Chapter 2 - at the ortho
"Hey, Jenny, just before you go.... who's your orthodontist?" Carol asked just before they finished their call.
"I didn't realise you had problems - besides, didn't you have braces at school?"
"Yes, I did, but I just noticed yesterday that something has moved the tiniest bit... and when I tried my old retainer in, it was rather tight... plus I broke it when I took it out. So I thought maybe I should go and get some professional advice, before it gets any worse."
"Good call, yes, definitely go see someone, and get it checked out. My ortho is David Bright, the place is called 'Archway Orthodontics'. You know George Street, at the end of the High Street? There's a set of nice old offices down there, it's in one of those, on the ground floor. I'll send you their phone number... Feel free to tell them that I recommended them."
Later that afternoon, Carol called them, making an appointment for 2:30pm on the Friday.
Thus, a couple of days later, just before 2:30, Carol was in reception at Archway Orthodontics.
"Hi, my name is Carol Danvers, I have a 2:30 appointment..." she said, feeling slightly nervous. While Carol visited her dentist regularly, it had been several years since she had visited an orthodontist.
"Ah yes, with Mr Bright. I believe he's nicely on time, so please, do go into the waiting room over there, someone will come and get you shortly." Carol turned to walk to the waiting room, when the door by reception opened, and Jenny walked out.
"Jenny! What the heck?" said a very surprised Carol.
"Hey, Carol, what's the chances of bumping into YOU here.... I'm guessing you're here to get David to take a look at you?"
"Yes. And I'm guessing you just had your braces tweaked..."
"Indeed, new archwire, new ligs," said Jenny, smiling. She looked at Carol, and sensed she was slightly apprehensive. "Hey, if you like, I could come in with you to see David."
"Actually, yeah, that would be nice..."
A young lady, clearly one of the assistants from the way she was dressed, came into reception, went over to the waiting room, and was a little confused when she found noone waiting. She returned to reception. "Erm, I thought Carol Danvers was here?" she said.
"Ah, lady over there, talking to Jenny....".
Carol had heard the short conversation. "Sorry, I'm Carol Danvers..."
"Ah, ok...". The assistant suddenly realised that Carol had been talking with Jenny. "You know Jenny? Anyway, please come through, Mr Bright is ready for you". As she led the way, she realised Jenny was coming too. "Oh, you're coming back too?"
"Yeah, I love the place so much, I just can't bear to leave!". Jenny decided to do the introductions. "Carol, this is David, my ortho, and this is Angela, his assistant. This is Carol... she's the "C" to my "J".
"Ah, right!" said Angela, suddenly working out how they knew each other. David wasn't quite so sure, so Jenny explained "we're both in CJDL"...
"Ah, ok... nice to meet you Carol. Come on over here, let's sit down and you can explain why you're here". David, Carol and Jenny sat down together, and Carol explained how she was feeling around her teeth the other morning, and that something - something very small - felt different, at the top left. How she went and found her old retainers, how the lower one fitted just fine, but the top one was tight, and broke as she removed it. It was odd, but she felt a lot more relaxed knowing that Jenny was there with her.
"I suspect it's no big deal, but I thought I should get it checked out" explained Carol.
"That sounds very sensible - as you say, it may be absolutely nothing. I don't suppose you brought your old retainers with you, did you?" asked David.
"I did indeed." Carol opened her bag, and took out her old pink retainer case, and passed it over to David.
As soon as he looked at it he commented "ah, yes, certainly from a few years ago, I'm guessing you had braces as a teenager?"
"I did. I was 15, and my teeth weren't actually too bad, so I got simple metal braces, and a couple of elastics at the end. I had those for a little over 12 months, then I got these retainers, which I faithfully wore full time for 6 months, then every night for another 6 months. After that, it was once or twice a week... or so... By the time I was about 17, I found that they were never tight when I put them in, so guessed that my teeth weren't moving any more, so stopped wearing them". As Carol described her history, David looked at the retainers.
"Yes, we often THINK that our teeth are stable, then something happens that changes things, often something very small. Wisdom teeth. Getting older. Clearly SOMETHING has happened to your teeth, so why don't I take a look?"
David took Carol over to the treatment chair, and got her to sit in it. "You've had braces before, so I'm guessing you recognise what Angela has in her hand..." he said as he reclined the treatment chair.
"Looks like a lip-spreader to me!" said Carol.
"Indeed it is, probably identical to what your orthodontist used when you were younger - things don't change that much, do they?". David adjusted the light so that it shone onto her mouth. He looked carfully and slowly at Carol's teeth: in principle, they looked really good, but yes, he COULD see that the teeth on her top left were very slightly different in their positioning from the ones on her right. The bottom ones looked close to perfect. He removed the lip spreader from her mouth.
"Well, yes, I can see a VERY slight difference there on your top left. Is it anything to worry about? Probably not right now. Your teeth are still in excellent condition, and if you came to me as a new patient, I probably wouldn't actually suggest treatment. But I have a couple of suggestions"
"Yes, do go on..." replied Carol.
"Step one: I would like to scan your teeth: that way, whatever happens, we have a baseline on the system to compare things to in the future. Step two: we make you a new retainer that fits you, and you wear it at night, to make sure your teeth don't move any further. It probably wouldn't need to be every night, unless you feel pressure when you put it in. Step 3: optionally, I can configure the retainer to put a tiny bit of pressure onto those teeth, so move them slightly, back to where they used to be: I think there's enough 'slack' in your teeth to do that. I guess a lot depends how much you're worried about those teeth moving. And I COMPLETELY understand that you need perfect teeth for what you do! So what do you think?"
"I'm thinking yes to everything. I've worn a retainer before, and if it's just at night, then it's not a big deal. So what's the scanning? I guess it replaces taking impressions? If so, I'm all for it, I used to hate having to have impressions done!". Carol looked over to where Jenny was standing, and smiling.
"What's funny?" she asked her.
"Well, sounds like you're joining me in the 'braces club'"
"Yeah, I suppose I am... although I won't need to tell anyone, if I only need to wear them at night! So, how do I get scanned then?"
In the background, Amanda was wheeling a small trolley over, and plugged a couple of wires into connectors over on the side. The trolley had a keyboard and screen on it, and there was a large 'snake' on the side of it. David typed on the keyboard: he was setting up a folder for Carols scans, then he opened up the scanning program: at that point the screen above and in front of Carol came on.
"Tell you what" said Jenny, "this is a pretty cool bit of technology: if you watch the screen up there, you'll see your teeth slowly appear!".
David put the lip-spreader back into place, and put the end of the 'snake' into Carol's mouth. "There's a small camera in the end of it, plus there's one of those motion sensors in the wand, like you have in your phone, so it knows which way it's pointing. Suddenly, on the screen above Carol, she could see images of her teeth starting to appear, and grow as David moved the wand around her mouth. The initial scan only took a few minutes, but then David checked the images: he used the mouse to move and rotate the 3-D image, and it was clear there were a few 'holes' in the image, which David needed to scan again, to fill in.
"Ok, all done!" he said, taking the lip-spreader out of her mouth again. "So, if you just lie back, and look up at that monitor, I'll try to explain what I'm seeing". Jenny moved to just behind Carol, so she could see too. "So, generally, your teeth look really nice" he said, moving the view around. "And if I then close your teeth, like this...". He clicked on the mouse a couple of times, and the images of her teeth closed together, with the computer highlighting where her teeth touched. "Your bite is still very good, but you can see that your lower and upper front teeth don't quite touch, there's the tiniest of gaps between them. So lets zoom in on those top teeth... yes, you can see there's a very slight different between the left and the right, but you have to look very carefully to see it. But you know your mouth and teeth better than I do, so if you say they have moved out a tiny bit, I'm 100% happy to believe you."
Carol felt happy that what David said matched what her tongue told her. "So what now?"
"Well, I need to create a formal 'treatment plan' that I'll need you to sign, but if you can tell me you want to go ahead, I can get your retainers ordered, and you can come back in a couple of weeks for me to fit them. Do you have ANY questions that you'd like to ask?"
"Just one: do you have any idea why my teeth might have moved?"
"Not really: your teeth actually look pretty stable. It could be something as stupid as you've started biting on the end of a pencil. The important things is that we now have a scan, so we can keep an eye on things, and a new retainer will hopefully keep things stable again.". Carol nodded. "Anything else?" he asked.
"No, not that I can think of. I've had braces before, so I'm pretty familiar with that side of things, and I'm sure you're not going to charge me a stupid price, so that shouldn't be a problem."
"Excellent. Well, Carol, it's been good to meet you, I'll see you again soon"