The Weary Travels of an Underbiter

Long Time No Post!

2011-07-06T12:43:00.000+01:00

The trouble of course is once you've had you surgery you've said all you need to say. However, I thought I would update with a picture, and a brief summary of things.

My lip and chin are still the same- I have some feeling, but it is never 100%. The left side of my chin is sometimes very ticklish, sometimes quite dead.

It took me a while to get used to myself, and actually form an opinion of myself- as before I never quite had one. And again, I hold that my appearance is not enhanced, rather, it is just normal and therefore 'better' (whatever better means)

Good luck to everyone waiting for surgery- and be patient. It is worth it! And so important- enjoy your life, and don't dwell on negativity

Sorry for lack of posts!

2010-06-29T17:57:00.000+01:00

Sorry, I haven't had the time! (of course you always find time when waiting for the surgery, not after!). I'll post a detailed message later, but for now here's some photo updates.

I haven't mastered teeth shots yet, but they'll do. When I see my ortho I'm going to ask for a copy of all my photos!

Overdue update!

2010-04-06T21:47:00.000+01:00

Sorry, it's just I don't have much to report, because everything is much the same! :D A few points, though....

I had another appointment last week. My ortho just changed my powerchain on the left side, and clipped my excess wire at the back. My debonding date is the end of May, but she wants to see me again just for another quite maintenence check later this month. I feel almost sad that I'm nearly done with my treatment, because I don't know if I can aptly express to my ortho what she's done for me, and I don't want to just be like 'okay, bye'. It seems too abrupt to just end treatment like that. I feel like buying her flowers, but at the very least I'm getting her a card to say thanks. I don't know if flowers are the most practical thing to give her at the start of a days shift...but anyway.

When I was going in to see her, I saw my surgeon in the other room (he visits the hospital mainly just once a month for clinics). He recognised me as I was going past, and so we got to chatting for a little bit. He basically just asked how I was, and asked whether the spots on my face had cleared. They haven't all gone, so my ortho said I might be as well going to the doctor and getting some antibiotics for it. I'm still in the spotty stage of life anyway, but the surgery brought out pimples rather than spots, that are still marked on my chin and cheeks, so I've got an appointment to see my GP next week.

My odd sensation on my chin when I have cold drinks has lessened, but it's still there. Frankly I quite like it! It also works if I breathe in sharply, which is just awesome!

Also, I'm disappointed in myself for my cleaning. I haven't flossed consistently since my surgery because it's just been plain uncomfortable . But I realise I need to get going with it, and I can finally maintain an open mouth for long enough to actually do it. I'm getting back on track now finally, oops

My ortho also had a chat with me about my education to be a clinical psychologist again. She says they really need someone to work with general orthognathic surgery patients, and also those with cleft palates. The thing is I'm just ending my second year now, so I can only 'help out' in the sense of volunteering, and only with some supervision which they don't really have aside from academic psychologists. Still, perhaps my calling later on when I'm fully qualified is to work within this realm, to help out patients who are going through this. I would certainly like to, because I know 1) how hard it is pre-surgery 2) how amazing it can be afterwards

I have a question for people about this generally though- did you have to see a psychologist before surgery? I know some people in the UK have, but I just wonder generally what people think of this? Is it helpful to talk to someone? Would it be nice to talk to someone who has gone through it themselves?

Great Day!

2010-03-04T21:19:00.000Z

Well today was a good day. Saw my ortho, and got 3 bits of good news (2 orthodontics-related):

1) I don't need to wear my elastics anymore

2) I'm getting my braces off in MAY!!

I need a gap to close, but other than that I'm all done. One of my molars is slightly in a crossbite position, however it has no direct impact on my bite. My ortho said she'd like it fixed in the sense that it's her job to get everything perfect, but since it doesn't make a difference to my bite -or to me personally- she's going to leave it. I don't necessarily mind her working on it, but as far as I'm concerned having one tooth that isn't perfect makes little difference to me.

I have one more normal appointment in 4 weeks, and then will be debonded in May!

The third bit of good news is more on a personal level, but I'll share anyway. I'm a student of Clinical Psychology (second year undergraduate) and my ortho always asks about it and what I'm doing. Anyway today she was like, 'oh Sheffield [where all orthognathic surgery is done in this area] is desperate for a Clin. Psych, and you'd be perfect because you've experienced it yourself! We'll have to talk about it next time...'

Now I'm not taking this to be a job offer because obviously I'm not qualified yet!, but some form of work experience in that area would be great for me. So if she can hook me up, she can!

Nerves driving me mental...

2010-02-24T12:30:00.000Z

Not much to report in terms of progress. I've got an appointment with my ortho next week.

I still have residual swelling in the lower part of my face, but that's about it. It's painful in my joints if I do something particularly forceful like yawn, but that's about it for pain. My tongue has been a bit cut and sore lately because obviously I'm mushing things up with my tongue and it's catching the odd sharpe or rouch bit of my braces and generally getting exacerbated....

BUT,

My horrible nerves sensation is still there too, but not as bad as it has been. If I lightly tap the left side of my chin, it sends a shockwave of tingles through the rest of my chin and lip. I can also feel the nerve if I touch the left side of my mouth with my tongue. It's not painful, just very annoying. Brushing the left side if just horrible because the nerve is also sent down one tooth.

I did some research (ie, google and wiki ) and think it might be the mental nerve, as it's on that tooth and that area (see bottom):

http://en.wikipedia.org/wiki/Mental_nerve

But whatever it is, it's making me mental!

The Impenetrable, Baffling Fortress...

2010-02-10T21:36:00.000Z

....that is the straw.

I was with my friend today and got a drink from MacDonalds since she wanted something (ugh, I don't eat their food though. Yuk) and could I hell work out how to use the straw! It's not even just because my lip is numb, but I felt like I'd physically never used a straw before, and couldn't work out how to get it in my mouth because my jaws were in the way. That sounds odd I know, but my upper teeth have never gone in front of my lowers, and it feels wrong! I kept trying the get the straw in and my upper jaw would come down like a draw-bridge and block off my way!

After extracting less than a ml through the straw in about 10 attempts, I just took the lid off......

I think I need a straw-using rehabilitation programme or something

Updates- Day 28

2010-02-09T17:37:00.000Z

I'm currently eating a sandwich on a plate with a knife and fork lol. Nobody can deny the pleasures of a sandwich, and this is my first one since the surgery. The thing is that I'm back at uni now (though not for the full week- my plan is to go home on Thursdays because I don't have any lectures after then, so my mum can feed me better quality foods than I can feed myself here!) It's annoying because in between lectures, etc, I don't have time to go and sit down to 'eat', so I'm reduced to living off things like nutrigrain bars and smoothies during the day. You forget how much you need some convenience with food; for instance eating a sandwich on the go, which I obviously can't do.

However, I'm still pleased with how much I can actually eat. And to anyone with an upcoming surgery- if you don't need to be on a liquid diet, then don't (but if you do, sorry!). Do you know how depressing it is to only be able to have fluids? Try and eat what you can within reason (and obviously the first week you probably will just need liquids or very, very soft stuff); it makes such a difference psychologically, instead of drinking drinking drinking all day (you feel bloated, not satisfied). I'm not chewing anything, but that doesn't mean I can't eat anything.

In terms of pain- I only get it when I yawn. It's because my jaw is forced further than it wants to go, and it's hard to stifle a yawn without moving your jaws somewhat anyway. Also sometimes my jaw sort of spasms like it wants to tilt to the left again.

My areas of numbness are illustrated in this fantastic use of technological advancements:

So it's the majority of my chin, and say, half of my lip. The parts on the right side aren't 100%, but I can feel it! But I have paraethesia on the left side, which is a good sign. It's mainly pulsing and tingling, however sometimes if I catch my chin it will then start to itch, but sort of deep within. And of course I can't scratch it! Very strange feeling.

The swelling that's left and the odd, expressionless way that I smile is still there. I imagine they will remain for quite a long time, actually. But it's nothing too adverse really. I look on the verge of lookingswollen to perhaps just looking a bit weird, so I just tell people who I'm not close to but see regularly what's going on. It was the same telling people about my big gap between my front teeth after SARME lol.

I think I have a little ulcer near one of my stitches too. So I need to pick up my rinses so my stitches heal better, and so I don't get any more ulcers. And only one of my stitches has actually come out (other than the one my surgeon took out for me), so I don't know how long I'll be stuck with these! Again, it's nothing too bad, but I don't want them to get infected, and I can't really floss near them because they have loosened, but are still tender to touch.

An exemplary case?

2010-02-04T18:32:00.001Z

I had an appointment with my ortho today; and I’ve come away feeling very good, and also very proud of my surgeon (does he need a teenage girl to be proud of him for just doing his job? Perhaps not!).

I was taken straight away to have an X-Ray, and then went to see my ortho. When the assistant came out to call me in she said ‘you look great’! A trainee was there too, who was comparing my X-Rays as I went in. I had a look and the difference was just crazy. I have the screws along my mandible (which I can feel), and then I have the others around the nose and upper jaw. My teeth like totally fit together man, and it’s awesome!

My ortho said for only 3 weeks everything looks amazing, and usually at this stage she needs to do a lot more work to get the bite stable, but in my case I don’t really need much doing because the surgeon did such a good job (see, that’s why I’m proud, or should I say privileged?). As such, she thinks I may only need the braces on for 3 more months, rather than 6. However I’m not at the point where I’m sick of my braces and want them off; I’m at the point where I’m thrilled to be on the right side of the surgery, and I actually have a decent bite and profile now. Still, it’s good that she has less to do.

She is still on with the elastics, though (since I came out of the surgery sans splint or elastics, and she thought I should have had them on- she keeps mentioning it all the time!); she said the surgeon must have been so pleased with himself that he didn’t want anything extra doing. I see her point of view in that it’s her job to get the teeth side of things perfect (or as near to perfect as anything can be) so she wanted the elastics to stabalise the bite. However, since the surgeon actually did do such a good job, then what’s the problem? He said he didn’t want to use the splint if possible because it’s horrible to live with (if I’d had to live on liquids for more than the few days that I did, I definitely would have felt horrible, and I think recovered less well), and since the bite fit together as it did, elastics weren’t necessary. But anyway, I think my ortho likes her elastics, and I’m happy with them so long as they remain in simple shapes that I can deal with!

She asked if I was ok to have a wire change and I said yeah, go for it. I’m not in pain and I’m numb anyway, so ... She changed the top wire, put back on 2 hooks for the elastics (which actually did hurt! Pressure on the teeth can get you even if your gums are numb), and added 2 powerchains to try and close my 2 gaps (my elastics go over the chains on the upper jaw). The elastics are in a trapezium shape rather than box now, but are in the same place as before so I can handle that. Also she let me have the lighter ones for more range of movement. Although to be honest, I was fine with the thicker ones because they weren’t particularly strong anyway; well certainly I could eat with them in.

She was pleased with my ROM anyway (I can open 2 fingers vertically, perhaps slightly more), as well as my cleaning (I’ve been trying the best I can, but I need to pick up a bit more. It’s hard though because I keep catching the stitches by accident because the hang down a little. Yesterday I made one bleed because I caught it with my toothbrush)

So all in all she was really pleased, the trainee said I looked great (my ortho told him to pass along the message to my surgeon that I looked great when he sees him later), the assistant said I looked great, the other ortho who works there popped in for something else, but had a look anyway, and also said it looked great. So today I feel very pleased. Not with myself, but for the people who do their job very well. Because that means I have results to be thankful for, and ultimately I can feel good about myself for the first time in ages.

PS- is it silly to want to get my surgeon a thank you card, and my ortho a big bunch of flowers? :O

Photos

2010-02-02T22:01:00.000Z

Some updates and comparisons (I seriously need to ask my ortho if I can have her photos, because they're better than my measly camera-phone ones! lol). Let's start from the beginning, shall we?:

to:

Not bad, eh? Just waiting for the balloon in my face to deflate now, and then I'll be able to see the true differences

Free from the stitch of doom at last!

2010-01-29T22:46:00.000Z

Ok, it wasn't that bad, but I saw my surgeon today and he removed my lower right stitch for me. I told him it was irritating me so he had a look, and it had 'puckered' somewhat and looked a little sore, so he took it out. It's not infected or anything, just aggravated (as I was!).

He also talked to me straight away about my bad skin that I've suddenly developed post-op. He said that after the surgery you tend to get quite spotty and irritated (be it from whatever they put on your face or what, I don't know). Seriously my chin is hideous at the moment, and when the pimples first appeared it felt like a rash or that I'd been nettled. I usually have one or two spots, but I've got a whole colony at the moment! So will just have to wait for them to go in their own time (with the help of some face wash)

That was it really- he was pleased, I was pleased (I said thankyou to him about 50 times during the course of the appointment. To which he replied 'sweetie, we can't just sit and pat eachother on the backs for the good job' -just noticed that in writing that perhaps sounds patronising, but trust me it wasn't :D -. But I said thanks again nonetheless).

He pointed out that my smile/midline is off (which I have noticed but don't care) but it's quite natural. Perfection is not what I was after- normality was. And perfect isn't natural! I immediately thought of the stupid reality 'star' Heidi Pratt (quite) who's been in my glossy and silly mags recently because of the plastic surgery she's had done; she looks absolutely grotesque! (http://www.dailymail.co.uk/tvshowbiz/article-1244464/Heidi-Montag-Before-plastic-surgery.html)

Anyway, that was a bit off topic! Sorry :P

He said because my lower lip and chin are tingly it means the nerve is just damaged so feeling will start to come back (it's called paraesthesia, don't you know). He also mentioned my facial movement generally, and that because they lift up the muscle from the face (of all the things to be squeamish about, this disturbs me a little!) it takes quite a while for them to get back to normal. Because I'm still swollen as well, my face does look a little odd when I smile.

So, anyway, he said not to chew for at least another month, but other than that everything is great. I'll see him again just for a last check up in 3-6 months.

PS- next week my family are going out for a meal. I'm going to go along and sit with my 2 year old niece. I can wipe her food off her chin, and she can wipe mine! :D

PPS- I weighed myself today and I haven't lost any weight. Seriously? Damn, even a broken jaw can't stop me it seems! Oh well, lol

Day 15

2010-01-27T18:50:00.000Z

I don't know if time has gone quickly or not. At day 15 I feel totally fine, except I'm still swollen and of course eating like a 2 year old.

Also I've got a bit more space to have a poke around my mouth, and I've realised why my lower right stitch hurts so much (or did hurt..it's improved somewhat now it's starting to loosen)- the stitch goes from my gum to my cheek, so I'm kind of sewn together at the side. As such, I'm going to try not to try and pull myself apart lol

Thought I'd list what I've been eating too. I had little range of movement for the first week, so my main source of energy had to come from the shakes and soups (ugh). But I was still quite weak for most of the week. Anyway, since I've been able to open my mouth more, I've been eating anything 'normal' I can that is soft and in small enough pieces for me not to have to chew it (the 'fork smash' stage). I really think this has helped me so much, because when all you do is just drink everything, you can feel almost bloated, and that you're drinking endlessly. Like when I had SARME, I went straight back to eating normally as soon as I possibly could. There's no point being extra miserable in all this, and despite it possibly being nice to lose a little bit of weight, I'd rather enjoy a good dinner (as much as is possible to have a 'good dinner' when you can't chew) and some ice cream! Although the concept of snacking has gone out of the window, which I suppose is a good thing. Instead I've been eating 3 square meals, and then something sweet now and then. A lot of what I have has to be cut into tiny pieces, but it's not too strenuous really :D So I've been eating:

Breakfast:
Weetabix (mainly just for the first week)
Porridge (same)
Eggs
Cheese on soft toast (in tiny pieces)
Beans on soft toast (in slightly larger pieces as the juice softens the bread more. Also don't know if beans on toast is just a UK thing, but anyway...)

Lunch:
Ravioli
children's type pasta shapes in tomato sauces (with/without toast)
Yoghurts
Milkshakes (I don't really have any milkshake stuff except ice cream and milk, so I added cadbury's chocolate fingers, and a banana...random, but nice!) need to buy some sort of ice cream sauce though I think. I love butterscotch, but can't find it anywhere. Will have to make do with toffee
Nurten energy milkshake (I got given these from the hospital. Had them mainly in the first week but I still have some left. They are really nice, actually)

Dinner:
Pastas and sauce (spaghetti, or pasta generally)
Sausage casserole (with mash and yorkshire puddings)
Chicken with mash, well-done veg, yorkshire puddings and gravy
Fish in cheese sauce with veg (I tend to just have broccoli and cauliflower, as these are easiest to eat)

To satisfy the part of me that needs to eat something bad:
Custard (or creme anglais if you want to be posh)
Hot chocolate (not really bad, but then not really good either!)
Ice cream
my mum bought me a little apple crumble compote thing today, so I'm going to try this. Yum

Also oddly enough, I've gone right off tea. I usually don't really go for coffee, but that what I've been drinking. Really miss my cup of tea, but it just seems off-putting to me somehow. I might try it tomorrow, though

~
I see my surgeon this Friday, and I'm hoping to see my X-Rays or to find out exactly how much movement I had done. Also hope he does something about my stitches. Still none have come out or disolved. The lower ones have loosened, but that's it. Also I've discovered why the one on my right side has caused me so much pain- the stitch is attached to the side of my cheek too as well as to my gum- so I'm kind of sewn together at that side

I've been sleeping on my side now too. It isn't 100% comfortable, and I find myself having to move every so often, but it's nice to just have some more movement. I've decided that my swelling is just residual now, and sleeping upright won't do much more for me at this point.

Also, I feel like I can officially say: I can breathe 100% through my nose alone [at night], and it feels great! It's odd to think that my jaws affected my airways, but then it's all connected isn't it.

Ouch!

2010-01-24T21:06:00.001Z

Well another post today!

I've just majorly pulled my lower right stitch by accident and it hurt so much that I've just been crying. I just don't know why it's so painful!

Also, I'm sure I'm starting to get a rash on my chin. It certainly looks and feels like a rash, but then how the hell can I get a rash? I haven't done anything! It's itchy now, but earlier it felt like I'd nettled my chin. And it's even more weird since my chin is still numb! So it's not like it's my nerves tingling, because I actually have little pimple things over it. I could just be really spotty all of a sudden, but they're very small and irritating spots if they are!

Ugh, I thought I was coping really well, but today I'm just annoyed

I'm going to go and listen to my favourite (calming) music* and take a long bubble bath!

* might as well share:
http://www.youtube.com/watch?v=-3DrL8pwu1k - Fave song by by fave band :D

http://www.youtube.com/watch?v=brLRS4q2MQQ

A little back-track...

2010-01-24T19:03:00.000Z

First off- I hate these elastics! I'm sure I don't actually need them (well my surgeon didn't think I did, and my ortho just said they were more 'for comfort' than to actually do anything), and they are just irritating me no end. The left side is absolutely fine and I can't even tell I'm wearing them, but I have constant pressure on my lower tooth and it's driving my crazy. It's not painful, but it feels annoying like when you have something stuck between your teeth that you can't get out.

Anyway, thought I'd back-track to the actual day of the surgery, because I was so late to update I forgot to add the backstory of the day of the op!

So,
I had to be there for 7.00, so we got up at around 5.15 and set off at 6.45-50. Anyway I knew there would be no traffic- but my mum wouldn't listen!- and we ended up getting there at 6.15! lol So we waited in the car until 7, then went to the reception. There was quite a queue of people actually which surprised me, but because it was general theatre admissions, obviously everyone having a day surgery was there, and whoever else like myself who would be staying longer but didn't require coming in the night before. Anyway we were waiting there until about 8.00, and then me and 2 other people got called into the ward 'holding area' (you just get ready there and then wait to be called down to theatre). They said I was third on the list with my surgeon, and so I might as well get ready straight away. So I got on the gown and the stockings (which I put on wrong twice! oh well). Then a nurse came round and went through all my details, and an assisstant came round to go through the procedure and I signed the consent form. At this stage they took an inventory of all my stuff and packed them away in a secure box since we thought I'd be going in pretty quickly. Anyway, I didn't actually get called to theatre until 11.45. So all that time I could have read a book or something, but they'd already taken away all my stuff. My mum decided to wait with me all the same, but boy was it a long wait.

Anyway, I finally went down- a nurse came to get me and it was like a 1 minute walk to the theatre. I got laid down and was seen to by 3 men, who started my IV, etc. Anyway we got to talking about being left-handed, because I'm a leftie, and one of the men was as well. The other guys called me cack-handed (a nice derivative from our neck of the woods, meaning bascially lefties are clumsy, lol). Anyway my surgeon appeared over me at this point to see how I was, and to apologise for the wait. Then, I fell to sleep!

I don't really remeber much about the first day. I had an oxygen mask on all night, and went to the loo at around 3.00 in the morning. I was ok getting there until I stood up again, and felt very nauseous. Thankfully I was sick in the sink and not on the floor! It was just blood and my medication that I threw up. Not exactly pleasant, but since I didn't have a splint or anything to contend with, it was straight out and done with :P

The main thing I disliked being at the hospital was just who I happened to share my ward with. Of course it's not their fault, but it's hard to sleep when the lady next to you starts choking at 2 in the morning and can't breathe. I was always on edge for her sake! Also they never bloody turned the lights off- and if there's one thing I can't do it is to sleep with lights on. So during the days for example, I wanted to sleep but couldn't.
The lady opposite me was funny though. She must have been there for ages because she was walking around like it was her own house. She would go for walks with her handbag, come back and use the nurses station and facilties, come over to us and open our food for us or pour us some water.....at one stage she actually went and turned off my light for me because she must have heard or seen me getting frustrated by it.

My surgeon came and saw me on the second day and said I was doing fine. The next day he didn't come, just a load of other doctors having a good stare. The dietician came to chat with me on one of the days, and gave me some Nutren drinks (like complan) and both a liquid diet recipe book, and a soft food one too (since at this stage we didn't know if I'd have a splint placed after all. Thankfully I didn't need it) Then the hygenist came and took me to a room, showed me how to brush and gave me some tips.

I had to be wheeled down to have an X-ray taken on the day I went home too. I didn't mind going for it, but I didn't want to be stared at by all the 'normal' people, lol. I know people can't help but have a bit of a stare, although actually it wasn't bad as I thought it would be. Also when I was going home I had to wait in the main recption while my mum brought the car rund. Anyway as I was there a little girl walked past me with her mum and seriously she didn't/couldn't take her eyes off me as she walked past. I was just thinking 'please don't cry! please do't cry! lol- since my swelling was so bad and I looked like a sea monster (that's my analogy, anyway!) I just thought my appearance might be too much for a child to handle. But no, she just stared at me insolently like a child does, as if to say 'WTF happened to you?!?!' lol

Anyway, that's my brief additioal history for you :D

I see my surgeon this Friday, and I'm hoping he'll get rid of some of these stitches, and also tell my ortho that I don't need to wear these BLOODY ELASTICS!!! Grrrrr

Also yesterday I ate a proper dinner, just in really small bits. I had chicken, yorkshire pudding, mash, broccoli and cauliflower, and gravy. It's the first time I've felt like I've eaten a proper meal.
I've also been eating sausages, tuna and jacket potatoes, cheese on toast sans the crust (in small pieces), pasta and yoghurts.
My mum keep trying to get me to have a Nutren soup, but I cannot stand soup and you know what, if I can manage normal food just in small pieces or mashed up a little, then I don't need to blend or just drink everything. I'm not eating as much as I normally would naturally, but I'm still getting enough energy. Still drinking the shakes now and then, though, because they happen to be quite nice, unlike soups!

Day 11

2010-01-22T21:20:00.000Z

Again just a note to say sorry for lack of posts. It just happens that currently I have little internet access, so even though I want to update I can't. Sorry people! I will try and get some more photos soon and add them

My upper lip is a bit taut because of the stitches, so you can see my teeth when I'm at rest, and so I'm feeling a little mousy, or vole-y, or like some type of burrowing animal! Because the underbite is quite a masculine trait, my face just seems very sort of 'meek' looking now. Not something I have a problem with per se, because it's too early to see your new face shape yet.

Also the swelling has 'fallen' now to the bottom of my face and my cheeks. My ears no longer feel swollen! (odd feeling that was!). My nose is still swollen too, so I can't really comment on how that has changed.

My chin is totally numb, however the nerves 'surge' sporadically which is a good sign. My lower lip is also numb, but the actual flesh of it feels almost tickly when I touch it. Still, it makes drinking without dribbling difficult. Also because of the swelling they is quite a big dip between my lower lip and chin, so I hope that goes. But of course with the swelling it could take a while.

As for eating though, I think I'm going ok. I've been eating pasta, potatoes, tuna, sausages, ice cream, yoghurts. I'm not chewing, just moving around with my tongue and then swallowing.

The bands are slightly aggravating for me. My stitches are quite taut so getting in there to stretch my face wide enough is painful. But I'm managing to get them on. I seem to be able to do my left side better. Because I'm left handed, I can't really hold the appliance the correct way to do my right side because the hook part of the appliance is the wrong way round, so I can't hook the elastic on and pull it backwards. So when I do my right side I just have to move the elastic around a bit and hope it catches onto the correct bit. I get quite a swet on when I'm doing it! lol

Also on a slightly odd note perhaps, I think my pain meds were giving me bad dreams *, or at least dreams that were more bad than good (I did dream about Torvill and Dean one night! lol) I hardly ever dreamt before the surgery, and all last week I had vivid dreams every night. Not nightmares because they weren't scary per se, but the subject matter was negative. As such, I'm glad to be off my medications now!

* Now some of you might believe Freud's theory of dreams, but as a student of psychology myself, I personally don't buy dream interpretation What I do think is that the stuff I've been on has effected it

PS- also I had an exam at uni this morning that I couldn't change, so had to go. Anyway I got 74% which is ok considering. If I did badly I was just going to play the ill card! :P

Gah! My perfect conditions thwarted! lol

2010-01-20T19:09:00.000Z

First off sorry for the lack of posts. I share the internet connection with my brother, and it is connected in his bedroom...so you do the maths!
So, I had elastics put on today. I was really hoping I could get away with wearing nothing for a while, but nevermind! :D They are just in a box-shape at either side that I need to keep on all the time basically. I can manage to eat with them on, but since I need to change them once a day anyway I might as well take them off before my main meal at night, so I can eat it with more ease, brush and rinse my teeth, then get them back on again. I suppose that's logical, and that's the plan.
I just hope I manage to change them easily enough, and without too much pain.

As for pain- I'm not taking my pain killers as ordered anymore, just when I feel I need them. The last few days I've taken just a small dose twice a day (one of those being at night just to be sure I would sleep ok). Today? I didn't take any. Though again I might take a small dose at night.
The only pain I get really is in the stitches, but only if they happen to be exacerbated. Today at my appointment for instance, they were hurting quite a bit!

As for photos- I'm really not good at taking them, but here are a few to give you a general idea of how things turned out. If my stupid lower lip would just cut me some slack and stop getting in my way, they might have been a bit clearer! As it is, I have to keep moving it out of the way!

All went well

2010-01-16T15:03:00.000Z

sorry for the delay- I'm fine in myself but my body has been too tired to allow me to function straight away!

I was going to post yesterday but as soon as I had my dinner I lapsed into a coma! Ok not really, but after I eat I get really tired

I came home yesterday...or maybe the day before I can't remember! Everything is fine, but I'm really, really, really swollen. But on the plus side it has already started to subside. I've been using ice on and off more for the fact that it feels nice on my face, but I think it has helped a bit too.

And guess what- I had no wafer, no bands, nothing. My surgeon said it went perfect and I didn't need anything. I have to be careful of course, and if I feel like something isn't right I need to let them know. But so far so good. My bite is awesome!

My chin in numb, but my lips keep tingling which is such a great feeling because it means the nerve is fine/ I can't feel the food dribbling down my face though, so eating is such a mess. But again, improvements are happening daily and today I manage to eat all my breakfast and get it all in my mouth; how clever am I?

I will post a photo as soon as I can. Yesterday the swelling was up near my eyes but it's settling around the chin and cheek area now, and I have no bruising at all. My lips feel massive and I have to sort of pull my lower lip back to eat/drink

Apart from the swelling and tiredness I feel amazing. The pain isn't too bad and so long as I keep on top of the medications I'm fine. Actually today I haven't had anything since 9.00 ish and I feel fine still. I'm glad I'm not in the hospital anymore- on my ward were 3 old women and one of them couldn't breathe well so I was always worrying about her. Also it's nice to sleep without being woken up at 6.00 in the morning to take stupid blood pressure! Grrr.....

On the first day I was sick, but I've been fine since. Eating is annoying in that you feel like you're eating loads when really you're not, so you have to keep on top of things. I got my mum to buy me some Lucozade today which actually perks me up a bit. I've been drinking water like mad, but it's nice to just get a little brurst of energy too.

The dietitian gave me 2 booklets off recipes and advice as well as some shakes, and the hygenist showed me how to brush and keep on top of that. However I haven't really brushed my teeth yet. I did briefly but I was too tired. I will try later because I'm feeling better today. I've had porridge and weetabix, and shakes and soups. It's hard to feel satisfied, but I'm not constantly hungry which I thought I would be.

I am however quite hungry now, so I'm going to go get something.

So I'm the pessimist? Yeah right

2010-01-07T20:57:00.000Z

Yesterday was my last appointment with my ortho to check if my wafer/splint fits (it did). I walked in all excited thinking well, they can't cancel the surgery at this stage, so I'm home free! Time to celebrate with my ortoh. Well, she was in total amazement that it hadn't been cancelled, and her and the assisstant were like 'give it until Friday! It could still be cancelled yet!' (also arranged my first post-op appointment which is the 22nd. She says I won't be best of friends with her on that appointment, but hopefully she won't torture me too much. She also showed me the model of how my new bite will be; it's pretty much a perfect bite, so both she and I were very pleased at the job she's done!)

It was slightly deflating to say the least! lol. So I waited with baited breathe today in case their prediction turned out to be true. But no cancellation today! I did get a call this morning though and thought, well this is it....but it was my local doctors again discussing paperwork. *phew*
Honestly they must really get loads of cancellations the way talk, but hello, it's a week until my surgery! And it *still* hasn't been cancelled. Let's be optimistic about it, and stop scaring me please! I suppose they are trying not to get my hopes up, but I feel rather silly mentioning that my date still isn't final even though it's less than a week away.

So, I shall wait until tomorrow to decide whether or not I have firm assurance in my surgery going ahead . I really cannot imagine them cancelling it at the weekend or Monday, but as per my ortho, I'll wait until tomorrow.

If it gets cancelled from now to Tuesday I will be extremely pissed off!

I'm a woman on edge!

Mini post

2010-01-04T19:45:00.000Z

Just wanted to say bloody hell, I'm only 8 days away!

That is all..... :D

Onto a Matter of Health, Rather than Mentality

2009-12-30T19:42:00.001Z

Since you learn to live with the functional issues of a malocclusion, you tend also to forget about them (well I do!) and focus more on what is inescapable- aesthetics.
But lately I've noticed my upper jaw is straining a little bit, and doesn't really feel 'stable' when I'm chewing something particularly dense or just something larger generally. Because only 2 teeth touch, and on my left side, I do most of my chewing on that side. But I'm noticing that when I do chew something on my left side, it feels almost as if my upper jaw is being forced even more slanty. Obviously I don't mean my jaw is actually moving, but it just feels 'wrong' and uncomfortable like it's causing undue pressure on the right side. I can't really explain it properly, but it's just because of the discrepancy between the left and right side of my jaw, like a balance scale type scenario. I'll re-post a pic of me biting down just for the sake of clarity:

So I've been having to relieve the uncomfortable feeling by chewing on my right side instead. But this isn't good for me generally since it means I'm chewing less well than normally because the teeth don't touch at all (which isn't really saying a lot anyway since I can't chew well to start with!)

I think it will take me a while to get used to how to chew with a normal jaw relationship, but I'll be glad when I can eat a sandwich or an apple without any drama! lol (oooh, I long to bite into some fruit!)

Also, my countdown says 13 days to go! I'm weary of a phone call to tell me it's been cancelled any time in the next fews day, so it will be tense. I haven't bought anything yet either (other than a pair of slippers to walk to theatre in! lol), mainly because it's not definite enough yet for me to get really prepared. I have some revision and essays to write, so that will take my mind off it. And what's more- on the 11th I will be at uni to hand in said essays, and take an exam. What fun the eve of my operation will be!

I feel ambivalent about the surgery too. I don't feel anxious or nervous. Even though 13 days isn't really a long time left to go, it feels like it. I think again this is all due to the fact that it could be cancelled. It feels less 'real'

Good Christmas day, not so much night....

2009-12-26T14:29:00.000Z

Last night (which technically was today) I went to my room in tears. Why? Because my drunk brother embarrassed me in front of my family, and played to all my insecurities about my jaw (unbeknownst to him, to be fair). In a matter of a joke in front of everyone, he basically said that since I've never brought a boy to the house, I must be a lesbian. It was an in-your-face joke where the attention in on you to deflect it, and he kept saying it and asking me to reply. I was immediately upset not because of the accusation of being a lesbian, but, firstly, more of the fact that in the crudest terms the implication is of a butch or masculine woman (no offense meant to anyone out there, but that is a real stereotype), and secondly, that it was prying into my personal relations, and the fact that I have no self-esteem to even consider anyone finding me attractive.
Basically what he did was bring to the surface my lack of esteem and my feelings that my jaw makes me look -and feel- masculine.

Well, he came to me an apologised for the joke (which in itself wasn't why I was upset), so when I told him it was because I thought my jaw made me feel un-feminine he immediately realised why his lesbian comment struck a chord, he apologised again more profoudly. I accepted his apology, but I'm still upset.

I'm not upset for what he said in terms of blaming him, because nobody really knew how bad I feel about my jaw. I just get upset when something or someone reminds me of how I feel about myself. I can't help the lack of self-esteem because it has grown with me as I've grown up waiting for this treatment, even though people won't understand it. This is how I feel and why I simply cannot wait until my operation.
The good thing to come from this? Well, I suppose in a way it's good that my family realise the extent of my feelings about my jaw now. Also, it happened after midnight so it didn't offically ruin my Christmas!

I don't think this is too personal to share, and the fact is that however I feel about my jaw cannot be resolved or comforted because my opinion won't change until my appearance does. Not in a shallow way of course, but in the sense that once my underbite is corrected, so my appearance will be, and hopefully so will my esteem

I always say in my posts sorry for being melodramatic. Maybe if I hadn't gone through most of my teenage life with the knowledge of my underbite and that is was serious enough to need correcting, I might not have focused so much on it. But, that's life.

So, sorry for sounding melodramatic!

Bring on the 12th........

Some sound advice, courtesy of Theatre Admissions Unit

2009-12-23T15:42:00.000Z

So yesterday I was given a little information booklet from the TAU, which is just about what will happen when I'm there, etc. Anyway, there is a section called: 'What should I do to look after myself once I get home?' (it's more for patients who leave the same day of their operation, which of course I won't be doing) In it it reads:
Please make sure that for at least 24 hours after your operation you do not do the following:

Drive a car or ride a bike
Operate any machinery including domestic equipment
Sign any legal documents
Smoke or drink alcohol
Take sleeping tablets

So ok, quite elementary stuff....but sign any legal documents? I burst out laughing when I read that. I can just imagine people coming round the wards trying to sell patients life insurance or a mortgage, or lawyers trying to get you a no win no fee claim. Like when you're abroad and you get pestered on the beach or at a restaurant to buy a CD or some flowers (or whatever). Or door-to-door salesmen camping outside hospitals waiting for some 'prey' who look like they're had an operation so are vulnerable and suggestible, to go home and then to go and try and sell them something....

But, I'm sure it's good advice. I will make sure not to sign anything :P

~~~~~

Anyway, hope everyone reading had a good Christmas. I'm planning to buy a blender, etc, in the sales! That's one benefit of a surgery at the start of the year, lol

Pre-op was a breeze

2009-12-22T14:55:00.000Z

so was the weather!
But yeah, my pre-op was uneventful really; we managed to find the place straight away because it was right at the front of the hospital (so why the need for the convoluted instructions I don't know), and I went in twith the nurse straight away too. I had my weight and height measured to calculate my BMI (I'm slightly overweight. Boo hoo society! lol), then we went through my medical history questions (which was a series of me answering 'no' 'no' 'no' - allergic to penicillin 'no' 'no'...etc, etc!), blood pressure (perfect), pulse (slightly fast because I was nervous, as most people are in this type of setting), breathing, etc.

Then I had to do some swabs to check for MRSA (and let's hope I haven't got that!)- of my nose, and my....'leg crease'. I thought the nurse meant like me knee or something, but he meant my groin. So I was like 'okaaaaay', and went in a little area by myself and got the sample. It was quite odd, but I was perfectly mature about it :D

Then I had to go into the main hospital and get some blood tests done. It's an odd bingo-type system where you get a ticket with a number on, and they call you down. I was waiting quite a while- from number 30 to 66- but the actual blood test was fine. Whilst we were waiting though, we suddenly heard this loud cry of 'OOOOW!' which was quite funny. It's like when you go to the dentist and you hear the drilling in the other room. Luckily I have no fear of needles, or dentists (or orthodontists or maxillofacial surgeons....)

I will go to the same place when I have my surgery too. It's bascially theatre admissions for most of the hospital, and then you're taken to whatever ward you need after. I'll be in the Head and Neck ward this time, which is a bump up from the general Ear, Nose and Throat for when I had SARME (I feel all important and special).

I also asked the nurse about the cancellation policy too, since I've been told numerous times the surgery is likely to be cancelled, and he looked quite surprised and said my surgeon doesn't usually have many cancer patients anyway. So the situation clouds...*shrugs*

A nutritionist and dental hygienist will come and see me after the surgery too, which is good. Here's hoping I get some freebies

Well, I think that's it. So here's hoping -again- that my surgery won't, in fact, be cancelled. I have no idea what will happen at this point! : /

Snow!

2009-12-21T12:08:00.000Z

I absolutely adore snow; it's so serene and pastoral. I love the winter generally, which is great since I live in the UK and we don't really get a good summer. I rather moan about the heat rather than the cold or the rain :D
Anyway, even though we're used to bad weather here, we're not used to snow. So, it was snowing pretty heavily yesterday here in Yorkshire- but did the council come and grit or plow the main roads? Did people take note of the weather and decide not to go for a Sunday drive? No on both points- and that equals a bit of a mess! There's loads of abandoned cars outside my house because it sits on a hill, and obviously people aren't used to driving in snow and they got stuck.
The Eurostar even got cancelled because 5 trains got stuck in the Channel tunnel, lol. Madness. You'd think a tunnel that goes under the bloody English Channel could handle some snow. But obviously not!
So yes, it's a bit mad here for the transport side of things. So I'm hoping it won't snow anymore now so on Tuesday I can get to the hospital for my pre-op tests.
Ok, maybe it can snow a little bit this afternoon, but then we can't have anymore fun and we have to be serious. It's stopped snowing up in the north anyway, but I don't know about elsewhere...

Anyway, I'll see how it goes tomorrow. I imagine I'll be doing more waiting than aything else, but we're going early because we still don't quite know how to get to the right bit of the hospital. I think we're just going to go into the main building and ask for directions, lol

Now I'm Paranoid...

2009-12-18T13:03:00.000Z

First off, I can't take a decent photo of the hooks, but this is the best I could manage (trying to distort my mouth and pulling my lower lip down....honestly):

I have 4 on the top and 8 on the bottom. But none between the middle teeth or either uppers or lowers, which is good. The front 2 on the top keep catching my lip when I smile though, because they aren't rounded towards my face, but rather just stick upwards, so I need time to unattach myself from them occasionally!

Anyway, when I was at my appointment I asked what would happen if I did get a cancellation, and she said they would ring me up around 10 days before. But still, whenever the phone rings I think it's the masked villains from the hospital. I'm like just don't answer the phone and it'll be alright. I can't help it!

It's very disconcerting, but also I still don't really understand why it has to be me that gets cancelled. You know what I mean? Do the important surgery first, bump off a tonsillectomy or something, and just do my surgery later in the day after you've had a cuppa and KitKat

My knowledge of how things work is skewed, obviously....

I'm hooked

2009-12-16T13:53:00.002Z

So today I had my sugical hooks placed, final molds and measurements taken, and also one more photograph for good measure

The hooks went on quite easily- my wire didn't have to be removed, and the hooks were just 'clamped' on, as it were. I have 8 on the bottom, and 4 on the top. The pressure on my lower teeth was quite painful, though. But then we're used to pain, aren't we?

Speaking of pain, when I saw the face bow for the first time today I thought 'oh, so orthodontists do use torture devices after all!'. It's a rather odd looking contraption that needs to be screwed tight on your head. Seeing someone holding a screwdriver over you isn't the most welcoming sight in the world. But the good thing is, it just looks scary, but it's actually quite tame! All you have to do is bite onto the mold, and the frame is just there to measure your bite correctly

The face bow for those who haven't experienced it:

http://tinyurl.com/yz4m8zb

So after that I had a lot more molds taken- I had 2 'normal' ones where you have all the vile goo in your mouth. I don't really have a problem with these except that the goo is vile, and they don't take long.

Anyway she then need to take some different molds to just get my bite indentation. Basically they were sheets of wax or whatever, that were warmed in water to make pliable, and then you bite down on them, etc. It was 9.40 and her next appointment wasn't until 10, so my ortho thought she would 'experiment' if I didn't mind. So she used quite a lot of new stuff that she hasn't used much...and wasted quite a lot of it too. It's difficult taking a mold of a bad bite though really, because the whole thing is that your teeth don't meet well, if at all (like in my case they don't meet on the right side at all when I bite down). She got it right in the end, though

And then finally, she took another photo of my bite to add to the collection.

And that was that.

I'll get a photo of my hooks up soon too.

Also, my ortho said her last 2 patients did not get their first surgery date cancelled. Is that a good sign, or a sign that 3 times in a row is unlikely to happen? : (

Pre-op Nerves?

2009-12-08T13:07:00.001Z

I keep feeling slightly anxious lately. I don't know if it's exam/assignment worry (although I'm usually quite laid back about that), general surgery worry, or surgery-cancellation worry. Or maybe it's a bit of everything.

The only thing really in terms of adademics is that I need to fit things around my appointments and surgery. For instance next week I need to hand in an assignment early because I need to come back home for my ortho appointment (more molds for my splint, X-Rays, measurements, etc). I have an exam the day before my surgery (not a huge, scary one, though thankfully), and also have to hand in assignments then, because the hand-in date is my surgery date (well, assuming it's not cancelled). I'm a procrastinator though, so I tend not to get overly-anxious about work anyway. I work better under pressure, I find! lol

I have been thinking about breathing after surgery though. I seriously can't breathe through my nose well, and at night if I try I just feel suffocated, so the idea of wearing a splint does worry me just a bit. Of course, if the whole point of my not being able to breathe through my nose is because of my malocclusion, then I suppose after surgery I should be fine anyway! I just think a splint seems too 'claustrophobic', if that makes sense. Heres hoping I don't need it in the end!

Then there's general worry my surgery will end up being cancelled. It doesn't feel right to have my appointments and my pre-op assessment when my surgery could be cancelled at any time. I just have a general feeling of unrest, and that's probably where my anxiety is coming from actually

Oh, and a question- how annoying are surgical hooks? I think I might be getting those next week too, so I'm going to have them on during Christmas, etc. I have to pick enough crap out of my braces without having to pull turkey out of these as well! lol

On the 12th day of Christmas, my true love gave to me...

2009-12-04T12:16:00.001Z

...a pre-op assessment for my sur-ge-ry.

Umm, anyway! :D I finally got my confirmation letter today, and my pre-op assessment is on the 22nd December at 10.30 (I wonder if I should come in an elf costume, or wear a red nose or something, it's so close to Christmas day). The letter said I may be there 2 or 3 hours (um, how long?). I suppose it's the usual humiliation of being weighed (well, I am a teenage girl, my weight is a sensitive issue!) and poked. I think it said I would also meet the staff who will be looking after me too.
For the actual surgery I need to be there for 7:00 (the hospital is about an hour's drive, so it's not too bad).

Now, I still have some confusion though. When I had SARME I was in the main hospital in the Ear, Nose and Throat ward. My letter is from the office of the 'Dental Hospital', which is god knows where, and all it says is to go to the Theatre Admins Unit.

So I get that I'm having the surgery in the Dental Hosptial, whereas I suppose SARME is minor and so was carried out in the general hospital. What I don't get is if my pre-op assessment is in the Dental Hospital or the main Hospital, because the directions are slightly different in the letter, so I don't know whether it's a typo or not. One part says Road A (for the assessment), and one part says Floor A (for the surgery). On the map included there is a Road A, which is nowhere near the Dental Hospital, so therein lies my confusion!

I know it will be something obvious, but I'm going to check it out just in case!
And let's hope my surgery date won't change in the meantime!

PS- the hospital is called the Charles Clifford Dental Hospital....my first thought was he's a PR man for Z-listers in the UK, isn't he? Or maybe that's Max Clifford...

Off to get a google map, now!

Ouch!

2009-11-25T13:16:00.000Z

It's great being at the stage of treatment when your teeth don't need moving until after surgery, because no wire changes mean no pain afterwards! But, every so often the four front brackets on my lowers dig in to my lip during the night, and after a while it really begins to aggravate. This morning I woke up and it was killing me- I literally have indentatons on my brackets in my lip, and the one at the front was pretty red and sore.
I've tried to take a picutre, but you can't really see it clearly. Here they are, anyway:

In this on you can see the indentations pretty well. Below, the sort of white blob in the middle is the one that is really painful. It is a mark like the rest of them, it just looks like a blob here!

Needless to say, I will be wearing some gauze over the brackets tonight. I find a piece of gauze more effective to just cover the whole lot, and it doesn't matter since no-one will see me with it in! lol.

I wonder if it rubs because I'm a mouth-breather, so have a very dry mouth in which a bracket can stick to my lip in. Probably!

Limbo

2009-11-21T16:51:00.001Z

Grrrr, no letter of confirmation from the hospital yet. I feel like a precarious surgery date needs at least some tangible foundation- in this case a letter acknowledging that I actually have had a surgery date booked for me. Honestly, I'm so paranoid! The secretary was a bit of an airhead (sorry, love) with my dates to see my ortho, but the surgeon rang and booked my surgery date (it's at a different hospital) so I don't know how the system works there.

It's because I don't know what the procedure is for these things. Also it's odd waiting to see when or if the surgery date will be cancelled (as my ortho and surgeon stressed it probably would be )- I have to simultaneously be ready for both eventualities- I either have the surgery on the 12th, or I don't, but either way I need to make sure I'm ready for the 12th! lol

Can anyone from the UK tell me what the general procedure is once you get a date? As in, will they ever acknowledge it with some form of communication to me?!?! I'll repeat, I am very paranoid! :O

~ Anyway,

I think at my next ortho appointment (December) I will have the surgical hooks placed too. I hear they are pretty annoying, and I don't exactly want to wear them for ages before the surgery, especially if it gets cancelled round one!
~

On a brighter note, this is a UK thing, but I thought the Children In Need song was a great idea. Not a fan of Peter Kay nowadays because he's abit of a fame-hog (and a food hog, by the looks of him now), but he does have good charity song ideas! Love it when it gets into Take That- and onwards! My cousin is 2 and she loves it :D Just thought I'd share it:

http://www.youtube.com/watch?v=f8itR416KCw&feature=related

Someone to Celebrate With!

2009-11-16T20:50:00.000Z

I need people to chin-wag with now I have a surgery date (FYI to myself, it's not a definitive date! Must not get too carried away)! An anoymous well-wisher would suffice lol. My family are rather sick of me talking about it!

Anyway, I have a slight concern about my apearance post-op. My ortho mentioned that my jaw-length from my neck ratio is pretty long, so when the jaw is moved back, I could look like I have a bit of a double-chin thing going on. Not really a look I'd be thrilled with! However I can't imagine it would really be that bad. I mean, I'm not a waif, but I can't imagine I have too much chin fat!

I'm waiting to get my letter in the post as well; I want it to feel official, and then I can get on with my life until my next appointment comes (and it's only 2 more appointments with my ortho before the surgery! It seems odd to only have 2, but then the are a month apart!)

And I thought I'd get a picture to show how my midline is off, but looking at it I realise my upper jaw is seriously slanted! Perhaps it seems more so because I'm not exactly using high-tech equipment to get the photo, but still! Look:

It doesn't look like I'm biting down properly. And speaking of that, here's my 'party trick' of what I can do when I'm biting down:

And I'm supposed to be able to eat with this thing?!? lol

A PS

2009-11-13T22:05:00.001Z

Just a few more things to add:
I have 5 weeks off uni at Christmas which is why I wanted the December date, but I was just looking at my online timetable, and the 12th of Janurary is actually the start of the 4th week, so that's quite good luck (but I have an exam the day before! Luckily it's not one that is too worrying or difficult- well, hopefully not- and the uni I chose isn't too far away from home...which is one of the reasons I chose it; for the time when my surgery would finally come around ). But, if that date is cancelled and moved to Februrary time, I will end up missing a few weeks of uni. Still, the main exams are not until May, so I can catch up relatively easily because I can work online and get my lecture notes, etc. So here's hoping to keep the date I have now!

And, I don't know if the high percentile for cancellations is just a local thing (because my surgeon treats patient's with oral cancer, if a surgery case comes up, they need the priority dates) or more broadly to do with the NHS, but my surgeon was saying that the rule is if my surgery is cancelled when I'm actually in the hospital on the day, they have to do my surgery within the next 21 days. So really, it would be better for me to have my surgery cancelled the day of the surgery, so my new date will be sooner! Not so good for my state of mind though, I suppose! lol

Other details:
I will be banded with elastics, and I may possibly have to wear a splint for the first week if they think I need it. The surgeon said hopefully this won't be the case, but I'll just have to wait and see. My ortho said my first week will just be liquids, and of course if I do have to have the splint I've got no choice! Not looking forward to this, because I don't even like soup, and I'm sure while milkshakes may be quite nice for a while, I will get sick of them quite quickly.

I will be in hospital for at most 3 days, but if I'm fit to go sooner, I can. My surgeon joked some people recovery quite well, but some go through a bit of a dying swan phase. I know anaesthetic and me don't go too well though, so I predict I will be there for the 3 days, swooning and crying! :D

I forgot to ask about what I can do for the swelling. He said they give me steroids on the first day to try and 1) reduce the swelling 2) pick up my mood a little bit, but they don't continue with that after the first day (for obvious reasons! I'll be alright walking in a jaw surgery patient, and walking out a pro body-builder!).
So, would you guys suggest ice packs or stuff like that?

I also won't be having a genio. I never considered this anyway, but my ortho says I don't need it.

I can't wait! I feel odd preparing for the 12th though, when it might be cancelled.

Surgery Date!!!!

2009-11-12T21:54:00.001Z

Ok, my news-

12th Janurary = preliminary date. It's not December, but it's as near as damn it. I'm more than happy to take it!

I was soooo relieved when those words came out of his mouth. I did think if it wasn't December it would be Easter (which would then eventually need to be changed to June time to fit with my exam schedule), so when he said January I was pleasantly surprised (perhaps my mum was right that I'm too pesimistic, after all )

Of course this is just a preliminary date, however if it's cancelled the new date will still be around the same time, so it doesn't matter about that.

Also, on a second look at my molds, my ortho reckons I don't need more expansion after all.

I will be having around a 9mm movement all in all, with my upper jaw being rotated to fix the cant I have (or perhaps it's my lower jaw...I forget).

My ortho showed me a prediction of how I will look, but those things are never too accurate, and in the photo I ended up looking lip-less! because the computer doesn't account for lip structure, etc. So my ortho was quick to reassure me it is just a rough look as to how I might look. It was only a profile picture too, so not too much was gleaned from it. She also said it may take quite a while to come to terms with my facial changes, and I might feel like I'm not the same person anymore, but I dislike how my jaw makes me look now, so it's not like I'm going to be depressed once I no longer have an underbite. I'm rather looking forward to looking slightly different! And rather looking forward to being able to bite into a bloody sandwich! (among other things..)

The surgeon pointed out that my nose may also be slightly different and upturned, but not to a great degree. So long as I don't end up like Tubbs and Edward from The League of Gentlemen (great British comedy!):

He said I may possibly need a splint, but it depends on how the surgery goes. He'd rather not use one, mainly because of the hassle for me of not being able to clean my teeth, or really move my jaws at all, but it's a possibility. I'm prepared to feel like crap for a while afterwards, and from my SARME experience I already know the anaesthetic doesn't bode too well with me. But it's not something I'm dreading, more something I know will happen, and in the end it's totally worth it.

I will have drainage tubes, and possibly an NG too, if anyone cares to know!

My other dates then, are:

16th December- hour long appointment with my ortho to do some more molds and stuff

6th January- quick appointment to make sure the splint fits
then
12th Januray- possible surgery

(the recptionist got into a right tizz when she was booking in my appointments to fit around the 12th. She didn't realise the 12th was my actual surgery date at the other hospital, so she was booking me in to see my ortho, and confusing herself as to what she was working around....honestly, I had to help her out a few times. And she was blonde, but that's neither here nor there :lol )

I will also have an appointment made at the hospital where my surgery will be to do the pre-op tests a week or so before the operation (ugh, I dread these things...I don't need to give them a urine sample or anything, do I? )

Hmmm, think that's it. Yay

The Final Countdown da da da daaa, da da da, da, daaaa

2009-11-11T21:23:00.000Z

Will tomorrow ever come?
I'm sure all this build-up will mean tomorrow actually turns out to be an anticlmax, in a sort of 'a watched pot never boils' sort of way.

In other news- I trapped my finger in a door today. The door is like an emergency door which you push a small handle outwards, and somehow as I pushed, my finger got stuck between the door that was opening (because the handle is right at the edge of the frame) and the frame next to it (like a double door). So to de-trap the finger I had to carry on opening the door against my finger. Ouch
It's still a bit sore, and the top of it was numb earlier, however it hasn't 1) swollen to an ungodly degree 2) gone black, so it's not too serious. And you know what, it's because I'm clumsy. It's a curse. I should know better than to use such types of doors! It was bound to happen...

hmm.... so is it tomorrow yet?

Self-Pitying Phase Not a Good Look?

2009-11-08T15:43:00.000Z

As per my own advice I gave myself a figurative slap so I'm not as 'emo' today. But still, I predict a few more spells to come, depending on what transpires :D The pity violin has been out, but for now I'm alright

I do wish this didn't matter as much to me as it does, though. But then I have practically grown up knowing that my jaw is retarded and it needs fixing. Stuck in my mind, much?

Repressed Feelings, Pessimism and Realism

2009-11-07T17:38:00.000Z

My last post was in jest, because I haven't been thinking about the clinic with my surgeon. But now I'm feeling quite a bit different.
My mum told me off yesterday for moaning, because she was talking about a holiday in May or June time, and I said you'd better wait because it's not like I'm going be having the surgery in December now, so it will be around that time. She told me not to be so defeatist, and that I always think of the worst. So I said, erm hello, my ortho said I was '6 months away' in January so I don't hang onto her every word, my first surgery date is 80% likely to be cancelled anyway, and it's already November. All in all, I said I was being a realist! I still wish I could have a December surgery though. And this has made me come to a realisation-

I hate waiting for things without resolution, and getting hopefull for things that turn out to elude me yet. As I get closer to major appointments (and this is the most major), I always end up making myself upset (like now, as I write this), because I dwell on the outcome; now, whether my surgery will be in December, or not. I'm not pessimistic because I want to be, but because I don't want to be disappointed, and pin my hopes on a 2009 surgery that won't happen. My underbite is literally the bane of my life; I don't enjoy feeling masculine and, in turn, ugly. I don't not being able to eat foods properly, neatly, normally. I don't enjoy having a lisp that makes me sound childish. All in all, if I were to be slightly melodramatic (but truthful all the same), all these things make me feel degraded

So, whenever the surgery eludes me, I get upset. To counteract this, I try not to feel hopeful about getting the surgery this year, so the blow won't come too hard if/when it turns out my surgery indeed will not be this year. But I still can't stop myself from hoping for a 2009 surgery. But my hope is incongruous, because I'm not optimistic.
I can't describe what I mean, but perhaps people understand somewhat! I hate to sound like a whiny teenager who is talking nonsense, but I want surgery this year because, while I can cope with waiting until next year -'some time' next year- I don't relish thought. A December surgery would give me time to recover, without missing any school work, and I could start the new year positivly. To me, waiting until next year is a huge slap in the face, because then it will be a case of having to wait until my exams are finished- so, effectively, waiting longer than I need to. If I wait until about May or June time, then all I will be able to think is this could have been done ages ago.
I'll feel pratted around by the system- how hard is it for everything to be ready for December? Just to be clear about my annoyance on this- this is in terms of appointments with my ortho for molds, etc, as I don't see why there needs to be a huge wait between those- I think I've already mentioned my surgeon specialises in oral cancer, and I would never resent these patient's having priority over me

Well, again, I hope I don't sound like a selfish teenager who needs a slap. Though perhaps I could do with one

A Mathematical Equation

2009-11-01T17:06:00.000Z

A Mathematical Equation on the origins of me:

divided by:

squared by:

I think that's about right. The data in order; British Bulldog; David Coulthard; Bruce Forsyth; Jay Leno

Some Questions, then

2009-10-29T15:28:00.001Z

My clinic with the surgeon is on 12th November. So, here are my preliminary questions for the surgeon. I presume that I won't be wired shut, as it seems more common now to have the rigid fixation, so on the basis of that:

Main things I'm interested in knowing:

How much more expansion do I need, and is this all going to be done during the surgery?

Will I wear elastics, or have to have a splint or TPA again? (because of the extra expansion)

What can I do to reduce swelling post-op? because after SARME the swelling was really bad (If anyone remembers the game Theme Hospital, I looked like I had 'Bloaty Head'!)

- to follow up from the previous question- Will I be given an ice pack or some such aid at the hospital?

Things I'm sure the surgeon will cover during the course of the appoinment anyway, but if not I will ask!:

What exactly are you going to do? (that sounds rather accusatory! ). I'll add: 'How much will my jaws be moved, and where to?

How long will the surgery be?

How long will I be in hospital for?

What will I be able to eat post-op?

How long will it take to recover, approximately?

Hmmm, I think that's it. I don't really think there's much that is essential to know, although of course it's great to be well informed. I'm just not going to ask about every particular.
Anyone have any questions they think are important though, and that I've missed?

Okay, photos...

2009-10-25T13:48:00.010Z

These are me biting down naturally (yes, biting! *rolls eyes). The top one is my right side, and underneath is my left side (you can see the gap slightly. Below I have pics of how the gap is now)

Like something Jessica Rabbit might say: I'm not moody, I'm just made that way!:

Ok, so here are some profiles of me. The first is me just relaxing my mouth. I always think I look rather moody, even though I'm not. It always give me the urger to overcompensate and what I've noticed I do is fidget (like 'bite' my nails-*note, I can't physically bite my nails, though!.. or bite my lip) if my face is relaxed, so as to take attention away from the profile. It's not something I do purposely. Or rather it is, but I don't notice I'm doing it. Hope that makes sense.

These are some pics of the gap I've been mentioning. Since my ortho says I'm done with adjustments until after surgery, I'll be going into surgery with the gap. My canine needed moving around so it would fit with the lower jaw after surgery, and it now is in the correct place, but I'm just left with a gap from whence it came. The pics from the left are of the gap forming, starting from around a week after I had the springs put in, and end on how the gap currently is:

Hope those are ok, and give you an idea of how things are. I'm working on a camera phone, and I can't for the life of me post photos on here easily and neatly. So sorry if the post turns out a bit muddled up.

Compiling my Interrogation..or preparing for one

2009-10-25T13:38:00.002Z

I'm going to start compiling a few questions to ask my surgeon for when I see him in November. Although generally a clinic with your surgeon consists of your surgeon and his or her numerous cronies having a good stare and point in your direction, which always embarrasses me a little bit, and I end up just wanting to leave as soon as I can! My mum has decided she is coming as well, so she can have a good point and stare along with them I suppose!
I'm prepared for lots of 'bite down', 'big smile'....'bigger!'...'bigger please!'..'ok bite down again'. I really hate having to bite down for a prolonged period of time though, because my bite is so..unstable, that after a while my jaws start to shift and grind a bit. It's like when you have to balance for a long time and your muscles start to shake!

I don't really have much I want to ask, other than stuff like what can I eat, and how can I reduce the swelling. I don't think there's any need for me to ask about every single detail, but I'm sure he will answer possible questions I might have in the course of the appointment anyway.

I'll post any questions I might have later, and if anyone has any questions they think are particularly pertinent to know, do let me know!

I'm going to post some more photo updates too. Because I started writing this mid-treatment I don't exactly have progress pictures, but I have got some current pictures, which I will share nonetheless. Also a few of my profile, which though it pains me to look at them, it's the best way to see my underbite in its full glory
I tried to make a slideshow to put on my blog, but I couldn't do it. Might try again!

Oh also- my lower lip is in such pain lately. The braces seem to irritate my mouth sporadically, but the main issue I've always had is my lower ligs on the front 4 teeth rubbing my lip, and digging in them when I'm asleep (but I mean how does it happen? It's not like I lay face down on ym pillow!), creating a perpetual imprint along my lip of the pattern of the barces. I woke up today with a massive red indentation in my lip, so needless to say I've got the wax on now. I like this stage of treatment I'm at, where my wires aren't changed often now, so I don't get sore teeth much after appointments anymore, but my lip is irritating the hell out of me!

The Turn of the Screw Once More? - ortho app and news of more expansion

2009-10-14T19:36:00.002+01:00

So had an app. with my ortho today. Not much happened brace-wise; she said there isn't really anything else to do now until after surgery, which is GREAT. That means at least the only thing now is just getting a surgery date. She took my upper wire out- and obviously there was a reason for taking it out- but she put the same one back in again with no real changes to it, as far as I can discern. So dunno about that. My lower arch hasn't even been touched the last 2 or 3 appointments.
Then she got my molds that were taken last appointment, and while she was fiddling with them she gave me the bombshell (though not too much of one, in terms of the big picture) that I still need more expansion; relapse obviously comes into play, but she said for me I could have done without the relapse because I needed so much (I think overall I expanded 10mm the first time) to begin with. She said during the surgery they will just do the additional expansion then. I suppose that means I will have to wear an expander or TPA again, though I won't be actively axpanding my jaw after surgery. From what I gather all the expansion that I need will be carried out during the op. If it's a TPA I don't mind ( http://www.qcortho.com/TPA%201.jpg ) because it doesn't get in the way too much. However I don't know what else I will have in my mouth from the surgery- a splint? Might be rather in the way!

After that she just took some measurements of my midline/cant/underbite (or 'reverse overjet', as would be the technical term)/lip diameter...and one that seemed funny to me- length of neck (she measured from my chin down at an angle to my neck). Apparantly mine much longer than is normal. Who knew....

She said that generally people have more of a movement of the uppr jaw than lower, however in my case my lower will be moved the most. Doesn't really matter in general terms, but it's good to know. Also I remember hearing the measurement of 6mm for something, which I will assume is my underbite. According to this site (which I just stumbled on): http://www.guysandstthomas.com/services/ambulatory/dental/orthodontics.aspx that puts me in the highest grade of 'need of treatment'- Grade 5. Yay, I feel so special. Like when you get an A* in an exam

So now I'm done teeth-wise, it's just a matter of when will my surgery be? Again she reiterated that a lot of the time surgery dates are cancelled first time round. My question to that would be; if you know things are overbooked and will inevitably be cancelled, why not just not overbook and not get people's hopes up, and book dates you know will be followed through with? As with anything though, that is too simple a view. I will just take my first surgery date as a general timeline, and go from there. I suppose though, that given my appointment with the surgeon to find this out is in November, chances of a surgery this year is slim. Well, the chances of an actual surgery date, and not just one that will be cancelled!

Any clairvoyants in the house (although who would believe them?)

Odd insights from my ortho- 2007- 2009

2009-09-17T12:23:00.000+01:00

Honestly when my ortho is doing whatever to my mouth and I'm laying there with my mouth open, she does start up the oddest conversations with me and her assistant. I just think it's the funniest thing, so thought I'd digress from moaning about surgery dates to sharing some of our conversations... lol

Yesterday as my molds were being prepared she somehow got onto the topic of Scottish accents (was telling the assistant she should visit Edinburgh). She loves them, apparantly. The assistant doesn't, apparantly. So I said I like them, but I like Irish ones more. Oh, she loves them too! And Birmingham accents, and she doesn't even mind a bit of Scouse either. We're situated in Yorkshire, which also has a distinct array of accents. My ortho either wasn't born here anyway, or she's just lost her accent over time, but she was telling us her 2 1/2 year old daughter has already got a Yorkshire accent.
- Ok, so anyone outside of the UK might not really know much about the wide array of accents we have. Old broad Yorkshire accents are very abstract. I think you might need CliffNotes to get through it all, much the same as if you were reading Chaucer lol

Anyway she then mused she loves the term 'innit', and a lot of her Asian patients say 'innit' a lot. Apparantly a very good Asian implantologist who works at the main hospital where the specialist oral surgeons, etc work, always says innit, and all his patients love him. Well, there you go!

I've found out some poor child who used to go to her daughters nursery was called Branston Pickle?!?! She once got a complaint from a patient of hers who was trans-gender because she called them by the wrong pronoun....

Should I really be sharing this? I don't know, but I find it very intriguing and funny! :D

So, there you go. Such insight!!!

Update- Latest Ortho Appt.

2009-09-16T18:49:00.000+01:00

My ortho appt today was basically just a records update; photos of face front on and profile, then mouth; molds; x ray (cephalometric, which is one of your whole skull and neck, and sort tissue so the surgeon/ortho can see your profile as well as the jaw. oo-er)

To start with though, my ortho also filed/sanded down my back two molars. I found it tickled more than anything else, but I tried not to laugh in case her hand slipped and she drilled a hole in my face of something! I think it's the noise of dental drills, files, etc that 'the people' seem to hate, but it's not too bad really. I think if you had a fear of the dentist prior to having orthognathic work and surgery, you won't once you're finished that's for sure!

So,
Photos- bad. I looked a bit of a scruff today (or greb, as a Yorkshireman/woman like me would say. My old favourite saying used to be swamp donkey, but apparantly that means a fat ugly woman at a club trying it on....anyway what am I talking about...)

Molds- simple. I thought would be annoying with the braces but it wasn't at all. All she did was just put on a long strip of wax (pretty much) over the archwire, and bob's your uncle.

Then I went for the cephalomatric X ray. I have problems with my ears and wax build-ups (yuck, I know) though, so my ears are actually a bit sore now from the pressure of the things they put in your ears. And why do Radiologists take so long to actually take the X ray. He had me bite down and hold then, then went on adjusting everything; moving my hair, adjusting the neck brace thing- now my bite is practically non-existent, so trying to hold it for a period of time just doesn't work! My teeth start to grind a bit, and my mandible slips. So I open my mouth again. Then he tells me off. So I laugh. Then he tells me off for laughing. Honestly, if you get on with it then I'll be fine! It's like holding a smile for a photographer who is taking their time...

So, then I asked her would I be ready for surgery in December.

Answer: Yes, however my new surgeon is a specialist in oral cancer, so if I get a date it may have to be cancelled if he is needed elsewhere to do his specialist surgeries. They're trying to change how the waiting lists work so as to reduce cancellations, but that doesn't exactly help me.

So I may get the surgery in December. But equally I may not. Then I'm looking as Easter. Christmas would really be the best thing- one because I have a long break from uni to recover, and two, because well, the sooner the better! I think my ortho realises I'm really hoping for December, so she'll do what she can.

My next appt is in a month exactly, and according to the plan, I'm having a clinic with my surgeon either in Oct or Nov, but for now I don't know the exact date because at first the secratary said the first available opening to see him was January, so it better bloody not be! My ortho's working round it!

So perhaps good news? Perhaps not....will just have to hope I get lucky

x

So tired, tired of waiting...The Kinks got it right

2009-08-27T11:57:00.001+01:00

Haven't really had much to tell lately because things seem to have plateaued now; my gap has not closed any more, my gap at the other side hasn't opened any more (this gap is a good gap, the other is one that needs to close....so confusing!). It's time for a new wire, but my appointment isn't until the 16th of September. Ho hum

My bottom teeth are annoying me as well lately because they seemed to be nice and straight a few weeks ago and now they have some black triangles. And these are hideous to floss! It's seriously like nails on a chalkboard and it just goes right through me *shudder*. Thankfully the only brace floss that they seem to sell in the UK is OralB Superfloss whcih has the spongey bit on it, so I use that. The triangles aren't huge like I have gum recession, just due to the teeth not being quite in their right positions yet, but of course it's annoying because it feels like I'm going backwards and not forwards to the ultimate goal of having my bimax surgery this December. I just feel like I'm waiting and waiting for December but I don't even know if I will be ready then. It's very discouraging to be waiting for nothing, possibly.
I actually think that at my next appointment if my ortho says in fact I won't be ready for December I may just cry right there and then. I'm even getting teary eyed as I type, because If I know when my surgery will be then that wait I don't mind, but currently I'm just sick of waiting with no resolution.

I know I must sound so whiny, but I'm past happiness that my fangs are gone or my upper jaw is a nice arch now. It's over and done with. Everytime I go to see my ortho and she doesn't tell me anything I feel I'm being messed around. It's just a build-up of hope and then disappointment when I go again with nothing else gleaned

Everything about my jaw makes me uncomfortable- the way it looks, the way I speak with a lisp, the way I bite my cheeks whenever I talk, the difficulties I have chewing...ugh, some days I just get so sick of it all! Sadly today is one of those days.....

Another picture while I'm at it

2009-07-23T14:49:00.000+01:00

I can't juggle loads of pictures in one post. It's a nightmare, as you can probably tell from the last post!

Just thought I'd add one more of my bottom arch too, for comparison

I'm waiting for a gap to close right now on my upper arch on the left. I'll try and get a picture of the gap and post it. It's moved quite a lot now I have springs on, however the rest of my teeth need to move as well in order to 'redistribute the space', as my ortho would say, because the gap closing at one side is creating another gap from next tooth on at the other side! Honestly....

Picture updates (yikes)

2009-07-23T14:15:00.000+01:00

Now I’ve caught up as much as I can with what’s gone before, might as well post some new updates as to the progression of my teeth now. I haven't taken many pictures, and they're only off my phone so sorry if they aren't totally clear, but I think you can see the differences at least.
Here are my teeth now, compared to how they started:

(taken end of 07 before treatment)

During the expansion starting from mid November 07.

The one of the right shows how narrow my upper palate was to start with.

My arch as of 22nd July, 2009. Hope you can see around a 10mm difference!!!

Now my teeth and palate are as they should be, this has made my underbite more prominent and worsened my open bite and cross bite. This is just how it goes, because obviously before my upper jaw wasn't big enough so obviously that lessens the true extent of the problem. Once your teeth are finally perfectly alligned- that's when you are ready to correct the true problem! Eating is a problem, but you just have to get on with it. And if anyone ever queries me undergoing the surgeries I would just say why don't you try trying to eat with a bite like this! lol :

Open bite above,

underbite below

That's all for now :D

Thanks, and apologies for the odd text wraps around the pics. I'll get used to it eventually!

We Need to Talk About Our Feelings

2009-07-18T19:04:00.000+01:00

I’ve been putting off writing this because I always worry I will sound like I need to get over myself, but after a discussion I had on the Metal Mouth Message Board : (http://www.archwired.com/phpbb2/index.php- which is great) with someone I felt obliged to say how I feel about the whole issue of whether this is cosmetic vs. necessity. Basically their point was how is having your jaw/s altered in order to ‘better your appearance’ any different than having your hair straightened because you don’t like your curly hair. They said it was difficult to say, but I totally disagree!
Okay, there is no denying that a malocclusion is going to give you some, well, mal side-effects. By this I’m talking about self-esteem issues, confidence and overall self-perception. I’m not going to talk too much about my personal issues, but let’s just say I do have problems with all of the above.
But the main thing that I think it is important for everyone to know though, is that in terms of vanity, in most of our cases any opinion of our appearance and hope that it might be improved is just a by-product of the underlying fact that an abnormal jaw is just that; an abnormality.

Obviously this is going to have numerous adverse effects on many things- both externally (appearance wise) and internally (about the function of our bites and trouble breathing). I would say it would be a very minor malocclusion for a person to only have a problem with the way they look and no other issues relating to their bite, breathing or TMJ (joint and ear pain). In that case it can be viewed as just a cosmetic thing due to vanity. However in the majority of cases where the problem is bad enough, I think any issues we have about our appearance are totally justified. It’s not about seeking perfection, but seeking normality. If it ain’t broke then don’t fix it; but if it is, then do.

Next important thing to consider is that if it is true that the majority of us considering having or actually are having oral surgery will have a problem bad enough, then problems with appearance and functionality will be interlinked, not separate . By that I mean if you have one you will most likely have the other. The main difference between us all then, is simply how we deal with them. For some of us, the problem with appearance manifests itself into low confidence, little self-esteem and a generally bad self-perception. And it’s not easy to just undo these feelings. For others, this isn’t such a huge downer and it doesn’t affect their character. Could I be presumptuous and say that those of us having the treatment during their teens feel this the worst? Not just because we’re moaning teenagers with so many ‘issues’ (!) but because this means that for most of us it has been a case of knowing we need the surgery from a young age, but having to wait until we have stopped growing to have it done. The older ones among us have led their lives without the thought of jaw surgery on their minds, and without necessarily having to wait for it, but choosing to go through with it in their own time later in life, so the effects of their malocclusions have remained rather dormant in their minds, rather than manifesting like in our minds. Is that a fair assumption?

- This is sounding a bit like a bloody thesis, so I hope I’m not boring anyone, lol. I just think it’s important to think about, especially when people don’t understand what you’re trying to get through to them. Anyway...

Additionally we’ve all grown up with misaligned jaws –and consequently breathing issues and eating problems. So to us this is just natural. We have adapted our bites. You become habituated to it, and cope with it, and so is this going to be the main issue on our minds? Can the same be done about the way we feel about our appearance? The difference is that this is constant, as you can’t escape seeing yourself one way or another every day. So you focus on the way you look most of all. And so maybe people who think they are only having this done for cosmetic reasons fail to realise that they do have other issues because of their malocclusion, it’s just that they don’t register it. Either way what I’m saying is it’s hard to have one problem without the other; if you have a malocclusion chances are you’re going to have bad functionality as well as a problem with your appearance (among other things).

And at the end of the day it’s not vanity to want a ‘normal’ jaw. Everyone else has one, right?

Tips for SARME/SARPE Victims

2009-07-10T18:02:00.000+01:00

Just thought I’d re-visit the SARME surgery again to write a few pointers about what to expect with the surgery, and importantly how to cope with the expander in your mouth.

First thing is this- the expander takes a while to get used to. Some people get their expander put in a week or even a few weeks before the actual surgery, however I got mine in the day before. Perhaps you could argue that having it for a while before the surgery helps you get used to it, but it’s better to have your diet messed up because of the surgery and not for a few weeks prior because of the expander, right? So I would say either way it doesn’t matter, but maybe you’ve lucked out by having it in for only a matter of hours before your surgery.

Anyway once I got the expander I was straight in to claim my bed at the hospital (why I couldn’t just go in on the morning of the surgery I don’t know) so I had a sandwich with me and tried to eat it right after the expander fitting. And I just couldn’t. It felt like I couldn’t chew, my tongue didn’t know where to go or what to do with this big hunk of plastic blocking its natural movement. So I thought great, I’m going to be starving all day and have to get soup or something at the hospital (I loathe soup- which incidentally doesn’t bode well for when I will be having the bimax surgery and I’ll be eating only food with a soup-type consistency). So, eating just feels so wrong and abnormal at first; this is because your tongue needs to get used to its new restricted area of movement.

Eating With the Expander After Surgery:
Always listen to what your surgeon tells you over anything else. If you aren’t allowed to chew, then don’t. That being said, my surgeon told me I could eat whatever so long as I felt I could. I didn’t push it, but after say day 2 I found I could eat pretty normally and didn’t just need soft foods. I wasn’t really in pain and my jaw felt stable, so it really wasn’t an issue. And if this is the case for you I don’t see why you can’t give eating your normal foods a go as soon as you can. Especially for those of us who are having second surgeries- let’s keep some of the liquid diet fun for that and not waste it on SARME :P

Keeping a Clean Mouth:
Food getting stuck in the expander was such a pain. Here are some basic ideas to help. It’s not always a nice picture, but if food gets stuck you need to un-stick it! :

Swill your mouth with water at the end of everything you eat and during a meal if you feel a build-up of clog coming up. Swill fairly rapidly to blast the food out.
Use a thicker type of interdental brush to push it through the gap between your palate and the expander to push out any clogs and to reach some of the trickier areas around the molars or other teeth
Get a syringe or something along those lines (I’ve heard of waterpiks, however I don’t own one so perhaps this is similar), fill it with some water and have a squirt around. Then fill it with mouthwash and repeat to really keep your mouth fresh. My ortho gave me mine, so perhaps ask yours
If you really hate getting things stuck in the expander keep clear of flaky fish or tinned fish like tuna, and things like beans. They are real buggers to get out because one can get lodged somewhere without you noticing and it gets wedged in so you can’t poke it out.

Talking with the Expander:
Sadly talking with an expander in is never 100%. Talking will certainly improve after a while as to what it was like when you first got it fitted, however I think you will find some words or sounds very difficult to properly enunciate. I had trouble with the k, q, and s sounds. You might come across other problems. You’ll get used to it after a while, but talking won’t be 100% normal until you have the expander removed.

Bridging the Gap:
Aah, the gap, it’s quite awesome really. Not really much you can do about it except embrace it. If people know what you’ve had done they won’t much care about your gap, and won’t really pay too much attention to it.
Things to do with your gap:

Pretend to be Cletus from The Simpsons
Use it to hold a straw when you have a drink
Make a fake tooth out of dental wax and pretend to knock out your tooth to scare someone and/or pretend they have knocked out your tooth and get them to give you a gift as an apology
Drop said fake tooth into a family members drink or dinner, wait for them to discover it and then say ‘Oh that’s where my tooth is, I thought I’d swallowed it when it came out. Sorry’

Well not really! You just need to live with it until it closes. Not much else!

Back to the Future

2009-07-05T20:38:00.000+01:00

So back to now (I think, anyway- the films always confused me)- Back to the big one- the bimax. SARME was all well and good, and my teeth are looking good now, but I always saw that as just another stepping stone to the real thing.
In Jan or Feb this year, I had an appt with my ortho and she said we might be ready for surgery in around 6 months. Cue next appointment, which are approximately 8-10 weeks apart for me- she said the same thing. Cue 6 months later- she says the same thing. So what looked like a possible time for August became a possible time ‘in 6 months’ from...eternity. Now you see why I’m sometimes I might be a little despondent and forlorn! But last appointment she estimated (6 months again) for December, and on my next appt which was last Wednesday she again said December. So I’m tentatively going to hope for a December surgery. It’s pushing the boundaries of a 2009 surgery, but by God if it’s not I will be extremely disappointed. Even thinking about a possible set-back at this stage makes me quite teary-eyed I have to be honest. I hope I don’t seem melodramatic, but, you know....

Anyway to brighten things up for me a bit, the past week has been quite good. At the last appointment she put on some steel wires (I perhaps heard ‘no. 19’ size, but then I wouldn’t know what that means anyway) and said these were my final wires, and that at the next appointment which will be September 9th she will take new moulds of my teeth. I think this bodes well for a surgery date this year, at least! She was showing her assistant my old moulds and my bite as it is now and they both agreed that 1) my teeth look great now (why thank you) and 2) I will have fantastic results in the end (but when is the end?!?! ).
Next bit of good news needs me to go back in time again- at the start of all this my upper jaw was so crowded my canines sat above the arch (see pictures in the previous post). After SARME and a few months of braces my canines had moved back down into their right spots thereabouts, however my left canine did not fill the gap the was left for it after I had had two extractions (the 2 teeth next to the canines- are they lateral incisors?). My right one moved very quickly, but still, for close to a year in braces, the left one lay dormant. My ortho said she needed to ‘redistribute the space’ in order for the gap to close, but as of my last appointment she hadn’t done anything to start this process. So now she put on some springs on both sides of my mouth, and yesterday, oh yes- HALLELUJAH THE LITTLE BUGGER HAS MOVED. Only a teeny amount, but wow; amazing. Thank God for these horrible springs! So I hope this progress continues. My next appointment is scheduled in 10 weeks, so it has time to.

So happy days. Progress finally. Let’s keep it up.

The Turn of the Screw

2009-07-05T19:51:00.000+01:00

My recovery was pretty normal I would say. I was very swollen, but could eat near to normally after only a couple of days so I never had the experience of having to have a fork-smash or liquid diet like some people do need to do with this surgery (and of course most definately is the case with the more intrusive Le Forts and BSSOs).

The problem for me was the anaesthesia, as I was pretty weak and out of it for at least a week. I felt back to normal after 2 weeks, however the next week I ended up with flu so that didn't help things. But I got on with it and it wasn't too big a deal. i was just happy I'd had the surgery at last.

Also my issue was with turning the expander. I simply could not turn it myself. Those who do manage to- you are fantastic and I bow to you. Really, it was impossible for me! So I got my mum to do it for me, but she was scared it would hurt me and in the end couldn't turn it completely correct. So we had to go get a masterclass from my ortho a few days later. After that she did it fine. All in all I expanded around 10mm, turning twice a day. The expansion hurt a couple of times, but only briefly. The only real pain I remember from it all was a few weeks afterwards in the middle of 2 consecutive nights where my entire gumline was just burning. Thankfully it only lasted 2 nights, but it always seems worse at night because if you can't sleep, you can't do anything except think about the pain.

I've found out some old pics pre-surgery and braces, that I have to say I'm pretty shocked at now! At my last appt my ortho showed me my old moulds too and I can't believe the difference. In terms of my teeth being straight, my only problem was with my upper jaw and my 'fangs'- otherwise I'm not really in this for perfect straight teeth (I am a Brit, you know...) because it doesn't bother me so long as they are healthy. But hey I'm not complaining about having straight teeth anyway! Maybe I will move to Hollywood when this is all over....

Anyway this is around the end of 2007:

As you can see, my fangs were pretty awful. My upper jaw was very small, and my lowers were also relatively crowded.
The below pic was taken a few months ago, and it's the only one I have currently, but you can see the difference quite clearly in my upper jaw:

The difference is seems so unreal to me, and it's actually great to look back now and think wow, that went quick, though in reality I've been braces for over a year now, so it's a good job there is such a huge difference! lol

Back to 2007...

2009-07-05T12:10:00.000+01:00

So I knew I would need these surgeries for a long time, and finally at the end of 2007 I was 'ready' to get the expansion surgery. It was pretty much a rush job getting scheduled, and I with a few days to go before I had it done I still didn't know what hospital I was going to lol. Well we figured it out eventually...
The day before the surgery as the day I had to go claim my bed at the hospital. It seemed pretty pointless and weird having to stay overnight when I was perfectly fine and normal, but I suppose they wanted me there in good time (maybe this is a UK thing? because I know a lot of people in the US get SARME and then leave the same day). It was a pain though, because in the morning I had to go and get my expander fitted by my ortho at my local hospital where the clinic is, but my surgery was being conducted at a different hospital, so straight after I had the expander in we were off to the next one. Also what needs noting is that beforehand I had an appt to see if the expander would fit my mouth. It didn't.

Now the thing with my ortho is that she is very persistent and tenacious, so even though it didn't fit she was going to make it fit. The worst thing with appliance fittings- and which I'm sure those with braces will know- is that you have to bite down on a stick thingy yourself to push the appliance onto your molars securely- so not only was she forcing this thing into my mouth and causing me pain, but I had to inflict it on myself to try and push it in place. Maybe sadism is a require qualification in order to be a dentist/orthodontist? Anyway she finally decided the expander didn't was too small and I needed another mould taking, so I left in pain, slightly bleeding and dreading round 2 and the next expander. Thankfully next time the lab technicians or whoeer got the size right, and it fit perfectly.

The expander was horrible at first, and even a measly sandwiche thwarted my attempts to eat properly. At that point I was actually glad I would be staying at the hospital because I had an excuse not to eat their food (I actually ended up having pea soup, but it was really just warm water in a cup with a pea floating in it....good old NHS :D)! I wasn't nervous about the surgery in fact I was pretty excited, but it was boring waiting for tomorrow because I was in a ward alone. There was an old woman with me for a while, who only had about 8 fingers (though maybe she just had arthritis...my memory is distorted somewhat now!), who came in because her nose wouldn't stop bleeding. At one point her nose started bleeding uncontrollably again, and because she was fingerless or had lost the use of some of them, I pressed the buzzer thing to call a nurse to come. About 3 came and all gathered around me, but I swiftly told them I was fine (I was just some girl crashing in a hospital at this point, afterall- though to be fair the expander made me sound rather odd) and they went and saw to her. She was fine eventually and she could go home. The ambulance guy who came for her kindly asked me if I wanted something from the vending machine, but I told him I couldn't eat anything, but thanks. To him I was just some normal girl crashing in a hospital too, and he didn't know i had the expander in, so I hope he wasn't too hurt by my refusal, but he'll live.

So the next day I was looking forward to going down to surgery. That morning the ward filled up (it had 4 beds), and they all got their surgeries before me! I was like hello, I'm pretty sure I bagseyd first spot when I got here at 3:00pm yesterday! But hey, I'm not the selfish type. Turns out one of the women came from the same town as me, and I've seen her a few times afterwards round and about. Small world!

So finally it's my turn, and when I'm being wheeled down to surgery I finally start to get a little nervous. I remember the anaesthetist not being able to get the vein in my right hand (because I have 'delicate veins', apparantly) so I ended up with two bruised hands getting it right, but that wasn't exactly the most important thing on my mind. I drifted off, then suddenly it was over.

I wasn't in pain, but I the anaesthetic really did me in. It was probably the worst thing about it, really. I stayed for the night, then the next day I had to wait for my perscription which took pretty much the whole day. While I was waiting to go home I wasn't told whether my mum or dad had rung, or what was happening. They let me ring them but of course I could barely talk, and I started to cry (aaaww). Turns out they'd been ringing all day but the nurses said I couldn't go until I got my perscription. Eventually things were sorted out and they came and got me.

Next post: recovery and turning the expander

Toodles xXxXx

A Little Late on the Uptake...

2009-07-04T20:37:00.000+01:00

I'm not new to the game, in fact I started my 'journey' in November 2007. But I've decided to start a blog now because I'm at the point where I need some motivation- and to keep motivated- as I wait for the big one (that is, the bixmaxillary osteotomy to correct my underbite, among other things). I think it's because I'm getting a bit down about the whole thing lately; I've felt like I'm just waiting endlessly but nothing is happening, and I want to have some form of activity related to the whole thing, even if it is just me blogging about how nothing is happening!

The thing is I've been told from about the age of 13 by my dentist that at some point when I've stopped growing I would need jaw surgery. So since then I've waited and waited until 2007, at 17 when I suppose I did eventually stop growing) when we got the ball rolling and I had SARME (surgically assisted rapid maxillary expansion, to widen my upper jaw). Now I'm waiting and waiting until my teeth decide they want to move and give me a break. It's a bugger

And so I suppose I have a lot to update! For now I'll just post from my ticker-

* It has been 19 months, 2 weeks, and 4 days since I had SARME
...and 13 months, 2 weeks, and 6 days since I was braced (upper and lower at the same time)

For my next trick, I'll time-travel next post to talk about when I had SARME, and all what's happened inbetween

Toodles, xXxXx

The Weary Travels of an Underbiter

Long Time No Post!

Sorry for lack of posts!

Overdue update!

Great Day!

Nerves driving me mental...

The Impenetrable, Baffling Fortress...

Updates- Day 28

An exemplary case?

Photos

Free from the stitch of doom at last!

Day 15

Ouch!

A little back-track...

Day 11

Gah! My perfect conditions thwarted! lol

All went well

So *I'm* the pessimist? Yeah right

Mini post

Onto a Matter of Health, Rather than Mentality

Good Christmas day, not so much night....

Some sound advice, courtesy of Theatre Admissions Unit

Pre-op was a breeze

Snow!

Now I'm Paranoid...

I'm hooked

Pre-op Nerves?

On the 12th day of Christmas, my true love gave to me...

Ouch!

Limbo

Someone to Celebrate With!

A PS

Surgery Date!!!!

The Final Countdown da da da daaa, da da da, da, daaaa

Self-Pitying Phase Not a Good Look?

Repressed Feelings, Pessimism and Realism

A Mathematical Equation

Some Questions, then

Okay, photos...

Compiling my Interrogation..or preparing for one

The Turn of the Screw Once More? - ortho app and news of more expansion

Odd insights from my ortho- 2007- 2009

Update- Latest Ortho Appt.

So tired, tired of waiting...The Kinks got it right

Another picture while I'm at it

Picture updates (yikes)

We Need to Talk About Our Feelings

Tips for SARME/SARPE Victims

Back to the Future

The Turn of the Screw

Back to 2007...

A Little Late on the Uptake...

So I'm the pessimist? Yeah right