Sunday, March 23, 2014

Historically Speaking

Would it surprise you to know that braces, in some form, have been around since ancient times? We're talking hundreds of years BC. Mummified remains have been found with wires in their mouths, possibly to prevent teeth and faces from caving in on themselves in the afterlife. And men like Aristotle were applying their considerable brainpower to thinking of ways to correct dental problems. In the 1700s, Pierre Fauchard established the groundwork for much of the dentistry and orthodontics that we're familiar with today.

With the past couple of weeks being relatively uneventful in terms of my own orthodontic journey, I thought a bit of history might be fun. I assumed that braces had been around for a while, but I really didn't think I'd find people concerned with straightening teeth quite so long ago. They probably weren't going for the perfection we hope for today; I'm imagining it was more about seeing to the more serious health issues that arise from major dental malformations. However, Fauchard's work seems to indicate that he could well have been behind some of the more dazzling smiles of his time.

Despite his progress, I can't help thinking that as frightening as it can be to have some of today's dental tools approach your mouth (I usually look away), the tools of the trade in the 1700s would have been even more disconcerting. My hunch is supported by the fact that urine was used to help fight caries (dental decay) back then--the ammonia in it being the active ingredient. Fortunately for us, they've found other methods for preventing and treating cavities.

I find it impressive that Fauchard, back in his time, was figuring out methods for tooth restoration, the need for fillings (albeit sometimes employing lead), the benefits of regular dental cleanings and that children's teeth are more quickly and easily moved because of their more shallow roots. This was a time when some still believed that tooth decay was caused by tooth worms. (Actually, some still believe it. If you really want to be horrified, Google tooth worms and read about these delightful--and thankfully unreal--creatures!)

No doubt, in the not-too-distant future, people will look back on current methods as "positively medieval," a sentiment that I can't completely disagree with even now, but I do appreciate the improvements made so far. I'm still five weeks away from my first tightening appointment (which my 14-year-old niece informed me would be about an 8 on a pain scale of 1-10 but wouldn't last long; that seems a little high to me, especially since she said it like it was no big thing; but she's been through it and I have not, so we'll see). In the meantime, I'm happy to report that my teeth are already straighter than they were--so medieval or not, it's working!

Wednesday, March 12, 2014

Week 4, in Which I Learn (at Least) 3 Things


One: I think I know what "Wite Out" tastes like. 

Two: a friend found the perfect T-shirt on Imgur:

Three: "mobile" is a term used not only for phones and work stations but also for teeth. 

Wite Out: that's the aftertaste of the fluoride treatment I got at the dentist last week. I've never actually tasted Wite Out. (Which, for anyone who's under 30 or has never used a typewriter--what's a typewriter? Oh, forget it. But Wite Out is the stuff once used to paint over mistakes on paper. Before there was such a thing as a delete button. Before "undo" was possible. I know all this because I am a late-life brace wearer.) So no, I've never tasted Wite Out, but I've smelled it often enough, and now I think I know what it would taste like.

I wasn't anxious to have sharp tools in my mouth, which is finally feeling somewhat better. Other than a couple of spots inside my upper lip (a little roll of gauze gives it a break at night), I'm now pain free 99% of the time. But my inquiries revealed that yes, I should I keep my appointment. Not only that but it's recommended for brace-wearers to visit the dentist more often. More joy! It turned out to be a typical appointment and my fears were calmed until the hygienist found an exposed area on a tooth next to my most troublesome extraction site. I was done. She told me my dentist (sister) would probably want to remove the troublesome buildup when she saw it. I told her, "No, she won't--not without a needle full of anesthetic!" In the end, no one went near it again. 

And the awful-tasting fluoride? I get to experience this at every visit until the braces are off. It's sticky and awful-tasting (yes, like Wite Out) and it's painted on at the end of the appointment. After I assiduously avoided the horrid stuff with my tongue the whole time she was painting it on, the hygienist told me to "lick all around it" to make it bond. Really? Then, no hot drinks or brushing for six hours. And the aftertaste. Just plain awful.

The T-shirt speaks for itself: hilarious.

And what are mobile teeth? Just that: they're teeth on the move. Some of my teeth feel like they're going to just fall out. Luckily, they're being held in by these little pieces of metal. I think I mentioned dreaming of my teeth coming out in an earlier blog. According to dream interpreters, this is supposed to mean the dreamer is concerned about things happening that are out of their control. In my case, I think it means I'm worried my teeth might fall out. Of course I know they need to move--that's the whole point. But it never occurred to me they'd be so loose while they were at it. I've been told not to worry. It's normal. Especially for someone my age. All-righty then. They just had to go there...


Tuesday, March 4, 2014

The Wider World of Wire

I'm exactly three weeks into metal mouth mania (only three weeks!!): my face has gotten tougher, my gums have only one tender spot and it's come to my attention that I may not be the only one to have chosen mid-life orthodontia. 

Okay, of course I knew I had company. But while I was busy sharing my experience in the hope that it could entertain and perhaps help someone else make the decision, it hadn't occurred to me to look around to see what others had reported. Did you know that later-life brace wearing is an actual trend? It only makes sense--while we're tummy tucking, face lifting, botoxing and much more, why not straighten our teeth, too? 

What I found when I first looked up from my own mouth and peeked into others was frightening. I read comments about weak teeth (post braces), regret, thousands of wasted dollars. People wanted to know why their orthodontist hadn't warned them that older gums heal slowly--perhaps never completely. I read about patients who were treated like children--patronized, with their questions ignored. And finally, happily, I read about the success stories. At ArchWired, an entire site dedicated to mid-life braces, you can read a well-documented blog and see lots of teeth in every stage of the process. (About twenty photos in, I knew I'd made the right life choice in not becoming a dentist! That was my sister's dream and she's very good at it.)

My teeth do feel loose, and in a dream the other night that I reached up and simply pulled one out. Clearly, there are concerns running amok in my unconscious mind. In truth, there are more than a few running amok in my conscious mind as well. I have learned that I could have (perhaps should have?) asked a lot more questions, such as, "Will I need headgear or other appliances?" Lord, I certainly hope not! Rather, I assumed they would tell me all I needed to know. I did consult with two different orthodontists--about twenty years apart--and the outcome was the same: no Invisalign, years of treatment, hefty price tag.

I was pleased to learn that I'm not the wimpiest or the whiniest older brace-wearer out there (yes!), but compared to kids, we adults as a whole are definitely less willing to deal with the down side. Is it because we're paying for it? Or because we're used to having some control? Whatever it is, I have to remember that I asked for them. And they're the only route to straight teeth. It's a "first-world" kind of problem, I know. 

But I'm not here to compare life's challenges--I'm here to talk (teeth) turkey. So until next time, please sip soup, crunch a carrot or bite a bagel for me!