"You've got a really unique and complicated case" -- my braces story

If you want to share the detailed saga of your braces story, this is the place to do it. You can use this forum as a braces journal, editing and updating your posts as your treatment goes on. Remember to also visit the main ArchWired.com site for additional stories from other readers!

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braceace
Posts: 38
Joined: Wed Nov 07, 2018 10:39 pm

"You've got a really unique and complicated case" -- my braces story

#1 Post by braceace »

Hello all! This is my braces story -- why I'm getting them, and how it's going. I got them on a few weeks ago, but it's been in the works since March.

Really, I liked my smile the way it is/was, but back in February, I bit into a piece of dried mango and one of my 4 baby teeth loosened up. I brought it up to my dentist when I had a cleaning (thankfully just a week later) and they told me that of all my baby teeth, that one actually had an impacted replacement and I should see an orthodontist to look into braces to try and bring it down.

The first ortho I saw was a really disheartening experience. I have what has been referred to verbatim by several dental professionals as "a very interesting mouth". As mentioned earlier, I have 4 baby teeth still, 3 of which don't have permanent replacements. I have two missing molars from root canals when I was in 4th grade, that later in high school broke apart and were pulled. I also have TMJ/TMD, and have since I was about 19/20. The first orthodontist explained that it was likely caused by my varying sizes of teeth and missing teeth causing bite and jaw misalignment, and that getting braces and moving teeth could either help make it better or make it significantly worse. He also said the chance of bringing down the impacted tooth at my age was slim.

This first ortho had all the sensitivity of sandpaper and literally said to me "Are you lucky?" saying that nothing was certain because my mouth is such a complicated case, but he'd do it and see what happens for $5,000+

I literally cried all the way home, so distraught at the state of my mouth and everything I had just been told. Over the next week I did tons of research and decided to get a second opinion. The second orthodontist I saw was so much kinder. He told me a lot of the same things, and since I was prepared this time with research, I had a lot of questions to ask. Everything regarding the impacted canine was pretty much the same, but his approach to my missing molars and TMJ issue was totally different. But in the end, it was another "we won't really know until we do it" kind of solution, and they quoted me and I went on my way. Since this is such a painful part of my life and would affect me for the rest of my life, I needed to be sure that whoever took on my mouth was going to take it more seriously.

I went and saw a different dentist from my own to get another opinion on a non-braces route for replacing my loose baby tooth, as it's a visible one and I didn't want to be visibly missing a tooth. He told me all my options, but based on the position of my impacted tooth he was fairly confident it could be brought down, so he recommended braces. Since he was an impartial person with no horse in the race, so to speak, I gained a lot of confidence in seeking out a braces solution.

I decided to go in to ask more questions of the two orthodontists I already saw, and the first one was just as insensitive and dismissive as before, saying that many of my questions had likely been answered before (obviously they hadn't because I was asking). The second orthodontist was really great about taking the time to answer my questions, but despite how nice and helpful he was, he had mislabeled some of my baby teeth, and I just had a gut feeling of distrust in his ability.

So I decided to see a 3rd orthodontist. This one was recommended by one of the techs at the second dentist I saw, but just stepping into the office I got a sketchy vibe. First, it was located in a strip mall. Second, he had me bring my own xrays (which I didn't mind, but still weird?). Third, after about 2 minutes of looking at the xrays and my mouth he said my case was too complicated and I shouldn't get braces. He still quoted me, and it was more expensive than the other two. I left this place confused, and didn't look back.

At this point I was feeling very overwhelmed and disheartened, and just ended up taking a few months to not worry about it. It was really weighing on my anxiety and depression, with the hopelessness of my situation and the increasing prices, and I just needed a break.

One day I was at a running shop looking to get new running shoes, and the gal helping me had braces. I asked her if she didn't mind, could she tell me why she got braces and who she was going through. Turns out she had TMJ as well, and she recommended her orthodontist who said he had experience working with TMJ and braces. She said she had seen several orthodontists as well, and decided to go with him.

About a month later I decided to set up a consultation with him. He too was like "woah, complicated case" but the difference between him and all of the other orthos I'd seen was that he took it seriously. He said he didn't want to put a single bracket on before he took some models of my teeth and met with both an oral surgeon and my dentist to see what they though and come up with a plan of action. While doing this cost a little extra, I decided to go ahead and do the records appointment to see what the final consensus was.

He gave me three plans of action, one that was super extensive and would involve both extractions of my wisdom teeth as well as implants for my missing molars, as well as possible implants to address the other baby teeth I'm likely to lose; one that would just be braces to bring down the impacted tooth, try to adjust my bite, and try to close gaps and avoid losses as much as possible; and one to not get braces at all. I went with the second, as the first plan was likely to exceed $20,000, and not getting braces meant losing the loose baby tooth anyway and being toothless.

I had to push the appointment a couple of times due to getting a crown on an old tooth and then gallbladder removal surgery, but as of 3 weeks ago, I am officially braced! I'm having some issues that I hope are not too serious, and if they don't get better I'll call my orthodontist, but other than that, I'll try to keep updates going here :)

braceace
Posts: 38
Joined: Wed Nov 07, 2018 10:39 pm

Re: "You've got a really unique and complicated case" -- my braces story

#2 Post by braceace »

Now that I'm a full-fledged green member, here is a pic of before smile and teeth, and my braces! The top in general is already pretty straight, just wildly different sizes. The little canine nub you see is the baby tooth that will be coming out to hopefully bring down the impacted one.

My bottom teeth are crowded and cooked, but it never bothered me before because my top teeth covered them when I smiled. Now I'm interested in to see what they'll look like when all is said and done!
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My Braces Story: viewtopic.php?f=9&t=54043

Malinan
Posts: 11
Joined: Mon Oct 22, 2018 11:41 pm

Re: "You've got a really unique and complicated case" -- my braces story

#3 Post by Malinan »

Sorry to hear that you had that kind off struggle but glad to that you finally found a good orthodontologist :tingrin:
I'm in the beginning of the journey as well.

Hope to see more of your updates off your journey :)

kplatt2010
Posts: 260
Joined: Sat Jul 07, 2018 6:26 am

Re: "You've got a really unique and complicated case" -- my braces story

#4 Post by kplatt2010 »

Welcome to our special little club BraceAce,
From listening to the scenario; it does sound as though you went with the right ortho. In a unique case such as yours; you would need to involve all the specialist in case something unexpected does come up. That way you're an existing patient and can be seen quickly to address any issue.

Has the ortho, oral surgeon, or dentist mentioned the likelihood of the baby teeth falling out in the future?

Also; when you say bring down the impacted tooth; is that under one of the baby teeth or is that in an existing gap somewhere?
Karla

braceace
Posts: 38
Joined: Wed Nov 07, 2018 10:39 pm

Re: "You've got a really unique and complicated case" -- my braces story

#5 Post by braceace »

Thank you both!
Has the ortho, oral surgeon, or dentist mentioned the likelihood of the baby teeth falling out in the future?
Yes, every dental professional that has taken a look at my x-rays have all mentioned the likelihood of my baby teeth falling out in the next 5-10 years, and are actually quite astonished at the fact that they are still pretty solid, because the roots look really shallow in x-rays. One in particular (not the impacted one) has a lot of gum and jaw recession due to the missing molar next to it therefore not having much structure, and my orthodontist says I likely only have a year or two left with that one. One of my biggest fears is that during this braces process, I'll end up losing them all due to all the movement, and I in no way have the money or means to address getting replacements.
Also; when you say bring down the impacted tooth; is that under one of the baby teeth or is that in an existing gap somewhere?
The impacted one is above one of the baby teeth, the right upper canine. On my picture (on the left side of the pic), you can see a tooth that isn't bracketed and is a bit smaller than the other teeth -- that's the one with the impacted tooth. My Dr's plan is to leave the tooth there until we are ready to start pulling down the impacted one, that way I spend the least amount of time with a visible gap, which I was totally on board with, haha.
My Braces Story: viewtopic.php?f=9&t=54043

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Jester321
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Re: "You've got a really unique and complicated case" -- my braces story

#6 Post by Jester321 »

I know the struggle of finding an orthodontist who you click with!

I went to 5 different orthodontists before I finally chose one. I had it narrowed down to two choices (all the other 3 wouldn't even think of doing braces without jaw surgery which I was 100% against) and actually wound up going with the one who quoted me higher and estimated I'd have braces a whole year longer than the other because his office was just so more welcoming!

Good luck in your braces journey! Hopefully all goes well and you start seeing good progress soon!

braceace
Posts: 38
Joined: Wed Nov 07, 2018 10:39 pm

Re: "You've got a really unique and complicated case" -- my braces story

#7 Post by braceace »

Thank you!

I actually find it weird that every single orthodontist commented on how bad my TMJ is, but none of them ever suggested surgery. Which, tbh I'm fine with because jaw surgery sounds too intense for me! Would love to avoid it at all costs.

Glad you also found an orthodontist you like! I'm so glad I consulted with multiple before choosing one. If I had stuck with the first ortho I met, the one my dentist recommended, I would be miserable. It's funny, as I mentioned him to other dental professionals, many were like "ya....he's a pompous jerk"
My Braces Story: viewtopic.php?f=9&t=54043

braceace
Posts: 38
Joined: Wed Nov 07, 2018 10:39 pm

Re: "You've got a really unique and complicated case" -- my braces story

#8 Post by braceace »

Had my first scheduled adjustment today! The doctor said I had a lot of movement! I didn't notice it visually, but I could sure feel it in my bite. Looking at these side-by-side pics, now I can see it! That 2nd incisor on the right definitely moved a lot. He said the whole right side looked like it had moved a lot -- no wonder I was hearing and feeling all that cracking! I was worried I was gonna lose teeth they were cracking so much. :shock:
first adjustment .jpg
I had one kind-of adjustment a week after I first got braces due to one tooth moving into a really painful position (hitting the bottom tooth in a painful way) where he took the wire out of that bracket so it would go back into place. That's the skipped bracket you see in the second pic. Today he upped my wire from a 14 to a 16, and said at my next appointment he's going to reposition the bracket on that incisor and put on my bottom braces. YIKES! I feel like I'm already annoyed with the amount of time it takes to brush my teeth and do everything with only top braces. It's going to take even longer when I get the bottoms. I guess I'll enjoy my bottom freedom for now :lol:
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My Braces Story: viewtopic.php?f=9&t=54043

braceace
Posts: 38
Joined: Wed Nov 07, 2018 10:39 pm

Re: "You've got a really unique and complicated case" -- my braces story

#9 Post by braceace »

Thursday, I got my bottom braces on. I have pictures, but I just don't have them ready to post yet because MY MOUTH IS IN SO MUCH PAIN I can't seem to take a sec to edit them for posting. My bottom teeth are a lot more crooked than my top, so while the top hurt when I first got them on, it was nothing like this. I can't even close my mouth properly :soremouth:
My Braces Story: viewtopic.php?f=9&t=54043

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