford ( although just barely, lol) to get both daughters' teeth straightened now, and one at age 15, so they never (hopefully) have to struggle with self- esteem issues about their teeth. And because, thanks to him, and all on his dime, I can see a future where I am all smiles again. I applaud the many on this site who take the time out of their busy lives to share their journeys ( the good, bad, and ugly) because it helps to remind us that we are all human....

Starting Tray 6 tonight!

I am exactly two months in treatment now. I just got back from an Ortho visit. Received my next 5 trays (6-10). Next appointment not for another 60 days. I won't be posting pics for this tray since movement not very visible. I was able to review my clinichek (yay!). Just what I needed to boost my morale! My Ortho is awesome, I was instructed in how to view my video online. And now I can't stop looking! So it appears that by tray 15 or so my upper tooth will begin to noticeably rotate, and by tray 20 or so the upper and lowers will be almost completely straight! By Christmas it will be looking like a new mouth.

An attachment popped off yesterday on my front tooth...

I called Ortho and they told me to come in today to reattach one. No pain involved and it took all of five minutes. I asked about whitening and they told me to wait until the end of treatment so it wouldn't whiten unevenly due to the attachments. Whitening not included in my treatment package.

Clinicheck Tray 1 and 31

Cleaning done today

Pleasantly surprising, I didn't experience any sensitivity pain during my cleaning. I have been using a prescription product called Colgate Gel-Kam for two weeks that one of the hygienists said worked for a patient with extreme sensitivity. This product works!!!! But I believe it stained my teeth ( it has stannous fluoride). So I got a prescription for Colgate Prevident 5000 Sensitive instead. It took awhile to sandblast the brown stains off of my teeth. Hygienist ran out of time so there is still some left on back teeth. I may go back in 3 months as suggested. Tomorrow night I switch to tray 8. Still nothing exciting to report about my tooth movements. Will post pics at tray 10, as this will be 1/3 done then. The trays after 10 up to tray 17 show the most dramatic progress so I will post regular pics then.

Starting Tray 10 tonight!

This is about my 1/3 of the way mark. 31 trays in all. The next 5 to 7 trays should show the most dramatic movements so I will be posting pics for each tray regularly for awhile. My progress so far is not so dramatic or visible, but I can see many things happening. I can't wait to see the top tooth that's pushed back align. And the tooth on the bottom that's sticking up higher than the others... Can't wait to say good riddance to that! Still have some staining on some teeth. It's not bothering me much right now. I think I am developing an abscess over one of my top right back teeth. I have been using peroxide and salt water rinses, but I've never had a lump like this so not sure what it is exactly. It doesn't hurt, and seems to quiet down when I'm not eating or bothering it. Guess I should see the dentist(?)

Regarding bump on my gums...

I was able to show my Ortho the lump on my gums during my daughter's visit today. I'm sorry to say I can't remember what he said it was-- the clinical term-- but he said it wasn't an abscess that needed antibiotics. He said it should clear up by itself in the next week or so and that it is caused by stress and diet... I wish I could remember the name! I have an appointment next Tuesday so I will have him take a look then. Hopefully it will be gone.

Starting Tray 11!

Just back from orthodontist. Aphthous ulcer--that's what it is, and it is slowly softening away or so it seems. Ortho said it looks ok just needs a little more time. I received trays 11-16. I will probably be getting IPR done with tray 17. My Ortho is wonderful. I called after I left because I noticed that on the package for tray 13 it included IPR, but I wasn't scheduled to come back for 2 months. So I thought I needed an earlier appt. I was able to speak with him directly and he advised me that Invisalign's estimate is not always correct, and that he had indeed checked my mouth for possible IPR soon but that it wouldn't be feasible until my teeth are rotated properly-- otherwise he'd be shaving the wrong surfaces of the teeth, and I would look sort of like an alien or something when he was done! Lol! Anyway, the journey continues.

Starting Tray 12!

Just put tray 12s in... And they are TIGHT! I usually wait until evening but was eager to get started with the new trays as the old ones were quite loose. I make sure to wear each new tray for as many continuous hours possible the first couple of days into a new tray. I find that this slacks off the longer I am in the tray now. I still eat only two meals daily but now feel comfortable keeping trays off a little longer to enjoy coffee afterwards. Still averaging about 22 hours a day. And still losing weight! Lol! I'm actually concerned that I am eating too little on this Invisalign diet, and am overcompensating by overeating on my meals....leaving me feeling too full afterwards. It's definitely an evolving thing. Trying to figure out what's most comfortable for me. Trying to keep it as stress- free as possible. But I can't wait until it's all done! My Ortho was right about the ulcer, it's almost completely gone now. Slight swelling but barely. I started using Arm and Hammer Healthy Gums toothpaste with baking soda and peroxide. The ulcer cleared a day later. Not sure if it was a coincidence or what. I'm still hating the barnacles on my front teeth. It's hard to look or feel sexy with them! Glad I'm not single! Lol!

Starting Tray 13 today!

The only thing of note to mention is that the lump I thought was gone seems to have reappeared or is re- forming further up on my gums. I feel a small lump with what feels like fluid or something in it. Will show Ortho at my next visit if it doesn't go away on its own. No pain or anything around it. Seeing progress albeit slight. By the end of tray 17 it should look much better.

Comparison pic

Before treatment vs. right before Tray 13. I can see many improvements when comparing the photos.

Another comparison before vs. tray 12

Starting Tray 14!

No major change seen from 13 to 14. 14 through 16 are supposed to push the wayward tooth on top into alignment, and align the bottoms as well.

Bad News this morning.

So that "aptheous ulcer" is actually an abscess. It kept almost going away then coming back so I decided to let the dentist take a look. She took an xray and said that it appears I have a possible crack on tooth #3. I have an appointment with endodontist on Monday to evaluate. I just filled a prescription for clindamycin 300mg. I have to take it 4x daily for 7 days. I am so frustrated. My lesson: listen to your body/ heart. Something didn't feel right and I waited much longer than I should have to get a second opinion. So this infection has probably been festering for at least two months. I took x-rays in May and there was nothing showing then. But the lump started shortly after that exam and cleaning. The thing that bums me out most is that the dentist said if it is a fracture they can either do a root canal and crown, or if it's too damaged and can't be saved it will have to be extracted. After all of this extensive and expensive dental stuff ( including gum work that I'm still paying for because the dental office made a mistake and told me my charges were $2500 less than what I was quoted). So that's around $3000 for gums and then the Invisalign fee. And I may still be left with a hole in my mouth or an expensive fix.

Just had root canal done.

I went to endodontist. He repeated the X-ray taken by dentist. Said I have a crack on one surface. Told me only two options: root canal or extraction. Also told me it wasn't wise to wait; the antibiotics I'm taking would probably clear up the Infection but it would surely come back. I called my Ortho and he said to get it done but to hold off on the crown for now. I would have to go back to my dentist for that. The endo put in a temporary filling. He said my dentist should do a build up or post filling then crown. My out-of-pocket expense for the procedure was $383 after insurance. Good thing I can't eat hard food now because I'm seeing a lot of peanut butter and jelly sandwiches for us in the immediate future. It didn't hurt at all and I'm still very numb. Have a feeling I will be in pain later so I will take some naproxen soon. Got prescription for Tylenol #3 (with codeine) . Not filling that right now.

Starting Tray 15!

I was going to wait a few days to change aligners because I was afraid that the root canaled tooth would hurt. But it doesn't. Thank goodness. It's been a crazy week and I'm just happy that so far this little hiccup is not affecting my Invisalign treatment. My next Ortho appt is Aug. 5.


These are not the clearest but best I can do for now.

Ortho Appt was today.

I spoke with Ortho about the crown and he advised me to go ahead and get it done ASAP as the tooth will be brittle and will need the protection. I will call tomorrow to schedule my crown procedure. He said that when I get the crown put on I will then go back to him and get molds done and this would begin my refinement period. So I may have to wear tray 19 for a little longer while I wait for the new trays to come in. No problema. I was supposed to have IPR done today as well but I had to leave because of an MRI appt I had to run to. He said he would do the IPR at my next visit instead. Next visit Sept. 20. I will try to plan my crown timing to coincide with this date. I was hoping things would proceed the way they did today. I am very happy with my progress so far. Abscess is gone. No pain anywhere. He said I have a lot of IPR in my future to close the triangles. Also said it was ok to use the opalescence whitener in my trays. I bought some on Amazon because I have a few functions soon and the teeth need a boost.


Ortho office uses the imaging not molds for Invisalign. My orthodontist is an Elite Invisalign provider.

Starting Tray 16 today!

This is my half- way point!Yay! My teeth are tracking just like the CliniChek progression. However, I am uncertain about a few things. Since I didn't get the IPR the other day, my two lower central incisors are clanking against each other trying to align which is getting annoying. There just isn't any space for them now. I have a dental appt this Thursday to hopefully get my core and post if needed, and a temporary crown. I'm not sure how things will progress in the next few weeks. I have to get my crown. Then go back for refinement trays. I'm also scheduled for surgery around the same time and will not be able to do a whole lot for awhile. I'm going to just have to take it a day at a time for awhile until all is resolved. I'm not concerned about wearing my trays longer at this point because I'm realizing life gets in the way of our plans sometimes and it's ok. I am happy with my progress and optimistic nevertheless.

Got temporary crown today.

It was such an ordeal. Took around 3 hours. Temporary kept getting stuck on my tooth then breaking when they tried to remove it. 4 times. They finally did some more shaving then got it right. My trays are just fitting over the temporary. But it feels weird. They put a stronger adhesive on it to keep it intact with the trays and also because of my upcoming surgery. My crown should be ready in about 3 weeks. My out- of- pocket expense for the crown was $416. I only paid half today because I lost a lot of confidence in the dentist with all of the drama with the temporary. I will pay the remainder when the job is done.

Starting Tray 17.

Not much to report. This tray should have my teeth as straight as they are going to get for awhile. I don't see much happening with the next 5 or so at least. I'm unsure of what will happen with my progress because of my upcoming surgery on Wednesday (septoplasty). I'm hoping I won't be so sore that trays will be a problem. I will be a few days into tray 17 so they should be loosened somewhat by then. I'm prepared to wear tray 17 for longer if needed. Also, I'm waiting for my crown to come in. I will have to have that fitted soon.

Comparison pic

Tray 12 vs. tray 16. Some progress with bottoms but IPR needed.

Had septoplasty procedure today.

I had my liners out for about 3 hours while in surgery and recovery. Managed to get them back in with no trouble. When I got home and got ready to eat, I forgot they were in and had a yogurt. Then I said what the hell that wasn't so bad, and ate some crackers and raspberries! At this point they were feeling disgusting so I sucked up all of my fears of hurting my nose and got them out and cleaned them. I'm not supposed to bend over so brushing my teeth was tricky. Had to use a cup to help. I skipped the flossing. Also when I used my waterpik the water squirted everywhere since I had to remain upright and my clothes ended up wet. But the teeth are clean and back in their security blankets so I'm happy.

Rescheduling crown appt.

I have appt for Sept. 4 for crown fitting. I know that I won't be up for this. Still trying to heal from surgery, and my upper palate is achy and numb. So I'm not trying to aggravate my poor teeth any more right now. I'm going to wear tray 17 until my nose situation stabilizes and I'm not having pain in mouth. It's hard enough trying to get the trays in now. Thank goodness these are somewhat loose, or I wouldn't have been able to do it.


I'm going a little longer in tray 17, but pretty sure it's not moving the teeth any more. Will probably start tray 18 later in the week.

Road Trip with Invisalign.

I am almost 3 hours into a road trip from Florida to New York ( about 1150 miles). And I'm starving. Car full of snacks I don't want to take my trays out to eat. Trying to wait one more hour when we stop for a meal, then I will eat that and the snacks I've been looking at. This is one time when Invisalign is no fun. At all.
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LOL!  OMG, you need to not bring any snacks with you!  Or hide them!  I hope you hid them--looking at snacks you can't eat is like water-boarding, woman!

I'm not endorsing eating unhealthy snacks, by the way, but it is not gonna give you a cavity to eat something and not floss directly afterward.  I read that in the Doctor Q&A, by the way.  See here (the link in the title goes to the full page):

Traveling with Invisalign

February 23rd, 2013
The more you clean your teeth the better it is for their overall health, but as long as you keep regular habits and brush at least in the morning and in the evening nothing can happen in 3 weeks period. Obviously if you can manage to do it more often it can only help your teeth.
Tanya Vaysman, DMD
Tanya Vaysman, DMD
New York Orthodontist
5.0 out of 5 stars 7 reviews
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This was a great post, I am excited to see the final outcome! I loved how you maintained such positivity even though things didn't all go according to plan. I am supposed to start next month and I hope to have your positivity!
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Thank you! And good luck on your journey! Any discomfort in the beginning is short- lived and well worth it!
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Hi! :)  Is the first picture of your latest update your natural resting bite?
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Yes it is. My teeth are doing some crazy things now. My smile is lopsided and so are the teeth it seems. And center bottoms are splaying out a bit
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It's not that crazy compared to your pre-pics :D.  I was just comparing to your end ClinCheck, and it looks like your bottom arch will be pushed inward much more before you're done.  A lot of excitement to come!
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Lol! You're so right about that! Tee hee! I would take these over the pre-treatment teeth in a heartbeat, even without going further than this point! Right now my teeth are pushing outward because of the need to make some more space, and yes they do seem like they will be readjusted inward soon. My next appt is Sept 29. Will see what Ortho suggests then re IPR, crown and poss refinements.
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I just met a new Invisaligner called NowOrNeva, and her teeth lean out toward her lips just like yours do.  Maybe a little more.  It reminded me of you so I gave her a link to your review :).
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Great! I just figured out what you mean. Never noticed that before.
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Oh!  I never even thought of that!  But I see so many pictures, I always try to look for similarities and sometimes I come up with my own categorization that doesn't make sense to other people, I guess.  Oops!  It's like a very mild version of a bimaxillary protrusion.  
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I see what you mean now. (I googled pics of it.) I do have some of that going on.., hopefully I won't at the end of treatment, but it might just be how I'm made. Lol! My daughter said she had the same thing but the Ortho fixed it with braces. I'm pretty sure I'm off-kilter now, though. My arches are narrower than what they will end up being.
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Yours is very mild, like I said, so I'm sure they're just making room first or something.  It is very common, though, and the stuff you saw on Google is likely to be extreme, pathological cases.
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Seriously, that sounds like a really smart idea.  The crowning procedure isn't that benign, cause you have to keep your mouth open for a long time.  No hurry :).
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Ouch, all of this seems like so much work no one would have anticipated. You're holding up well though, good job.
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I'm trying! Yes I've been having more than my share of challenges right now. The hard thing right now is keeping my teeth as clean as usual. I'm not brushing as thoroughly, or flossing, because I can't open my mouth properly ( numb upper palate). I'm going in for a cleaning when nose heals for sure.
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Congratulations!  Great job on keeping your cool and just doing what you needed to do.  Your results will be fine :D.  Happy healing!
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Oh yeah, definitely!  Looks like there's no more room in there!  But it will also help with the black triangles. Hopefully they'll give you just enough space so everything can snap into place!
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I know, right? It seems like a little IPR then a few trays then done! Lol! But I know it's not nearly that easy! I'm settling into this new tray. Thinking I should wear it until my crown appt on Sept 4th at least. That's about when I'm supposed to switch trays.
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Will you get pain meds for the septoplasty?  Cause I'd guess that'd take care of any soreness from trays.  But maybe you don't get meds....
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I think so, but don't know what kind. I have a pre- op appt in the morning where I will get all that info. I almost want to ask if I can just keep the aligners on for the surgery, but I'm pretty sure they won't let me. I'm going to buy one of those denture cleaner boxes where you can actually soak the aligners, take them off right before surgery and drop them in, then hopefully get them back in after the surgery. Procedure takes an hour. So that's going to be around 2 hours maybe without aligners, if I can get them in after recovery.
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You'll be fine--don't stress over having them out for this special occasion.  Worst case you wear this aligner set a bit longer--just ask your Ortho if you end up having them out too long.  You are far enough along in your treatment that it won't be disastrous (not like it ever would be).  Just focus on one thing at a time.
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Thanks! All of the unknowns and the waiting are unsettling so I'm looking forward to getting this done then figuring out my next move. My teeth are telling me they need some IPR! Tight as a mother!
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Ugh!  When I got my crown, they had trouble cementing it in as well, though in my case, they just stuck it in there so hard it was permanent.  They had to drill it totally to pieces to get it out when time came to put the perm in.  I hope getting the perm is a walk in the park compared to today!
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Your teeth are progressing nicely! Sorry about the root canal. I've had three root canals and they hurt a lot more before than after. I'm praying that I don't have any other teeth problems during my Invisalign treatment.
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Yes it sucks! And dental insurance is a joke, at least for me. I am praying as well. Eating softer foods only, no nuts or chewy or sticky stuff.
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