APRIL 18, 2013 ~ Today is the second, kind of third, kind of first day of my treatment. But my treatment also kind of hasn't begun yet. Long story...
My teeth have stumped many dentists and many orthodontists. I think that over the course of my life (only 2 weeks shy of 27 years at this point), I've seen 4 dentists, 5 orthodontists, and 2 oral surgeons, and each one, after seeing my x-rays, had the same perplexed look on their face. They've all said, "Well, that's interesting," and called in their colleagues to take a look at something they've "never seen before." Kind of makes you feel special, but also just makes you think, "WTF is wrong with me?"
The good news is that they all think my teeth are perfectly healthy. My teeth, though small and with spaces between them, are straight and clean. They're white, no cavities, and strong. Which is why I've never had braces. And why it really doesn't make sense that I'm putting myself through 16 months of discomfort.
It's cosmetic. It's purely cosmetic. Whatever. I've disliked my teeth for nearly a decade now. And now that I'm (somewhat) settled in a new city, and I make enough money to get this done, I'm getting it done!
So, I found my orthodontist from the Invisalign website almost three months ago (top 1% -- only the best for me), and I went in for a consultation. I came out $4,000 poorer and a date 8 weeks in the future to pick up my trays. Even though I had been thinking about it for years, I hadn't planned on plunging in on that date. It was a bit of a spur-of-the-moment thing.
Within those 8 weeks, I also had a consultation with a dental surgeon, because as you can see from my x-rays, I'm missing bunch of teeth that never came in (ankylosis, apparently), and a couple of my wisdom teeth are coming in sideways. I guess while we're tearing things up in my mouth and moving everything around, we might as well do some preventative work, right? The surgery was set originally for April 11th, but then I had to move to April 22nd due to my work travel schedule
At the end of the 8 weeks, I called up my orthodontist and they said they needed another week or so, since my case was so "special" (there's that confusion over my teeth again!), and we set the date of April 16th for me to come in and get my liners.
April 16th was two days ago, and at 8:10AM, I went into my orthodontist's office to pick up the liners. While I was there, they attached about 8-10 buttons on my teeth. Those buttons are not the best experience in the world, but I guess they're better than regular braces, so I can't really complain. I decided to spend April 16th getting used to the buttons and didn't put the aligners in at all. It was an awkward day. I kept feeling these attachments on my teeth and couldn't help but think I looked like a vampire with them sticking out all over the place. When I left work, I put the aligners in, and then proceeded to have a mental breakdown. They were tight, they were awkward, and they were jamming into my right cheek, so they were PAINFUL. So, Tuesday night there were tears and there was regret. But I took a few Advil and went to bed, thinking I had no idea what I was going to do the next day. I was about 80% ready to say "Eff this," figure out a way to be happy with my teeth, and chalk it up as a $4,000 mistake.
When I woke up, I was still in pain, but the sleep had done me well and I made my way to work. After I got off the bus, I called up my orthodontist right as they opened and they found a slot at 4:10PM that day where I could come in to deal with this immense pain. I took out the aligners for the day. When I got to the orthodontist's office that afternoon, we took a look at my teeth, my x-rays, and my liners, and saw that the liners had spaces for two teeth of mine that I actually wouldn't have until after my dental surgery (which would be working to bring these two teeth--the ankylosed ones--down into my mouth). So, the orthodontist simply cut those two teeth off.
What a world of difference!! It was like night and day. I could actually wear them now and not break down in tears. It still felt like I had peanut butter in my mouth all the time, but at least it wasn't peanut butter filled with razor blades.
Today I wore the aligners all day (except for breakfast, lunch, and dinner), and while I know I sound funny and I still need to work on my pronunciation of words (especially those with "F" and "S"), this is the first time in these two days where I've actually been able to think to myself, and believe that I could do it.
That said, today was not pain-free--but there was a reason behind it. At around 3PM, I realized my tongue was getting a sore on my right side. I did some digging with my tongue and fingers (I looked real attractive, for sure), and the teeth that the orthodontist cut off yesterday left me with a really sharp edge on one of the aligners. I decided rather than bother my orthodontist again (I had asked him about 50 questions yesterday), I would hop to Walgreens, get myself an emery board, and shave down the sharp edge myself. It seemed like it wouldn't compromise the structure of the aligners, so didn't seem to be a problem.
Again: what a world of difference.
I'm ready to do this!!
4/18/2013 - the future begins today - San Francisco, CA
APRIL 18, 2013 ~ Today is the second, kind of...
APRIL 18, 2013 ~ Today is the second, kind of third, kind of first day of my treatment. But my treatment also kind of hasn't begun yet. Long story...
Oh, and since a picture IS worth a thousand words,...
APRIL 26, 2013 ~ I don't really have any update to...
So, week one hasn't started yet in practice, as I haven't been able to wear my liners since Sunday. Hopefully starting next week I'll be able to wear them again and actually get this show on the road!
MAY 2, 2013 ~ Been a rough week. I haven't had my...
Today I went to the oral surgeon for a follow-up appointment, and for me to address the "gold chain slicing into my cheek" issue, where he told me there really wasn't anything he could do, short of un-doing the really expensive and really painful surgery I had. And give me pain meds. Not really the solutions I was hoping for. He said my orthodontist would be able to help by taking the sutured chains and actually attaching them how they should be attached to move my molars. Why they couldn't get together and do it all while I was knocked out during my surgery, I have no idea.
So, I went over to my orthodontist. They're so nice over there. But man is this thing more painful than I was promised. They were completely understanding and pleasant and even gave me a hug when I broke down in tears (twice there, four times total today), but they also attached lingual buttons to my teeth to hook the chains onto, and now instead of my cheek getting cut into, it's my tongue.
I don't know if this thing was a mistake or not. I'm turning 27 tomorrow, and while I love what I see when I get to the end of my 15 second Clincheck video, I feel like such a social pariah that I don't know if I can handle 16 months of this. I know people don't actually care that I wear Invisalign and am fixing my smile, but I'm in such pain and discomfort that being around people is difficult. I just moved to a new city in January, I'm finding it hard to make friends, and this is not helping the problem.
I know it'll get better. It's just really hard right now.
MAY 16, 2013 ~ Okay, so I'm two weeks in...
I turned 27 on May 3rd, and boy was it a doozy. In reality, it was really low-key and relaxing, but there were a lot of emotions going on. It was the day after I got the chains of the "exposure and bonding" procedure properly hooked to my anchor teeth to pull down my molars, and it was the first day of really being able to wear my Invisalign. In reality, I started wearing the Invisalign on May 4th, but don't tell my orthodontist that. What? I really wanted to eat cake ALL DAY, not just 2 hours of the day.
So, on May 4th, I started wearing the Invisalign full-time, and it wasn't so bad. I think it helps that I had a dry-run back in mid-April before my surgery, so I already got my mental breakdowns out of the way then.
The hardest part is the lifestyle change. I miss being able to savor my morning coffee, and I miss snacking all day. Eating three meals a day in just two hours is a challenge for me. The good part (or at least how I'm looking at it) is that those three meals are HUGE. I can eat whatever I want in those three meals because it has to last me until the next one. That means breakfast is eggs, potatoes, sausage, yogurt, berries, coffee, and pastries. Lunch is multiple proteins, vegetables, cookies, carbohydrates, cheese, bread, and frozen yogurt. And dinner is whatever else I can manage to fit in my stomach. Pizza? Done. Burrito? Check! I may not eat as often, but when I do, it's serious.
Anyway, my first aligner was in for 10 days, then I had an appointment to go back to my orthodontist to get my chains tightened and for a general check-in to see how things were going. Well, did I get some good news there on Tuesday! My orthodontist said my teeth are responding really well, the molars have started to get pulled in, and that I can switch aligners every 10 days instead of every 14. So, what's 4 days? Well, compound that over 32 aligners and you get a treatment time shortened by FOUR MONTHS.
Good news? I think so.
So, on Tuesday I switched over to aligner #2 and will be done with it next Thursday. And so on and so forth. Aligner #2 was tight at first, and it has its own pain points and tender spots that are different from the first, but I'll get used to it. Still counting down to October-ish when my Clinchek shows me actually making progress, and still crossing my fingers for an easy going from here on out. And some beautiful teeth in April 2014.
Now my biggest problem is decorating my new apartment (oh, and finding some friends in this new city).
MAY 23, 2013 ~ All seems good, except...
How have things been going otherwise? Pretty good, actually. I went to the orthodontist's this morning to get my aligned #3 (they had originally trimmed the wrong side and had to re-order it. good thing they got it just in time) and had my teeth that were exposed and bonded re-bonded to keep the pressure on the molars to come down. The orthodontist said they're coming in well, so it's nice to know that that pain at least is worth it.
And the pain of the Invisalign itself seems to be worth it, too. At aligner #3, I obviously don't see any change in my teeth when looking in the mirror, but I can feel things are different, and not just the discomfort of this new aligner. When I have the aligners out, I can definitely feel my bite is different. I'm sure it's just millimeters, if that, but I can feel it, and that's worth something, I think.
Lifestyle-wise, I think I'm nearly used to this. Now, that said, I haven't been the most social of people, and I'm still pretty frustrated with my own lack of fortitude and extroversion to make friends (if you remember, I just moved to a new city and I'm pretty lonely, to be honest), but taking all that into account, I think I'm getting used to the lifestyle. I have my routine in the morning during the week for breakfast, then in the afternoon for lunch, and the evening for dinner. And I've even been faced with a few challenging situations I've made work, such as long client lunches, and a baseball game last Tuesday (hint: I drank beer with the aligners in). I also exercised for the first time with the aligners in with a long run last Sunday, and besides needing to drink more money because of a slightly drier mouth, it wasn't bad--I even stopped for a donut at mile 5, and while I didn't have my toothbrush to brush my teeth, I swished enough water around to not feel totally disgusting. I wouldn't go for a long run the first day of an aligner, but it's not like I'm going to become fat and lazy during this treatment.
Anyway, this new aligner is already giving me a bit of a headache, so I'm going to pander off to bed. I'm not sure if I shared my ClinCheck video, so I've embedded it here. I'm probably watching it 1-2 times daily to keep myself in perspective. Looks like aligner #12 will be when I start to see some real change (that'll be around September 2013).
JUNE 10, 2013 ~ Just wanted to...
Which means I'm just chugging along until then!
A quick word on my particular case and discomfort: a lot of what I griped about in my earlier updates really have nothing to do with Invisalign. Thus far, Invisalign has been relatively painless. I miss being able to snack, I miss leisurely drinking coffee and tea throughout the day, I get really sick of having to brush my teeth--but all in all, it's not bad. Just inconvenient. The gripes have to do with the exposure and bonding work that was done/is still being done on my upper and lower right molars to bring those teeth in and actually give me all the teeth I was born to have (they just didn't come in). Exposure and bonding sucks. I have metal glued onto my teeth, I have constant pressure, and I have all sorts of sores and cuts and scrapes on my tongue and cheek. It's not fun, not fun in the slightest. But, for all you people reading this who are considering Invisalign, it's not actually part of the Invisalign process. It's my own special journey I have to take because my mouth is so messed up.
To sum it up: Invisalign = inconvenient, but not all that bad; exposure and bonding = absolutely terrible (but hopefully worth it).
Have uploaded a snapshot so people can see the status of my teeth at the end of aligner 4. Not much change like I said, but I can feel in my mouth my bite is changing, so something's happening! Just gotta stick in there.
JULY 11, 2013 ~
Seriously though, I do look forward to going to the orthodontist. It means things are progressing. And, on a non-Invisalign note, it means my molars that have been exposed and bonded get reactivated and tightened. And the more those get tightened, the sooner I can get the damn things off! This metal crap and bands in my mouth are really putting a cramp in my style--it's just so uncomfortable still. Yes, I'm more used to them than I was, but it's still super inconvenient. That, and I think my Invisalign will work a lot better when it can actually work on my right side. I've realized that for all intents and purposes, my right side isn't moving with the Invisalign, because we're having to chop down each aligner and basically get rid of the right side to make room for the metal buttons and bands.
And that's what makes me nervous really. I'm afraid that because we're chopping down these aligners that my right-side teeth (beyond the canines) are falling seriously behind when it comes to progress. I have to keep looking at the ClinChek to make sure what I see in my mouth reflects what is on the screen. I think everything is going well, and the orthodontist says it is, so I think I just need to trust in that. Sometimes it's hard though.
Still, can't wait for this all to be over!!
JULY 22, 2013 ~
When I had molds originally done, it was before my wisdom teeth surgery, before any exposure and bonding, and before any attachments or buttons or anything was on my teeth. And it was easy. Let me tell you, it's not quite as easy when you have all that junk in your mouth. Pulling the dried molds off my teeth was nothing short of terrifyingly painful. It got caught on my buttons, pulled on the bonding bands, and I basically had to get cut out of the mold.
But, we got the molds. Or so I hope. My new aligners should be here in four weeks, which is basically an eternity right now.
In the meantime, I'm going back to aligned 6 (6!!) on my uppers, with explicit instructions to bite on chewies like crazy to get those back teeth fitted in the aligner. I only have to wear each for however long it takes the teeth to fit into the grooves, and then I can move up, eventually coming back to 9 on my uppers to match my lowers, at which point they're hoping my new set will have come in.
Basically, I feel like I just took four huge leaps back. I feel completely disheartened and hopeless and disappointed and I'm incredibly unhappy, and in a lot of pain to boot. My orthodontist is fantastic and I couldn't ask for a better one, but this is one of the hardest things I've ever done, and I feel basically all alone in it.
I thought things were going so well and I had my eye on April 2014. As far away as that sounded, I was (starting to be) okay with it.