Now at the beginning of October and I have had the
Straightwire (train tracks) in place in the upper arch since the end of August
along with an upper ALF appliance (pictured & shown using a mirror the roof of my mouth with the ALF in place)
- this fits behind the teeth and
stops the space created by the RN Sagital appliance (the removable appliance
initially worn to create space) from being lost. I have had the fixed on the
lower since the start of September – we don’t fix it all at once as it would be
quite a lot to get used to in one go. You can see in the picture the fixed and
I have gone for pink elastics which get changed every month, so you can have a
different colour every month!
From a patient point of view it was pretty easy getting it
all fitted, fairly quickly after it started to get tender, and within a few
hours I couldn’t bite into anything as they were so tender. This lasted for
about 3 days and then was comfortable again. So it’s a soft diet for the first few
days! I did also get a few sore spots from the brackets rubbing, but you get
clear wax that you can stick on to stop it rubbing and within a couple of days
you get toughened up and used to it. Now I forget I have it on apart from when
I eat and clean.
Cleaning is the most difficult part, I have an electric
toothbrush which has a 2 minute timer, I now take about 3.5 minutes with the
normal brush head and another minute or so with the interspace head which
cleans between the teeth. I also still use the TePe brush mentioned and
pictured in the previous blog to clean between the teeth and also carry one of
these and a small mirror everywhere in case I eat something - it drives you
crazy when something is stuck somewhere not to mention looking pretty grim!
Eating can also be difficult to some extent, you can’t bite
into something like a sandwich or apple, proper ‘knife & fork’ food is
easiest, and last week I really put it to the test and had some peanut brittle
that I made and some crackling! (Not together!) I am still really pleased I am
doing it; I am surprised at how quickly the teeth are moving considering I only
started in March this year.
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