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The Joy of Braces

cleft lip and palate patient orthodontic and brace procedures

So although a lot of children and teenagers have braces at some point in their adolescence, cleft lip and palate patients are (in my opinion) the experts when it comes to braces. As a patient myself, I have worn braces in some form or another for over half my life. From when I lost my last baby tooth when I was nine to now at twenty years old.

A brief timeline of my braces during my cleft treatment:

cleft lip and palate braces

A couple of ‘highlights’ from over a decade of wearing braces:

When I first got train tracks, my false tooth was stuck to the tooth beside it, but not attached by a bracket to the brace. However, after a very hard bite of some rocky road at Christmas (maybe not the best treat in hindsight), the false tooth broke off. Although at the time I was mortified, I was surrounded by family friends who’d known me from being a baby. At first I felt really embarrassed, but then realised none of them really noticed it had even come out because of the way my lip covered a lot of my top teeth. We quickly organised an emergency orthodontic appointment so I didn’t have to go to school looking like a pirate. This time my orthodontist glued an extra bracket to the false tooth and wired it onto the brace so it couldn’t come off again. In actual fact, this just made it blend in even more since it now had a bracket on it like the rest of my teeth.

As part of the brace work to prepare my bite (teeth placement and jaw alignment) for jaw surgery, I had to wear elastics that hooked onto the top and bottom parts of the brace. I can remember at one point wearing four elastics at the same time, where my jaws were being pulled together at twelve different points on my brace! It wasn’t particularly comfortable at first, but I soon got used to it, with the most annoying part being when the elastics might accidently ping off or be accidently swallowed (oops!).

After my second round of jaw surgery, my orthodontist decided that to get my bite into a perfect alignment, I would need to have a procedure called interproximal reduction. This sounded very serious at first, but it is a method frequently used in lots of orthodontic treatment – my orthodontist herself had had it done. At first I was very worried because this procedure used to be called ‘enamel stripping’. This sounded like a huge procedure that would break my teeth. In actual fact, it took less than five minutes and I couldn’t even see the difference! All it entailed was a small saw to remover a millimetre of enamel from two of my teeth to give them room to settle into the right positions.

Although the elastics were probably the most annoying part, the other issue was food. Whilst I wasn’t too bothered about missing toffee apples or never trying chewing gum, after any meal, a mandatory check with a close friend to check I was ‘okay’ for food stuck between my teeth was a must. Although, in the end, I guess this was just a heightened version of checking for spinach or coriander in anyone’s teeth.

The final ‘highlight’ of over a decade of braces has to be patience. Whilst my friends would moan about the year and a half they were lumbered with the metal, their satisfaction would be nothing compared to mine: after enduring over ten years to finally be brace free! It’s definitely a long process, but it has taught me that good things truly do come to those who wait. The years of careful cleaning and orthodontic appointments have certainly paid off, and I am so glad I had the determination to see the treatment through to the end.

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