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The Joys of Jaw Surgery (and Other Adventures on the Road to Perfect Teeth)

Posted: 01/20/2013 3:40 pm

I made the decision to get braces put on my severely misaligned teeth two years ago. As you may or may not know, Canada has some great health care options. But in Ontario, we citizens pay out of pocket for all dental services unless we have a health insurance plan at work.

Seeing as I haven't had health insurance since, like... ever... I knew braces were going to take a toll on my tiny wallet.

Luckily I had a connection to my city's top university's orthodontic teaching program. So just like that I was able to bypass their three-year wait list and my journey (read mild torture) began.

I was so grateful to be fast tracked into this program that I payed little attention to the cost (which was actually about a third of what it would have been at a regular orthodontist) and lengthy time commitment. After throwing down a large down payment and negotiating sick leave/time off with my boss I signed up for the initial screening.

The doctors and graduates assessed my disastrous teeth and determined the only way to near perfection was to include jaw surgery. A plan was laid out before my eyes and it included:

•two jaw surgeries (widen the upper jaw, push forward the lower)
•new face shape and profile resulting from said surgeries (uh... ok!)
•straight teeth (hooray!)
•regular and lengthy appointments in the middle of my workday (yes please!)

My first appointment was three hours of hell combining x ray, photography and mold impressions. Nightmare. By the time I was finished, the corners of my mouth were cracked and bleeding and my waterproof mascara hadn't stood up to all of my tears. All of this pain just for doctors and dentists to see how sadly my teeth and jaw are deformed.

Like everyone else I also have a mild fear of dentists and this initial appointment was just an introduction for the barrage of future terrors including monthly rewiring, metal appliances, retainers, and yeah surgery.

A few visits and several months later, I finally had the first set of braces put on my top teeth.
Almost immediately after, I was prepped for the upper jaw surgery. Friends, most of you have beautiful semi-circle shaped upper palettes. My upper jaw however grew into a tiny triangular shape that is common in birds. The only solution to fix this and my damned overbite was to SAW MY UPPER PALATE INTO TWO PIECES. My newly broken jaw was to be secured in place by a metal appliance attached to my molars and two other teeth going horizontally across the roof of my mouth. This piece of machinery (which I do not think has advanced since the middle ages) was cemented into my mouth, and after the surgery I was responsible for "opening" this device each day, thereby widening my jaw into a human form.

The actual surgery was a breeze. After a bit of pre-op crying, I was whisked away and then returned to my hospital bed in a morphine haze. My sweet sweet mother picked me up the next day and brought me to her house in the suburbs for some R&R. Side note: my then live-in boyfriend decided that his priority that week was to tour with his band in Northern Ontario rather than to take care of his beloved after surgery. Note, I said "THEN live in boyfriend."

I gave my mother my prepared grocery list fit for someone with a broken jaw that included:
•elderly persons' nutritional supplements in liquid form -- chocolate only
•thin soups
•rice milk
•various blendable fruits
•vodka

I discovered two alarming things while recovering from surgery. The first being that now that my jaw was in two pieces my teeth moved when I brushed them. Think about that.

The other major bit of news was that I was severely allergic to Percocet painkillers. My mother cares for elderly folk as her living and as such she made a detailed medicine/feeding schedule for me whilst in her care. After half a day of my prescribed painkillers, I began to vomit every hour for many hours. Remembering my post-op handout warning me of avoiding such banal activities as sneezing, I figured rampant vomiting was not cool. Mother rushed me to the local (understaffed) emergency room and I continued to barf on the admitting counter, in the bathroom and into my trusty plastic bag on my lap for 8 hours.

I recovered on a rickety gurney under a thin blanket and was graciously given a dose of morphine for an hour before being kicked out (again, thanks universal healthcare) and sent back to my mom's spare bedroom.

Dear mother was more attentive to me than ever before and I would simply text her when I needed another bottle of Boost or a pillow fluff. She never told me where she hid that vodka.

After six months of religiously turning that crazy metal bar hooked onto my teeth, my jaw bone fused back together into a new delightfully normal shape. The metal appliance was taken out and my face shape took on a new look. I was worried that I would have a wide unflattering look about me but I was proved wrong. My upper teeth now sit comfortably on top of my lower teeth and my overbite is almost non existent.

I am eagerly awaiting the lower jaw surgery this spring. Now that I am equipped with all of the knowledge from my last experience, I will sashay into the operating room with the air of a veteran.

 
FOLLOW CANADA STYLE
I made the decision to get braces put on my severely misaligned teeth two years ago. As you may or may not know, Canada has some great health care options. But in Ontario, we citizens pay out of pocke...
I made the decision to get braces put on my severely misaligned teeth two years ago. As you may or may not know, Canada has some great health care options. But in Ontario, we citizens pay out of pocke...
 
 
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12:30 PM on 01/21/2013
Lisa you have my sympathies. I had to have a "sinus" lift before I could have an implant put in to replace a tooth that broke on a bone fragment while eating vegetable pasta. My insurance refused to cover any of it because I "intentionally put something in my mouth" . Cover Me indeed.

Part of the recovery involved antibiotics which resulted in me not leaving the house for weeks on end because I needed to be close to an unoccupied washroom at all times.

I squick at the idea of having my palate sawed in half - as I do at the prospect of 8 hours in an ER waiting room. My personal best is 6 without painkillers of any sort.
11:37 AM on 01/21/2013
I'm going in for a consultation to get my underbite fixed next week. My lower jaw is about 1.5ish centimetres further forward than it should be. It causes issues with eating (I can't bite through things very well, I have to use my tongue to push food up onto my upper teeth) and some pain (as my mind keeps telling my jaw to push back more and more, it makes the jaw really sore).

I'm not even sure if I want to get it fixed by orthodontics or surgery (I'm not even sure if at 25 it can even be fixed by orthodontics), but I'm not looking forward to (from what I've found online) a 25k-30k dollar surgery bill :/

I really don't understand why Canada doesn't consider dental (or eye care and ear care for that matter) as medical care.
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Lisa Kozoriz
10:18 AM on 01/21/2013
@Torontosaurous The quest for good teeth and proper biting abilities sure isn't for beauty! Trust.
02:46 PM on 01/21/2013
I have the same problem and a dentist appointment coming up, Thanks for freaking me out even more. Was it all worth it? Not financially, but with the pain and time consumed? Ive always had a fear of denists and have put this off for awhile now. Can you write up some positive points. I also cant have any narcotic painkiller.
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Lisa Kozoriz
04:51 PM on 01/21/2013
Hey straightandgreat!

Yes, it has been completely worth it. My teeth are almost completely uniform and my bite is spot on. The pain has actually made me a stronger gal and I think I can go though just about anything now!
Another great point - I'm eating healthier since my chewing abilities have suffered. Fresh juices and smoothies plus home made soups are now my staple. Good luck to you!
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AlwaysCanadian
Lifelong Pacifist
09:01 AM on 01/21/2013
Good thing there are no before-and-after photos included. Having ones jaw sawed into two can't be pretty!
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Torontosaurous
08:45 AM on 01/21/2013
The story made me wince right to the end.The price we pay for beauty is sometimes higher then the reward.I hope you found a good balance.