Can I get any sicker?

After being struck with a cold and then allergies I figured I was probably done with being sick for a little while. Lo and behold I woke up on Thursday with a toothache reminiscent of my post wisdom tooth extraction days (bottom ones were fully impacted). I was so uncomfortable I had to take a tylenol to get through the work day but I was still somewhat hopeful, figuring that the most likely explanation was nightly teeth grinding. I had been wearing tray 11 at that point for about 10 days so it didn't make sense for the pain to be from my invisalign.

When the pain returned on Friday with a vengeance, I decided it was time to action. I gave my dentist a call and managed to book myself in to see her the next day. I was a bit anxious as I left the house for my appointment - hoping that I wouldn't need a root canal or filling. Luckily, after taking a good look at my teeth and some xrays, my dentist determined that there doesn't seem like anything was wrong with my teeth.

So, after a lot of research and the onslaught of a number of other symptoms. I think what I had was a sinus infection. It's just so odd - I could have sworn it was a really bad toothache. Anyway I'm just glad that I'm not sick anymore and happy that there's nothing wrong with my teeth.

Half way through refinements! (tray 10)

... well that's if you don't include the 3 over-correction trays at the end.

In the past month, I've managed to get sick as many times as I've changed trays and so this past month has felt exceedingly long. I am hopefully getting over my second cold though and with some luck the rest of treatment should just fly by. I've got a few weddings to attend over the summer and elated about it the unseasonably warm weather we've been getting (no more snow!).

Not surprisingly, these past two trays have been pretty uneventful. The one exception being that the attachment on my left canine did not seem to sit properly and the top of it was cutting my lip. It sat properly after a few days though so no biggie. I was slightly worried though that it was the beginning of the end and that the rest of my trays wouldn't sit properly, optimist that I am.

I went to visit Dr. A this past Thursday and was given my next two trays. Only two as I am supposed to be getting more attachments at tray 13. These of course will be on my front teeth which I have mixed feelings about. On the one hand, they'll be a lot more noticeable, but on the other, I really hope those front four finally move into place. It's about time! The other thing I was instructed to do was to slow down my bottom tray changing schedule. I had actually thought about it earlier but never got around to asking about it so I'm glad Dr. A mentioned it. My last trays from my previous set were pretty gross by the time my refinements arrived.

Some comparison pictures between re: tray 2 (first set with refinements) and 10:

natural smile (tray 2)

natural smile (tray 10)

Bottom and top teeth - Tray 2 (this was taken right after they added the new attachments)

Bottom and top teeth -

Tray 10

Right side - tray 2

Right side - tray 10 (sorry my attachments are a bit stained and gross - it does look like my one incisor has moved a tiny bit though)

Upper arch tray 2

Upper arch tray 10 - a little more rotation required

(picture removed Sept 2020)

A big birthday smile. Luckily, I was healthy enough to celebrate in between two separate bouts of the cold. Just like last year, I had to spend this birthday in braces but hopefully I'll be in retainers by my next birthday!

Refinement tray 8 pictures and more!

Hello! Sorry I've been so lax about updating as of late.

I don't have any good excuses really aside from being on vacation and getting sick over the past week. Teethwise, it's been business as usual for the most part. I went to see my dentist just before my trip as I noticed some issues with my teeth and gums. She was really impressed (again!) with how much my teeth have changed since the first time I saw her but mentioned that I seemed to be having some trouble reaching my back teeth and below my bottom attachments (which were turning a bit yellow - yuck!) as she could tell from the build up. She checked my gum pockets and said there's been some pronounced improvement there as well. I guess I've come a long way from where I started.

In retrospect, it might have been better to have my teeth professionally after I got back from my teeth but hopefully it doesn't make too huge of a difference and I tried to be as diligent as I could while I was away. We were in Miami for a few days before our cruise (funnily enough, we were there for superbowl weekend and didn't even know it until after we booked our cruise - silly Canadians, we are) and enjoyed some really good food. This meant of course that we went to quite a few restaurants and I ended up brushing my teeth wherever I could as soon as I could. Most of the time, it wasn't a huge deal, since we ate at off peak times (empty bathrooms!) and our hotel was close to a number of eateries so sometimes I just waited until we returned. There were a couple of times (ie. Sat. before the superbowl) though when I had to just whip out the electric toothbrush in front a bathroom full of women primping and preening. I find if you don't look all embarrassed about it, nobody really seems to care but I still get the odd sideways glance (if I don't have a toothbrush in my mouth, I just look directly at them and smile warmly).

Surprisingly enough, once we went on our cruise (7 days through the Carribean with NCL), it was a lot easier to either get to our cabin or a semi-empty bathroom in between meals. Trying to keep my trays in for a decent amount of time was another matter. Between all of that food (everywhere, all the time!) and getting to various events, I have to admit, sometimes I slipped my trays in after a quick, discrete swishing and other times, I just kept them out for a bit. I thought the port stops would be more difficult to manage but we went on a lot of Cruise organized excursions and while they charged an arm and a leg, they did include lunches at nice venues with clean bathrooms. With all of that negligent tray wearing going on I ended up wearing tray 7 for a few extra days to make up.

We spent a couple more days in Miami (24C and they described it as cold!) before coming home to snow, -10C (mild by our standards), and all of the excitement around the Olympics (Vancouver's a pretty long way from where we live but it was still easy to get excited being part of the host nation). Since then I've been down with a bit of a cold but hopefully I'm getting through the tail end of it.

One thing I've noticed as of late is that I'm not quite as motivated to stop everything and put them in after meals anymore. I guess I'll just have find a way to keep myself on track - perhaps, thoughts of yet another long refinement set??

Pictures from the end of tray 8:

My crooked tooth catches the light a bit, me thinks.

It'll be interesting to see what my bite looks like at the of treatment.

Darn front right incisor.

Refinement tray 6 pictures and update

I used to wonder where all of those formerly avid invisalign posters/bloggers went after they disappeared off the face internet. Now I think I know. After the majority of the correction has occurred, it's not nearly exciting to track to progress from one refinement tray to the next. It feels like quite a slow process at times until I remember that I've already gotten through 6 trays. I picked up trays 7-10 earlier this afternoon and am going to take a look to see what sort of differences I can spot between refinement trays 1 to 10. Now that I'm on refinements, Dr. A is making himself more available for questions and the like. I wish I had more teeth questions with which to impress him with my eagerness to comply or exhibit my curiosity but at this point I don't have too many questions, save one. I keep seeing this little space between snaggy the little top right lateral incisor and he explained that since my front incisors are both being intruded, I'll see a bit of space there all the way through treatment.

Other than that, I've started to lose weight again since I started working out and am going to have to readjust my meals accordingly. Nothing major, it just offsets the weight I put on initially with Invisalign and seems to be able now. It's an opportune time to lose the extra bit of flab since we're headed south for a much belated honeymoon starting next week. Perhaps when I return, I'll have an update on the challenges of wearing invisalign while on vacation.

Pictures:

My midline is finally lining up!

As snaggy finally comes forth, he's showing some signs of possible decay on the one side that developed in the shadow of the neighboring incisor. I booked an appt with my dentist for next week to see what she thinks and an early cleaning.

End of refinement tray 2 pictures and attachments

Sorry I haven't been updating as much, my last couple of trays have been pretty uneventful. They were both without attachments and aside from my front tooth being pretty sensitive, I barely noticed that I had them on. I was a bit annoyed because I wanted to talk to Dr. A about this (tooth sensitivity) when I came into his office on Wednesday but he just popped in briefly while the hygienist was working on my mouth and was nowhere to be found when I was finished.

It's been so long though, I forgot how attachments felt but lucky for me I've got 8 of them now! Fortunately, I had also cut the side of my lip flossing so it made the struggle of trying to get my new tray (3) out even more fun. It's been a couple of days now though so I've gotten used to having attachments in. I'm supposed to get more (on my front teeth) but not until tray 13 so it won't be for a while yet.

Pictures:

natural smile

my new attachments

Ah, so this is why there are 23 more trays...

I've decided that given that my teeth won't be changing as much from tray to tray anymore, I'll probably just post pictures of every second tray from here on in. After a couple of weeks in my first set of refinement trays, I've gotten back into the swing of things again and to be honest I barely notice them. What I did notice however as I was taking a few pictures last night prior to starting my new trays this morning is just how much my right front tooth needs to rotate to get in line with the others. It makes me a little sad after all that time and effort but at the same time I'm glad some of my major concerns are finally going to be addressed and I'm looking forward to some nicely rounded arches by the end of this round.

Some pictures:

Eek - no wonder I need so many more trays!

The left tray is my last tray from my first set, right is my first refinement tray. Notice the subtle differences between the two? New trays are also a much better fit.

With my new refinements trays in.

Confessions to my dentist

If you've been following my blog you'll know that I have a history of dental issues that I finally started taking seriously a few months prior to my starting my invisalign treatment. Those dental issues led me to my current regular dentist, Dr. H, a little over a year ago. We have a pretty good relationship which probably due in part to her being quite informative without being paternalistic, about my age and easy for me to relate to. Prior to the summer 2008, I was a quite overdue in terms of seeing a dentist (to say the least!) but quite intent on having things looked at and hopefully having my teeth straightened before the wedding. After a few grueling sessions of deep scaling, xrays, surgical removal of my wisdom teeth (the last was done by her practice partner as my bottom ones were impacted), I finally made my way to a number of different orthos and dentists for consultations.

As it turned out, none of the orthos she had referred me to offered invisalign which I had my heart set on and while I might have considered metal/ceramic braces, the cost for taking them off for the day of the wedding just seemed a bit atrocious to me (upwards of $700 CDN). So in the end, I went with Dr. A, who is a dentist and premier invisalign provider and I haven't seen Dr. H since I began treatment. It wasn't intentional, it just sort of happened given that there were a couple of instances where it was suggested that I have my teeth cleaned at various points in my treatment and it was more convenient to arrange it with Dr. A's office and another instance where my insurance (after having my teeth cleaned about 4 times in the same year) ran out and I decided to pay out of pocket at the local university.

Needless to say, I've been a bit anxious and embarrassed about not keeping Dr. H in the loop and was a bit sheepish when I saw her this morning. She must have gone through her notes because she seemed to remember me quite clearly despite the long absence. I also explained about the invisalign treatment and where I was in treatment and she seemed to be pretty impressed with how my teeth had moved since she last saw me. Also commented on the fact that it was so much easier to clean my teeth now that they're so much straighter and that they seem to be in great shape. It doesn't look like I have any new cavities, however, there do seem a couple of spots I seem to have some trouble cleaning in the back of my teeth and gums have receded a bit. We also talked about retainers a bit and she did suggest that with my history of gum disease, it might be better for me to have removable retainers after I'm finished which makes sense. I might mention that to Dr. A if I get a chance to speak with him at my next appointment.

All in all, it was a pretty good appointment. After seeing Dr. H, I realize how I miss having dental professional who I can spend some time talking to and asking questions of. Dr. A while very efficient just doesn't spend the time. I don't know if this is the difference between going to a dentist for invisalign or just his style but if I had to do all of this over again and had all the time in the world, I'm not sure if I would have gone with an invisalign dentist but then again, I probably didn't do as much research as I should of in terms of understanding that the dental professional can play a very large role in determining the course of treatment.

Anyhow, these are just my musings on a Friday morning off. I'm not unhappy with my treatment, I'm just wondering if it might have been approached different had I decided to go with a different dental professional. Having said that, given that a little over year ago, I was dealing with all sorts of dental issues and today I got out of a dental cleaning and checkup in just over an hour with lots of positive comments from my dentist plus have reasonably straight teeth in my wedding pictures, I'm a pretty happy camper.

End of my first round of 20U/21L

So here I am, at the end of my first round of invisalign... waiting until my appointment next Tuesday to discuss refinements with Dr. A. My teeth really haven't moved very much with the last tray but I thought it'd be interesting to show you every fifth tray since I started, starting from my most recent photo (prob makes more sense if you scroll from the last picture first but I forgot about that when I uploaded the photos).

tray 20 - midline is almost straight and my top and bottom teeth are almost touching, it looks like my own front tooth is longer than the other though

tray 15 - my little crossbite tooth finally sees the light of day!

tray 10 - gappy!

tray 5 - in my gangly stage, it must get worse before it gets better!

pre-invisalign

So, as you can see, there's still a lot of room for improvement but my teeth have changed a lot since I first started. I'd still like to see right front tooth rotate some more and canine come in a bit. I'll update next week after I hear what Dr. A has to say!

Tray 18 update with pics and dirrrty teeth

These last couple of trays have left me with really sore and sensitive teeth. I think tray 18 has rotated my right front tooth in the right direction but it doesn't look like it's quite where it should be. I just want these next few trays to hurry up and go go go because I'm anxious to move on to refinements which I am pretty sure I will need. I'd also like to do a thorough cleaning of my teeth. Years of overlapping teeth have revealed stains in my teeth that my hygienist couldn't reach with her professional equipment let alone me with my little electric tooth brush.

slightly less overlap in the front??

yuck - i find the attachments make it harder to clean my teeth. that combined with the overlapping sections of teeth finally seeing the light of day makes for a pretty gross set of chompers!

my bite seems a bit off to me still...

it looks like the back of snaggy has kept my front right incisor from rotating any further.

Tray 17 update with pics

So I had a pretty quick visit with Dr. A today but a few important things were discussed albeit pretty briefly.  It looks like I'll be going through all of my over correction trays (18-20U and 19-21L) and will likely need refinements (he thinks it would probably just be a few but was hesitant to commit).  I'll also be getting a permanent retainer on the bottom and a clear essix type retainer on top.  Finally, he explained that my over correction trays will only bring my teeth together more tightly rather than continue to rotate my teeth into the correct position.  My next visit if all goes well is in 2 months.

I really wish I had had written down all of my questions for him in advance but I was in such a rush to make my 7:30am appointment this morning I didn't have a chance to compose myself and ended up rushing through the appointment.  What I would have asked and may still ask via email was when my attachments were coming off (so I can book a cleaning), if my next appointment would involve molds, if the shooting pains in my front tooth were normal, if refinements would fix my bite (molars still aren't touching) if it doesn't feel normal again by the end of this set, my angled bottom tooth, the excess attachment material on my teeth etc...

Oh well.  I'm onto tray 18 now and my teeth are really sore.  I may just give in and take something for it.  I can see that front tooth moved a bit with the last tray though so I am sort of ok with it for now - no pain, no gain!

Pictures!

Almost there, my mutant extra long canine and uneven gumline kind of spoil the effect.

Snaggy's almost in line...

funny how this canine seems to be at such a weird angle

I think my front tooth is finally starting to slide into place!  The letter must have helped.  

Tray 15 update with pics

So tray 15 ended rather abruptly as they had split on day 11 of my wearing the tray.  I'm not too down about it though because I managed to move my next appointment up a bit.  I still don't know how I can be potentially done in two trays but I'll wait and see.  

Wedding day update with pics (limited time only!)

I could be wrong but I think I've finally recovered from my wedding day festivities as evident from my desire to do laundry, organize our house and getting around to writing up this post.

The wedding itself went surprisingly smoothly.  While there were a few glitches in the morning, it got better and better as the day went on.  And what a long day it was.  The girls and I started getting ready at about 6:30 am, the tea ceremony started just after 9:00am, followed by a buddhist ceremony at 11:00am, vegetarian lunch and then formal photos until cocktail hour at 5:30pm, reception at 6:30pm and a dance that went from about 10pm until sometime in the wee hours in the morning.  

I had my aligners out all day.  To make matters worse -  I forgot them at my mom's house and didn't get them back until the next day so in total I probably had them out for upwards of 36 hours or so.  I was so glad when I finally put them in that they still fit although my teeth were supersore after having them out for such a long time.  We took some friends from out of town to see the Canadian rockies for a few days after that so my teeth had a chance to readjust to tray 14 before I went in to get my attachments reattached.

Getting my attachments back was pretty non-eventful.  One thing I did notice is that is there considerable more bonding left around the attachments on my teeth this time but I didn't notice that until I left Dr. A's office.  I have to say, my teeth look a lot more crooked now that the attachments are back on and it took my teeth a few days to get used to having them on again.  

It probably wasn't a bad thing to have them reattached at this stage though as my aligners seem to be a better fit again and hopefully will line up nicely with these last few aligners.  Speaking of which, I found out from the assistant during my visit that I actually only 3 aligners left instead of 6!  Yes, you read that correctly.  My first round of aligners ends at tray 17U and not 20U as I originally thought.  Dr. A had a few over-correction trays ordered just in case my teeth haven't moved as planned by the end of tray 17 (mid-August!!).  

While my teeth still look a little ways from being done, I'll reserve my judgment until I've finished tray 17 at least.  Having said that, I'm glad I have a couple of options to address any remaining issues (over correction or refinement).  Tray 15 which I switched to last Wednesday, left me pretty sore for a few days;  whether it was because of having attachments again or there was a lot movement involved, I'm not sure.  It seems though that there might be some hope to be finished sooner rather than later yet.

I wish I was able to capture the whitening process somehow but I wasn't able to get the same lighting or positioning more than once.  I did notice that my teeth were noticeably whiter in my wedding pictures though and you'll have to let me know if they seem whiter to you.

Anyhow - a few pics from the wedding.  I'll just leave them on here for a few days.  After that, just send me (lemon_tree) a note on bracesreview.com or archwired.com if you've missed the cutoff!

Tray 14, attachments off and whitening

Considering how sore I was after tray 14, it didn't really result in much movement.

For the most part, Dr. A seemed to be pleased with how things were progressing with my teeth.  The one sore point was that I was hoping to move on to tray 15 by the wedding but given that I wanted to do some whitening (take home kit to be used with my trays) before the wedding and was getting my attachments off in between, he suggested I keep tray 14 on.  I have to admit I was a bit disappointed.  

The removal of the attachments was less painful than I expected though a bit uncomfortable.  It took less than 15 minutes.  While removing my attachments my dentist noticed some plaque build up and suggested that I get my teeth cleaned prior to whitening to increase its effectiveness.  I was kind of hoping to wait until July 1st when my benefits would be renewed to have them cleaned but at this point what's the full cost of another cleaning?  Having said that, I'm kind of glad I did get them cleaned...

Notice the staining around my attachments?  yuck

more of the same

Some staining around my molars too!

So given all the staining that was going on and that Dr A's hygienist had a cancellation, they were able to fit me in and I agreed to it.  It was one of the most uncomfortable cleanings I've had in a while (ever 3 mos for the past year!).  I'm not sure if it was because my teeth were more sensitive after having my attachments taken off or her technique or some combination fo the two.  I have to say, given how much time I've been dedicating to keeping my teeth clean, I'm disappointed I'm still needing such frequent cleanings.  I'll have to talk my regular dentist about this when I see her next.

My schedule for the next couple of weeks looks something like this, 2x daily in tray teeth whitening for a .5 hour each time, 2x daily rinsing with a special mouth wash, same trays until wednesday after my wedding (July 4th).  On the flip side, it's been kind of nice to have a break from wearing the trays as much as possible all the time.  I figure since I've already them on for 2 weeks plus, taking the odd long lunch, or evening out (wedding tomorrow) shouldn't hurt too much.

My teeth after my attachments were taken off

My teeth after 4 days of whitening - i don't really see a difference yet.

my fiance's teeth were a bit jealous mine were getting so much attention so they tried to sneak into a side shot.  silly teeth but so so straight for being post braces 15+ years.  someone's been really good with their retainers.