When I first started Invisalign, the time when I would finally be wearing retainers seemed like such a distant prospect that I barely even allowed myself to give it a second thought. In my imagination, a day when I would have good teeth was a day that I dreamt about, but not one that I ever REALLY thought might come.

My friends, that day is here.

As I mentioned in my last post, my upper teeth have now been happily ensconsed in retainers for some time, and I thought those of you still on your journey to get that to that point, might like to see what the different retainers look like.

My orthodontist has chosen Essix retainers for me, and ever one to question his professional judgement, I did a fair amount of research as to what I think the most comfortable and unnoticeable retainers are, ready to fight battle if need be.

Essentially there are two main options when it comes to retention following adult braces. The bad news is that either way, you need to wear retainers forever. Not forever, as in, for ten years and then your teeth will grudgingly conform and stay elegantly upright in their new, more attractive positions. Nope, this kind of forever is really the forever kind. The kind of forever where fifty years of wearing retainers, followed by a week long slip up will still mean that your unobliging teeth will start to dance back to the position they were in before you trussed them up in Invisalign.

So, retainers fall into two main camps. Permanent retainers and removable retainers, both of them forever retainers.

When I first did my trawl around the various orthodontists seeking an opinion about my teeth, retention was something that was often mentioned to me. I was shown various pictures of retainers, and the types that different orthodontists preferred, and quickly came to a realisation.

Just as I’m not a fixed braces kind of a gal, I’m really not a fixed retainers kind of a girl either. I suspect that many Invisalign wearers feel the same. So an orthodontist that insisted on fixed retainers was never going to be an orthodontist that I could love, a preference that did influence my choice of ortho from the start.

The fixed retainers that I was shown were mainly along the lines of those shown below and were of a permanent wire connected to the back of the teeth that holds the teeth firmly in place, not allowing them to shift :

The benefits of these retainers, according to the orthodontists that I saw, are that they are a set and forget kind of a deal. Once they are on, you don’t have to worry about lost or forgotten retainers, and your teeth stay in place as long as the retainer is correctly attached. The downside of such retainers is that they are fiendishly difficult to keep clean, and obviously, they ain’t that pretty when you open your mouth wide.

The good news, for someone as averse to metal in their mouth as I am, is that there is also the option of removable braces, which are worn only at night. These are divided into the type that your orthodontist (or dentist) can make for you, and those that come from Invisalign themselves, known as Vivera. Both look, to all intents and purposes, very similar to an Invisalign aligner.

My orthodontist, when enduring his regular eight weekly grilling of a thousand of my stupid questions, told me that there are two reasons why he doesn’t use Vivera. Firstly, they simply weren’t available here in Australia at the time of asking and very similar ones could be made more cheaply and easily here. (A pretty good reason, I’ll have to concede) Secondly, he says that once you order your Vivera retainers from Invisalign your case is seen as effectively closed. He often has patients who decide not to proceed with a refinement or final tweak and then, several months later, change their minds. Using Vivera would remove from him the option of ordering another refinement free of charge, as they would be treated as a new case, with a correspondingly large new bill.

For those who are certain that their treatment is complete though, Vivera certainly sound like a great option. As long as you keep up your subscription to them you receive a nice shiny new set of retainers every three months. These can be made either in the shape of your last set of Invisalign, or, if you weren’t an Invisalign patient or if your teeth have been crowned or filled, can be made from a new molding. This gives you the reassurance that as long as the retainer still fits your retainer isn’t changing shape and that your teeth are actually stable and in the position that they were at the end of your orthodontic treatment. There is an interesting review of an orthodontist wearing Vivera here for those that are interested in this system.

In my case, my orthodontist favours another alternative, an Essix retainer.

Whilst this might look fairly similar to an Invisalign aligner, in truth they feel quite different to wear. Whereas Invisalign seem finely crafted and take in the shape of every tooth and gum line, these seem more like Invisalign would be were they crafted by a five year old. The shape and the general appearance are the same, but the execution looks and feels altogether more clumsy. Peering closely at my retainer I can see that it does have the individual shape of my teeth molded into it, but that they are not as distinct as they would be on an Invisalign aligner and cover part of my gum as well as my teeth.

Whereas Invisalign feel that they fit very closely to the teeth, these feel larger and thicker in the mouth. However, that isn’t to say they aren’t comfortable. I would equate the putting in of my retainer each night as similar to putting on a pair of comfy old bed socks. Not the most attractive thing in the world, but comfortable and somehow comforting. Comforting too to know that these retainers can be made cheaply (well, relatively- this is orthodontics after all) and easily by any general dentist in a couple of days so losing them isn’t the issue that losing an Invisalign aligner might be. Also, they are doing a fantastic job of keeping my teeth exactly where they were when I completed my treatment, which has to be a good feature in a retainer.

In reality the right retainers will be down to personal preference, but as someone who loves the fact that Invisalign are removable, and just can’t face the prospect of a metal wire permanently fixed to my teeth, Essix retainers are perfect for me.

Which is a good job given the amount of time we’ll be spending together.

Which retainers will you be using or have you worn, and how did you find them?

Two and a half years in, I think I must be close to being the world expert on wearing Invisalign.

I was undoubtedly the most complicated case that my orthodontist had ever taken on when I started, and I believe I’m still his longest running case. Most of his patients swan in and out of his offices every few weeks, visiting him for six months to a year, and then wander off again, retainers in hand, to carry on their lives the same as before; just a little bit better looking.

Not me. As I amble into the surgery, apologies in hand about whatever the current month’s misdemeanour is (forgetting to change the aligners on the right day, mostly) he sighs resignedly. It isn’t that I want to make my treatment longer than it is, or that I can’t bear to end our six weekly visits, it’s just that after all this time the thrill of changing to the next set is almost gone and some weeks when I’m supposed to change aligners, I simply forget.

The good news about this, I suppose, is that it goes to show exactly how comfortable Invisalign really are. I don’t think about them at all these days, my mouth is as comfortable with them as without, in fact, sometimes when I’m not wearing them my mouth almost feels strangely empty. And therein lies the problem really. I need to think about them just a little bit.

This visit, as I confessed that I had again slipped an aligner behind, so that I only needed two, not three new aligners to take me through to my next appointment, my orthodontist shook his head and said “You’d have been finished if you were in metal braces, you know.”

The truth is though, as I told him, that I would rather wear Invisalign for 10 years than wear metal braces for one- a sentiment with which he heartily agreed. To me, there is simply no contest.

And whilst I sometimes forget to change, and wear my Invisalign sets for three weeks instead of two, I take comfort from the fact that at least I wear them too much, and not too little.

Of course, there’s a very good reason why my treatment has taken so long; we always knew that it would. My orthodontist made it very clear from the beginning that I was right on the boundary of being suitable for Invisalign treatment. You can see the offending tooth that has meant that I have been pushing at the limits of Invisalign’s capabilities on my original clincheck:

Click here to view the embedded video.

Whilst my upper teeth are now in retainers, and my lower teeth look almost perfectly straight from the front, that wayward tooth on the lower arch is still there, strewn across the bottom of my mouth. I’m currently about five aligners short of the gap being large enough to start moving it into place, and I can’t wait to try.

My orthodontist is not by any means convinced it will ever move, he fears it is somehow fused to my jaw bone or in some other way completely stuck, and that ultimately I may have to simply remove it. I however remain deliriously optimistic; my treatment has gone so well and so easily this far that I’m simply not ready to concede that anything could go seriously wrong at this point.

Let’s hope I’m right!

I’ve had a few emails and comments lately asking for a picture update of where I am up to in my Invisalign treatment.

Those of you who are long time readers will know that my top teeth are finished…kind of. I am wearing a retainer only at night these days on my upper arch, waiting until my bottom teeth are finished. At that point we will tweak anything on the top that needs it at the same time as we do any tweaks or refinements on the bottom arch. I have also decided to wait until all of the bottom teeth are finished before I get my upper crown sorted. This is partly due to financial constraints (nearly $2,000 for a new crown means I want it done only once) and partly me putting it off because I’m terrified! If you don’t know my full crown saga, suffice to say it is the ugly yellow looking tooth, right next to my top front teeth. The scariest thing is that before I whitened my teeth earlier in my Invisalign treatment it matched my other teeth perfectly!

For my bottom arch I am now on aligner #2,734. I kid, but it sometimes feels like it… In reality I am now on #21 of my 54 lower Invisalign refinements. There were also 34 in my original run that I wore before I started on these refinements. That means of the 88 lower aligners that make up my treatment in total, I am on #55… unless I lost count. Whichever way you look at it, that’s a LOT of Invisalign. (Although I should point out here for new readers that my teeth were essentially a jumble sale before I started Invisalign. A misaligned, misshapen, discoloured mess of a mouth…)

Take a look for yourselves at the differences….

My teeth don’t actually change that much visually these days, all the action is at the back where we are opening up a gap for a tooth to move into. My orthodontist warned me from the start that this would take a long time, and he was right. Looking back at where I started from though I think that every one of those 55 aligners has been worth it…

Before Invisalign

Teeth July 2011

Overjet before Invisalign

Overjet July 2011

Incidentally, apologies for the colour on these photos. You’ll have to take my word for it that my teeth really aren’t that yellow in reality. Honestly!

How many Invisalign do you have? Can anyone beat my record of 88?

I don’t know what it is with my teeth at the moment, but I must be making my dentist a very rich man….

In the last few weeks I have broken a tooth, and had three bouts of toothache.

In the bad old days when I never flossed and was so scared of the dentist that every visit required three days mental preparation, a sleepless night beforehand and the ever present temptation to run for the door and never set foot in a dentist surgery again, I could accept these minor dental inconveniences. An overbite I could fit a finger through? I was used to it. Two fillings minimum per visit? I expected it as a result of my no floss, high sugar lifestyle. These days however, I am a paragon of dental virtue. Not only do I overfloss, I brush fastidiously and.. well, ok, I still guzzle the diet coke… Nonetheless, as someone who now visits her dentist every six months religiously and her Invisalign orthodontist every six weeks, I thought I would be finished with the whole endless fillings thing.

In a funny way, perhaps I am. Three times in the last couple of months I have had dental pain. Once on the lower arch, and twice on the upper. Not just a slight twinge either- the kind of toothache that pulls you from your sleep, fuzzy, confused and irritable at 2am and doesn’t let you rest again the whole night. The kind where you just about function thanks to painkillers, but with one hand on your jaw and your tongue constantly worrying the offending area.

Fortunately for me I’m lucky enough to have medical insurance provided by an employer that means that routine dentistry (although not the big stuff, sadly) is reasonably affordable. So, not only have I been to see my own dentist, but after he failed to find anything wrong I trotted off to get a second opinion from another dentist who, after another examination and x ray agreed; my teeth look fine.

Despite these assurances I’m fairly convinced that my broken tooth (the one my dentist recently fixed) is the cause of the upper pain. Although nothing shows up on x ray, ever since it was fixed it has been VERY sensitive to heat and cold. My dentist’s explanation is that there is a little gum recession around that tooth and that that is probably the cause of the sensitivity. I’m not convinced.

I’m due to see my orthodontist in two weeks so will quiz him as to whether he agrees that this is a gum recession issue or not. I’m hoping that he’ll at least have some answers for me and that he will say that it isn’t anything to do with my Invisalign- the very last thing I want now is any reason to slow down or discontinue my treatment.

The only other explanation that I have, and this one seems plausible- to me at least, is that I am clenching or grinding my teeth at night. Ever since the start of my Invisalign treatment I have noticed that whenever my aligners are in my mouth I constantly reseat them on my teeth. This is particularly the case at the beginning of wearing a new set when they are tight, or at the end of the two weeks wear when they are loose.

I don’t do this gently you understand, no delicate little taps of my teeth for me. Nope, I CLENCH my jaws together hard as if trying to bite through a fine layer of reinforced concrete, sometimes making my jaw ache and even my ear throb with the pressure. I’m not sure what the mental process is that makes me do this, it seems to be a subconscious thing, my brain devilishly working against my best interests when I’m not looking. I can only presume it’s some kind of reaction to having a foreign object in my mouth.

And it’s not all bad- according to a dentist I know, it will actually help my Invisalign to fit better and move my teeth more easily; almost like using “chewies” those small chewable things that some dentists hand out to encourage a better fit of their patients aligners. Nonetheless I need to stop. Tooth pain is not my idea of fun, and whatever is causing it, I want it to stop, NOW, please.

So, if you have a failsafe method of stopping yourself from clenching, grinding or otherwise doing things with your jaw that cause ridiculous amounts of pain in your teeth please, please, share it with me. I would like to find some way to outwit the subconscious part of my brain that is doing this, before my dentist comes to the inevitable conclusion that my almost weekly visits are not as a result of tooth pain but are the consequence of a secret crush on him…!

There’s a little rigmarole I have gone through with every dentist I have ever visited. After they have completed my numerous fillings (there always seems to be something that needs fixing up in my mouth…) they ask me the dreaded question about “how often I floss.”

In most of my life I pride myself on being a truthful and honest person. I would rather eat my own arm than steal, I never ever lie to my husband (except maybe a teeny, tiny one about the price of my shoes, but that doesn’t count, right?!) and I am generally truthful and honest in everything I do. But somehow, before Invisalign, I was terrified to admit the truth to my dentist, that I rarely, if ever, flossed.

So I would cast my eyes down, feigning a quick mental calculation, and come up with a hesitant “once a week, maybe?” whilst he would consider my face with a dubious expression and tell me how I needed to floss every day without fail. I would look concerned and nod my agreement and then go home to continue on my merry path of rarely flossing.

That is, until Invisalign. The moment I started wearing Invisalign, my ticket to a new, improved me, I diligently followed my orthodontist’s instructions to floss, if not every time I ate, then at least two or three times a day. So much so, that my ten year old daughter, in all her tween wit, has dubbed me a “flossing freakazoid”

All of this flossing has had it’s benefits. Since getting Invisalign I have had the least fillings of any two year period of my life. Namely none. My teeth look whiter and healthier and when my (very happy) dentist puts his camera in my mouth and shows me my teeth up on the screen I can literally see the difference. In fact, last time I saw him he asked me to thank my orthodontist for getting me to do what he had never been able to.

So my failure to floss has been cured, and everyone is happy.

That is until the other night.

There I was, virtuously flossing, smug and safe in the knowledge of my superior oral hygiene, when I felt a small crack and a tug, and felt something on my tongue. Fishing the ‘something’ from my mouth with the tip of my finger I could see not only that it wasn’t a piece of food, but that it was actually, gulp, a piece of my tooth. Not a large piece, more of a small sliver of one of my back molars. Fatter than a fish bone and worryingly black on one side.

One of the best things about Invisalign is that it is uniquely molded to the shape of your teeth. However, at times, like when you are foolish enough to break a tooth with over vigorous flossing, that can be a disadvantage too. I was filled with terror that fixing my tooth would mean that my upper aligner would no longer fit. I didn’t know how long it would take to mold and fit a new one and had visions that before it could be done my teeth would happily rearrange themselves

from this:

Mar '11

2008 - Before Invisalign

It was Friday night when this happened, and with my husband out of town and my children safe in bed I thought that there was nothing I could do until Monday. Except that by the next morning it hurt.

So it was with a little fear that I walked gingerly into an emergency dental clinic first thing Saturday morning, two children in tow, each of them a little more thrilled than the other at the idea of watching the dentist giving me a “huge” injection in my mouth. I was also, truth be told, more than a little afraid of the cost; crowns aren’t cheap, and I was dreading being given bad news.

So imagine my joy when the dentist told me that although the ‘something’ (which I handed him, carefully wrapped in tissue paper, and secreted inside an Invisalign case) was a piece of my tooth as I feared, he thought he could fix it with a filling and that he hoped he could do it in such a way that my Invisalign would still fit.

Twenty minutes later, face numb and with my mouth vaguely dribbling, it was time to try and refit my upper Invisalign. The dentist offered to do it for me and after 30 seconds of his rubber gloved fingers vainly scurrying around my mouth, pushing and pulling at my aligner he handed it to me in defeat. Vaguely panicked and without a mirror or any sensation in my numbed cheek I immediately and joyfully popped it into my mouth, slotting it into place at the first attempt. Bingo.

So, all is not lost if you need a filling during Invisalign, and to the joy of my dentist, the flossing can continue. Just a little more gently this time….

After two years in Invisalign I can safely say that I thought I was pretty much the world expert in swiftly removing my braces. Not only could I whip them out one handed, I could do it with my eyes shut, upside down and with my left hand tied behind my back… or so I thought.

Not for me one of the Outie Tools, rubber gloves, paper towels or any of the other methods that help newcomers struggling with their Invisalign.

The last few days though, I have discovered that there is one tool that I have been using; one that I took entirely for granted and without which, removing your Invisalign is a fraught, tear stained, frustrating, frantic, claustrophobia inducing ordeal.

Ladies and gentlemen… I give you… the opposable thumb….

That sorry mess you see in the picture? That my dear readers is the thumb of my right hand. Sore, infected, inflamed, impossible to bend and therefore entirely useless as an Invisalign removing tool. Thanks to a course of very strong antibiotics it is starting to improve…but it still hurts. A lot.

I’d like to tell you that it was a snake bite, wrestling a crocodile, or some other such adventure that many outside Australia assume form the fabric of our daily lives. Sadly, the truth is somewhat less exotic. My sore thumb is, in reality, a consequence of ‘the terrible cheese grater incident of 2011.’ Need I say more? Devilishly dangerous things, cheese graters….

I know, I know, I have another thumb. But here’s the thing. It turns out that although I am a fiend at removing my aligners with my right hand, with my left, I am entirely useless. Whatever the little action is that I have so painstakingly perfected with my right hand, I simply can’t do it with the left.

The good news is, however, for those of you that have just started wearing Invisalign, that I can share that the key to quick and easy removal is all in the thumb. I believe, judging by the amount of pain when I try and do it at the moment, that my technique has been based entirely on hooking my right thumbnail under the edge of the aligner and flicking it up before grasping it with my hand and pulling it off.

On a much happier note, my teeth are looking good. I still haven’t had the top crown replaced. Primarily for the want of the (deep breaths) $3500 that the first dentist I found wanted to charge me. For one crown. However, I have now found another dentist whose quote is “only” $1600 and who my orthodontist recommends so I am currently steeling myself to put myself through that. You’ll be the first to know.

As you can probably tell from the pictures below my teeth are still improving, little by little. The gap into which my funky lower tooth will hopefully slide is getting closer and closer to being ready- not long to go now until we can start trying to move it in. After two years I’m so used to my Invisalign that I really don’t notice them any more; the difficulty that I face now is that because my teeth already look good from the front and all the action is at the back, it’s harder to find the motivation to wear them as many hours as I should. The photo of my teeth pre Invisalign, and the fear of going back there helps though. It really helps.

Mar '11

2008 - Before Invisalign

On a final note, I’m sorry that it has been so long since my last post. What with Christmas, and then the huge floods we had in Brisbane in January (my house wasn’t flooded thankfully, although my neighbours weren’t so lucky) as well as the fact that I am currently studying full time as well as doing the usual mummy stuff means that I have been a little overstretched. I have lots to share with you though, so I promise to be far more profilic over the next few months! It’s nice to be back….

Phew!

After all of the turmoil from losing my Invisalign when on holiday I was absolutely terrified about going to see my orthodontist. Not because he is particularly fearsome or because I thought he would lecture me- he’s a pretty laid back kind of guy fortunately, but because I thought he would tell me that I had done irreparable damage to my treatment.

The good news is that after a quick five minute check around my mouth he told me that actually, everything is perfectly on track!… Now, the thing is, don’t try this at home kids. That title you just read? It isn’t me nagging you. It’s me nagging myself. The only thing that stands between you and great teeth if you have Invisalign is compliance, and whilst I have generally been reasonably compliant with the need to wear my braces 22 hours a day, the holiday episode was not good. Not good at all.

So, in the interests of doing the right thing I would like to point out here that losing your Invisalign braces and having to skip two aligners isn’t just stupid, it’s really really stupid. I could easily have messed up much of the good work that has so far been done with my teeth. Compliance is everything with Invisalign braces and according to my orthodontist I am very fortunate not to have caused myself a lot more problems and put my treatment back by months. I think what saved me is that fact that although I skipped directly from set 5 to set 8 on my lower teeth, I actually wore set 8 full time for over a month whilst on holiday, only whipping them out occasionally to overindulge in red wine and other holiday extravagances. That month of enforced wear without being able to change my aligner seems to be what really gave my teeth time to settle down into their shiny, new, much shifted positions. Nonetheless, don’t do it!

As for my upper arch, regular readers may remember that I had just finished treatment on my upper teeth and was wearing my upper 6 aligner (before I lost it…) as a retainer. Having moved back to aligner number 5 as a substitute to the lost number 6 my orthodontist says that there is little point in re-ordering #6. Apparently, the movement from one aligner will be only 0.1mm whereas the cost to replace the lost tray will be the rather grand sum of $150. I’m trusting his judgement on this one and as far as I can tell my teeth still look as good as they did….

At this point I am free to get my crown done and finish my upper teeth. Having spent so much time and effort getting to this point I really want to find the best dentist possible to complete my smile, so I have been on the hunt for a great cosmetic dentist to do the job. If you know of one in Brisbane, Australia please let me know via the comments form. I am looking for someone that can make natural looking crowns that will match my other teeth perfectly, who will reshape my gum to make my gumline more symmetrical and someone that will put up with my endless questions and abject terror. Not much to ask is it?

Meanwhile, whilst I hunt for the right dentist I am planning to use nitewhite again now that my upper attachments have been taken off. I want my teeth to be as white as possible before I get the crown as once it’s in place I can’t whiten again or my teeth won’t match.

Longtime readers will remember that I whitened my teeth very successfully at the start of my treatment, but after almost two years they are looking a little yellow again and really need a touch up. ( I was naive enough to think that whitening was permanent, but apparently not) Whitening is so addictive that I’m hoping I won’t be tempted to overdo it and end up looking like Anthony Wiggle!

(Apologies to those of you without children- suffice to say he’s a toddler superstar with highly over bleached glow in the dark teeth)

I’ll leave you with a picture of my teeth as they are today. Hopefully this is the last time they will be photographed with the ugly crown to the left of my front upper teeth still in place. Despite how terrified I am about the process of renewing it I am really looking forward to seeing how my teeth look with a new, natural looking crown.

Anyway, thanks for reading, and thank you to everyone that leaves me such encouraging comments. It really does help to have all the comments and advice from everyone else going through the same process.

Throughout my life people have always accused me of pouting in photos. As a model in the nineties I could get away with that. With Kate Moss as the poster girl that all of us lesser models attempted to emulate, looking haughty and indifferent was all part of the program. In family photos though, you look a little, well, tragic, if you pout too much and never smile.

The thing is though, that I wasn’t pouting, honestly. (Well, not in the family photos anyway) What I was actually trying to achieve was a closed mouth smile; one that still made me look friendly and approachable, but never, ever showed my higgledy, piggledy teeth. I might have looked like I was pouting, but what I was really doing was going through a thousand inner turmoils, each of which started with me mentally begging the photographer not to utter the words “let’s see some teeth”

Obviously though, whatever I was doing wasn’t working. When I look back at those photos now I can see that not only did I not look very happy, I did indeed look self conscious and well, just a little bit pouty. A little too much like trying to look cool, and not enough like I was enjoying the moment.

So, getting my pictures back from my latest holiday, I was thrilled to see that not only am I not pouting, I am grinning from ear to ear! I actually look happy.

I know my teeth aren’t finished yet, and aren’t yet as perfect as I would like them to be, but what I realised, looking at my holiday pictures, is that when all of these photos were taken I wasn’t thinking for a moment about my teeth. I could just smile, naturally and enjoy the moment….. and honestly, that lack of self consciousness is worth the price of the braces alone.

So, I will leave you today with a picture of me at my brother’s wedding last month.

I’m smiling!….

Well, sorry folks, it’s been a while. Yet again I have been off globetrotting with scant, if any, regard for my blog; so my apologies that my updates have been rather thin on the ground lately. The good news is that I have been merrily collecting tips for what to with your Invisalign whilst on holiday – or rather, what not to do as the case turned out.

It all started so well. I had remembered to carefully pack an extra wash bag filled with all of the Invisalign supplies that I might need on holiday- the sterilising tablets, the floss, the emergency Colgate Wisps, the spare toothbrushes- you get the picture. I had also packed a tiny version in my carry on bag containing everything I might need to get me through the trials of a 24 hour flight from Australia to the Uk. Brushing your teeth in plane toilets is one of the joys that everyone should try to avoid as much as possible, so my plan was to abandon all pretense of wearing my Invisalign for 22 hours on the flight, try to manage about 16 hours, and hope for the best.

With all of the scurrying about, last minute emptying of the fridge, frantic unpacking and repacking of children’s cases to search for missing toys in response to tear stained pleas that a month long trip entails, I didn’t have time to have breakfast before leaving for our 8am flight. So, as is my usual style I whipped out my Invisalign, grabbed a snack bar and a nutritious bottle of diet coke (I know, I know) and headed out to the taxi clutching passports, drink bottles, favourite teddy bears and a thousand other bits and bobs in my clammy, overspilling hands.

Thirty minutes later we were at the airport, bags checked in, feeling surprisingly calm and organised when I suddenly remembered that my Invisalign weren’t in my mouth. After two minutes of frantic rifling I realised, with a leaden stomach, that they were neither in my handbag or my carry on bag. That left two options; they were either in a checked in packed suitcase, or sitting nonchalently at home on the top of my coffee machine. Of course, whilst I had packed the lower aligners that I needed to change to in a fortnight, I had forgotten to pack my previous set as a back up and as the top aligners were my last ones in the series this meant If I didn’t find them I would have no upper braces for a month.

Two minutes later I was back in a cab, hyperventilating and begging the poor bewildered driver to speed through suburban Brisbane to get back to my house as fast as possible. At this point I knew that it was a round trip of about an hour from airport to my house and that it was about an hour and twenty minutes until my 24 hour, non refundable flight took off, with or without me.

Fortunately, my taxi driver rose to the occasion admirably, his foot never leaving the floor, and seat belt burns not withstanding, we made it to my house in around 22 minutes, a record. Of course, after a frantic two minute search which included a quick scan of all the most likely places that I dump my braces I simply could not find them. Anywhere. I ran from room to room becoming increasingly hysterical and much to taxi drivers amusement even ran back out into the garden and began foraging through the dustbin in an attempt to find them. Finally, after about six frantic minutes I came to the conclusion that they must be in my checked in bags, grabbed the previous sets from a drawer to wear on the journey and flew back into the taxi to start another hair raising grand prix back to the airport.

We made the flight. Just. By the skin of our teeth.

Of course, it was the usual joy on board of the rigmarole of 24 hours of putting in aligners, being offered drink, removing aligners, drinking, squeezing past other passengers, queing for toilets, attemting to brush teeth in fist sized stained sink, returning to seat, five minutes later being offered food, removing aligners….you get the picture. Invisalign on planes are hard even if you aren’t squeezing your teeth into the previous set that you had stopped wearing a week ago. I don’t think I managed to wear them more than about 12 hours out of the 24, and even that was fraught with inconvenience.

It took me 24 hours after we arrived to get over my jet lag sufficiently to launch the search through our 90 kilos of luggage for my set six aligners. Despite checking the fifteen thousand small suitcase pockets, every washbag, the ten thousand pencil cases that my children deem necessary for a months holiday, they simply weren’t there.

Stuck in the Uk, on the other side of the world from my orthodontist, we had extensive email discussions back and forth about what exactly I could do to get my teeth from set 5 top and bottom that I was currently wearing, into the set 8 lower that I had in my bag. In all of the palaver, I had also forgotten set 7. Yes, I really am that stupid. I was astonished to be told that replacements would cost me $600. Gulp. Not only a stupid mistake but a costly one too.

So, to avoid the $600, with a little encouragement, some panadol, and a surprising amount of brute force, I actually managed to move my teeth from set 5 lower, to set 8 lower, skipping two whole sets.This incidentally is reallynot advisable except in dire emergencies. Hell, they were tight. There were moments, trying to force them onto my teeth where I wasn’t sure whether my teeth or the aligners would break first, but nonetheless, they went in in the end.

My instructions from my orthodontist were then to wear set 8 for three weeks before moving onto set 9 as normal. In the meantime, to also wear set 5 upper as retainers.

Home safe and sound I am still waiting for my orthodontists appointment to find out the damage I have done to my treatment. To this day, having looked through my whole house, I have no idea where set six went- only that they are gone, and it appears gone for good.

So, tip #1 for travelling with Invisalign. Remember to take them with you….

I have been a bad, bad Invisalign patient the last week.

On two occasions in three days I have left the house with my Invisalign braces casually strewn across the top of my coffee machine where I have hastily dumped them in my frenzied hurry to get my first caffeine hit of the day.

There is always this horrible moment of realisation, usually when I’ve driven just a bit too far to turn back, or when I am running just a bit too late to mean that turning back is an option- when my children are just reaching the stage where insults are about to turn into out and out back seat warfare, when I suddenly realise that my mouth feels strangely empty and that the zing on my tongue is not toothpaste, but sour coffee and toast…

Of course, I sit in the car in the morning traffic, nose to tail with the car in front, the sounds of my orthodontist’s 22 hours a day mantra ringing in my ears, but still, I don’t go back. There my braces sit, unworn, until the evening.

By the time I get back home in the late afternoon, when I casually sidle up to the coffee machine, pick up my saliva stewed aligners and run them hastily under the tap, I try not to calculate how many germs might have multiplied on them through the day whilst I haven’t been wearing them. And oh, they are tight. I can literally feel that my teeth have been rearranging themselves. Taking their chance to retreat back to their old, higgeldy piggeldy ways.

So, despite the fact that I should be wearing my last upper Invisalign aligner as of yesterday, I am actually skulking around the house in the one before, hoping that it will soon become loose enough for me to dare to change it. I am now so close to the end for my upper arch (although, still forty something more aligners for the bottoms) I want to wear them as much as possible. I want my teeth to be right.

As ever, the hardest thing with these braces is simply remembering to put them back in after eating and to wear them enough hours in the day. So, if you see an odd looking, red headed woman walking around Brisbane with INVISALIGN? tattooed across her forehead, you’ll know it’s just me, trying out my new way of reminding myself to wear my aligners..