Wednesday, August 28, 2013

Day 18

Yup it's quite a big gap from the previous time i recorded my short journey with invisalign.. but was too caught up with things and now i finally found some time!

Back from my previous update, the rough-edges issue was well-resolved with the trimming done at OSD, and my lips and tongue were much more comfortable a few days later. my ulcers were able to heal, and my tongue was able to adapt well to the aligners so lisp was about 90% gone by the end of my 1st set of aligners. hooray! :)

had my 2nd set of aligners on 24 Aug, and i had attachments bonded to my teeth as well. quite a number of them, cos i had a few problematic teeth that really needed to move, so i have "bigger" attachments on my upper canines, two small attachments each on my 4 upper premolars, and one small attachment each on my lower canines and premolars. the attachments are tooth-coloured, so personally, without the aligners on, i don't find them that noticeable unless someone looks very closely at my teeth. With aligners on, yes they're more visible. However, people who didn't know about my invisalign treatment still don't notice it until I tell them :)


top: without aligners
bottom: with aligners

attachments on the left side


attachments on the right side



With the attachments, putting the aligners on are still easy, but it's definitely harder to get them off. I struggled with the worry of breaking my nails or the aligners, and requested getting a tool from my dentist to pry the aligners off but was rejected cos I shouldn't be dependent on the tool. :( it does makes sense, yes.. and I'm glad my aligners cooperated and finally came off after lots of tugging and pulling. They still don't hurt my teeth or gums, though they can be very tight on the teeth when i'm halfway through removing them. My fingers did feel slightly sore from the tiny battle though :( Thankfully, removal of the aligners over the next few days got better and they're now as easily removed as my first set. There was also no difficulty with eating and brushing as well.

Another thing that I'm excited about is also that there are now gaps between my upper molars, which means my molars are moving backwards pretty signifcantly already! :) My dental floss doesn't even get stuck between adjacent molars anymore; it just goes right between them with no resistance! However, food does get stuck in that space more easily so flossing's much more necessary now. Lots of effort needed! But I suppose that's all worth it cos I'm starting to get someee results even from my 2nd set of aligners :) I can't wait to switch to the next one!

Tuesday, August 13, 2013

Day 4 of invisalign! :)

Good in that I'm kinda getting used to the routine and my teeth feel pretty fine too. Not that much of soreness or tenderness, though it can ache a little when i bite and I cant bite down fully on my food :( think some indigestion will come along.. but that's not the bad part! bad part is the rough edges are causing some abrasion on my inner lips and tongue and giving me ulcerssss. yikes. gave OSD a call and went back to trim the rough edges. it's a bit better now but i can still feel the roughness.. it may be becos my skin is already sore and hypersensitive now so it doesnt feel significantly better, but let's hope it will really get better very soon.. don't want anymore random bleeding from my ulcer again :( go away!

*prays for better adaptability to invisalign. that includes having lesser of a lisp!*

other than that, all's good :) im happy that ppl dont even realise im on "braces" and are impressed by the technology now haha. let's hope things continue to be better :)

Saturday, August 10, 2013

My first set of aligners!

Days before the start of my 2-year journey with invisalign and the "time constraints" that are gonna come with it, I had a good time enjoying my favourite food in the longest time possible and also had a buffet! So, I'm all ready to step into treatment!

The appointment in getting my first set of aligners was exciting and thankfully, smooth-sailing as well! The aligners fit in pretty easily, weren't uncomfortable and I didn't have much issues removing them as well. Removing the aligners wasn't painful for me, but probably will "hurt" my nail polish after a few more tries haha.

 "Chewies" were also given and gotta be used every time I wear the aligners on. As the name goes, u gotta chew/bite down on it with ur aligners on, so that the aligners will fit ur teeth better. Aligners will have to worn optimally 22 hours a day, so that works out to about 30mins per meal? With the remaining time set aside for brushing, flossing, and cleaning of the aligners.

I was told that I could only take cool water with the aligners on. No hot water because the heat may "melt" the plastic and alter its shape and therefore your treatment. Anything else, aligners have to off. Which means a little more trouble if you're craving for that bag of chips or a piece of chocolate, or if you happen to just walk past Starbucks and get tempted by their Java Chip drink :(

Okay, that's just me.

Teeth will have to brushed before aligners are put back on so that u don't trap dirt inside and get straight-but-rotted teeth at the end of the treatment. For the fuller package of very-good oral hygiene, I shall get into the routine of flossing daily as well!

Aligners have to be maintained, if not they're just gonna be gross material u place in ur mouth. Basic cleaning is easily done with a toothbrush and some toothpaste, but care has to be taken to not be too rough in case you break the aligners! The advice given to me was to ensure the entire aligner was on my palm when I brush it so I exert equivalent pressure instead of exerting too much on one side. I've been brushing my aligners at least twice daily, and so far they seem pretty hygienic to me. So let's hope that'll keep them sufficiently clean for the 2-week period!


top: without aligners
bottom: with aligners

I simply loveeeee how literally invisible the aligners are! And I'm just glad the long-awaited journey has finally started for me :)

My next appointment will be 2 weeks after, whereby I'll get my 2nd set of aligners, have attachments added on, and also get aligners #3 and #4, because reviews are gonna be 6-weekly in future :) Can't wait!

Saturday, July 20, 2013

Preparation for Invisalign - Wisdom teeth removal

As mentioned in my first post, my invisalign treatment plan would require all my wisdom teeth to be gone, so arrangements were made for that.

Based on the X-Ray I took at OSD, my two upper wisdom teeth were straight and could be extracted as per normal. The lower two were considered impacted, however, and would require surgery to remove them.

For financial reasons, my wisdom teeth surgeries were done at another clinic. And for considerations on pain tolerance and ease of eating, I split my surgeries up into two appointments such that I'll remove the wisdom teeth on the right side first, and then the left.

I chose local anaesthesia for the surgeries and fortunately, that worked out well for me and was painless throughout both surgeries. The first surgery was uncomfortable though, mainly because I haven't felt any dental drilling for so long and partly because I was anxious about how it was progressing. It helped that my partner accompanied me all the way :) Emotional support is important!

First surgery came with complications for my case, however. Possibly because I had very deep roots for my wisdom teeth, bleeding at the extraction site (which was not sutured) did not stop entirely for me even 2-3hours post-surgery. After checking my first gauze when I awoke from my nap, I figured the gauze had to be changed as it was completely soaked with blood. And that was when the horror began, because whatever little blood clot there was came off together with the gauze removal and I literally "bled like mad". It was a frightening and panicky situation for my partner and I but, to cut the horror story short, a return trip to the clinic solved the issue as the clotting managed to stabilise with this tiny sponge-like thing placed over the site together with fresh gauze. And simple reassurance from my dentist and partner that I'll be fine, and won't die :P My right cheek was very swollen, however.

Recovery phase was pretty normal, with the wound slowly healing up and me gradually progressing from soft foods to a normal diet. Some bruising on my right cheek/jaw emerged around the 4th day of recovery, and unfortunately stayed there, very visibly, for quite a longer while than normal. It was still faintly there even after I recovered from my second surgery, in fact :(

The second surgery was arranged two weeks after the first, and was a lot better with no complications, which I am very grateful for in view of the nightmare I went through for the first round. Swelling wasn't too bad, clotting was fast, and bruising didn't stay for long :)

After full recovery from the two surgeries, which took about a month in total, my final set of teeth were ready for the master impression (a mould of your teeth) to be made for invisalign! The master impression is what the invisalign treatment will be based on, and therefore it is very important that it is accurate and gives a good picture of exactly how much space is available at my "empty" wisdom teeth sites so that my other teeth can move in nicely :)

Once the master impression is completed, my dentist can do up the customised treatment plan and simulation, show it to me to confirm if the simulated results are ideal, and then go ahead to send the order for my aligners. For my case, my dentist demonstrated two simulations, one with just my 4 wisdom teeth gone, and another with further extraction of four premolars just in case I wish to push in my teeth even further. In view of my strong reluctance to remove  my premolars, I kept to the original plan and my initial options, and my full treatment plan was confirmed :) Hooray!

Saturday, May 18, 2013

Cheers to the beginning of my invisalign journey!

Yup so here's another diary on someone's invisalign journey and all the experiences that come along with it. As with others, I wanna record my personal journey down because firstly, it's gonna be almost life-changing for me! :) And as YOU may also be considering this, I hope what I've noted down about my journey will help shed some light about how the invisalign treatment plan could be like. Maybe it'll facilitate your decision-making on whether or not to go ahead with invisalign :)

And of course, I spent a lot of time deciding and a LOT of money on this treatment so I really wanna remember as much of it as possible. Simple. :P

So here's some background.

I'm 24, and I wanna fix my buckteeth and have a smile that is less protruding and of course, straighter as well. The thought of straightening my teeth had been on my mind for eons because people have commented about it and in fact, I did enter my name into the waiting list for traditional braces at National Dental Centre (Singapore) when I was a teen, but eventually rejected the thing when it was my turn simply because I was afraid I'll look hideous with braces on. (I still have that fear, though) Years passed, the thought re-emerged and got pushed aside again, and now it finally came closer to reality as I've stepped into the workforce and am able to finance the treatment cost better. Further motivation came when I decided I really wanted to smile confidently and beautifully for my wedding photos in future :)

However, no offense, I am not keen on having metal in my mouth, nor am I keen on extracting my premolars, as with the usual teeth-straightening plans. (Why would you wanna take out teeth that are perfectly healthy and normal??) I also wanted a treatment that would be as un-noticeable as possible because............................................... okay I'm vain :(

So I did my research on invisalign and called up a number of clinics, got the approximate price ranges and the type of "packages" that various clinics offer, went for a consultation to check if invisalign would be suitable for me (thankfully yes, it can be done!), and .... after an entire year of consideration ... finally chose Orchard Scotts Dental for my invisalign treatment because I feel they offered the most comprehensive package so far :)

For one thing, their dentists are platinum elite providers for invisalign. IMHO, if you're deciding on it already, there's no point trying to scrimp on the treatment cos invisalign is gonna be expensive in general anyway, so why not just focus on the credentials of the dentists that are offering it? :) Plus points for good customer service as well!

The OSD package also includes retainers, which most of the other clinics I checked do not include. (If I don't remember wrongly, they're an additional $300-$500 at the end of ur invisalign treatment). The package, however, does not include other services such as dental cleaning/polishing, replacement of fillings, teeth extraction, teeth whitening etc, although invisalign patients do get a discount for these services :)

Lastly, invisalign is possible for me WITHOUT the extraction of my premolars! That is a huge relief for me, really. I will, however, need to remove my four wisdom teeth (which are also starting to decay and which I had been procrastinating on) to create the space at the back for my teeth to move into, and have each tooth scaled to create space as well. This alternative may sound like I might as well be extracting my premolars, but personally, I think it's good enough.

For me, invisalign treatment costs $8000 (w/o GST), and will take about 2 years to complete. I have 59 aligners to go (that's a lot, yes), will have attachments bonded to my teeth from the 2nd aligner onwards, and elastics to be included from the 5th aligner onwards. My lower teeth will also straighten much earlier, in about a year. There was a computer simulation to show me how my teeth would be moving during the treatment, and that was helpful in visualising the end results and makes me look forward to that! It was also awesome that there was a 24-month instalment plan available for the credit card I use, so it makes the budgeting slightly easier.

And so, with the end in mind and all factors considered and understood, the decision was made and the treatment plan was signed. Hello, invisalign! :)