(When I was younger, I had extremely bad teeth. Bad as in a lot of cavities, but I also had teeth up the wazoo and my mouth was incredibly overcrowded. When I was 12, my parents took me to some orthodontists to see about getting me braces. Here are how the four first consultations went.)
Orthodontist #1: So, I looked at your x-rays. You have some very unusual teeth.
My Mom: Yes.
Orthodontist #1: What I would recommend is to remove two teeth on the top to fix the overcrowding, and one on the bottom to move over the midline. As you can see, nearly every tooth is crooked.
(My mom said she’d consider the office, but both she and I didn’t want to get any teeth pulled. So we went to the office of Orthodontist #2.)
Orthodontist #2: Good afternoon, [My Last Name, Pronounced Incorrectly]. I got the x-rays from your dentist and I think we can work on a plan of action now.
My Mom: Okay, great!
(Orthodontist #2 pulls out a copy of my x-rays and points at my throat.)
Orthodontist #2: As you can see here, [My Name]’s jaw is too far back in her skull. It’s crushing her airways and this may result in serious complications down the road.
Me: What? Is it really that dangerous?
Orthodontist #2: It can be. To push the jaw forward, we recommend this appliance being mounted on the outside of the teeth.
(Orthodontist #2 shows me a very large, bulky set of sliding cylinders. They fit into each other and he shows me how they can forcibly push the jaw forward. I basically say “no thank you” and we move on to Orthodontist #3. He’s very popular in the area.)
Assistant: Dr. [Orthodontist #3] will be here soon!
(twenty minutes later…)
Orthodontist #3: Hello. Let me take a look at your teeth.
(He pries my mouth open while I’m sitting in a regular chair.)
Orthodontist #3: Ah yes, I see the problem. Your teeth are overcrowded.
Me: I know.
Orthodontist #3: The treatment for this…you would have to wear a palate expander for about three years. Then we would put you in braces for another few years. Lots of rubber bands, too. Yes.
My Mom: That’s a long time.
Orthodontist #3: Ah yes, but it is necessary unless you want to pull teeth. That would be very bad!
(Orthodontist #3 leaves. All in all, his consultation took about ten minutes…not counting the time we spent waiting for him. We decide to try one more orthodontist, Orthodontist #4. While Orthodontist #4 is busy with another patient, we’re talking to his assistant.)
Me: The first orthodontist we went to said he’d have to pull three teeth.
Assistant: Don’t worry! [Orthodontist #4] only pulls teeth if he absolutely has to. Cases like that are very rare.
Me: Okay, and is my jaw too far back in my skull? One orthodontist said it was crushing my airways.
Assistant: I can see here that it is a little out of place. But that isn’t dangerous. Part of it will be fixed during normal treatment for your overbite.
(My mom and I are reassured. Orthodontist #4 comes in, looks at my x-rays, and takes a quick look at my teeth.)
Orthodontist #4: This is an extraction case.
(I almost screamed. But don’t worry, this story has a happy ending. We ended up using Orthodontist #1’s plan with Orthodontist #4. I did end up getting three teeth pulled, and my jaw is now in a more normal location.)