Crowding with Extractions - Indiana, IN
I've had crooked teeth since I can remember. My...
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.
Replies (10)

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 :)
So I'm moving onto tray 3 tonight. The second tray...
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.
Replies (0)
I just had my first 6 week checkup, and everything...
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.
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!!
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.