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32
Videos (English or German) / Re: Fixed braces videos #12
« Last post by acornjohn2001 on 26. March 2024, 07:07:10 AM »
https://dereferer.me/?https://www.youtube.com/watch?v=DPSxmB4NVgQ     adult from who needs
https://dereferer.me/?https://www.youtube.com/watch?v=JIChPUfejhw         adult expander
https://dereferer.me/?https://www.youtube.com/watch?v=4pLg-4zJeD0        teenie
https://dereferer.me/?https://www.youtube.com/watch?v=0LXNkS03tV4       teenie
https://dereferer.me/?https://www.youtube.com/watch?v=fhvWwC9k0is       adult, old video
https://dereferer.me/?https://www.youtube.com/watch?v=8cE1mpEr6bk       adult
https://dereferer.me/?https://www.youtube.com/watch?v=m_QWvPGXWxk   adult
https://dereferer.me/?https://www.youtube.com/watch?v=-glbPs_POkc         adult
https://dereferer.me/?https://www.youtube.com/watch?v=70PHdCavqxg       adult getting on, glasses
https://dereferer.me/?https://www.youtube.com/watch?v=j0nIezxS6lo          adult glasses
https://dereferer.me/?https://www.youtube.com/watch?v=aaxmhnHellE        adult couple

https://dereferer.me/?https://www.youtube.com/watch?v=SvpxQsYRt6A       adult getting on
https://dereferer.me/?https://www.youtube.com/watch?v=morKvDGBgbM     adult getting on
https://dereferer.me/?https://www.youtube.com/watch?v=svJFIgWbKvw       adult getting on, glasses
https://dereferer.me/?https://www.youtube.com/watch?v=_oxdeMbwwz4      late teen
https://dereferer.me/?https://www.youtube.com/watch?v=xPFm5FeQ_e8      teenie
https://dereferer.me/?https://www.youtube.com/watch?v=tiFYUjVqsfk          adult, more updates
https://dereferer.me/?https://www.youtube.com/watch?v=3OEF3jLfhAw       adult
https://dereferer.me/?https://www.youtube.com/watch?v=nMIVBytkqFQ       another adult, more updates
https://dereferer.me/?https://www.youtube.com/watch?v=fZlfUlmoEh8        adult glasses
https://dereferer.me/?https://www.youtube.com/watch?v=DooDGn-qHPc     adult glasses, long videos, more updates
https://dereferer.me/?https://www.youtube.com/watch?v=Nc10PgsMWpo     adult glasses

https://dereferer.me/?https://www.youtube.com/watch?v=V74xJR9KzZ4      adult
https://dereferer.me/?https://www.youtube.com/watch?v=iwhSOU75Zrw     adult
https://dereferer.me/?https://www.youtube.com/watch?v=9di8BtTIQTc        adult glasses
https://dereferer.me/?https://www.youtube.com/watch?v=K_K5GAwcQEA    adult glasses
https://dereferer.me/?https://www.youtube.com/watch?v=9kBqtjczo-I         teenie

36
General / Re: Tara’s Misaligned Jaw (or TMJ for short)
« Last post by napacaster on 26. March 2024, 04:25:09 AM »
Hmm, I wonder if Dr. Brad’s apparent goal of fitting as much orthodontia in patient’s mouths as possible isn’t to satisfy his own desires, but to satisfy his wife’s?  That would be an interesting twist.
:o :o :o :o :o
38
General / Re: Tara’s Misaligned Jaw (or TMJ for short)
« Last post by mr_90proof on 25. March 2024, 22:12:07 PM »
Hmm, I wonder if Dr. Brad’s apparent goal of fitting as much orthodontia in patient’s mouths as possible isn’t to satisfy his own desires, but to satisfy his wife’s?  That would be an interesting twist.
39
General / Re: Tara’s Misaligned Jaw (or TMJ for short)
« Last post by Braceface2015 on 25. March 2024, 21:38:27 PM »
 :)
40
General / Re: Tara’s Misaligned Jaw (or TMJ for short)
« Last post by mr_90proof on 25. March 2024, 19:34:48 PM »
Chapter Forty Two:

Dr. Brad inserted the tandem bow into Megan's locked mouth as he explained "so, this is a modified tandem bow.  It slides into tubes on Megan's lower molars.  And it has locks on it to keep it from sliding out."  Darlene looked on feeling sympathy for the woman.  Dr. Bovenizer seemed utterly intrigued as he asked "so I am still not sure how this is supposed to work".

Dr. Brad looked at him and said "it will make sense soon my good man.  So, now that I have the tandem bow inserted, I will reach in and lock it in place.  Like this.  The patient will be able to do this easily with just a little practice.  Now for the elastics."  He pulled back Megan's lip and said "see these hooks here?  This is where Megan attaches her elastics.  Would you show them how easy it is for you to attach them sweetie?"  Megan obediently attached an elastic to each hook.  Dr. Brad continued as he attached the elastics to the tandem bow "normally, she attaches them to her CTO or the facemask she was wearing earlier. But this tandem bow will take the place of that.  So, we attach the elastics to the tandem bow.  Like this.  And finally, I will place two additional elastics to these outside center hooks on the tandem bow.  We will use them in just a minute.  But now we are ready for the CTO orthosis with the integrated CPAP mask.  Honey, would you put on your CTO for us please?  Darlene, would you help her with the straps for her CPAP mask?  They are new for her."

After Megan had donned her CTO brace Darlene wrapped the straps from the CPAP mask around the back of Megan's head and clicked the buckles in place.  She then checked the fit of the mask on Megan's face.  She gave a thumbs up and moved out of the way.  Dr. Brad said "so, this will be the part that will take a little practice."  He held up a plastic tool and said "using this little tool, we give them to all patients when they start elastics, I will snag one of the elastics hanging on the tandem bow.  Like this."  He reached in through the hole where the air hose would go and grabbed one of the elastics.  He pulled it taught and hooked it onto a post he had installed inside the hole, far enough back that it would not interfere with the hose once it was attached.  He looked up proudly and said "first try.  Now, I will do the second."  Again, he succeeded in grabbing the elastic and getting it attached to the corresponding post.  He said "and now Megan is back in protraction.  The elastics running from her upper molars to her tandem bow are slowly and methodically pulling her upper arch forward.  But, since every force has an equal and opposite force, that is pulling her lower arch backwards retracting it.  We don't want that.  The elastics running from the outside of the tandem bow to the CPAP mask counter act this.  Thus, we are pulling Megan's jaw forward to increase the size of her airway and heal her TMJ joints.  All that is left is to attach the air hose."
 
Darlene checked the fit of the CPAP mask covering Megan's mouth and nose again as Dr. Brad and Dr. Bovenizer looked on.  Megan was seated on the edge of the bed, held stiffly upright by her CTO brace.  Once Darlene had checked the fit of the straps from the CPAP mask that wrapped around Megan's head, Darlene asked "does that feel ok?"  Through the plastic mask, her mouth locked shut by her twin force scopes, Megan gave a muffled "yesh".  Darlene explained "I am now going to hook up the air hose and get you comfortable".  Once Megan was in bed, Darlene helped pull the covers over the stiff body laying in front of her.  Darlene smiled and said "and now, I am going to turn the machine on.  You will feel the air pressure.  It is normal."

As the machine whirred to life, Dr. Brad looked down with pride at his wife.  He leaned over and kissed the plastic that covered her forehead.  He whispered "I am so proud of you.  You look so amazing, the most beautiful woman who has ever lived.  Sweet dreams kitten.  I will miss you beside me tonight so much.  I love you and I will see you bright and early in the morning."

As the trio departed the room, Darlene turned the light off and softly closed the door behind them.  Back in the monitoring and fitting room, Dr. Bovenizer said "Darlene will take good care of her.  As I explained earlier, Megan does have mild sleep apnea.  I am glad she seems to have accepted the idea of wearing this new mask so readily.  I will admit it has me very intrigued.  I wonder if it would have some applications for some of my other patients?"

Dr. Brad said "I am certain it would.  And Megan knows it is for her own health.  I am just so glad I was able to find you so that you could help her.  Speaking of health" he looked at Darlene, "Maggie said you didn't call today.  That is ok.  I went ahead and made you an appointment for a consultation.  This upcoming Wednesday at 9 a.m.  That is right after Tricia's 8:30 consult.  But if you two want to do it together, that would work too!  That is why I scheduled them consecutively like that.  I will let you all work that out.  Here is your reminder card.  I promise you will be so glad you came in.  You will love all the ladies.  Now, I have to run, I have to pick the boys up from Mom's.  But again, thank you all so much!  I will see you in the morning!"

The next morning, Dr. Brad greeted Darlene with a big smile and a cup of coffee.  He asked "how is my favorite sleep tech?  And how did my amazing wife sleep?" 

Darlene said "thank you.  I am good."  The truth is, she had spent much of the night staring at Megan in the monitor, wondering how on Earth she was able to sleep so peacefully.  The rest of the time she had surfed the internet about adult braces, expanders, and protraction; her anxiety growing by the minute.  Darlene remembered how much of a struggle she had when she first got her CPAP.  It had taken her over a week to feel comfortable with it.  Yet, Megan had not seemed to notice the new device at all.  Darlene said "Megan slept like a princess all night.  Let's go wake her, I am sure she is ready to get home."

Dr. Brad bent over and gently nudged his wife.  As she stirred he gave her a big smile and said "good morning sunshine.  I missed you so much."  He bent over and hugged her.  He then helped her to sit up.  Darlene stepped over and turned the machine off and then removed the air hose from the mask on Megan's face.  As she did Darlene asked "how did you sleep?   How do you feel this morning?"
 
Megan's muffled response was hard to understand, but Darlene repeated back "your face is sore?  The mask will take a little getting used to.  I will loosen the straps a little for you.  I didn't think about the elastics pulling the mask against your face."  As she unclipped the buckles she said "let me warn you, the mask usually does leave some red marks.  Mine does too.  But they quickly fade."  She looked at Dr. Brad and said "um, can we take off her CTO?"

Dr. Brad smiled and said "of course! Do you remember how Megan put it on?  It comes off the exact opposite.  Maybe you would like to do it for Megan?  It might be good practice."  He handed her the little elastic tool.

Megan fumbled getting the first elastic off, it snapped and hit Megan's lip.  She let out an "oooff".  Darlene apologized "I am so sorry. I will be more careful."  She managed to get the second elastic off without it snapping.  Once the mask was free from the tandem bow, Darlene unbuckled the straps holding the brace onto Megan.  Once everything was loose, she carefully removed the huge monstrosity and laid it on the bed.  There was a visible red mark on Megan's face where the mask had been.

Dr. Brad reached in and said "honey, I will take your tandem bow off for you."  Darlene looked on as he first removed her elastics, then unclipped the metal bow and slid it from her mouth.  He leaned in and kissed her.  He then said "how was your first night in your new brace?"

Megan said "mah facsch feelsh puffy.  And my mouf ish sore." 

Dr. Brad hugged her and said "I am sorry kitten.  But anything new often takes a little while to get used to.  But you look so beautiful and refreshed this morning.  Let's get you in the bathroom so we can get you unlocked and brush.  That will make you feel better." As he stood and helped Megan up he looked at Darlene.  He asked "perhaps you would like to join us?  To see how her scopes work?  And how she hooks up her facemask."

After unlocking the scopes that held her mouth close, Megan began the time-consuming process of brushing and flossing.  As she did, Dr. Brad picked up her red petit facemask from the counter and explained to Darlene "this is Megan's facemask.  She wears it anytime she isn't brushing or wearing her CTO.  Protraction is hard to achieve in adults and does require quite a commitment from the patient.  But my Megan is just the most committed patient."  He held the facemask up to Darlene's face as he continued "to get the best results, patients really need to wear their protraction devices fulltime.  Most won't, so we do the best we can.  But the success of the treatment is as much in the patient's hands as it is mine." 

Darlene had not focused on this last part.  Instead, her attention was completely on her reflection in the mirror.  She blurted out "Dr. Miller, I don't think I can do a consultation."

Dr. Brad lowered the facemask and said "why in the world not?  It is just a consultation.  There is no commitment up front."

Darlene responded "I just, it is just so much.  I don't think I could wear one of those."

Though he knew otherwise, he replied "an extraoral appliance might not even be in your treatment plan.  We might can fix everything in just a few months with invisible aligners.  At least come in.  Please?"

Megan had overheard and after she rinsed in the sink she said "do it.  Come in.  I promise you that you will be glad."  She reached over and took the facemask from Dr. Brad.  She turned towards Darlene.  Without even needing the mirror she quickly attached her facemask with fresh elastics.  Megan said "Adult braces are cool now days."

Darlene looked at Megan who was smiling at her.  Darlene softly replied "ok, I will."

Megan hugged her and said "yay!  You go girl.  It will be the best decision you ever made."

As they walked to the car, Dr. Brad carrying Megan's new CTO CPAP, Megan said "she doesn't look like she would be a candidate for clear aligners.  From what I can see she could definitely benefit from protraction herself.  She is clearly class III, has a narrow upper maxilla, and an obvious crossbite.  She will need expansion and protraction won't she?"

Dr. Brad said "that will be Dr. Andi's call.  But yes, you are correct."

Megan said "good.  And it would be a shame for her to go through the process alone.  Maybe Dr. Bovenizer's wife will need extensive treatment too?  It would probably be a good idea for them to see Dr. Morales as well.  Poor Darlene is awfully pigeon toed.  I bet Dr. Morales could fix her right up.  And I am sure that Tricia could benefit from some orthopedic bracing as well."

Dr. Brad wrapped his arm around Megan's waist, her stiff corset obvious to the touch, and said "it sounds like that would make my kitten happy.  And I will do anything to keep my kitten happy."
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