Driving home from Canada last weekend, my wife Roberta and I found ourselves talking about … teeth.
Specifically, we were talking about “the tooth that bothers me.” More on that in a minute.
Another part of the converstion went like this: I remarked how that, generally speaking, I preferred the smile of someone who’s teeth weren’t perfect but rather just a bit crooked or otherwise off, for lack of a better word. Obviously, a person with teeth that are perfect or really close to it can have a super nice smile too, and as an example of that I mentioned my co-worker Karen Petersen.
Here, you can see for yourself. Here she is, with yours truly, at a SafeHaven Humane Society fundraiser a couple years ago (I am hanging onto my dog Jewel, Karen has a one of the shelter dogs):

Anyway, back to this tooth that “bothers” me …
When my adult teeth came in, the top ones were pretty much OK, but the bottom ones were crowded, resulting in the particular crookedness of one in the middle.
So at age 11, the orthodontist determined there really wasn’t enough room on either the top or the bottom and recommended the extraction of four molars and the installation of braces.
That diagnosis represented a low ebb in my life to that point. I would be one of two kids in my grade school who had braces, which would no doubt subject me to the kind of ridicule every school kid dreads. Beyond that, the braces of the 1970s were vastly more intrusive and less comfortable than what you see people wearing nowadays (I had an actual, over-the-tooth band on every single tooth; these bands were hammered into place with something that resembled a leatherworker’s mallet, I kid you not).
Picking up the pieces of my broken life, I soldiered through the extractions, the installation and then about a year and a half of wearing the devices of torture (at least I didn’t have to wear a headgear). And that day in the eighth grade when I got them off remains on the short list of the happiest days in my life.
What followed were a few years of wearing a removable retainer on top, and a cemented-in one on the bottom. I followed all the instructions and then was paroled, forever, from the world of orthodontia. Or so I thought.
Both my kids, as it turned out, needed braces. And when I met with their orthodontist, I noticed him sizing up my pearly whites as well.
“You’d be a perfect candidate for a recorrection,” he said, alluding to the unmistakeable fact that my bottom teeth had over the decades drifted back more or less to what they looked like before the whole braces ordeal had begun.
“No chance,” I said with a laugh.
A few years later, at one of my baseball games, my mom happened to notice my one super-crooked bottom tooth.
“It seems like it bothers you,” she said.
“It does bother him,” my kid Bob said, for the sole purpose of egging on his grandmother.
“You should do something about that,” she said. “I can tell it bothers you, like when you’re talking.”
So in the ensuing years my family has jokingly referred to that one specimen as “the tooth that bothers me.”
Unfortunately, at this point, I have to admit it does sort of bother me, encroaching increasingly on my tongue as it does. I asked my dentist once about just pulling it out, but she was afraid the extraction would cost me too much bone in my jaw, which sounded bad though I admit I don’t really understand how that works.
“It does seem to be getting worse,” my wife Roberta said of the tooth Sunday during our talk on smiles.
“Well,” I said, “I’m about due to go to the dentist. Maybe I’ll ask about it again. I suppose if she thought orthodontia were medically necessary, and insurance would pay for it, I’d consider it. But braces at age 46? Maybe they’d make me look younger, I guess; I’ve heard that they do.”
And just in case you were wondering what all the fuss is about, here’s a self-shot photo, taken in the bathroom mirror here at the DH (I could’ve had someone else take the shot, but I wanted the challenge).
Warning: This particular gaping-mouthed pic is not necessarily for the faint of heart:


10 comments
den8tin says:
Oct 16, 2009
As a dentist, I can tell you that unfortunately your dental condition is not static, and will continue to change as the years pass. The crowded spacing on your lower anterior teeth are not aligned "shoulder to shoulder" and will continue to become more crowded as your posterior teeth continue to incline lingually(toward your tongue side) and the wear to your upper incisors on your left side(taking into account it is a mirror shot) on the edges and back sides of those teeth. Women more likely will develope jaw joint problems from such alignment, but men tough it out better.
den8tin says:
Oct 16, 2009
Additionally, tinnitus might be a complication of misaligned teeth, but more importantly, the misalignment of of your upper and lower jaws that occured with the removal of teeth and not treating for stability in your bite by aligning your upper and lower jaws and then aligning yor teeth to that position. Your appropriate treatment would be treatment of your temporal mandibular joint (TMJ) with a removable bite splint, then slenderizing the sides of your lower teeth and widening your upper arch with a retainer type appliance, and finally brackets to straighten the teeth. Usually would be a 1 year effort, perhaps a little longer. The deal is that TMJ treatment is usually covered by medical and/or dental insurances.
Laure_A says:
Oct 16, 2009
I have one like that too, but I've gotten used to it over the years and only think about it when I'm feeling self-conscious. Decided I didn't want braces when they said they were going to have to pull teeth first.
den8tin says:
Oct 17, 2009
It is not necessary to remove teeth in adults in order to gain the necessary spacing needed. Each tooth can have 1/2 mm on either side trimmed away as the enamel of the teeth are thick enough to do so and even more in back teeth. It is non intrusive and you get 7-8 mms of space in a 1/2 hr session, which is about equal in width the the crowded lower incisor, which then can easily be moved in to the correct alignment within 3-6 months with with today's thermal activated NiTi wires.
PamWaterman says:
Oct 17, 2009
If you can, I recommend you go for the braces. I had them last year at age 53, for the opposite problem – big gap between the lower front teeth that opened up gradually after my FIVE years in full-metal bands. Back then, they truly believed that you didn't need a retainer after your wisdom teeth were out. They've since found out they were wrong. Oh well, it was really not that bad at all, and I'm really glad I did it. Now I wear the retainer at night and it's no problem. BTW there's a website where you can post questions that's all about adult braces, http://www.ArchWired.com.
PamWaterman says:
Oct 17, 2009
If you can, go for it. I had adult braces last year at age 53, as I had the opposite problem. After five years of full-band teen braces, a gap opened up right between my lower front teeth. It had been believed that once my wisdom teeth were out, there were no remaining forces at work and that teeth would stay put. Therefore they said I could stop wearing my retainer. That belief has since changed, and now I'll wear my retainer at night forever but it's no problem at all. BTW, there's a lot of good info at http://www.ArchWired.com, which is a website all about adult braces, and there's more general info at http://www.braces.org, the website of the American Association of Orthodontists. Best wishes.
Lundy: Ever amazed « Steve Lundeberg says:
Nov 2, 2009
[...] “Hey Karen,” I said to city editor Karen Petersen. “My dentist’s office apparently reads my blog. They just left me a message and want to talk to be about ‘the tooth that bothers me,’” which I had written about recently. [...]
Lundy: Dentistry through the years « Steve Lundeberg says:
Nov 30, 2009
[...] ago, I wrote in this space about a certain tooth that, depending on who you talk to, has caused me a bit of trouble over the [...]
Lundy: Breaking the molds? « Steve Lundeberg says:
Dec 12, 2009
[...] The bottom teeth, which of course you can’t really see here, look pretty much the same now — crooked and crowded — as they did when this model was made before I had braces. If you want a visual for what we’re talking about, click here. [...]
Lundy: Bands on the run « Steve Lundeberg says:
Feb 19, 2010
[...] won’t stay in place, of course, is the “tooth that bothers me.” I’m visiting an oral surgeon at 12:30 tomorrow to have it pulled. I’ll let you know how [...]