Chapter Five
For the next three weeks, Beth felt gripped in a whirlwind of anxious emotions. “Have I made the right choice?, Can I trust this woman?, Should I be bothering at all?”, and a hundred more questions rattled around her brain almost constantly. “How can I be dreading something yet still can’t wait for it to happen?!”, Beth contemplated.
For her part, Jess has been the perfect supportive friend, though even she felt uneasy on Beth’s behalf about the implied length and intensity of what her treatment might entail.
The date finally came, and Beth was back in the clinic checking in with Lexi for her appointment, having brought Jess for some friendly support during her session with Dr. Kate. They hadn’t waited long when Hannah came down to collect them.
“Hello again, Beth”, Dr. Kate greeted her warmly. “Are you ready to change your life?”
“As long as it’s for the better!”, Beth replied, and earned a weak smile from Kate in return.
“So get yourself comfortable in the chair please, Beth, and we’ll make a start. Actually, today’s appointment will be pretty quick. We just have to check the fit of your removable appliance and you’ll be good to go”.
Beth’s sense of relief was immediate, as she quickly wondered what she’d ever worried about. A removable brace to wear whenever she liked sounded ideal, one of those little wire things most probably, she told herself in her head. But as Jess shuffled her chair over to be nearer to Beth, she caught sight of the hardware being assembled on the bench and gulped hard.
Dr. Kate and Hannah snapped on their latex gloves and started to have a good feel of Beth’s teeth to check for anything stuck in them. With her mouth wide open, Kate brought the first appliance in and snapped it hard around Beth’s bottom teeth. She immediately felt wires close tightly around her teeth, although she didn’t hate the sensation. Without Beth having a moment to move her tongue around, Dr. Kate came straight back with another piece of hardware and pushed it into place around Beth’s upper teeth.
Beth thought that one seemed to fit in much easier, which was probably why Kate removed it straight away. She used pliers to make a bend here, a twist there, before refitting the brace which this time went in with a loud snap, making Beth wince. As soon as Dr. Kate withdrew her fingers, Beth allowed her tongue to explore her mouth and her eyes widened in fear.
“I’ve fitted you with a pretty specialised appliance here, Beth”, Dr. Kate explained calmly. “This is a reverse twin-block and the two parts are designed to push your upper jaw forward every time you bite. It might feel a bit bulky at first but people quickly adapt. We’ve also had this made with three expansion screws in each half. These are going to make some room in your upper and lower arches by stretching your arches outwards and pushing your molars backwards.”
Beth could no longer focus on the words – the twin blocks were so thick that she couldn’t close her mouth at all, and she was terrified of speaking. She tried to say “This is a bit more than I expected”, but all that came out was noise, all muffled and spit-laden.
Kate continued: “Now I want you to use the key we’ll give you to turn those expansion screws once a week each. But if you can open up wide again, I’m going to give each one two turns now just to get things moving nicely.”
Beth, though feeling quite helpless, tried her best to keep her thoughts on her treatment being for the greater good, and opened her mouth wide. Kate leaned over and slotted the key into the first expander hole. As she moved around Beth’s braces completing all twelve turns, Beth felt the pressure build in her entire face until it seemed like her teeth were trying to break through her jaws.
“Alright, well done”, Kate said, “now just one last thing.”
Beth wondered how much worse it could get, and glanced up at Jess, who had subconsciously held her mouth tightly shut for the whole appointment lest Kate and Hannah noticed anything they thought needed fixing on her.
Kate brought over an imposing looking metal frame and went on explaining to Beth, “There’s not much evidence of adults getting good results from twin blocks, so we’re going to have to help things along a little. This is a facemask and it’s going to use heavier forces to pull your top teeth forward and reduce that underbite of yours.”
“Really? I can’t do that! I can’t wear one of those!”, Beth lisped through her twin blocks.
“I’m afraid the alternative is surgery or much other much more involved treatments”, Dr. Kate replied.
Beth nodded, resigned to the fact that she’d chosen what she’d thought was the easy option, and opened her mouth again.
“It’s quite simple”, Kate explained, as Hannah positioned the frame of the facemask on Beth’s forehead and chin. “Your upper twin block has hooks on the outside. We use strong elastic bands to fix the facemask to those hooks. You said you’re not working right now, right? Then I want you to be wearing this at least 18 hours a day. We’ve got to get those top teeth moving forward to avoid any other treatments being needed, and your cooperation is essential. Your twin blocks are important too, so even though they’re removable, that should just be for eating and brushing, so please keep them in for 23 hours every day. We will soon see if they’re not working for any reason.”
Hannah moved the chair up so Beth could sit upright. She went over to the mirror in the corner of the room to examine the extent of Dr. Kate’s work, and heavy tears rolled down her cheeks.
Jess led her friend out to make her next appointments with Lexi, who though alarmed at Beth’s collection of braces, was quick to make some sympathetic remarks and was very patient as Beth spluttered her way through the conversation to book appointment slots. As the girls left the office, Lexi smiled widely at them, showing Beth her oddly alluring overbite.