So excited to get braces!

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parsleysage
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So excited to get braces!

#1 Post by parsleysage »

I can't stop using this smilie on the boards: :dance: It describes perfectly how I feel about getting back on track with healthy teeth and getting braces! I'm going to document my story here :)

Here's my background story! I am gonna spell it all out because I have learned so much and gotten so much encouragement from reading others' stories that I hope if someone finds this through google (the way I did!) the detailed info will help them. Sorry for the length but long-windedness is a character flaw of mine, lol.

For reference purposes I am 25 years old. I lived in a small town and went to an old-fashioned dentist growing up, a family dentist owned and operated by one older man with no cosmetic stuff or bells n' whistles. He was a great dentist and I went every six months for many years. I had cavities here and there and he would fill them and give me a new toothbrush and a coupon for a free ice cream at a nearby grocery store. (Ha!) I don't remember getting much advice or instructions on how to care for my teeth, but I was young and didn't have too many cavities so I didn't think much of it. Sadly, he died when I was 14 or 15. He was the nicest man and I remember him very fondly. He is probably the reason I have no dental fear or anxiety like a lot of folks.

After that, we went to a much more modern office with multiple dentists. This is where things started getting off track with my teeth. I liked the office fine - I heard some really good advice, like only drink soda with a meal because if you sip it throughout the day the acid will destroy your enamel. Did I take the advice? No, lol, but it was good advice. I was told to floss. Did I? No. I was told I had areas in between my teeth that weren't cavities yet but would probably become cavities if I didn't shape up. Did I shape up? No. My mom ended up having a really horrible experience with one of the dentists (something about a failed crown and multiple trips costing thousands of dollars) and decided never to go back, which meant I didn't go back. I was probably 17 or 18 by now and my mom found a new dentist through her church and started going there, but didn't schedule appointments for me, and I certainly didn't take it upon myself to schedule any. My dental care pretty much stopped here.

A few years later at age 20-21 I was having severe toothache so I went to my mom's dentist and we did a root canal and crown. Around the same time, one of my fillings on the other side (tooth #4, second premolar) chipped off a little bit. What I should have done was go get the filling replaced. What I did instead... was nothing. Absolutely nothing. For the next five years I did nothing, and I was too embarrassed (and broke) to go to the dentist to get it fixed. Little by little the tooth continued to break apart. The increased pressure caused tooth #5 (first premolar) to start to break, too. Eventually the back of tooth #5 and 3/4 of tooth #4 was gone and I had a giant hole I could stick my tongue in. You couldn't see it from the outside - I still had that part of the tooth left. But almost all the rest of the tooth was gone - the whole inside part of the gum was exposed. Obviously that exposed it to a ton of bacteria and it decayed rapidly. I would get toothaches every so often but would treat myself with ibuprofen and soldier on. I would think, "man I really gotta get those teeth fixed," but it never happened. I moved last year and planned to find a new dentist in my area but I hadn't yet.

When money got a little better a few months ago, around November, I made a plan to get the teeth fixed - I have an FSA through my job so during benefits enrollment I put $1500 into the account (my employer matches 1/3 so I put in $1000 pretax over 26 paychecks and they put the remaining $500. I get the full balance on January 1 though). I also get tuition reimbursement which was approximately $1200 last semester so I was planning to use that money to get the teeth fixed and then my FSA would pay me back. Embarrassingly, when I got the tuition reimbursement I needed it for new tires so my car could pass inspection and to pay delinquent personal property taxes so I could reregister my plates. :oops: So Jan 1 rolls around and I still haven't done anything about my teeth.

Life goes on, I start a new semester of school and am my usual busy self. The last week of February I get another toothache. I dose myself up with ibuprofen and think, "man, I really gotta get those teeth fixed," and go about my business. Except the toothache doesn't stop. For the next three days I was in excruciating pain, especially at night. I'm convinced tooth pain is some of the most pernicious pain there is in the world, and this was the worst of the worst. On the morning of the fourth day of the toothache, at 6:30am, after sleeping only an hour or two I couldn't take it anymore. I googled "emergency dentist [my city]" and found one near my house that, thankfully, took my insurance. They saw me at 11 and the dentist took an x-ray and did a limited exam... the tooth was too far gone and needed to be pulled. MORAL OF THE STORY: if your filling chips, get it replaced ASAP! YOU WILL LOSE YOUR TOOTH IF YOU DON'T! lol, okay sorry for yelling! But I'm so mad at my twerpy former self! The tooth came out - it was abscessed and extremely decayed. There is actually a black stain on the molar that was next to it from all the decay. It was disgusting and I was very ashamed.

As sad as it is, that experience was life-changing for me. As soon as the tooth was out I started researching my options for replacement. Not. Good. There is NO substitute for your teeth. Crowns are okay but they weaken the tooth. For missing teeth, bridges and dentures are hard to clean and can cause neighboring teeth to fail. Implants are very costly and even they don't last forever, plus they don't support the same eating and chewing function as real teeth. I learned all of this very quickly and it was very sobering. I became obsessed with oral hygiene and learning how to brush and floss properly as well as boost my health with xylitol mints and gum as well as high-fluoride pastes and rinses. During this time I learned about potentially closing the space with braces! That would be my absolute best option, hands down. I would get to keep all my existing teeth and support them with normal brushing and flossing rather than more complicated and risky care. Plus, I was told I needed braces before (by the office I liked but my mom had a disagreement with) due to very wide spacing between my anterior teeth and an edge-to-edge (neutral/even) bite. But, my teeth needed to be healthy before I can start braces, and since I hadn't an exam in more than five years, plus very little OH at home, I was very unsure of how healthy my teeth were or how much work I needed to do to get them ready for braces.

I ANXIOUSLY awaited my return trip to the dentist for my first complete exam in years. (She had me wait four weeks so the extraction site could heal.) I posted here on archwired and got a lot of great advice but the #1 thing I heard was get your teeth healthy before getting braces! I kept researching and kept looking at my teeth and imagining all the things that were wrong with them after so long, and all the things they would need done, and my gums were probably severely infected and how I was never going to get braces and I would have to get a bridge and I would lose more teeth... man. It was a ROUGH four weeks.

Well, today I saw the dentist, and unbelievably, I only have 4 active cavities that need filling! There are 3 small cavities we are going to watch and treat with fluoride varnishes and an rx toothpaste. She said I do have some gingivitis but that I don't have any deep gum pockets and that I don't need a deep cleaning, and once I get a normal cleaning and keep up with my c-shaped flossing for awhile the gingivitis should be reduced. I know that might not sound like a good appointment for a lot of people but after at least five years without an exam, very bad OH habits, and very heavy soda drinking, I can't believe my good luck. I am considering myself to be walking out from the high-stakes tables at Vegas having broken even and thanking the universe for protecting my teeth from the horrible way I was treating them. I am a changed woman! I am so excited for my new lease on my mouth!

My dentist is approving of my desire to get braces and doesn't see a reason to wait. She still wants me to get a bridge, though, and she wants to do Invisalign as they offer it at their office. I disagree as I explained a few paragraphs ago, plus I don't want to get orthodontics from a regular dentist. I know some people do and it works great, but since I have the spacing issue with the gap from my extraction I'd rather see a specialist. Plus, I just don't want Invisalign. My insurance doesn't cover it and I don't want to waste my $2500 orthodontics allowance!

With ALL of that said, I officially have a consult with an orthodontist this Friday at 9am! I still need to have the cleaning and fillings done obviously, and that will take place prior to getting started with braces, but that should only take a few weeks to sort out. I am soooooooo excited and am bouncing off the walls like this: :dance: :dance: Hehehe.

Okay, if you read through all of that I really appreciate it! I promise that future posts will be shorter!

I love pictures so I will post them throughout my treatment. Here are how my front teeth look now. They are yellow - they always have been. I did try whitening multiple times in high school (had the strips, had the little tray things, had the gels, etc.) but it made my teeth sooooo sensitive and painful so I just quit. I also have large stains on the front tooth, also been there all my life. I'm kinda self-conscious about the coloration but only in pictures, it doesn't stop me from smiling. :mrgreen: There is also some wear (chipping) on my front teeth that my dentist plans to restore with bonding. You can see the very wide spacing - the only non-wide spacing is the bottom two front teeth which are TOO tight, I can barely get flat dental tape into them!

Holy cow the pictures were too big! Here's a link to the album: http://imgur.com/a/d2KD8

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parsleysage
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Re: So excited to get braces!

#2 Post by parsleysage »

I have my consult in the morning!! I have reverted to bring a bundle of nerves and scared the ortho is gonna take a look in my mouth and say he can't do the treatment. Even though my dentist cleared me, lol. I'm just anxious.

I have scheduled a 2nd consult with a diff. ortho 2 weeks from tomorrow. Now that appt will be hard to wait for! I learned about the ortho through a girl at work - there are two people there (in their late 20's-30's) with braces and me and another girl are getting them too. That's 4 adults with braces in one dept! Granted the dept is 80 people lol but it's still nice to know they are there.

Wish me luck for the consult! :? Time to :-Z

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parsleysage
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Re: So excited to get braces!

#3 Post by parsleysage »

Well, I am back from the consult. It didn't go very well but not for the reasons I expected. I guess when I look at the pictures and stories on this forum and how seemingly very complicated mouths go to looking straight and shiny in 1.5-2 years, I seemed like a simple case by comparison. Closing up spaces. Moving front teeth forward a few mm to overlap instead of meeting. I've seen total mouth transformations... my problems seem like first day of ortho school to me. Not so, apparently! :-(( (Not meaning to insult orthodontists at all! Just saying I was totally undereducated and making assumptions about stuff I didn't know anything about.)

I didn't get pictures taken because the nurses were behind, so the orthodontist was ready before we had taken pictures and he just examined me instead. Good news includes my midlines match up perfectly both upper and lower. I'm trying to think of other things that were good news but nothing comes to mind at the moment, haha.

First bit of bad news, he can't close up the gap from my extraction. Eh, I'm disappointed but was prepared for that possibility going in based on the research I've done online. I will still need a bridge or implant upon finishing braces.

Secondly, because of my edge-to-edge bite he says I need jaw surgery. I was shocked. :shock: What? "Has anyone ever told you you need jaw surgery to correct your bite?" No, they haven't. lol. Well, he says that he could put braces on my upper and lower teeth and close most of the spaces no problem, but that it would give me an underbite. So, I need the jaw surgery. I'm terrified of surgery, not to mention the cost. But, I would have awhile during my braces treatment to save up for it and maybe see a therapist to work on the fear. It's an option.

The other option is to put braces on my bottom teeth only, which would bring them "backward" causing the upper teeth to overlap them which is a little bit of a solution for the bite issue, and then get veneers on the top teeth to close the spaces and improve their appearance since I have discoloration. He kept pointing to a picture on the wall of a woman (a model, not their patient) with super bright white teeth that to me looked totally fake. He said they didn't have to look like that of course, I could choose a color "on the white side of the yellow straw family" but that it would "solve" the spacing issue by covering it up and as an added bonus I could get bigger teeth (mine are small apparently) and improved appearance.

He said I could do nothing, of course, but that I have wear on my teeth so I would need a night guard.

Here's how the options breakdown (costs are before insurance):

Option 1: Upper and lower braces plus jaw surgery
Treatment time: ??
Cost: $5580 braces treatment + $600 surcharge for surgery patient + cost of surgery
Pros: corrects bite, solves the spacing issues
Cons: cost, surgery, does not improve appearance of teeth

Option 2: Lower braces plus cosmetic work on top teeth
Treatment time: ~14 months
Cost: $3840 braces treatment + cost of veneers
Pros: resolves lower spacing issues, improves appearance of teeth, improves bite
Cons: cosmetic work not covered by insurance, upper molar contacts will still be basically impossible to floss, veneers need to be replaced after 10-15 years

Option 3: Do nothing, wear a night guard
Treatment time: indefinite
Cost: $200-400
Pros: prevents additional wear on teeth
Cons: does not correct spacing, does not correct bite, does not improve appearance of teeth

I am pretty overwhelmed. I did a bit of crying in the car, I guess because I was expecting "Sure, no problem, top and bottom braces, 18-22 months, $5000 before insurance, come back on this date for impressions." Not surgery and expensive cosmetic work and fix one problem (spacing) to cause another (underbite). I didn't dislike the orthodontist but I'm just totally in shock. I feel like I ran face first into a brick wall haha.

I have another consult in two weeks with a different orthodontist. We'll see what they say. I may end up not pursuing treatment at all, after all, my smile does not currently stop me from smiling widely, laughing, or being myself. (I sometimes put photos in black and white due to the discoloration on my front tooth though haha!) But I do want healthy teeth that will last me for the next 65-75 years. Any advice?

braceyourself1988
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Re: So excited to get braces!

#4 Post by braceyourself1988 »

Congrats. I need them for a second time. Not sure if I am going to have the courage to go through with it but I know when you are done you will have perfect teeth and it will be worth it.

Knowing that if I go through with it I will have perfect teeth at the end will probably push me to go through with it

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parsleysage
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Re: So excited to get braces!

#5 Post by parsleysage »

braceyourself1988 wrote:Congrats. I need them for a second time. Not sure if I am going to have the courage to go through with it but I know when you are done you will have perfect teeth and it will be worth it.

Knowing that if I go through with it I will have perfect teeth at the end will probably push me to go through with it
I will need a bit more work before I have anything approaching perfect teeth... there's a laundry list of things I could do to improve my teeth! But I'm excited to get braces and the more you read on this forum and see the amazing transformations the more excited you will be too!

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parsleysage
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Re: So excited to get braces!

#6 Post by parsleysage »

I have a consult this Thursday (it is my 2nd out of 3 so far). We will see if they recommend surgery! So far I like this ortho, they have a very updated and comprehensive website with lots of reading and information. Everyone I've talked to in the office has been extremely friendly as well. Their facebook page is fun, apparently they give out car stickers and if the staff spot you out and about they will take a pic of your car and put it up on their page (with license plate blurred lol!) and give you a prize! How fun! :mrgreen: It's also very close to my house.

I mentioned this in my other thread but if this office gives me a tx plan that doesn't include surgery I will probably end the consultation phase of things and move into treatment. The last few days have had a decent amount of anxiety, probably because it is playing into my surgery phobia and I keep imagining it and everything that could go wrong. Shudder. :| I do want to get multiple opinions but I don't like prolonging this feeling of anxiety if I don't have to. It will be nice if things go well on Thursday and I can pick a brace date! (I will need a cleaning and a few fillings before my brace date so it won't be the next week or anything.)

Thanks to anyone who's reading! :-1

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parsleysage
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Re: So excited to get braces!

#7 Post by parsleysage »

Consult time at 11am tomorrow. Fingers crossed that the ortho will not recommend jaw surgery.

kids041
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Re: So excited to get braces!

#8 Post by kids041 »

I have been following your posts! :)
Good luck tomorrow!!
PS- I love your username... I always sing the song "Scarborough Fair" in my head when I read it.

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parsleysage
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Re: So excited to get braces!

#9 Post by parsleysage »

kids041 wrote:I have been following your posts! :)
Good luck tomorrow!!
PS- I love your username... I always sing the song "Scarborough Fair" in my head when I read it.
Thank you! Yes I am a huge Simon & Garfunkel fan! I even named my boy cats aften them ;) Hehe. Thank you for reading!

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parsleysage
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Re: So excited to get braces!

#10 Post by parsleysage »

So I just got out of my second consult. I am pretty happy with how it went, and I am kind of thankful for my consult last week that kind of shocked me into the possibility of surgery, as well as all the great responses you guys gave me, because I stayed very calm today and I am not emotional. :) If you can guess based on that statement, I am still recommended as a surgical case. This orthodontist did a much better job of explaining why, so I feel more confident now.

The dr. did the x-rays and the cephalogram and he says it's not that my lower jaw protrudes out too far, it's that my upper jaw is not large/advanced enough. So I would be recommended to have surgery to advance my upper jaw. He explained that my top teeth kind of protrude out at an angle to meet my lower teeth - and said that if we put braces on to straighten everything up and bring it into alignment as far as spacing goes, I would definitely end up with a significant underbite. :?

He is willing to begin treatment as a non-surgical case and after the first month or two I would be put in elastics full-time to see what we could accomplish. He said around 6 or 8 months we would redo the pan and proceed from there.

My upper lateral incisors are under-sized and he asked me to talk to my dentist about bonding to make them larger so that he can align everything properly. I need bonding on them anyway because they are chipped at the bottom due to my bite. So that was nothing out of what I was already planning.

This office is more costly than the first one. If the treatment is non-surgical we are looking at a $1300 difference and if I end up being a surgical patient there will be a $1950 difference. I feel more confident about this office, however. The dr. was a tiny bit brusque (he never smiled... or maybe I'm just oversensitive haha) but he did a better job explaining why things in my mouth are the way they are and why the treatment is recommended the way it is. Plus he did not mention "covering up" the issues with veneers on top.

I have a lot to think about! I have my cleaning tomorrow and then I will schedule my fillings so that will give me a better idea of when I can begin treatment. I am still going to go to the 3rd consult I have set up next Friday because I won't be able to begin treatment by then anyway, and it can't hurt to get another opinion.

Phew! I feel so much better than last time! Thank you all for the wonderful support.

Oh and the sad thing is that the treatment coordinator told me that the orthodontist will probably want to have me in Damon brackets :( :( :( I was so looking forward to having colors! LOL! I am sure I sound ridiculous but I'm a tiny bit sad to be honest. Maybe I will just get the colored rubber bands :)

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parsleysage
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Re: So excited to get braces!

#11 Post by parsleysage »

I've been updating other threads but not this one! :oops: Here is an update.

So I made a big decision to go ahead and start treatment as a surgical patient rather than trying to do it with rubber bands. (a) It probably won't work (the ortho said so himself) and (b) it will add treatment time if we spend six months moving my teeth one way with rubber bands, then need to spend time moving them the other way to get ready for surgery. I am a little nervous about the insurance side of things (wondering if the surgery will be covered) but overall I am excited about treatment... I have come a long way in the last month!

And...... I have a brace date! April 24!!!! Now I can move away from the awful anxiety of deciding to get braces and into the fun part of getting them and watching the changes take place. I think it was plugnickel69's post about his reflections about his treatment after he was debraced where he said the decision to get braces is often worse than the treatment itself. Somehow I think that will be true in my case, haha.

I will post pics as soon as I have them... 11 days to go!

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parsleysage
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Re: So excited to get braces!

#12 Post by parsleysage »

Looks like my brace date might get pushed back. :(

Had a dentist appointment today to get three fillings on the left side done... one was replacing an old filling, then two new ones. We talked about my braces and I said I was going in next Thursday. She got concerned and said she wants to talk to the orthodontist about a large filling on my right side (it is 75% of the tooth she said) that needs to be crowned eventually. She said she wants to make sure it is stabilized before I get the brackets on.

I am going in next week for a small filling on the right side anyway, so I'm hoping if she calls my ortho between now and then, they will have a tx plan ready so when I go in next week since I'm getting numb on that side anyway we can just execute it that day and not have to push back my brace date. I told her I promised I wouldn't eat any hard foods. (And honestly I rarely chew on that side, that was the side with my broken tooth so I got used to chewing on the left side, and now that the broken tooth was extracted I definitely don't chew much over there since there's a big gap!)

After all the anxiety about the surgery, I have felt such a sense of relief since I made my decision, so I will be sad if it gets pushed back. But, even so, I do understand where she is coming from, and I want to make sure everything in my mouth is A-OK before the brackets go on. So, I am happy she is being proactive and is wanting to make sure nothing will go wrong with my teeth in the middle of braces. That's why, as my siggy says, I looove my dentist!

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SpottedPickle
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Re: So excited to get braces!

#13 Post by SpottedPickle »

You seem to be going through a lot of what I imagine I will be of sorts. I grew up in BFE, but we had no dentist. My first time was at 14 with a dentist that told me he saw horses with better teeth and I left after a cleaning sore, swollen, and crying. He also told my mom she had some jaw disease and pulled all her teeth. It was not true. So it left me with a deep fear of dentists and such. My teeth suck because I am neglectful until the last 6 months. I have an appointment with my dentist for a cleaning and full exam on the 21st this month to see if I am clear for an Orthodontist. I have a consult with an Ortho on May 28th.

I am so scared and excited at the same time about everything. I am 35 almost.

I really hope that things begin to move smoothly for you soon hun.

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parsleysage
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Re: So excited to get braces!

#14 Post by parsleysage »

SpottedPickle wrote:You seem to be going through a lot of what I imagine I will be of sorts. ...

I am so scared and excited at the same time about everything. I am 35 almost.

I really hope that things begin to move smoothly for you soon hun.
What a sweet response. Thank you! I am so sorry for what you went through as a child! It was pretty humbling to go back to the dentist after all those years but I am so glad I did. I was given a fairly clean bill of health (other than having the tooth extracted and a few fillings) and I am not taking that for granted!

I hope all goes well with your journey as well. Good luck at your exam! Do not be surprised if you need some fillings or a special "deep cleaning" for your gums. It will just be another step on your way to getting healthy, beautiful teeth!

As for my earlier post, I am hoping I can at least get the bottom brackets next Thursday. I'll still feel a little let down but at least I'll get my treatment started!

SunshineRay
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Re: So excited to get braces!

#15 Post by SunshineRay »

Hi, I just wanted to let you know that I'm cheering you on. I love how you are pushing through and not changing your mind! :D

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