Part 58.
Dr. Sanders came back with a big smile on her face. She handed us each a card that had our username and password handwritten on it. As she did she said “this is exciting! We can all track our wear time now! Maybe we can make a competition of it since everybody in the office now has extraoral appliances of our own. Who ever gets the most hours in each month gets a prize.” She seemed to be talking to herself as she continued “maybe we could do it for all patients. That would be fun. And we are overdue for another Facebook contest.” She seemed to catch herself and said “anyway, I will think about it over the weekend. So, Haley and Britt, you both know how it works. Rob, just log in there every day and put your wear time, your true and honest wear time, round to the nearest half hour. And yes, you can round up the half hour. Just don’t round up from 3 hours to 10 hours.” She found this funny and laughed then continued “it only takes a minute or two, and you can do it on your computer or phone. And if you forget a day or two you can fill in the time afterwards. Just don’t fall behind more than a few days. Then you will be in trouble. And you don’t want that do you?” I shook my head back and forth and responded “no ma’am.” She responded “wonderful! If you have any questions or issues, let me know. But you are a smart guy and will figure it out. So now, let’s get you fixed up Haley!”
Haley nervously sat down in the chair. I sat on the stool beside her to offer moral support. Dr. Sanders sat down on her stool and said “so Haley, you still have a tongue thrust. Because of upper expansion, I can’t use a tongue crib like you had before. I am sure that breaks your heart. But, we can use some tongue spurs. I am going to install a spur, some people call them spikes, on each of your top front six teeth. They will serve as a reminder if you push your tongue against them. And I know your tongue is already beat up from the six screws. And this will beat it up more. But we have to correct your habit. So, I am going to go ahead and bond those on now. And I am going to have the lab fabricate you a rake for your lowers. I will install spacers for that now too. And when the rake comes in we can install it as well. Ok?” Seeing how sad Haley’s facial expression had become while Dr. Sanders had been explaining this I had already taken her hand. Dr. Sanders looked expectantly at Haley. Haley weakly uttered “ok”. I squeezed her hand, I didn’t know what else to do.
When Dr. Sanders returned she held up one of the spurs. She explained “so Rob, you may not have seen one of these before. They look like brackets, but instead of a slot for an archwire they each have these two little spikes on them. I will bond them on the backside of Haley’s teeth. They will serve as a reminder for her not to push on her teeth. Even at night when she sleeps.”
I asked “won’t they hurt her?” Dr. Sanders replied “not unless she pushes on them with her tongue. And that is the whole point of them.” I said “Dr. Sanders, I don’t even care if you hurt me. But seeing Haley hurting rips me apart. Is there any other option?” Dr. Sanders replied “you are sweet. And if I could stop Haley’s tongue thrusting by installing these in your mouth I would. But Haley is the one who has to do it. The myofunctional exercises she is working on will eventually break the habit. But until then we still need an appliance. So, until then she will need these spurs and the rake. She will still be able to do her exercises with them.”
Haley must have noticed the pained look on my face. She turned her head towards me and said “it will be ok baby. I will be ok.” I looked at her and felt horrible. I knew how much she had hated the tongue crib and how tough it had been on her. I told her “honey, you are so strong.” And then, whether Dr. Sanders liked it or not, I bent over and gently kissed her on the lips. Once I was finished Dr. Sanders said “that was sweet. And I wish there were a better option. But there isn’t. So let me go ahead and gets these and her spacers installed and then we have just one more appliance to fit.”
As I watched Dr. Sanders work in Haley’s mouth I felt horrible. Sick to my stomach. Because I knew that this was going to hurt my baby. And we weren’t even done. What other appliance could Dr. Sanders possibly fit in her mouth? I didn’t have to wait long to find out.
Dr. Sanders finished the installation of the spurs and spacers and said “so Haley, we need to intrude your top teeth. Just like I am doing. But I don’t want to use TADS if possible. I have had a really tough time with mine. And I don’t want you to have to go through the same. There is another orthodontist that is using a different method successfully. I would like to try that with you. It might seem and look like a lot, but I promise you it is much more comfortable than these screws.” She stood and walked over to the cabinets.
I couldn’t see what she was getting, her body blocked my view. But finally she had what she wanted and closed the door. When she turned I immediately identified a shiny facebow and black highpull headgear strap in one hand, and a blue Petit facemask in the other. She sat down and said “instead of using screws, I am going to use a combination of headgear and a facemask. The highpull headgear will produce a force that is up and back. We want the up, we don’t want the back. So to counter this we will use four elastics instead of two. Let me get you all fixed up.”
In just a few minutes she had the facebow fitted and the strap over her head connected to it. It took her just a few more minutes to attach her facemask. I noticed that Haley appeared to be on the edge of tears. Dr. Sanders squeeled “this is sooo cool. If this works as well as I think it is, I may ditch these screws myself. Haley, will you be a dear, sit up and smile please?” Before I knew what was happening Dr. Sanders took a picture of her.
https://dereferer.me/?https://imgur.io/a/Ms6Z6uLI then realized that Dr. Sanders was planning to plaster this on facebook. And I was not going to let that happen regardless of the consequences, or what Dr. Sanders had just earlier told me in her office, or whatever that paper I had signed said. Hurt me? Fine. Embarrass me? Fine. But Haley? No, not fine.
I said forcefully “Dr. Sanders, DO NOT post that on Facebook.” She looked up at me sharply. I couldn’t read her eyes. But if a fight is what she wanted, then this was the hill I was prepared to die on.