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Author Topic: My Journey to Removable Braces  (Read 19808 times)

Offline foobar

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Re: My Journey to Removable Braces
« Reply #90 on: 11. September 2022, 19:39:51 PM »
Just looked at pictures of your braces again. They really are epic. How are you getting on with them?

The removable braces I had were all absolutely amazing and I enjoyed every last single bit with them. Unfortunately, I can't wear them anymore. Since I have the lower fixed retainer the bottom plate doesn't fit anymore. And I now have a button on my upper left first molar where the adams clasp of the upper removable plate is located, due to which it doesn't fit…


The ortho said that I could skip the last appointment if I still notice my bite actively settling. However, during the last week before the appointment I didn't notice any further major changes, so I went in.
After a short inspection and wax foil to check the bite, she decided that we should try out the next idea for fixing my bite: elastics. She placed a plastic button on my upper left first molar for elastics to my lower left first molar to close the vertical gap between those teeth of >1mm.
Standard procedure with cleaning, etching, cementing and curing. Etching hurt like hell as my teeth are very acid-sensitive. In fact that tooth is still sensitive to warmth and cold and I'll ask for fluoride varnish during my next appointment.
I was given a pack of 100 light elastics 3/16" (4.8mm) 2 OZ (60 g / cN) and told to wear them 18 hours per day between 26 and 36, switching them out daily.

All of which is to say: I'm now wearing elastics (well, technically just one elastic).

It feels weird. Whenever I put it back on, it feels weird all over again. First, it's as if my teeth are being forced together. After a few minutes, I feel my muscles starting to work against that force. A few more minutes later, I stop noticing the elastic as my muscles are fully compensating the additional force.

The first few days the elastic pinched my cheek and a blood blister developed. I started hanging the elastic twisting it 180°, making it cross in the middle. That helped and soon my check got used to it at which point I was able to put in the elastic normally again.
I didn't have much of a problem with the button. Its edges are a bit rough, but I only notice that when not wearing the elastic.
Especially during the first two weeks, I had an elastic snap pretty much daily on me. It's gotten better now, probably because my tongue plays less with them.
Due to the different force between my left and right muscles, and a slightly shifted lower jaw position, my TMJs are acting up again and are clicking every now and again.

The button and elastic are practically invisible, being so far back, even when I laugh. Though if the plan is to move forward with more elastics to close the gaps between all my premolars as well, the buttons on those will be quite visible even when just talking.

I've been wearing the elastic diligently. The ortho said that if I notice the gap being closed I can stop wearing the elastics. I took that as a good sign that things should be moving quickly. Of course, why would I be that lucky? In the last 5 weeks, the gap only got a little smaller, now being at around 0.9mm. However, I can't feel the teeth actually being extruded. Instead, I think they just tipped lingually which improved contact between them a little. I don't know if that was the plan or if it's just my luck again. Guess I'll find out during the next appointment in two days.
I also notice that my lower jaw is pulled a bit to the left, which affects my bite on the right slightly. Either that, or it's the way my left molars are lining up differently now. My left canines push into each other a bit now, which makes the upper one move out, opening up the gap between my upper canine and first premolar again. There's also more contact between my lower incisors and my upper left lateral incisor.

I can definitely say that the brackets, button and elastic don't have as much an effect on me as the removable braces. Here, it's more of a love-hate-relationship. It's still fun to experience quite a lot of different orthodontic appliances and measures, which most people won't all experience during a single treatment.

Last week was the 1.5 year mark since getting braces, which initially was the predicted latest point at which I should have finished treatment. Instead, we're still dabbling around trying to fix something which wasn't even a problem before beginning treatment. One friend suggested that the treatment might be considered malpractice. Although I don't think that's the case as the complications weren't due to anything the ortho directly or indirectly influenced, that statement started creating some small doubts for me. On the other hand it's not like I'm suffering. Quite contrary, I'm still enjoying every minute of the treatment and don't even want to think about the time where I'll be braces-free.

Offline foobar

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Re: My Journey to Removable Braces
« Reply #91 on: 04. October 2022, 00:52:14 AM »
My next appointment is tomorrow, so it's time to give an update an update about the last one.

Last appointment was uneventful. While I didn't notice much progress, the ortho was satisfied. The gap between my left first molars closed down significantly such that she couldn't see through them anymore. However, while the gap is closed distally, mesially it's still there. As I only tested the size of the gap using different gauge wires mesially, I didn't realize the progress distally.
She noted down all the complications I experienced and said that we'll tackle those later.
For now she wanted me to continue wearing the elastic to close the mesial space. If it closes before the next appointment, I can try not wearing the elastic for a few days to see if the result is stable.

Unfortunately, not much happened. The mesial gap was about 0.9mm and went down to about 0.8mm over 2.5 weeks. Three days ago I noticed that my bite was starting to become very off and I wasn't able to bite properly on the right side anymore. So I stopped wearing the elastic. The gap has now opened back up to 0.9mm. However, My jaw pain and clicking decreased significantly since I stopped wearing the elastic.

Let's see what tomorrow brings. I won't be surprised if a few more brackets are added.

Offline bracessd

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Re: My Journey to Removable Braces
« Reply #92 on: 04. October 2022, 17:19:41 PM »
Tanks for the update. Will you post post new pics?

Offline foobar

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Re: My Journey to Removable Braces
« Reply #93 on: 19. November 2022, 12:36:31 PM »
Last appointment the ortho checked my bite again with wax foil. She was happy, stating that my bite is improving. She said that where I'm testing the size of the gap, I'm testing a horizontal gap where two crowns meet, not any vertical gap. Folding the tape and testing my bite again, she concluded that there's less than 0.08mm of a gap left vertically.
She decided to let everything settle again for seven weeks and continue from there.

My left upper lateral incisor moved back and started to interfere with my bite. The ortho modified the upper plate to push it out. To reduce the effects on my bite from the no longer well fitting plate, she shortened it. Then she spent half an hour trying to adjust the clasps so that it only exerts pressure to the to-be-moved incisor. In the end it still didn't fit well. Wearing it, my bite still feels off afterwards. I shall wear it as little as possible, only as much as needed so that the incisor isn't blocking my bite. Which for me equated to one to two hours every few days.

Even without wearing any elastics or removable braces, my TMJ acted up again a few weeks ago. For a few days I couldn't even chewing properly because it hurt so much. Since then everything was fine and I didn't experience any further problems.

Next appointment will be on Thursday. I don't even know what to expect. I don't think my bite improved much, it definitely doesn't feel stable.


Will you post new pics?
There isn't really much new to show, apart from maybe the shortened upper plate.

https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1043457867858071642/1.jpg
https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1043457868352983040/2.jpg
https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1043457868785000488/3.jpg
https://dereferer.me/?https://cdn.discordapp.com/attachments/863502137362743399/1043457869263163402/4.jpg

Offline bracessd

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Re: My Journey to Removable Braces
« Reply #94 on: 21. November 2022, 18:05:53 PM »
@foobar Right on!