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Author Topic: Double Braced  (Read 59736 times)

Offline napacaster

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Re: Double Braced
« Reply #105 on: 23. February 2024, 03:07:41 AM »
I guess see how you do with the tongue crib. If it interferes with speaking too much then ask for it to be removed for the weekend.

I just hope all goes well for you.

Offline TrainTrack

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Re: Double Braced
« Reply #106 on: 23. February 2024, 03:16:01 AM »
I would probably take it. As an adult with braces, my orthodontist is very flexible when it comes to my treatment, and from the sounds of it, yours is too. And you haven’t experienced that much negativity thus far, through work dinners and soccer games and so much more. You can also ask your ortho before accepting if it is an issue. Ultimately, it is up to you, and I think you will be fine no matter what.

Offline mr_90proof

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Re: Double Braced
« Reply #107 on: 23. February 2024, 03:20:39 AM »
I’d just proceed as is and cross that bridge when you get to it.  I bet by then you will be speaking fine with it.  And if not, then you can have it removed.  That is easy for me to say, it’s not me having to deal with it.  But you will do fine.

Offline anton08

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Re: Double Braced
« Reply #108 on: 23. February 2024, 08:02:58 AM »
Where there is a will, there is a way.

I have no doubt about your will, and your orthodontist should find a way too.

As others have already written, maybe by the time you will speak without a lisp or maybe with a little lisp.

If you speak with your orthodontist now, they may be able to construct the tongue crib in a way that allows the taking out and refixing in an easy way for them.

This should not be a big issue.  ;)

Offline Bracesx3

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Re: Double Braced
« Reply #109 on: 29. February 2024, 02:55:10 AM »
I promised an update after my orthodontists appointment today, and I’m betting it’s not what any of you expected to read. So here it goes. In all my appointments with my jaw doc, it’s been brought up that surgery would be my best route to get everything corrected that is going on in my mouth and jaw. I’ve been ruminating over this possibility for more than a year. I’ve mentioned after a previous orthodontist appointment that she didn’t want to expand my jaw even though it’s needed. I didn’t mention that she also brought up jaw surgery. Well, my husband is finally retiring, which is great news. The downside is that it means entirely different medical and dental insurance. The insurance our family has now is amazing, we actually pay money out of pocket over what my husband’s employer provides for benefits. While my husband has worked enough years to qualify for free medical and dental benefits upon retirement, the policies are not nearly as robust and would require an inordinate amount of referrals and essentially have me start the entire process all over again to be approved for surgery. With this knowledge, I reached out to my jaw doc a few weeks ago and asked him if I was far enough along orthodontically to have the jaw surgery before our insurance changes. He reached out to my orthodontist and they conferred. He finally got back to me saying my ortho is on board and to schedule to get the ball rolling. I called to schedule an appointment and asked to speak to the person who knows the insurance ins and outs and also does the surgery scheduling. I went through everything, then she let me know that my doc’s surgery schedule is all booked up through when my current insurance ends. Sigh. But she gives me his soonest appointment that has enough time to get the process started at the end of March. So, today I go to my orthodontist. She tells me she spoke with my jaw surgeon and is very excited for me to proceed with jaw surgery. She noted that I still have some tooth alignment and bite correction that needs to be taken care of, but they can be addressed after surgery. She also pointed out that jaw surgery will give my tongue the room it needs, and since that’s where things are going, there is no need for the tongue crib. I asked her if the brackets on my crowns would hold the tension of my jaw being wired or if I needed bands on those teeth, and she was confident that they will be fine. She also mentioned I would need to be in braces for  8 more months after surgery. So the takeaway is both my doctors are of the impression that I am having jaw surgery within the next 2 months even though the surgery scheduler says there’s no availability. My bite turbos were taken out completely for my “upcoming surgery”, but my tongue tamers were kept on? I need to let her know when there is a date so she can do whatever else it is that she needs to do. In the meantime, I have an appointment with her in 8 weeks. Back to the bite turbos- having them gone is good and bad. My lower jaw is so uneven that without the turbos, only the teeth on the right side of my jaw come together. The left back teeth don’t touch. So while I finally have more than 4 teeth biting together, it’s only on one side, and the unevenness is exacerbating my TMJ pain on the left side of my jaw. In the meantime, I am still continuing full time wear of my Class ll elastics. The question as to whether I will be able to get this done before my insurance changes is annoying.I won’t have a tongue crib for Memorial Day, but could have a wired jaw instead. We are also planning a cross country trip this summer for my God daughter’s wedding, and I have to wonder if my jaw will be wired for that as well. This is not the direction I thought this year would take. I’m not even 6 months out from my ankle reconstruction yet. I’ll let you know how things go as I get more information.

Offline anton08

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Re: Double Braced
« Reply #110 on: 29. February 2024, 04:19:45 AM »
So there are very good news for your husband to retire.

There is only one point that I do not understand: The tongue is a very strong muscle amd a tongue crip should break a habit of strong pressing. How can an operation stop this habit?

Wishing you all the best!

Offline napacaster

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Re: Double Braced
« Reply #111 on: 29. February 2024, 05:00:36 AM »
Wow! That's a lot to take in. Wishing you well and I hope everything works out for you.

Offline mr_90proof

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Re: Double Braced
« Reply #112 on: 29. February 2024, 05:31:35 AM »
It sounds like the appointment went well.  No mouth full of spacers.  No upcoming tongue crib.

Things sometimes just seem to work out for the best, in spite of plans, and this sounds like it might be doing just that.  I know you don't want to get jaw surgery.  But I am not sure that having your jaw wired shut for 4-8 weeks won't be easier than having a tongue crib for 6 months.  Either way though, you got this.

Offline Bracesx3

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Re: Double Braced
« Reply #113 on: 08. March 2024, 03:10:43 AM »
My husband is finally retired! But we aren’t sure if our current insurance will last until the end of this month or next. The current policy was negotiated by his union, but costs more than the benefit allowance his work provided. That wasn’t a problem this month because the overage is taken from his paycheck, but next month doesn’t have a paycheck to have anything taken out. So, it may be possible to pay the amount separately. We have also discussed the possibility of using COBRA to continue the same policy for the time that I may need it. I would then have 2 insurance policies, while my husband and kids would have three during that time if we aren’t able to COBRA for just one person. Crazy right? Total feast or famine situation.
On a side note, I had my back brace adjusted Monday. I didn’t realize how much my body has conformed to the brace, and I swear it squeezes the fat out of my midsection. A good inch and a half was taken off at the opening and the straps had to be moved out to be able to have enough Velcro coverage. Boy is it ever tight again!
My TMJ is off the charts. I’m limited in my mouth opening again and have been favoring softer foods. I’ve been taking Motrin like I’m back in the military-there’s a reason it’s called Ranger candy. I’ve even resorted to voltaren cream and lidocaine patches at night.
I’m continuing in physical therapy for my ankle, and it’s progressing well. My therapist has been using a Graston tool to break up some of the adhesions from so much scarring, but it’s caused a huge bruise on the top of my foot the color and circumference of a plum, but nowhere near as painful as my jaw. One pretty cool thing that happened is one of the other patients at PT during my last appointment is an army vet like myself that I recognized from having crossed paths with a few times many years ago (like close to 20). It was fun catching up and sharing stories from so long ago. The therapists and staff were surprised to hear us talk about different aspects of the military. I’m pretty quiet for the most part during my appointments, so it was definitely a different side of me being seen. I joke about being an unassuming stay at home mom because anyone looking at me would never guess half the things I’ve done. Next week is my ankle follow up and in 2 1/2 weeks is the big appointment with my jaw doctor. Is it just me, or does it seem like my life right now could best be summed up as a medical 3 ring circus with lots of jugglers?

Offline mr_90proof

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Re: Double Braced
« Reply #114 on: 08. March 2024, 03:20:32 AM »
You definitely have a LOT going on.  But you will get through it.

Offline anton08

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Re: Double Braced
« Reply #115 on: 08. March 2024, 09:53:14 AM »
Congratulations to your husband for his retirement.

And all the best to you and your treatments.

Offline Bracesx3

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Re: Double Braced
« Reply #116 on: 15. March 2024, 07:59:02 AM »
Today was a busy day. I just got home, but I started the morning at my podiatrist appointment getting my second AFO for my left ankle. As soon as it was pulled out, I realized it wasn’t the same design as the first one. I tried it on and found it just as supportive and comfortable - without the strap over the top of my foot, it easily slipped into my shoe. I can leave it in my shoe to put on and take off which is an added bonus. The tech pulled out both prescriptions and saw the first one wasn’t made to the order, which means I will get the correct style remade for my right ankle and be able to keep it in my shoe to put on and take off as well. The best part is that I won’t be forever relegated to men’s shoes in order to be able to wear the AFOs like I’m supposed to. Here’s a picture of both of them side by side for comparison: https://dereferer.me/?https://imgur.com/a/SYrFYHk.
I had another doctor appointment right after the first one that wasn’t across town, but still a bit of a drive. I’ve been struggling with multiple sinus infections over the last year that don’t completely resolve with antibiotics. I’ve had sinus surgery previously that helped immensely, but not completely. I want to make sure that these infections don’t prevent me from having jaw surgery. My ENT decided to use the scope to lookin my sinuses for signs of infection and something to culture. He could see the drainage from of the infection, but nothing big enough to culture. He wanted to do a CT, but I was reluctant because I will be getting a CT at my next jaw doctor appointment and don’t want all the radiation exposure so close to each other. He agreed stating he and my jaw doctor use the same type of CT machine and asked me to bring in copies so he can evaluate them since he can only physically visualize my maxillary sinuses. He gave me a 20 day prescription for antibiotics. At his suggestion, I’m going to wait until after my CT to start them so I don’t mask an active infection that may not completely clear again. If the CT shows signs of infection, I will have to have a procedure 2 weeks before my jaw surgery to have my sinuses cleaned out while sedated to prevent any surgical infections. I appreciate his proactive approach, but am not a fan of said procedure. He will also be involved in my post op care to make sure there are no nasal/sinus complications that arise. He is very happy with my decision to have jaw surgery and believes it will help with my chronic sinus issues as well as the other benefits. He also said my jaw doctor is really good when I let him know who I was seeing. It puts my mind at ease a little.
When I got home, I called the phone number for COBRA benefits that my husband had been given and got some encouraging news about being able to continue my current health insurance for a few more months. It turns out that not every family member has to participate in continuing benefits. It can be just me which will minimize the cost tremendously. Apparently the paperwork for enrollment is automatically sent out once the department is officially notified of my husband’s retirement and health benefits transfer. This game of waiting for all the pieces to fall into the right places is killing me. The 26th can’t come fast enough, if for nothing else than to get a date and perhaps find out how long my jaw will be wired. We have a cross country (drivng) family vacation planned to attend my God daughter’s wedding which I think I previously mentioned. There’s also a cross country team retreat I’m hoping to attend with my daughter out of state, and scout summer camp on the coast. It’s going to be a busy summer. Will these even be possible?
I ran into terrible traffic on my way home from my monthly meeting. The freeway was completely stopped in all lanes due to an accident on my way home, fortunately no injuries. It took me an hour and a half to get home. I’m wide awake, so I thought I’d use the time to share my day with everyone and try to relax. I’ll let you know what happens after I have my jaw doctor appointment on the 26th.

Offline anton08

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Re: Double Braced
« Reply #117 on: 15. March 2024, 09:46:27 AM »
All the best for you, I keep my fingers crossed.

Offline mr_90proof

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Re: Double Braced
« Reply #118 on: 26. March 2024, 15:56:32 PM »
Good luck with your appointment today!

Offline Bracesx3

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Re: Double Braced
« Reply #119 on: 28. March 2024, 01:48:37 AM »
Thanks both of you!
I had a long appointment yesterday. I was looked at and measured, and looked at again and measured a different way. I didn’t even know so many measurements could be taken of the face and jaw. It was a very strange feeling to have my doctor stare at me and write down all my flaws onto a piece of paper- not that I have any control over my facial symmetry or the height of my maxilla, or the placement of my chin. I didn’t feel self conscious because I’ve always felt that nobody has control over their immutable characteristics, but I did kind of feel like damaged goods in a sense after having it all objectively laid out. There are like seven different things that will all be addressed, most of which I didn’t know were a thing. The overall plan remains mostly the same. My lower jaw will be widened first, then the upper jaw to match. Once that’s done, both jaws will be moved forward with the upper jaw height being shortened. The upper jaw may be sectioned into 3 pieces for the widening and to correct the minor open bite that still remains. He also wants to do a genioplasty and move my chin forward, but has to do so in a way that won’t affect the hardware that will stabilize my lower jaw after it’s widened. I’ve never given any thought to my chin before yesterday aside from my teenage years when it had the occasional blemish. I have never been one to stare into a mirror to scrutinize my appearance, but now I’m left wondering about my chin. The discussion over ensuring that I understand that my facial structure will change was brought up a few times. I know this will happen, but all the before and after jaw surgery pictures that I’ve searched through have had very positive changes. In the back of my mind, there’s a bit of fear that I’ll be the statistical outlier and look like Quasimodo or something when all is said and done.
The worst part of all this is that it looks like this won’t happen before our insurance changes. The scheduling and insurance person in the office is still going to try to get authorization in the off chance a date can be set in time. I knew this surgery was complicated and takes many hours, but did not realize it also takes two surgeons, which is what complicates the scheduling.
Today I took a copy the CT I had done yesterday to my ENT and am waiting to hear how my sinuses look, and whether or not I’ll need to have the procedure to have them cleaned out before surgery, whenever that might be. In the meantime, I’ll keep letting my braces do their thing and try to be good about wearing my elastics.