I am finally upgraded to a thicker wire that actually moves the teeth. The last two wires were the thin/bendy ones that can't even be cut flush at the last bracket and instead have to be bent and looped at the end. This wire is cut flush at the back, which I love. I hated that loop that hung out the back. Just more area for food to get stuck and it's harder to clean. They put my power chain back on and I think tightened it up across the space that needs to be closed up front. I swear I think I see it's already a little smaller, but it's such a small change that I have to question if I am really seeing it or not. I am so used to waking up the next day and seeing a huge change in my teeth. Another red flag. I am pretty sure you aren't supposed to walk out of the ortho's office and within hours notice a space opening up or closing significantly. This was from a post last year when my ortho put in a spring to put a space between my two front teeth so he could work on the bonding in between. The one picture is right after the spring got put on, and the other one is just 6 or 8 hours later:
Through my last couple adjustments I've questioned the associated pain (or in this case lack thereof) that comes with an adjustment. This is my third adjustment since getting the lower braces back on in Jan. Every time I am bracing for the soreness that I got with my adjustments with my first ortho, and it never happens. After yesterdays adjustment I do feel slight soreness, but it's really negligible and absolutely nothing compared to the hell I went through after some of the adjustments through the first round of ortho. During the adjustment yesterday I commented that I leave the office pleasantly surprised and have experienced no significant pain yet. My pain was so bad the first time around that I couldn't even let my teeth rest together, let alone think about eating. I was even taking vicodin and it didn't do anything for me. The doc and the assistant gave me a "that's not right" look and mentioned, "well, we try not to hurt our patients here." Sweet. Glad to know. So, I am still not sure if this is the way it was supposed to be the first time around, or if it's the fact that this ortho is moving things purposefully slow and therefor I am not getting the pain of major/quick movements. I am leaning towards the fact that it probably wasn't supposed to be that much of a severe ouchy the first time around and was a red flag that my teeth were being moved too hard and too fast. I am finally upgraded to a thicker wire that actually moves the teeth. The last two wires were the thin/bendy ones that can't even be cut flush at the last bracket and instead have to be bent and looped at the end. This wire is cut flush at the back, which I love. I hated that loop that hung out the back. Just more area for food to get stuck and it's harder to clean. They put my power chain back on and I think tightened it up across the space that needs to be closed up front. I swear I think I see it's already a little smaller, but it's such a small change that I have to question if I am really seeing it or not. I am so used to waking up the next day and seeing a huge change in my teeth. Another red flag. I am pretty sure you aren't supposed to walk out of the ortho's office and within hours notice a space opening up or closing significantly. This was from a post last year when my ortho put in a spring to put a space between my two front teeth so he could work on the bonding in between. The one picture is right after the spring got put on, and the other one is just 6 or 8 hours later: And then this was probably just 24-48 hours after with the gap in full force: This is definitely NOT the speed that the gap I have now is closing. If it closed at the speed things opened/closed with my old ortho, it would have been closed a long time ago. But again, that is probably too fast. No wonder why my front teeth took on so much damage and have severe root resorption. And I still am not even sure why he had to open this huge gap and do the work that he did in the first place. He basically did this just to refinish the bonding on my front teeth. Just one of the things I don't understand and regret now that it caused so much damage to my front teeth. Anyway, I always left my first ortho's office just thinking my teeth moved REALLY fast and not that he was cranking down on them abnormally hard. The assistants used to tell me that too, that my teeth moved really fast. After every adjustment I was in there the next day or a couple days later getting the back of my wires snipped because my teeth would shift so quickly that the wire would start shifting and the excess poke out the back. I can feel a smidge poking out the back after yesterdays adjustment, but its negligible. Again, probably was a red flag before. I am definitely looking forward to not having to stop in to the orthodontists office as much to get things snipped. Looking forward to finally seeing this space close. Hopefully I can get an updated estimate on surgery when we start to see progress with the gap. The doc did quickly mention something about "we'll see what happens with this and when we can get the upper braces on," or something along those lines, but I didn't prod for more information on that. I don't want to be the patient who annoys the doc with "are we there yet? When is XX going to be?" I mentioned it in another post, but I have a sneaky suspicion I am going to be surgery ready before Jan 2016. I've even tentatively scheduled it on my work calendar for Dec 2015...and I wonder if it could be as soon as November. Hopefully not as soon as Oct as I have some trips planned that month. Not really the holiday present I wanted, but I'll take it to just finally get through this and hopefully be done with everything sooner rather than later.
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The title of this post takes on multiple meanings. First, I saw my ortho on Tuesday. To my surprise, he put a power chain on. During the last appointment in January when they pulled the tooth and put the braces on, the assistant said they wouldn't start closing the gap of the missing tooth for another two wires. That would be about 3 months roughly. That kind of bummed me out a bit, but I knew it was better to go slow and steady to prevent any further root damage to my already beat up teeth. I was sitting in the chair and when he asked me how everything felt, I told him that I felt great. I thought I would go home the day I had the braces put back on and be braces sore AND tooth just pulled sore, but neither bothered me even enough to need an advil. He laughed and said, "well, lets change that." I got a heavier wire and the power chain. It felt a little snug going on, but NOTHING like what I've experienced with power chains before. And again, barely feel anything from it. At my first ortho, there were times when I would be in absolute agony in the chair while they were putting the chain on. A few times I actually shed a tear. And then the pain afterwards caused those times to stick out as some of my most painful adjustments. So, now this has me thinking-- am I not hurting now because my teeth are straighter and have less to move (not to mention they're pretty used to being engaged at this point so the periodontal ligament probably isn't as firm and hurting), or is my new ortho doing this better in a way it should have been done to begin with and it should have felt like this the first time? Now that I think about it, I haven't had one snag with this ortho. No severe pain/soreness, no rapid movement that causes a wire to start poking out the back appliance within a few days, nothing broken, etc. I feel like after every adjustment at the last ortho they were moving my teeth so hard and so fast that I was always in pain after (pretty severe during the first 6 months of adjustments), and the wires that were cut flush would always end up poking out in a few days because the teeth would move that much so quickly. I wonder if it was a case where I just didn't know what I didn't know. Maybe braces weren't supposed to hurt that bad and I didn't recognize it as a red flag that my teeth were being moved too forcefully too fast. If that is the case, then I am kind of bummed I was subjected to all of that and didn't know any better. Even more bummed that my tooth roots were subjected to that and the damage is permanent. Regardless, I am pretty happy after this appointment knowing that we're at least beginning the process of closing the huge hole in the front of my lower teeth.
Second bit of closure is more on an emotional level. For the last 10 months I was looking forward to my legal case as being my closure. For my surgeon to have to step up and be held accountable for what she did to me with no explanation. And not even so much exactly what she did to me surgically (because I understand shit happens), but her care in the following weeks; sweeping me under the rug and hoping I would just go away or be ignorant and lackadaisical enough to continue to allow my orthodontist to try and cover up her surgical mistakes. It's becoming more clear that my case is probably dead in the water. My lawyers didn't even answer my last email last week. Our expert witness has done an about face and is now saying he can't bring himself to say that my care was below the standard even though he previously had said it was just a few months ago. My statute of limitations is quickly running out next month. Pretty certain at this point I don't have time to get with a new lawyer and get something spun up quick enough to get in before the statute comes. Luckily I've been distracted with my knee issues, but I have to do some soul searching and eventually find another way to get closure. I am not sure exactly how that will happen or when, but I am pretty sure it will eventually happen, even if it just comes down to letting enough time pass to get over it. I don't think I'll ever be completely over it, but over it enough to go on with life. I think at this point it will take me having a successful revision surgery. I will need at least that to get a little bit of confidence and trust back with doctors. Right now I have none, which is heavily impacting my decisions regarding my knees. So, with a high level of probability that my case is done, I am officially republishing this blog. I've had it offline for the last 5 or 6 months through all of this. Not that I had anything to hide, but it's just what you do when you're in litigation. Furthermore, I can go ahead and honestly tell my story in detail. Start hitting message boards, online groups. forums, etc and let people know about my case, especially if they are considering Kaiser Oakland. I know I would have appreciated a story like mine during my research as a pre op patient. It definitely would have given me something to chew over in terms of my choice of surgeon, HMO, and hospital. |
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