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Author Topic: Ellie's treatment  (Read 56301 times)

Offline mr_90proof

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Re: Ellie's treatment
« Reply #90 on: 12. January 2024, 00:36:36 AM »
A wired in headgear - this topic is now very old.

A much newer attempt could be an electronically controlled wearing time schedule with some spikes poking into the cheeks, when at a programmed time the headgear would not be in place.

You are very welcome to write your own story.  You could make it anything you want.

Thank you for the story metalfoxy.

Offline bsma189

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Re: Ellie's treatment
« Reply #91 on: 12. January 2024, 06:03:12 AM »
Looking forward to what come next!

Offline metalfoxy

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Re: Ellie's treatment
« Reply #92 on: 12. January 2024, 12:15:57 PM »
John held up an ‘appliance’ which just looked like a mess of plastic and metal, there was no way that was fitting into my mouth! He pointed to it “now this is a frankel appliance – that will help to retrain your mouth muscles and you will wear that 24/7 – I will do a slight modification of this as I will add the lip buttons to the top as well as the bottom. This will help to retrain the way you swallow too – if you ‘suck in’ then they will rub so you will learn to speak, eat and swallow again in an improved way.” He placed that down and picked up the next one which was a lump of pink plastic with a short facebow poking out  ‘we may then move to a van beek activator with the headgear to help reposition your jaws - again it's a 24/7 appliance” He put that down but didn’t pick anything up again so I was hoping that would be the worst over, he turned back to me “once we have finished with that you will then get your expander back on the top– that might be combined with twin blocks if it’s needed at that point to maintain the jaw position. Then once we have finished that phase we will move to fixed braces” Bands across teeth, jaw’s positioned with a herbst or maybe an alternative like a forsus appliance – we will see closer to the time. He turned around and picked up a tooth model with whole hunks of metal wrapped round every single tooth. “ now we used to use bands in the 60’s 70’s and 80’s. They were very effective but went out of favour because of their appearance and the extra work. You are going to be part of my study to see if we complete bands using more modern materials if they are cheaper, easier and as effective as brackets – it could be a game changer for people who need to keep their costs down. So we will use modern metals to create bands for every one of your teeth, we will put spacers between each tooth and insert them. We will measure the forces applied and how much movement we get compared to normal brackets.” I couldn’t help but stare at the model, seeing how little white there was on view made me panic even more knowing that my mouth would look like that – shiny and grey.” He picked up metal bars and clipped them to the model which looked even more ridiculous now with giant “now this is an example of a type of herbst, this helps to keep your jaw in a better position. Like I said there are other options like springs but we will assess closer to the time. Lots of people think a herbst means no headgear – but remember if we want to move the upper jaw back then we can also add a facebow at this time.” Jessica spoke up at this point and I could practically hear the glee in her voice “this time, with the van beek and again later? Ellie you could be the first person to have 3 different facebows, 3 different times during their treatment” John nodded along enthusiastically “indeed! What a story to tell”. I groaned internally knowing that he would for sure find a way to add this now. Finally he reached over, put the ugly banded tooth model down and picked up ‘normal’ braces on a tooth model again “Obviously the bands will leave tiny gaps between each tooth so once we have achieved what we want then we will switch back to brackets with power chains to close the gaps. Now normally we would remove the braces but I think we will leave the brackets on for a short period of retention since you will have had so much more done” He then placed the models down and picked up two pink acrylic appliances “Then finally we will go to Hawley retainers, none of those silly clear ones. You’ll wear these full time for 18 months – 2 years as a preventative with monthly checks. Then you can go to 18 hours, 12 hours then overnight in time”. So even after braces I was going to but stuck with plastic and metal full time for at least 2 years?!

He turned to Jessica “obviously as Ellie is going to be used as a study and in promotional videos and marketing the cost of these appliances are all covered – it will still be the basic payment you agreed at the start. The cost of the hospital stay will be covered under a grant so nothing to worry about – we will explain to them that Ellie’s future oral health is at risk” Jessica smiled widely and nodded along.
Now the difficult thing is time frames here – usually the frankel appliance and van beek would be 9-15 months each” my heart stopped for a second there but john quickly carried on “But we don’t have those time frames, and because we can add fixed appliances later we can use them to see how you respond. I’d say 3-4 months in the frankel will give us enough time to retrain those muscles – we can then simulate this with lip bumpers and shields if needed with the fixed braces. If time allows then the van beek will be closer to 5-6 months, everyone thinks jaw growth has stopped by your ages but we can usually get a little bit of extra growth so this will be focused on that. The expander will be similar to what you have now, luckily we have already done your bottom jaw so as long as there is no reversal with those appliances it’ll only be the top to do. I don’t expect this to take more than 4 weeks because of the progress we have already made and we will be able to doing multiple turns a day while monitoring you. The fixed bands will be likely 12 months – we will have done the bulk of the jaw work so just the repositioning at this point as long as the bands move things as quickly as we anticipate. Then 3 months of repositioning with the brackets and probably another 3 months for retention.” Jessica smiles widely at John “that all sounds great – really well thought through!” John smiled gratefully “it’s a slow process but slow and steady brings the best, long lasting results” I looked between them, after adding up the times “ but, even if everything goes to plan that’s a really long time – its 10 months with those two massive appliances, another month for the expander, a year with the bands then 6 months with the normal braces…that’s 29 months…that’s 2 and half years! You cant keep me in hospital for that long! I will have finished school, I’ll need a job! I’ll be nearly 22 by the time I finish!” Jessica piped in again “don’t forget the two years of retainer use sweetheart, 24 by the time you’re out of them! But lets spin this around, 24 and out of braces with your teeth fixed forever…what a lucky girl. 24 is still a baby!” John nodded “Exactly Jess, the world will be your oyster, but to answer your question – no you won't be in hospital that entire time. I’d estimate 12 months of everyday, when we move to the fixed appliances we will transition you back out, but you can still come to the office for check and observation – but you’ll be able to sleep at home at night. You’re very lucky Jess and your dad are being so supportive, besides – if you start behaving you’ll be an inspirational patient – I am sure we could sort out a job here for you, it’s a win win. The patients get to see somebody who is really committed – and you’ll be on my posters, facebook and website so they’ll be used to your face, I get to keep an eye on your compliance and you get some income” Jessica gushed how great that would be while I nearly cried thinking about the next 4 years and what my life is going to become. I took a deep breath “And there is really no way around this?” John shrugged his shoulder “absolutely, like you were told – buy your way out of the contract – pay for the treatment in full today and you’re out. But if not, no – this is my office and we are doing things my way”. Tears spilled out my eyes as I nodded my agreement, knowing I had no money, no qualifications and no way to get out of it. John clapped enthusiastically.
“GREAT! So we will take everything out your mouth today, get some impressions and see you next week to get the treatment started!” Jessica jumped up quickly “wait! Just before you do, can I get a couple of pictures? Just so we can remember?” John nodded quickly whilst I sighed. Jessica snapped some photos of my grumpy face, with my mouth being held half open by appliances and the facebook snaked around my neck, just as she was about to sit down john piped up “hang on, I’ll put the lip spreader in and you can get some close ups of her mouth, in fact I think we will too for the website – just to journal how it all goes and how simple it could have been for her!” Both of them snapped photos of me like I was a zoo animal, but finally  he laid the chair down, put glasses on me and went through the process of removing all my braces and appliances, after what felt like hours he sat me up – my teeth felt slimy but also worse than I ever remember. He handed me a mirror and said “the thing about treatment is it makes everything worse before it’s better – so your teeth probably are more gappy and crooked than before due to the appliances but obviously we never got to finish. Enjoy having an empty mouth for the next few days, when you come back Monday we will have all your first appliances ready and will admit you to the ward.”
I nodded and stood up sheepishly, feeling like my life was over, for the next few years at least!

Probably the best place to end it?!

Offline RetainedJms

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Re: Ellie's treatment
« Reply #93 on: 12. January 2024, 21:25:39 PM »
Thanks so much for such an amazing story metalfoxy! Loved every chapter! Every twist and turn of poor Ellie’s treatment. It’s up to you if you leave it there, it’s your story! Personally I’d love to hear more about Ellie’s braces, but if you do decide not to continue I have a suggestion! I’m very keen to explore Ellie’s ’residential program’ myself and would be up for maybe writing a few ‘fan fiction’ follow up chapters of my own, just for fun. I’m a slow writer but whenever I get anything done I can PM them to you if you’re interested? And if you like them you could adapt them yourself or post them verbatim on this thread?

Cheers!
Braces, bare feet, ball gags and bondage!

Offline duncombec

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Re: Ellie's treatment
« Reply #94 on: 13. January 2024, 19:41:35 PM »
@Anton08 - I notice you comment quite a bit on stories, usually with what you'd like to see happen next, and occasionally quite critically, as you were here. If criticism wasn't intended, perhaps you need to be aware of how your tone sounds to (some) English-speaking readers. As far as I can see, you haven't posted your own story, either in English or German - perhaps it's time for you to give it a go?

@metalfoxy: Great work!  An enjoyable story of what I refer to as the "classic" style - a braces story fundamentally about braces - which I always like to see. Hopefully this won't be your only story you post.

As for whether to end it there or not, only you know that. I think a lot of people are "put off" writing by thinking their story needs to have a beginning, middle and end, and continue until they get their braces off (or Thermonuclear war ;) ), but I'm increasingly favouring something more 'episodic'. Perhaps you'll come back to it in a couple of years, perhaps you don't want to write about the residential program but would like to pick up again when she leaves and returns to the 'real world'? Perhaps Ellie finds a boyfriend, despite her stepmother's best efforts, and together they conspire to have Dr John struck off, Jess jailed and finish up with Invisalign? Whatever you decide to do, make sure you're happy with it. Don't be arm-twisted into carrying on and finding you end up disliking the whole work!

Offline Braceface2015

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Re: Ellie's treatment
« Reply #95 on: 16. January 2024, 23:08:35 PM »
I agree with Dun, you know when the story should end.

If you do decide to add more, it will be appreciated by many of us. I would also enjoy another story from you if you choose to write another one.

Offline ellers

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Re: Ellie's treatment
« Reply #96 on: 17. January 2024, 01:11:38 AM »
As others have said, the decision to end the story is totally up to you. It’s one of my favorites on the forum, and I’ll be sad to see it done.

If you do decide to continue it, you can always just do small snippets of what Ellie’s life is like, her treatment at the hands of the technicians, or even small episodes detailing the installation of each stage of the braces (along with Ellie’s reaction).

I’d love it if you continued, but of course the choice is all yours.
Thanks for the chapters!

Offline metalfoxy

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Re: Ellie's treatment
« Reply #97 on: 05. August 2024, 04:13:12 AM »

The following week, Jessica took Ellie to the hospital for her treatment to begin. John met them at the clinic and the nurses took Ellie’s belongings to the ward. John turned towards Jessica “right, now is the time and place to leave her with me. You can come back Friday at 2.30pm to collect her for the weekend – you’ll be surprised the changes that will happen!”
Jessica smirked and Ellie’s stomach dropped, Jessica turned to Ellie – a fake smile on her face “I cannot wait to see, now – you be good and we will see you really soon, OK?”
Ellie nodded, swallowing before glancing between Jessica and John “Are you REALLY sure we have to do this?”
Jessica grinned and nodded before John spoke up “nerves are normal, come on now – let’s get you to the team”

As Ellie was sat down in the chair, John smiled and introduced her to the three trainee orthodontists he was currently working with. He pointed to the camera which was handing down from the ceiling “so this is the room we are going to be using to film all the promotional videos plus my webinars and any online teaching. Now – I know we have impressions for your appliances but since this IS a teaching hospital I am going to let these three practice on you today. We will start with the upper impressions – they will all have a turn then we will assess. Whoever is the best will get the opportunity to be filmed to provide a video for my website so patients know what to expect. OK?”
Ellie groaned internally but nodded, she swung her legs up onto the chair. John’s assistant slipped a bib and glasses on her which Ellie thought was a bit unnecessary for simple impressions. She went to work mixing up the impression material.
The first orthodontist stepped up and reclined the chair. The other 2 trainees plus John crowded around watching. Ellie felt very self conscious but followed the instruction to open wide.
The orthodontist slipped the tray into her upper palate but as she was reclined flat, Ellie began to gag loudly as the alginate dripped down her throat. The orthodontist warned her to stay still or it would not work, after a long couple of minutes, she took it out. John examined it and hummed.
Ellie began to bounce her foot anxiously, the second orthodontist came up and sat the chair up “just for patient comfort I would have them more upright” John nodded as Ellie was forced to open up again, this time the impression went much smoother and Ellie relaxed slightly.
Finally the third orthodontist stepped up, they kept Ellie upright but the tray was much more filled and the alginate made her gag again as it dripped down her throat and came out the sides of the tray. Jessica continued to gag – her eyes streaming. When it was taken out John examined them all “Greg – yours was the best. Now you can prep to do a video, talking through it all.” Jessica was unsure who Greg was until the final one smiled and nodded, she groaned internally – feeling like this was actually the worst one.
Ellie turned to John “can I clean my face really quick?” John looked at the alginate on her chin, lips and cheeks but he smiled “no need – it’s just going to go all over again – you can get cleaned up afterwards”
Ellie nodded, embarrassed to be filmed with stuff all over her face.
As the camera was switched on, the orthodontist sat next to Ellie – introducing them both. He turned back to the camera “Now, Ellie is well practised with impressions so she knows what to expect. We have selected our tray and found the correct sizes for the top and bottom – we are going to start with the bottom this time. Our assistant here has prepared the mixture for us”
He placed the lower tray and Ellie relaxed as this one wasn’t bad at all. He waited, checking the material until it set “now this is ready to take out, open really wide Ellie”
She did as instructed and cringed as a trail of spit followed. He turned back to the camera “now this top one can be a bit more challenging because it can activate the gag reflex, we will keep you in an upright position to help with this and if you do start gagging, putting your chin down can help”
He instructed Ellie to open wide “don’t bite down – just let me push this in” she nodded as he pushed the filled tray into her upper jaw – she was convinced it was even more full this time. Immediately she felt it oozing out into her lips, past her top lip and spilling out but also down her throat again. She began to retch loudly so the orthodontist tilted her head forward, he manipulated her upper lip to sit correctly and was tapping her lip to keep it in place. The change in position didn’t help the gagging as another big gag ripped through her – instinctively Ellie reached up to his hands but he pushed them away “now it's important for the patient to stay still or we may have to start again” as another gag ripped through Ellie he explained “although gagging looks unpleasant it’s very common and it’s important we keep the impression in otherwise we will have to start from the beginning and go through it all again”.
Ellie heaved again, this time a trail of dribble dripping down her chin as her mouth had been propped open for so long. Her eyes were streaming and another big gag ripped through her – this time she nearly vomited. Luckily he spoke up again “ok that’s set nicely, open us for us Ellie” she did as instructed and he pulled it out – a thick trail of saliva dribbling down her chin as he pulled it out. The assistant wiped her mouth kindly and they shut the camera off. John smirked “welcome to the programme Jessica”

Offline castleg

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Re: Ellie's treatment
« Reply #98 on: 05. August 2024, 08:19:59 AM »
great :) :)

Offline metalfoxy

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Re: Ellie's treatment
« Reply #99 on: 05. August 2024, 19:48:48 PM »
John turned to the assistant “please can you go and get the appliance ready for me?”
The assistant hurried off as John turned to the three trainees “I am going to fit this but I am going to do a short tutorial online. Any questions we will do them afterwards, OK?”
They all nodded, smiling at him.
Soon enough the assistant came back carrying a tray but Ellie couldn’t see what was in there.
John laid her down flat and inserted a big lip spreader – she felt like her lips were going to split. He turned the camera back on – angling it as Ellie’s face carefully. John was totally out of shot except his gloved hands – he addressed the camera “you can see here Ellie has a severe malocclusion. We are going to treat this with a modified Frankel appliance. Now this is a great appliance – it really does work when worn well. The downsides to using these appliances in practice is that it is a one piece appliance and it can be difficult for patients to learn to talk with this – Ellie here will need a lot of practice. It is a bulky appliance – it’s not the most enjoyable for patients but of course we work on results here.” Ellie’s heart sank hearing it all and she had to blink back tears – knowing she was being filmed.
John grabbed the appliance but as she was laying down flat she couldn’t see it “now open wide Ellie” she followed the instructions and felt John put the appliance in but because of the lip spreader she couldn’t really feel it.
“now this appliance relies on the pressure of the tongue pushing against the inside of the teeth to expand the arches. It also holds the teeth edge to edge which encourages the lower jaw to sit forward. Now we would usually use this in younger patients but we are expecting great results from Ellie too. Now Ellie’s appliance is modified because we have the acrylic pads above both the top and bottom teeth – these act as lip bumpers essentially – stopping the lips from pushing on the teeth and forcing them backwards. We also have the large acrylic pads on the cheeks – this stops the cheeks from being sucked in – it means the patient can’t use the lips as cheeks as pressure against the teeth – it allows for more tooth movement. We also have an upper and lower labial bow which is held slightly away from the teeth to stop the movement from going too far forward. Now this looks like a great fit for Ellie. This is to be worn all the time, except eating and for brushing her teeth. It can be a challenge to start with but patients soon adapt. Now Ellie let’s get those lip spreaders out”
As he took them out, Ellie felt her lips spring back but they didn’t shut fully – there was panic on her face as she realised how big and bulky the appliance was. She had to really purse her lips to get them to close and it wasn’t a position she would be able to maintain – meaning her lips would stay open at rest. John smirked slightly, pointing this out to the camera. “So how does it feel Ellie?”
She just nodded, not wanting to speak on camera but John didn’t allow this “come on – tell us your thoughts”
Ellie sucked back her saliva “ee feees aaahhwiii buuu huuuee”
John translated “it feels alright but huge?”
Ellie nodded, her cheeks burning red as she realised how jumbled her speech was. John smiled “you will adapt soon!”
He turned the camera off and had her open and close. He turned to the trainees “see how it isn’t clipped it – it’s just held in place as the patient bites down?” he had Ellie open again and they all noticed how the appliance dropped down. He had her close it it kept her jaws in place more.
He looked at Ellie “is it digging in anywhere?”
Ellie nodded but John chastised her “use your words”
“iii cuuuinn in heeee” she pointed to her upper lip where the lip pads were touching and cutting in
John shrugged “that’s normal – your lips will adjust – we will leave you here for a bit while we go to check on other patients and we will come back and see how you’re doing. If it is going well, we will run through some instructions and send you up to the ward – a nice easy day for you to start!”
 Ellie nodded, sitting there. She still hadn’t seen what she looked like and her nerves were kicking in. After around 40 minutes her jaw was throbbing and her lips were sore from trying to close them all the time. As she run her tongue around the inside, John reappeared – alone this time. He smirked “how are you finding the new appliance?”
Ellie shrugged, John smirked again “it’s a lot but you will adapt – remember if you keep sucking your lips in those buttons will rub – you will learn to speak and swallow in a new and improved way.
Ellie nodded, slupring back her saliva again. John turned to her “like I said – this is 24/7 for 3-4 months.”
Ellie nodded “howww go I ake it out?”
John smiled “you just open your jaws and pull it out but you don’t need to worry about that - the nurses will help you take it out for meals and to brush your teeth – I don’t expect you will need to touch it”
Ellie slumped but John pulled out a mirror “do you want to see?”
Ellie nodded but was horrified by her own reflection – as she grinned, all the acrylic was clearly visible. This was by far the worst thing she had worn – she was in for a rough few months.
Ellie was escorted to the ward and all the nurses helped her settle in. Ellie was too embarrassed to speak so sat down and began reading. Her jaw was so painful so she decided to look in the mirror and take it out – giving her jaw just a minute or two rest. As soon as it was out a nurse walked in, she glared at Ellie “sweetheart – that has to stay in your jaw, I will log it this time but I don’t want to see it again. OK?”
Ellie nodded, ashamed she had played into the ‘problem patient’ part again. The nurse looked at her “back in then…”
Ellie sighed but opened her mouth wide and slipped it back in – the feeling worse than before.
That week passed slowly, Ellie was monitored constantly and never allowed to remove the appliance – the nurses did it for her at mealtimes and when she brushed her teeth and they even stood straight over her as she cleaned her teeth – making sure it went right back in. Friday at 2.15 Jessica arrived to collect her, she giggled slightly “oh that is SO cute. I watched the video John put on facebook, but this is SO much better in real life”
John arrived quickly to say hello to Jessica he smirked slightly again “Ellie has been having real difficulty talking, I’d get her to read aloud to you this weekend – get her used to it. She has about 15 weeks left in this, she needs to adapt” Jessica nodded, promising she would get you talking and you groaned – knowing it was true. John turned to Jessica again – his expression serious “she must not remove the appliance except eating and to brush her teeth – I know the nurses taught you to do this she you can do it for her this weekend. If you catch her without it – you must let us know and we will act accordingly…”
Jessica nodded, her face serious “Oh I will! I promise, it won’t be out her mouth!”
As you left the hospital you felt even more self conscious and you knew you were in for a rough weekend…


I think I will just do a chapter like this for each appliance so big time skips in-between if that’s ok with everyone? Means I get to write about her feelings but don’t have to ‘fill’ space.

Offline RetainedJms

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Re: Ellie's treatment
« Reply #100 on: 05. August 2024, 20:56:23 PM »
So glad you’re getting back to this story, it’s one of my favourites! Yep, all killer no filler sounds like a good way of carrying on to me. There are already great stories written by great writers on this forum that get right into to details of day to day life with braces etc, so it’s nice to have something a little more straight to the point! Can’t wait to hear more from Ellie and her treatment! Thanks!
Braces, bare feet, ball gags and bondage!

Offline metalfoxy

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Re: Ellie's treatment
« Reply #101 on: 06. August 2024, 01:21:06 AM »
The frankel appliance had been hell for Ellie and she was grateful to get rid of it. Everytime she spoke, it moved around in her mouth and hurt her jaw.
John had informed Ellie and Jessica on Friday that after the weekend, she would be getting a new appliance. When Ellie had asked what it was, John simply replied “exactly the same as the treatment plan I laid out to you many months ago”
Jessica smirked but Ellie couldn’t remember so she sighed, knowing she was in for a surprise.
On Monday morning, when Jessica dropped Ellie off – she called down the corridor “see you with your van beek on Friday honey!”
Ellie forced a smile and nodded. A van beek – she wished Jessica had told her that earlier so she could have googled it over the weekend.
As John led her down to the chair, Ellie asked him tentatively “what is the van beek?”
John smiled at her “a magnificent appliance to help your overjet. Now obviously because you are older, we don’t know how much difference it will make – but that’s all part of the learning isn’t it?!”
It didn’t really answer her question but hearing it might be unnecessary anyway just angered Ellie.
John sat her down, clipping a bib over her chest, he chucked “you might want to keep this on later!” Ellie wasn’t sure what he meant but smiled politely – not wanting to anger the men.
The new trainees filed in and Ellie smiled awkwardly at them all.
John had them crowd round the chair as he laid Ellie down
“alright Ellie – you’re well practiced at this now, lip spreader in…”
She opened her mouth – allowing him to insert the lip spreader. John had Ellie open and close, he turned to the trainee’s “you see her pronounced overjet?”
They all nodded and hummed, john continued “well Ellie gets her new appliance to deal with this today. She is getting her van beek”
Ellie could swear a couple of them had a shocked expression but they returned to normal so quickly she couldn’t be sure.
John held it up proudly for Ellie to see, her own eyes widened “I have to wear that?!”
John nodded proudly “hopefully for only 5-6 months…”
Ellie’s cheeks burned red as he made her open her mouth wide and slipped it in.
She could immediately feel the metal facebow arms poking out. John slipped it out quickly and made a couple of adjustments.

John turned on the camera – filming his webinar  - making sure the camera was trained on Ellie’s face. He held the appliance in front of her face – giving a clear view of the monstrosity.
John looked up at the trainees “This is a van beek activator – it is a monobloc activator with facebow arms for extra oral traction which helps to reduce an overjet.”
They all looked at her with sympathy.
John spoke up again “ This activator will help to strengthen the muscles attached to Ellie’s lower jaw – she will likely have some muscle pain while they adapt – like training muscles at the gym but over time they will adapt and grow strong then I won’t hurt and the jaw will be held in a better position.” The trainees all nodded along again.

John tapped Ellie’s chin “open up”, Ellie did as she was told and john slipped it in. Somehow the camera capturing this was even more embarrassing and Ellie had to focus on one spot on the ceiling to stop herself crying.
John’s voice was smug “ Usually the van beek has a wear time of 14 hours but Ellie here will be 24 hours as we need to try and maximise any jaw growth we have left”
John pointed out the features of the appliance – since Ellie had the lip spreaders in, she hadn’t felt it fully for herself yet and listening to John ramble just increased her anxiety.
“Now you can see this appliance covers the front teeth but there is a small hole Ellie will breathe out of.  Ellie’s palate here is slightly thicker than normal to address the tongue thrust early on in her treatment journey. We have also added extra acrylic above the teeth over the gums so Ellie’s appliance goes right up to her upper and lower lips – you can see from the front all teeth and tissue is covered. “ Ellie’s eyes widened as she heard this – knowing it was going to be more of a nightmare to wear than her frankel.
Joh continued speaking to the camera “The aim of this extra material is to stop Ellie from pressure her lips onto the facebow and changing the traction.”
At that moment, a trail of spit dribbled down Ellie’s chin and she wanted the ground to open up and swallow her. A trainee dabbed it gently before it dripped further. John removed the lip spreaders.
John used that opportunity to explain “You can see here Ellie is unable to closer her mouth and lips – this is a big adjustment but she will get used to it eventually. The main issue is one you’ve just witnessed – increased saliva production. It’s important to remind patients not to slurp – just swallow their saliva to train their muscles. The second problem patients encounter is speech – this may be even more challenging for Ellie due to the extra acrylic and it’s likely this will be for the entirety of treatment but for more patients as they don’t wear the appliance full time – it won't be a huge issue.”
John attached the high pull straps – a neon pink – and address the camera for the final time “the facebows and straps help to hold this in place in addition to the patients bite. Now how is it Ellie?”
Despite what John said, Ellie slurped her saliva back “ahh, eeesss ok”
John looked at her “it’s ok?” she nodded – of course it wasn’t but she couldn’t admit that on camera. He turned back “there you have it – despite how it looks, it’s a comfortable appliance and gets great results!”

As Ellie sat there, all the trainees looked at her, a slightly shell shocked expression on their faces. John smirked at her “it’s a lot to get used to Ellie, but it’ll be worth it to get that perfect smile. Like I said 24/7 wear – except of course eating and brushing. Same rules apply – nurses will take it in and out, Jessica will do it for you at weekends. We will see you back in the chair tomorrow! But first – let’s get some updated photos…”
He forced Ellie to smile, showing off the luminous pink acrylic that took over her mouth. She asked for a mirror and when he passed it to her, she almost fainted. Her jaw was being held open about 2cm, her lips nowhere near touched – she had saliva dripping down her chin and the headgear straps were messing up her hair. She cried immediately – begging him to change it but John smirked – “it’s the compliance programme, you had your chance with easy appliances – you couldn’t do it so we are starting from the basics. Now, I am worried about those lip pads rubbing, I am going to have you take a seat in the waiting room and I’ll check on you in an hour or so. Ellie’s eyes widened and she pointed to the appliance, “like thith?”
John smiled, “it’s full time wear – everyone is going to see you soon anyway!”
She didn’t know what he meant but she sat up, trying to stop the tears from flowing. The more the cried, the more she dribbled and she used her sleeve to wipe her chin. John handed her a tissue with a smirk on his face “I told you that it would be handy to have the bib – shall we leave it on?”
Ellie looked down, seeing the drool soaked bib and shook her head – too embarrassed – she kept the tissue pressed to her chin as she walked out.

There were quite a few patients in the waiting room and her new appliance gathered a lot of attention. Her eyes were red from crying and her slurping interrupted the silence. She heard a mother say to her daughter “see? You’ll end up like that if you don’t wear your appliance properly – you know John will do it!”
Ellie’s face flushed red with embarrassment as she dabbed her chin again, trying to pretend she hadn’t heard the cruel words.
After about 90 minutes, John came back out. Ellie stood up – expecting to follow him back to an exam room but he waved his hand “oh just stay sitting there, a quick check – no need to come back”
He parted her lips, checking the acrylic on the gum tissue – feeling around. Ellie glanced around the room, all eyes were on her and her eyes welled with tears again.
After around 30 seconds, John announced loudly “that looks great! Right – remember no trying to cheat – I always know!” the other patients looked down, trying to pretend they hadn’t heard but Ellie nodded.
John smiled “see you tomorrow!”

Ellie trudged back to the ward, all the nurses eyes widened as they saw her. She sat on her bed and cried, looking in her phone mirror at her horrendous appearance now.
After an hour or so of crying, she couldn’t bare it anymore and took the appliance out – setting it back in its box.
Soon a nurse came by, glaring at her – “you know the rules, appliance in”
Ellie grumbled “it hurts so much!”
The nurse sighed “I can get you some pain relief – but it needs to go back in”
Ellie argued she couldn’t yet. The nurse rolled her eyes “you’re going to make it so much worse for yourself!”
Ellie scoffed “worse? How can it get wose than this? I can’t speak, I am drooling, my teeth are covered in plastic and I have metal bars poking out my mouth with neon pink straps. IT CAN’T GET WORSE”
The nurse shrugged, mumbling “on your head be it”

10 minutes later, John stormed up to the ward, a package in his hand.
He held out the appliance and Ellie took it, nervous of the repercussion.
He sighed “I don’t want to have to punish you Ellie…you’re not a child. But you were warned. He pulled out new headgear straps, interlandi headgear – still neon pink but MUCH larger than before.
Ellie cried as he attached it – begging to be put back in the old one – this had plastic all in front of her ears and was uncomfortable. John stopped her “I cannot understand you Ellie. You need to stick to this for 2 weeks, then we will consider going back. Actually your speech is terrible – we will have you read out loud to the team daily to check your progress”
Ellie nodded glumly, not able to protest. Just as he was walking away – John smiled “thanks for the promo!”
Ellie was unsure what he meant but a few minutes later her phone buzzed – John’s orthodontic practice had tagged her in a post. It was the video and photos of her with the new appliance ON FACEBOOK for everyone to see. She nearly untagged herself then realised there would be more punishment so she turned her phone off, ready to ignore the world.
She laid down, crying again – fearing the weekend with Jessica and her bright ideas – she betted Jessica would make her go out the house this weekend and the dread was building already.

Offline Braces1234

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Re: Ellie's treatment
« Reply #102 on: 07. August 2024, 10:46:29 AM »
That’s one heck of a treatment, I love it great job

Offline Rocky66

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Re: Ellie's treatment
« Reply #103 on: 26. September 2024, 05:56:52 AM »
Please !!!! Next Chapter

Offline aktivator82

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Re: Ellie's treatment
« Reply #104 on: 26. September 2024, 16:44:34 PM »
This is such an awesome treatment. Would be awesome if there will be a new chapter to see what's next in the compliance program