Another attempt at a multimedia story. No videos or songs this time, just a few pictures to accompany the story.
Part 37.
As Dr. Sanders removed the appliance from the model it was on I asked “what is that?”
https://dereferer.me/?https://imgur.io/a/ct7GUW4Dr. Sanders replied “this is your TPA appliance.” There was trepidation in my voice as I said “I thought it would just be a wire that ran across my palate, from molar to molar. That is what all the pictures I found online looked like.” Dr. Sanders responded “yes, most transpalatal arches are designed like that. But that design would only keep your teeth from shifting laterally. We need to also keep individual teeth from shifting anteriorly. This TPA has a nance button integrated into it for that. I don’t want your molars to move independently. That would mess your bite up, and that is exactly what we are trying to fix. No, this will stabilize all of your upper teeth so they move as a group.”
I said “it is just a lot bigger than I expected.” Haley said “you will get ushed to it. I promish. And just remember, it is a lot shmaller than what I have in my mouth. And you love that.” I reddened a little, I didn’t think that Dr. Sanders was aware of my “interest” in orthodontics. And I didn’t want her to know. I replied “yes, just because I know it is helping you.” Haley placed her hand on my shoulder and said “and this will help you.” I gave up. This WAS apparently my appliance. And it was going in my mouth right now.
Dr. Sanders placed the appliance in the roof of my mouth and seated the bands around my molars. She then had me bite down on a block several times. Once it was seated she peered at it intently from several angles. Satisfied she leaned back and said “it looks like it fits like a glove. How does it feel? Is it digging in anywhere?” I answered “no, I don’t think sho.” Oh crap, this thing was really going to impact my soeech. I continued “it feelsh like I have a big wad of gum shtuck in my mouth.” As I had said this I also noticed the arch cutting into my tongue and the hooks rubbing on my lips. I said “the wire ish cutting my tongue, and the hooksh are scratching my lipsh.” She leaned in and took another look. She said “unfortunately, that is normal with this appliance. Your tongue will become accustomed to the arch, but it will likely leave an indention in your tongue the whole time you have it. And your lips will get calloused up around the hooks after a week or so. But it will be sore until then. At first you can try to put wax over them during the day, and you can put a cotton ball around them at night after you have attached the elastics to your bow. But it looks good. Haley, will you go ahead and bond it please?”
Once Haley was done bonding it and curing the glue, she handed Dr. Sanders my night time splint. As she fit it in my mouth Dr. Sanders said “and like the daytime appliance, this one is a tad smaller than your previous one. And it is designed to be compatible with your TPA. It still has the adjustable rods that I will use to manage your bite. But it lacks the hooks of the previous one. You will now hook the elastics to the TPA hooks. Speaking of which…”. Haley took my bow and strapped me into it. Just like I had gotten quicker at turning her expanders, she had become quicker at hooking me into my bow. Once it was secured she attached the elastics. And as always, my mouth protested against the pressure.
Dr. Sanders took a look at everything and said “it looks good. But, you said you were having trouble with the bow. What kind of trouble?” I answered “well for one, it is keeping me from snoring. Because I can’t sleep in it. It is awkward. It hurts. And the headpiece seems to slip off my head most nights. I will wake up and it will have slid around to my ear, or down on the bridge of my nose, or off my head completely. I will fix it, and an hour later when it wakes me up again it will be all jacked up again. And it is so cumbersome, I can’t really do anything in the evenings while wearing it other than just sit there and stare straight ahead. If I do move around it gets all messed up, just like when I sleep.”
Dr. Sanders answered “I was afraid you were going to say that. It happens to a lot of patients. I was hoping this would work for you. But it sounds like it isn’t. We don’t have many other options. But there is one.” She pulled out her phone and scrolled on it till she found what she was looking for. She held her phone up to me and showed me something that looked like it came out of a SAW horror movie.
https://dereferer.me/?https://imgur.io/a/z5OUUBrDr. Sanders said “here I am in mine. It is an improvement we have made on another existing protraction device, the CRANE. It is effectively a neck brace with a protraction arm. To ensure a consistent pull, you can see that we have integrated a headcap. It looks intimidating. But it is actually comfortable once you get used to it. I wear mine two or three nights a week just to give my chin a break.” She leaned in and took a cloth tape measure and made a few measurements of my neck, jotting down notes as she went. Once done she said “I will have the lab fabricate one for you. In the meantime, I am going to prescribe a Petit facemask until it is ready. It won’t move your mandible too much over a week. But because the elastics of the Petit aren’t as strong as the bow, I will need you to wear it 12 hours a day. In the evenings and overnight while you sleep. What color or design do you want?”
I answered “do you have an invishible one? A completely invishible one?” Haley playfully swatted me and said “you are shilly. What color do you want? Maybe a pink one sho we can match?” She gave me a big smile behind the pink Petit mask she currently wore. I looked at her and said “baby, why don’t you pick. You are the one that is going to have to look at me in it. And I hope it doesn’t make you sick.” She said “you are way overthinking this. You will look adorable. And I know just which one you need.” She got up and went over to an overhead cabinet and started digging through it.
Dr. Sanders said “really, it isn’t a big deal. Haley loves you. You do know that right? She will be perfectly fine with you, facemask and all. I promise. You know how I mentioned Pete, my husband, has braces? He wears one at night too. And guess what, I still jump his bones all the time. That might not be the most professional thing to tell a patient; so don’t repeat it please; but it is true for me and him. I know it will be the same for you and Haley.”
When Haley came back she was beaming as she proudly showed me her selection. It was a black Petit face mask with red flames on it. In her other hand she had a purple floral one like Dr. Sanders was wearing.
https://dereferer.me/?https://imgur.io/a/aZzqKcOHaley looked at me and said “you don’t even realize how hot you are. So it has to be the flames. And Dr. Sanders, your flowers are so cute, I think we should match if I am going to wear my mask here at work.”
As Haley adjusted the mask on my face Britt came over. She looked down at me smiling through her headgear and said “oh, that IS hot!” She then winked at me. Well, the girls seemed to like that I was in such an uncomfortable position. Maybe, just maybe I thought, this will be worth it.