Confessions Of a Metal Mouth
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This Bite Bites

7/28/2015

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That just about sums up how I feel right now.  This bite bites.  It sucks.  I really don't know how I am going to hold out until surgery if it's not in the next couple of months.  After this last adjustment, it's just about closed my gap from the extraction on the bottom. The last nudge to exaggerate my overbite.  It's got a smidge left to go on it, but it's pretty negligible to the eye if you're looking at me while I'm talking.  My bite is now totally open in the front, and only my 3 back teeth are touching.  My speech is impaired, I drool when I talk from time to time, I've choked chewing a few times, and food falls out of my mouth often.  I grew up with buck teeth all of my life, but man oh man, this takes the cake in terms of feeling like my teeth are huge and jutting out the front of my face.

The thing that concerns me the most is the increase in pain.  For the first time since the recovery from the last surgery, I actually had a pain shoot up from my jaw/joint area and go up through my ear.  My left side has clicked since the first surgery, but now it's getting worse and also happening on my right side too.  And now I am getting more of a pop and feeling like I can feel the joint slide out of the socket or something.  There isn't a ton of pain associated with this when it happens, but it's definitely weird feeling. Headaches are worse, and the muscle strain is so bad now that if I talk for more than just a bit, my muscles are kind of locking up on me and I am getting tongue tied and having trouble speaking.  The last week it's almost been like I don't even have to talk to set that off, as I wake up with enough strain to kick it off right from the start.  Talking just makes it even worse past that.  The strain and cramping around my mouth has just gone in to overdrive the last week or so.  I think it's because I am trying to press my lips together and keep my teeth in my mouth.

Next ortho appointment is in 4 weeks.  I am going to try really hard to push on until that appointment, but when I get there I am not hesitating to push for the surgery update anymore.  And if they tell me I am not going to be surgery ready for another 6 or 7+ months, I want to know why.  I get it, they need to move my teeth slow, but even my prosthodontist looked at me and thought I was just about where I should be to be ready for surgery.  Close the extraction space and get my top braces on.  That was pretty much supposed to be it for my pre op treatment.  Really hate to be that nagging patient, but I don't think I could sit with this bite until late winter or spring of 2016.  No way.
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Are We Really Not Halfway There Yet?

7/16/2015

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Had my first wire change on the top teeth a few days ago.  I am really not the type to be like, "Are we there yet?  Are we there yet?"  But I was really hoping the doc was going to give me just a smidge of insight as to where we are.  Or even better, finally send me for a look over with the surgeon, which is supposed to be about at our halfway to surgery mark. He did neither, which is kind of a bummer.  Well, he did order up xrays and made it sound like he is going to evaluate some things at this next appointment in 6 weeks, so maybe I'll get some answers then.  If I am just only halfway at that point, that is going to push surgery back until April 2016, and that is going to suck.  That would give me my holidays and winter snowboarding season back, but I seriously can not tolerate this bite I have right now for that long.  I am holding out hope that my ortho is just playing quiet and will send me for the check up with the surgeon and they'll be like, "Surprise!  You're just about surgery ready so lets set a date for November!" 

Speaking of check ups, I saw my prosthodontist for a cleaning and a quick look over yesterday.  He took a few films of my front teeth so everybody can monitor my root health.  As always, the news just gets grimmer and grimmer with this issue.  I found out in late summer 2014 that I am probably going to lose my 3 main front teeth.  One (tooth 7) in the near future, probably right after treatment if it doesn't fall out on it's own before then, and they thought with proper care and caution through my second round of ortho, we could limit the damage to the two main front teeth (8 and 9) and maybe be able to keep them for some time (like, between 8-15 years maybe).  I saw the xrays before the doc came in to look at them, and even I knew it wasn't good.  I could see more resorption, and areas of black where bone hasn't even had a chance to fill in yet.  It looks fresh too, which leads me to think just the act of being in a light wire on my top teeth the last 6 weeks is causing them damage; like the teeth are just primed and ready to keep losing root no matter how light the force is on them.  Sure enough, he comes in to look at them, and I could just tell by the look on his face before he even opened his mouth to speak that the news wasn't good.  He asked if I understood that the prognosis of these teeth were not good, and I said I completely understand.  He said it wasn't looking good before, and now it's really not looking good and we'll definitely be evaluating these teeth after treatment. Before it was just #7 that would probably need immediate attention when we were all done, and now it sounds like 8 and 9 are also going to be on the table for replacement right away.  He said we'll cross that bridge when we get to it, but he just wants me aware and not surprised when we get there. 
Picture
PA of my top front teeth. From left to right (teeth 7, 8, 9). The root tip of tooth 9 is completely gone now, 8 has lost some of it's tip too. 7 is still barely hanging on with very little root left.
Ortho wise, I am just a little tender from the adjustment.  This was probably the first time that it hurt getting the power chain put on the bottom.  But, it was for good reason.  This is the last little push to get that extraction space closed....finally!  And again, the overbite is just getting worse and worse.  This is for sure worse than the overbite that I had to start with before I had any treatment.  I was eating fries from Wendy's the other day and I can totally stick a fry up through the hole of my overbite and get it in my mouth without opening at all.  Yep, we have officially reached the fry in my face without opening point. lol  On the flip side, food falls out of my mouth just as easily.  I definitely have my moments where I get frustrated with that. 

Few pics of the latest progress.  There is just a slight little opening left for the extraction space to close.  Somebody talking to me probably wouldn't even notice now, so for all intents and purposes, I pretty much just consider it closed now.  So, not sure what the plan is once that space is closed up.  I know the ortho said that he wasn't really doing a lot of work with my top teeth.  The prosthodontist reiterated that yesterday too and said he was under the impression they were just putting top braces back on me to basically be an anchoring device when I am wired shut again after surgery.  So, once that space is closed up and everything else looks good, I am not sure what he would do with my teeth for another 8 months if we really are just halfway to surgery.  Really hoping that is not the case.  I guess we'll see at the next appointment in 6 weeks. 
Picture
Bye bye, gaping hole in my bottom teeth!!
Picture
Yep... can totally stick fries up in there without even opening. True story. Also a good shot of the dimple on my right (left in the picture) where the one side of my face is sunken in from my lower jaw being yawed out to my left.
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