CHAPTER 3
Cut to my drive to Dr. Rose’s office, I am running through my head all the ways I will demand release from these contraptions stuck in my mouth. When I arrive, the receptionist directs me to the row of velvet chairs before Dr. Rose leads me back to her office. The second the door closes, I unleash my fury: “I woh noh whu wu fuh e ey ouff fuh I vevah wu fafe e auff wau!” Oh my god, I CAN’T EVEN TALK?!
Dr. Rose interjects, “I see you are getting used to your appliances. I had a patient right after you yesterday so I didn’t have time to go over this with you which is why I arranged this follow-up appointment. How does everything feel?”
Again I try to say something but all that comes out are broken, unintelligible noises.
“Yes, it is difficult to talk at first. I’m also sure you discovered eating can be tricky too. But in time, everything will feel normal. Would you like a run through of your treatment plan?”
I was still very confused about what she meant. Treatment Plan?
She continued, “As many people don’t know, I am not only a dentist, but also a part time orthodontist! I’m sure you’ve seen braces before, well, that’s what you have! I also added on some appliances in order to fix various problems with your bite, tongue posture, etc… When I examined your mouth yesterday, I noticed some problems that could be effectively fixed with orthodontics. So, I decided to surprise you with a discount treatment! That waiver you signed had all the details about these braces and everything. Since you signed off on it, I decided to do it all in the same day.”
This still isn’t registering with me. What kind of treatment is she talking about? Then it hits me. I should have read the fine print. I think back to how I flipped through the waiver without even reading it.
Dr. Rose interrupts my thought process. “So, after I filled your cavities, I then took molds of your teeth. Luckily, I had all of the right sizes for your appliances on hand. First, I installed your upper expander. This consists of a large acrylic plate combined with an expansion screw. I needed to make it as large as possible in order to expand your palate evenly. Then, I put in your lower expander. This also has an acrylic plate with expansion screw. Next, I needed to correct your tongue thrust. Normally, a conventional tongue crib is used. However, I have been developing some new appliances in my lab and decided to use them here. I call it a tongue cage. Unlike the tongue crib where the appliance can be bypassed on the sides and underneath, the tongue cage fully surrounds the tongue. This allows for the most efficient and compliant treatment possible. By restricting movement of the tongue entirely, a tongue thrust is impossible. This is placed in between depressions in your expanders so everything fits snugly. Next, I put on typical braces to align your teeth correctly. I used bands on your molars, premolars, and canines in order to anchor your expanders sufficiently though. Finally, I needed to fix your overbite. For this, I installed a Herbst appliance. But, I had to add 2 additional arms on each side in order to stay functional during your long treatment time.”
Long treatment time? How long would I have this excessive orthodontia for?
“I have also cemented everything in so it can’t be taken out. This makes it easy to comply, just let the appliances do their job! I will also be adding some more stuff today to improve some of your habits and make for an overall beautiful smile!”
I see her grab something off a nearby table. She puts in a lip spreader and starts to fiddle around in my mouth. She pulls out a blue light and shines it a few times. When she removes the lip spreader I feel as if my lips are still being held at bay.
“I have just installed a lip bumper. This will keep your lips away from your teeth to fix your lip-chewing habit. You can see what it looks like.”
I look in the mirror she hands me and see a translucent bar running under my upper and lower lips. This effectively holds my lips permanently apart from each other so the braces and tie-dye acrylic are painfully obvious.
Dr. Rose goes on explaining her handiwork. “Along with your modified appliances, you will also have a modified treatment time. My main goal is to prevent a relapse so I will be lowering the tightness of your appliances but in turn instituting a longer treatment. This way, your mouth will transform more slowly and naturally. You will have the Herbst appliances and lip bumpers in for about 120 months. After I remove those, The expanders, tongue cage, and braces will remain in place for another 60 months. It will all be worth it in the end! Any questions?”
All the metal and plastic in my mouth is starting to make sense now. If I open my mouth wide enough I can just barely make out a little metal cage surrounding my tongue. I can also see the little metal screws in my upper and lower palates she was talking about. I try to calculate how long I have to wear these appliances. 180 months? Isn’t that 15 years?! I can’t deal with this for 15 YEARS! I will not only be trying to make a living in braces. But I will also be visiting my family for the next 15 years, IN BRACES! I try to plead with Dr. Rose, “huh e wayey foo e fufe fwemeht fih?” But my speech is still impossible to understand.
“Like I said,” continues Dr. Rose, “Talking and eating will be tricky for a short while. But you will get used to your appliances. Soon, you won’t even know they’re there! I will schedule you an appointment in a month to see how you’re doing. Until then, contact me if there are any problems.”
She hands me a copy of the waiver as well as an overview of my treatment plan and runs off into another room.