5. The decision
The treatment plan arrives three days later. I had hoped it would arrive later. With some hesitation, I open the letter and read it. Most of the information does not come as a big surprise. I will have fixed upper and lower braces for three years. And upper and lower expanders for about half a year. Due to the urgency of my treatment, both will be placed in a single session. Later in the treatment I can expect to get rubber bands to correct the position of my jaw. And of course, retainers after the active phase of my treatment.
I have spent most of my free time in the last few days researching braces. So I can understand the treatment plan quite well. It mentions self-ligating braces because they promise a faster treatment time and less pain. I really hope this is true because I am expecting a lot of pain during my treatment. However, one fact in the treatment plan catches my eye. It is marked as optional, but it is still in my treatment plan and I know exactly what it means. The plan mentions nighttime extraoral traction with a Delaire face mask.
I decide to text Lynn about the face mask in my treatment plan. She didn't mention it and I think she should have. Her reply comes quickly, "Sorry, you owe me. I should have mentioned the device during your consultation. That was an error on my part." I somehow accept her apology and at least the device is marked as optional. A second text message appears on my phone, "I hope we can move your upper jaw forward using only rubber bands. The face mask is there in case the rubber bands fail. And I had to add this device so that your insurance company would cover it." Using it as a Plan B does not sound optional to me, but I reply, "Apology accepted, but we need to have a discussion if this device is needed.”
I know how eager she is to treat people who need treatment. She wants to push people in what she thinks is the right direction, and that is to become a braces wearer. When Peter told me the story of his fixed braces and a sales representative suddenly appearing with just the right braces for him. I was a little skeptical as to whether this sales representative had appeared by chance and hadn't been arranged by Lynn. Peter doesn't seem to doubt it, and he's doing really well with his braces. It is just that I think she arranged this direct bonding demonstration. And in my case, she may have inadvertently forgotten to mention the face mask during my consultation.
I still trust Peter, who thinks she is a fantastic orthodontist. And I know that he happened to have a really bad orthodontist in his youth. So the main point for me is to decide if I want treatment now. I can ignore the fact that I need treatment and hope that everything goes well. And that I will not have excessive tooth wear or jaw pain. However, I have read online about many cases of people who had treatment in their mid-forties. But only after they had experienced a lot of pain. Those treatments also required surgery and took forever and I think my suggested three years is already a very long time.
Oh shit, I completely forgot I have an important online meeting in 5 minutes. I quickly boot up my laptop and get it ready to connect to our corporate VPN. Just in time, I am in the meeting and the first question is already being asked by my boss. Fortunately, it is a fairly simple question and I am ready to answer it. The rest of the meeting deals with issues I am not directly involved in. However, I have to stay alert because the discussion may come back to my area of expertise.
Peter also happens to be in the meeting. As usual, I am slow to hit the disconnect button. I think Peter was waiting for me to do that. So we are alone in the call. He immediately asks me how I feel. I tell him that I feel fine, but that I am really worried about the treatment plan I have been given. He acknowledges that this must be a big decision for me and offers to talk about it. We agree to meet at a bar that evening for a beer or two.
The rest of my day at the office is packed with work, but rather uneventful. So I am happy when I finally arrive at the bar to meet Peter. He is not there when I arrive, but he arrives just five minutes later. We both order a large lager from a local brewery. He then asks me about the details of my treatment plan. He knows all the equipment I am getting, including the optional Delaire face mask. He tells me that he has fitted many patients with their headgear, but that he has only seen a face mask in real life once or twice. As he talks, I can see his shiny braces with the dark blue elastics bands and the two rubber bands he has to wear. He doesn't seem to mind them at all.
"So are you going to start the treatment?" he asks me directly. "Well, if you can do it, I can do it," I am surprised by what I just said, but my subconscious seems to have already made the decision for the braces. Peter looks very happy and says, "You will not regret this. After the first few days you will hardly notice them. I have to constantly remind myself that I have them, otherwise I would forget to change my rubber bands." Then he quickly takes off his old rubber bands and puts on new ones, "See, I had to change them hours ago.”
I think I will notice the braces, "Maybe that is the case with your braces, but I have to get these expanders and I am sure I will notice them a lot.” Peter thinks for a moment, "You may be right about the expanders, but it will only be for a short time and then you will have regular braces like mine.” I don't know where my courage comes from, "That's right and I think I have to do it anyway. I just had hope for these clear aligners. But now let's talk about something else.”
We order a second round of beers and the bar gets fuller as the evening goes on. We talk about girls and my upcoming world championship. I learn that Peter enjoys his freedom and meets many girls. Sometimes he takes them home and has fun overnight. Although he tells me that he is happy with this, I am not completely convinced. I think he is trying to compensate for the loss of Lynn. During our conversation, he keeps smiling at the girls next to us, giving them a good view of his braces. I know what he is trying to do. He wants to show me that I can still get a girl with braces. He knows I am not good with girls, but I really want a girlfriend.
I sleep very well that night. Maybe the two beers helped. My decision to get braces didn't affect my sleep at all. This is a surprise to me. I decide to call Lynn's office right after breakfast. They tell me that I can come in the next Monday morning to have the spacers fitted and to bring the signed treatment plan with me. So I barely have a weekend without braces interfering with my life.
On the weekend, I spent all my free time training for the sauna competition. I go to the gym, I go jogging, I practice my towel technique, I practice in the spa, and I do extensive video studies. Partly I do this to distract myself from the upcoming braces, but I also have to practice a lot. After all, I still want to be world champion, so I have to prepare really well. The weekend flies by and I do not think much about my appointment on Monday.
Monday morning I arrive at Lynn's office. Of course, I brushed and flossed my teeth thoroughly that morning. The receptionist Ann tells me to go to the waiting room and that they will be ready for me shortly. There are two other people in the waiting room, a young boy and a teenage girl. They are not talking or showing their teeth, so I do not know if they already have braces or not. There it is again, my habit of scanning people for potential braces. Of course, in the waiting room of an orthodontist I have a high chance of finding one. Soon I am called into the treatment room.
Lynn greets me happily, "Tim, you are doing the right thing. I am thrilled that you have decided to get braces. And that you chose my office for your treatment." I stayed calm all weekend, but suddenly I feel the excitement, so my quick reply is, "Thank you, Lynn.” I am then instructed to sit in the chair and open my mouth. She inspects my teeth thoroughly and tells me that I am ready for the spacers. Her new staff member Tamara will do the job.
Tamara is still the good looking young girl I met at my first consultation. She introduces herself and smiles as she shows me her perfectly aligned teeth. She must have had treatment in the past. She tells me that I need eight spacers in my upper jaw and four in my lower jaw. That sounds like a lot to me. She shows me the blue rubber rings that she will place between my teeth to make room for the molar bands of the expander.
The twelve spacers go in fairly quickly and I think she is doing her job to make it as painless as possible for me. However, I do not like the way the spacers feel. I have read that some people think they are the worst part of braces. And I already do not like the constant feeling of food stuck in my teeth. Of course there is no food stuck, but the feeling is exactly the same and I will have them for a while.
Lynn quickly checks Tamara's work and tells me to make an appointment to have the braces fitted. She tells me that she has a lot to do this morning, but that I can text her if I have any questions. Ann looks a little confused as she tries to find an open slot for my appointment. She mumbles a lot and tells me that the only open slots for my rather long appointment are the first Monday morning of next week or Friday of next week. I already find the spacers deeply annoying, so I choose Monday morning, which only gives me seven days with spacers instead of eleven. Finally Ann smiles at me and I can see her retainers. I didn't notice any lisping, so she must have been wearing them for quite a while.
When I leave the office, I try not to think about my upcoming treatment. I am scared to death and the spacers are a constant reminder. The next week and the weekend are again packed with work and training. And of course I decided to take Monday off. There is no way I will be going to the office or working from home with my newly installed braces and expanders.