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POSTED UNDER Invisalign REVIEWS

Crowding with Extractions - Indiana, IN

ORIGINAL POST

I've had crooked teeth since I can remember. My...

melissa80
WORTH IT$5,600

I've had crooked teeth since I can remember. My parents couldn't afford braces when I was young. Several of my baby teeth never came out, and I am missing my top lateral incisors. I wore a retainer when I was 12 after they pulled most of my retained baby teeth, but they kept my top baby canines to fill in the space by my missing lateral incisors. I always hated my teeth, but eventually started to care less about it, though I remained self-conscious when I smiled.

Fast forward, I'm 32 and can afford braces. My baby teeth were still in place, but I (and my dentist) was concerned they'd eventually come out b/c they no longer had roots holding them in place. So I decided it was time to finally get my teeth straightened.

I knew I didn't want traditional braces, but as my teeth are really crowded, wasn't sure if I was a candidate for invisalign. I went to an elite preferred orthodontist, and he surprised me by saying I was a candidate! Hooray! But... I would need extractions. :/

I knew the baby teeth would have to go, otherwise whats the point... but in order to get my bottom teeth to line up with my top bite, two on the bottom would have to go. (Begrudgingly) I went to an oral surgeon and had my top baby canines and my bottom lateral incisors removed. Needless to say, I look very gappy and awful.

Fortunately the invisalign trays had pontics built in, but the missing teeth make me very apprehensive to remove my trays in front of others. One of the assistants in the office actually gave me the okay to eat with them in if needed, but I have to brush my teeth and the trays right afterwards very thoroughly. When I'm at home I take them out to eat, but if I'm at a work function or out with friends, I leave them in and just eat very soft room temperature foods. Its worked fine so far.

I'm on my first tray, 12 days in. I have 14 attachments, which made getting the trays out the first day extremely difficult. I also went in for the trays and attachments the morning after I had the four teeth extracted. What can I say, I'm a glutton for punishment. So not only was I in pain from the extractions, I was in pain from the attachments and the new trays. The first four days were pretty rough. On the second day the attachments on my front bottom teeth came off. D'oh. It made it a lot easier to get the trays off, but the attachments had to be reattached.

I still have a lisp. I think my coworkers have noticed that I'm talking differently, and the pontics look a little different from my original teeth. I'm really hoping as my teeth become more aligned that the lisp goes away.

I have 40 trays on top and bottom, yikes! My orthodontist has been trying to talk me into the acceledent, but I've already spent so much money as it is, I can't afford another grand. It'd be great to get it done in half the time, but I just can't justify the cost.

I use a timesheet app on my phone to track the time I'm wearing the aligners so I know when I hit 300 hours. I'm very eager to see some results. I have my next two sets of aligners, and those already look a little different. According to my clincheck I should see a noticeable difference around the 7th set, which is really exciting.

My ortho already warned me that I'd probably need further refining after the first 40 trays. He's been very good about giving me the facts and not sugar coating how this process will go, for which I'm very grateful.

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Replies (10)

January 17, 2013

Wow, you went and got your trays & attachments the day after your extractions?!! I'm surprised you didn't freak out! You must have a really high pain tolerance and a strong will to get this done - good job for pushing through that!!

From what I can tell all the pictures are pre-extractions. I would love it if you would post a picture so we can see what your pontics look like in the trays.

This is going to be such an exciting transformation to watch. I'm so glad you started your review so early on in treatment!!

January 17, 2013
The ortho was concerned that if I didnt get my trays in shortly after the extractions that my teeth might move and not fit properly in the trays. Plus, I looked soooo bad with the missing teeth, I was eager to have the pontics fill in the spaces. I'll try to take some pictures of my teeth with the pontics, they really look pretty good. Its different from how I looked before, but not so much that its obvious.
January 17, 2013

Oh yeah, that makes complete sense about the concern of your teeth shifting, and I can definitely understand why you wouldn't be thrilled going without the pontics.

January 31, 2013
Melissa, I FINALLY found someone who has something similar to me--though I only had one lateral incisor removed and that was aweful enough--i totally sympathize with you for having two. I got my extraction, buttons and trays all on the same day too. I have a pontic in my tray, but it kept falling out everytime I removed the tray. I finally gave up wearing it after I found it floating outside the tray while I was wearing it. I change to tray 2 (of 23) tomorrow, hopefully that pontic stays in because it looks SO much better when it looks like you have all your teeth. So, here's something you can probably relate to. I have about 6 buttons on the bottom teeth which are trying to pull the other teeth toward the gap of the extracted tooth. It's rather painful and difficult to remove the tray because of the buttons and all of the pressure gets put on the front bottom teeth and the tray gets stuck there. I haven't figured a way to get them off easier, have you? Do you also feel like you're going to pull out the front teeth trying to get the tray out? I feel like the front teeth are less supported somehow with the missing tooth. I'm hoping for a quick closure of the gap, but my ortho said about 7 months... -- Renee
January 31, 2013
I absolutely relate to your issue with your bottom tray. I'm changing to tray 3 tonight, and the bottom tray is still very tight on the front teeth b/c of the attachments. I have found if I get the trays off all the other teeth, then tilt the tray forward, it slides off easier. Its a strange sensation to put any pressure on the front teeth by tilting it forward, but its easier than trying to pull up. I also feel like the bottom teeth are a lot more fragile being unsupported on both sides, I actually eat a little differently now, less crunchy foods with my front teeth, because of that. On my first tray one of the pontics came out, I was very happy to get to the second tray to get the pontic back. I'm glad you found my entry helpful! I felt especially motivated to write it b/c I also couldn't find anyone else in the same boat as me. I have my 6 week check up in a few weeks and plan to get the acceledent then. I have 40 trays, and after these first two trays, I can't imagine going 20months + with aligners. I'm ready to have the gaps fill in so at least I can eat with the aligners out and not feel completely self conscious. I hate trying to hide the fact that I look like a toothless carny ;). Let me know how your progress goes!
January 31, 2013
I tried tilting it forward, too, but it's uncomfortable and again the fear of tilting the teeth... I'm eating differently as well--that is, when I eat... I am not able to bite into something straight on, like a hamburger or a burrito. I find myself trying to bite from the side, which is awkward. I will change to tray #2 tonight, and it's hard enough to think about 23 trays, much less 40, so I don't blame you. LOL, I feel like a carny as well :) I'm glad I found your post; I wrote mine for the same reason, I couldn't find anybody like me. I will definitely continue to follow your progress. If you'd like to follow me it's titled: Invisalign: Miracle or Mistake? http://www.realself.com/review/staten-island-ny-invisalign-miracle-mistake
February 1, 2013
I forgot another trick that helps, that my ortho told me about. its especially helpful when you start new trays and they're very tight. Warm them up with hot water, it will make them a lot more flexible. Not so hot that it burns your hands or mouth, but at least warm enough that it helps soften them up just a touch. i'll swish warm water around in my mouth for a minute or so before i try to take out new trays, i notice a big difference.
February 1, 2013
Thanks for reminding me about that. I tried that in the beginning and it didn't help, but I tried again just before removing my bottom tray and I think it helped a little. I'm going to my ortho tomorrow because my 2nd set of trays didn't fit at all. I'll see if she can shave down the buttons a bit without compromising their effectiveness.
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April 5, 2015
Your teeth look great!! My orthodontist told me I wasn't eligible for Invisalign because I needed extractions. I guess this is a conditional thing. I switched to Invisalign later.
August 26, 2016
sounds like you are doing a lot right..best doc u could find (experience is the only true knowledge Einstein says) & being disciplined with the trays. Inspiring for me for sure.
I'm just starting out & the dr says 'they can't put pontics in where the teeth are missing'.. Clearly they 'can' add pontics if they want. I guess he doesn't want to bother. Ques please: a. how did u decide the dr you chose was 'the best' for you?
b. how many days did the trays cause u pain per tray?
c. what is the name of the app u used to track the time u are wearing the trays please?
a quick tip
LOBELIA EXTRACT. (buy a 2oz or 4oz bottle on Amazon)
its an amazing topical pain reliever..massage a goodly amount of it thoroughly onto your gums when they are hurting
Also, after on the gums, rub a good amount...like a handful of liquid..all over the outside of your lips & cheeks in the areas over the mouth
Then wring a face cloth out in very hot water. (so as much of the water is removed as possible)
Then lie down if possible, wrap a big clean hand towel, or a small bath towel over the damp warm cloth & relAX until it cools.
Viola! pain is now just a memory :)
UPDATED FROM melissa80

So I'm moving onto tray 3 tonight. The second tray...

melissa80
So I'm moving onto tray 3 tonight. The second tray has been much easier than the first. I'm certain that most of the pain from the first tray came from the fact that my gums were still healing from the extractions. I put in tray two before I went to bed, popped some advil, and the next day only a few of my teeth felt tight, but definitely bearable.

I still have a bit of a lisp, which comes from the aligners, but I think its exaggerated by the fact that one of my front top teeth is a little longer than the other, and my bite doesn't close the same way that it did. So I'm hoping that as my teeth get more aligned, the lisp will improve.

I have talked myself into the acceledent. The gaps between my teeth, the way the trays look and the lisp make me so self-conscious. I dread going out to eat, I hate eating in front of anyone but my husband, b/c my teeth look so bad without the pontics. According to my clincheck, its not until about tray 18 that I'll feel comfortable having the aligners out. I don't think I can wait 9 months to be able to go out to eat. 4.5 months is a lot more doable.

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UPDATED FROM melissa80

I just had my first 6 week checkup, and everything...

melissa80
I just had my first 6 week checkup, and everything is going well. I picked up the acceledent, and have been switched from 2 weeks to 7-8 days on each aligner. I'm so thrilled. I changed to my 4th aligner Tuesday night, used the acceledent that night, yesterday and today, and my aligners already feel loose. It definitely cut down on the pain and tightness. The vibrations from the acceledent are a lot lighter than I was expecting. My daughter has a vibrating teether, and I assumed the intensity of the vibrations would be more like the teether (which I have to admit, I used to ease some of the pain of new aligners, it helped ;) The only thing I don't enjoy about the acceledent is that the mouth piece is just a little too big for my mouth, I've been told before by my dentist that I have a pretty small mouth, and I assume the mouth piece on the acceledent was made to fit standard to large mouths. So it isn't an entirely comfortable experience, but its just 20m a day, and if it gets me out of my aligners faster, I'll do it.
I have noticed a slight change in my teeth, theres definitely a lot more space between them, which makes flossing easier. The pontics are getting smaller in each successive aligner, which is nice to see. Can't wait to be done with those, I look forward to being able to eat, without the aligners in, and not look like a toothless hobo. On set 6 my bottom aligners will have just 1 pontic instead of 2, thats pretty quick progress.
I find myself obsessive about brushing my teeth, which in turn means they look nice and white now :) I was always good about brushing my teeth before bed, rinsing in the morning and flossing, but now I'm brushing like 5-6 times a day! I don't mind it, hopefully I'll stay as good about brushing after meals when I'm done with invisalign!
I've posted a few more photos, I just put in aligner set 4 in these, so they are still fitting a little off, but you can see the pontics and the slight change in my teeth.

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