It has been a long and painful year, and without much hope of a cure in 2013 I'm not very optimistic.
However, this year has made me stronger as a person and I'd like to thank everyone who has helped in any way possible!
Happy new year and I hope 2013 is an amazing year for all :)
Sunday 30 December 2012
Monday 5 November 2012
Back to the consultant .. 5th November 2012!
Today I went back to see my consultant and even though I'm not 100% happy with what has been said, it's progress!
Firstly, I went in and told him how much pain I am in, how I'm struggling to cope with work and uni, and how I have no social life! I told him that I had been looking into other resolutions and that I wanted a TMJ replacement, which he has mentioned that I may need in the future.
He explained that firstly, I am too young for such drastic surgery, as the joint would have to be replaced every 15 to 20 years, and the more something is operated on, the less it functions. I told him that I don't care what my jaw function is like when I'm 80, I just want it to be better now! He went on to explain that even though a jaw joint replacement would help the pain in the joint, it wouldn't resolve the muscle spasms which are pulling the joint out of place. I asked him whether the replacement might minimise pain which would then control the muscle spasms, but this is a question of the unknown.
He went on to give four needles in the jaw joints to minimise the pain and also measure how much I can open my mouth, which at the moment is 10mm without anaesthetic, and 15mm with. When I cried because of the pain of the needles (which isn't normal for me). he realised how severe the pain has got over the past couple of months. The next steps, which are frustrating but practical are:
- Set up a meeting with another consultant for a second opinion to discuss further options or procedures which may help.
- Have an MRI scan to check they haven't missed anything major.
- Set up an appointment with a clinical psychologist to try and help with the pain and frustration of this problem.
- Wait for the results of my liver function test before starting on a new drug which may help to minimise the pain.
I go back to see him again on the 14th November, so for now I will try to keep smiling and if anybody has had similar problems or has any advice then please let me know :)
Firstly, I went in and told him how much pain I am in, how I'm struggling to cope with work and uni, and how I have no social life! I told him that I had been looking into other resolutions and that I wanted a TMJ replacement, which he has mentioned that I may need in the future.
He explained that firstly, I am too young for such drastic surgery, as the joint would have to be replaced every 15 to 20 years, and the more something is operated on, the less it functions. I told him that I don't care what my jaw function is like when I'm 80, I just want it to be better now! He went on to explain that even though a jaw joint replacement would help the pain in the joint, it wouldn't resolve the muscle spasms which are pulling the joint out of place. I asked him whether the replacement might minimise pain which would then control the muscle spasms, but this is a question of the unknown.
He went on to give four needles in the jaw joints to minimise the pain and also measure how much I can open my mouth, which at the moment is 10mm without anaesthetic, and 15mm with. When I cried because of the pain of the needles (which isn't normal for me). he realised how severe the pain has got over the past couple of months. The next steps, which are frustrating but practical are:
- Set up a meeting with another consultant for a second opinion to discuss further options or procedures which may help.
- Have an MRI scan to check they haven't missed anything major.
- Set up an appointment with a clinical psychologist to try and help with the pain and frustration of this problem.
- Wait for the results of my liver function test before starting on a new drug which may help to minimise the pain.
I go back to see him again on the 14th November, so for now I will try to keep smiling and if anybody has had similar problems or has any advice then please let me know :)
Thursday 1 November 2012
Where I'm up to today..
This is only a fraction of the problems I have faced and if I'd of taken a photo everytime I'd been to hospital or had my jaw come out of place there would be no more room on the page!
It is the 1st November 2012 and I am still having lots of problems. My jaw comes out of place very frequently now, approximately 5/6 times a day and I am in chronic pain! I take cocodomol and naproxen regularly and then oramorph when I feel that I can't cope with the pain. I still have to go to A&E every so often (recently it's been once every week or two), and it is the same procedure but with more of a struggle and someone has to hold it in position for a very long time because the muscle spasms are so strong!
I have no quality of life as I go to work and to university which takes most of my strength and the rest of the time is spent with water bottles on my face, lying down to stop myself passing out,being sick or feeling dizzy. I have been researching jaw problems and I believe that the only solution is a jaw joint replacement. I highly doubt my consultant will want this procedure to happen but I am going to push because I can't carry on with this amount of pain. I have an appointment with him on the 5th November so I'm keeping everything crossed that there will be a long term solution!
It is the 1st November 2012 and I am still having lots of problems. My jaw comes out of place very frequently now, approximately 5/6 times a day and I am in chronic pain! I take cocodomol and naproxen regularly and then oramorph when I feel that I can't cope with the pain. I still have to go to A&E every so often (recently it's been once every week or two), and it is the same procedure but with more of a struggle and someone has to hold it in position for a very long time because the muscle spasms are so strong!
I have no quality of life as I go to work and to university which takes most of my strength and the rest of the time is spent with water bottles on my face, lying down to stop myself passing out,being sick or feeling dizzy. I have been researching jaw problems and I believe that the only solution is a jaw joint replacement. I highly doubt my consultant will want this procedure to happen but I am going to push because I can't carry on with this amount of pain. I have an appointment with him on the 5th November so I'm keeping everything crossed that there will be a long term solution!
Lateral Pterygoid Myotomy and Lateral Pterygoid Plate Osteopathy!!
20th December 2011 and I was booked in for a lateral pterygoid mytomy and a lateral pterygoid plate osteopathy! Basically, the lateral pterygoid (one of the jaw muscles which makes the jaw move from side to side) was detached at both sides in an attempt to stop it moving the jaw! My scar was opened up on the left side and the surgery was performed there and also the back of my mouth was cut open so that they could break the small bone which is attached to the muscle. When I woke up I was in agony and my arch bars were still fitted as I had to have elastics attached whilst I was swollen.
My lovely scar again and my cheek as it started to swell after the surgery!
Unfortunately, I couldn't eat my Christmas dinner (again) and I was in a lot of pain but still attempted to put on a brave face! After this surgery I got nerve damage in my left eyebrow which means that I can no longer raise it, and I also had short term paralysis of the left side of my mouth but this came back after 4 weeks.
I went back to work after 6 weeks off on the 6th January 2012, and went to see my consultant on the 11th January; we discussed a further operation on the right side of my jaw which would be scheduled for March/April time and I was happy with this decision because even though my jaw was far from perfect, I needed to improve my attendance at work and also get the grades at college so that I could go to university.
However, on the 23rd January my jaw yet again decided it didn't like staying where it should be and came out of place, which meant another trip to A&E (my second home). We contacted Mr Dodd because we didn't want the cycle to start up again and he booked an operating slot for the 31st January. Before this time my jaw came out of place a further 4 major times (which meant A&E) but countless times where I was able to fix it myself.
This time round, I had a lateral pterygoid plate osteopathy and botox, which meant that I had no external scarring and the operation was performed from inside my mouth.
After this operation, I did have a bit of a life, I managed to go back to work after my second sick note, attend university interviews and carry on at college. My jaw started to lock closed or out of position but if I left it, it would often go back to it's original position. In May 2012, my jaw locked shut, and at first there wasn't anything strange about this, but it remained locked for over 6 weeks; I was unable to open my jaw at all! This meant that I was back to a liquid diet and I was so frustrated because no doctor knew how to resolve the problem!
My lovely scar again and my cheek as it started to swell after the surgery!
Unfortunately, I couldn't eat my Christmas dinner (again) and I was in a lot of pain but still attempted to put on a brave face! After this surgery I got nerve damage in my left eyebrow which means that I can no longer raise it, and I also had short term paralysis of the left side of my mouth but this came back after 4 weeks.
I went back to work after 6 weeks off on the 6th January 2012, and went to see my consultant on the 11th January; we discussed a further operation on the right side of my jaw which would be scheduled for March/April time and I was happy with this decision because even though my jaw was far from perfect, I needed to improve my attendance at work and also get the grades at college so that I could go to university.
However, on the 23rd January my jaw yet again decided it didn't like staying where it should be and came out of place, which meant another trip to A&E (my second home). We contacted Mr Dodd because we didn't want the cycle to start up again and he booked an operating slot for the 31st January. Before this time my jaw came out of place a further 4 major times (which meant A&E) but countless times where I was able to fix it myself.
This time round, I had a lateral pterygoid plate osteopathy and botox, which meant that I had no external scarring and the operation was performed from inside my mouth.
After this operation, I did have a bit of a life, I managed to go back to work after my second sick note, attend university interviews and carry on at college. My jaw started to lock closed or out of position but if I left it, it would often go back to it's original position. In May 2012, my jaw locked shut, and at first there wasn't anything strange about this, but it remained locked for over 6 weeks; I was unable to open my jaw at all! This meant that I was back to a liquid diet and I was so frustrated because no doctor knew how to resolve the problem!
Next Step . . .
On the 4th October 2011, I had yet another operation at Aintree Hospital; this time my consultant opened up my previous scar to run a cold probe over the nerves to try and kill them. He also tried the botox injections again and even though this was only a relatively small operation it left swelling and tenderness for a few weeks.
It was hoped that this would be the last of my troubles but the pain was still agonising and my jaw would still pop out of place, the only difference was that I was able to get it back into place myself, for a couple of weeks at least! Then I was back into the same routine of jaw coming out of place, to A&E, at the same time this was happening I had just got myself a job at tesco and I was studying a foundation degree to hopefully get myself into uni!
A particularly bad dislocation was on the 19th November 2011; I went to A&E and they tried everything to get my jaw back into position but couldn't, so I was transferred to Aintee Hospital, given painkillers and had to await the doctors verdict the next morning. They tried a local anaesthetic which didn't work so I was taken down for an emergency procedure to relocate my jaw. The pain was horrible and I had to get a sick note because my jaw was so unpredictable I didn't know if it would be in place when I was required to work. My jaw was back to the same menial routine:
-26/11/2011 - Gas and Air
-30/11/2011 - Gas and Air
-02/12/2011 - Gas and Air & Local Anaesthetic
-04/12/2011 x3! - Morphine, Medazalam and Gas&Air in Resus
-06/12/2011 - Gas&Air and Diazapan in Resus
-08/12/2011 - Gas&Air, Diamorphine and Relaxant
-09/12/2011 - Whiston A&E couldn't get my jaw back into place so yet again, I was sent to Aintree Hospital. The next day (10th December), they decided to wire my jaws together as I had 10 days left until a scheduled operation and both myself and the NHS couldn't cope with the amount of times my jaw came out of place!
Thought I'd seen the last of these arch bars but obviously not! I lived off smoothies, soups, complan and liquidised mush that my mum managed to blend together.
Trying to smile even though this was the time to cry! I lasted ten days with my jaws wired together until I was admitted for another operation in an attempt to keep my jaw in place!
It was hoped that this would be the last of my troubles but the pain was still agonising and my jaw would still pop out of place, the only difference was that I was able to get it back into place myself, for a couple of weeks at least! Then I was back into the same routine of jaw coming out of place, to A&E, at the same time this was happening I had just got myself a job at tesco and I was studying a foundation degree to hopefully get myself into uni!
A particularly bad dislocation was on the 19th November 2011; I went to A&E and they tried everything to get my jaw back into position but couldn't, so I was transferred to Aintee Hospital, given painkillers and had to await the doctors verdict the next morning. They tried a local anaesthetic which didn't work so I was taken down for an emergency procedure to relocate my jaw. The pain was horrible and I had to get a sick note because my jaw was so unpredictable I didn't know if it would be in place when I was required to work. My jaw was back to the same menial routine:
-26/11/2011 - Gas and Air
-30/11/2011 - Gas and Air
-02/12/2011 - Gas and Air & Local Anaesthetic
-04/12/2011 x3! - Morphine, Medazalam and Gas&Air in Resus
-06/12/2011 - Gas&Air and Diazapan in Resus
-08/12/2011 - Gas&Air, Diamorphine and Relaxant
-09/12/2011 - Whiston A&E couldn't get my jaw back into place so yet again, I was sent to Aintree Hospital. The next day (10th December), they decided to wire my jaws together as I had 10 days left until a scheduled operation and both myself and the NHS couldn't cope with the amount of times my jaw came out of place!
Thought I'd seen the last of these arch bars but obviously not! I lived off smoothies, soups, complan and liquidised mush that my mum managed to blend together.
Trying to smile even though this was the time to cry! I lasted ten days with my jaws wired together until I was admitted for another operation in an attempt to keep my jaw in place!
Spiralling Downhill . . .
So, July 2012, my jaw dislocates again...Whiston A&E were unable to relocate it after lots of gas and air, sedation and tears, they decided to transfer to Aintree to see if I had any luck there! When I got to their A&E I was taken to the Surgical Assessment Unit and a doctor did attempt to relocate it, but by now my jaw had been out of place for over 12 hours and muscle spasm was keeping it out, I was given morphine injections and transferred to ward 29 to wait till the morning rounds..
One of the registrars, spoke down her nose and said that "it shouldn't be out of place" and made out that I was exaggerating! I was in floods of tears, after a night with no sleep and agonising pain, I wasn't prepared to be told this! She injected local anaesthetic into the joints and did manage to get it back into place, but what she said still gets to me!!
Once seeing my consultant, he decided to do another attempt at arthrocentesis and also to remove my wisdom teeth on one side as he thought that maybe this could be an underlying cause to the muscle spasms causing my jaw to come out of place. During this small operation he also made a gum shield to wear at night to prevent any grinding of the teeth, and injected botox into the muscles as another attempt to prevent muscle spasm.
As you may have guessed by now, this didn't resolve the problem! It was by now a depressing vicious cycle and I was struggling to cope with the pain. I was literally in A&E every other day, and in total I have probably been over 200 times in 2 years. I began to write the dates down and here they are...
28/08/2011 - Jaw dislocated
01/09/2011 - Jaw dislocated - Medazalam and Morphine
06/09/2011 - Jaw dislocated - Gas and Air
12/09/2011 - Jaw dislocated - Medazalam and Pain Relief
16/09/2011 - Jaw dislocated - Gas and Air
20/09/2011 - Jaw dislocated - Medazalam and Morphine
22/09/2011 - Jaw dislocated x2 - Medazalam and Gas & Air
25/09/2011 - Jaw dislocated - Had a General Anaesthetic in Resus
27/09/2011 - Jaw dislocated x2 - Gas & Air and Local Anaesthetic
28/09/2011 - Jaw dislocated - Gas & Air, Morphine and Medazalam
30/09/2011 - Jaw dislocated - Gas & Air and Local Anaesthetic
01/10/2011 - Jaw dislocated - Gas & Air, Morphine and Sedation
03/10/2011 - Jaw dislocated x2 - Sedation and Local Anaesthetic
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22nd September 2011 - Whiston A&E, gas and air had been used and failed, so I was taken into resus and sedated, they then had to hold my jaw in place whilst it spasmed and then they bandaged it tightly to try and let it settle...
27th September 2011 - Being left to get myself drugged up on gas and air before they attempt to manipulate it back into place.
One of the registrars, spoke down her nose and said that "it shouldn't be out of place" and made out that I was exaggerating! I was in floods of tears, after a night with no sleep and agonising pain, I wasn't prepared to be told this! She injected local anaesthetic into the joints and did manage to get it back into place, but what she said still gets to me!!
Once seeing my consultant, he decided to do another attempt at arthrocentesis and also to remove my wisdom teeth on one side as he thought that maybe this could be an underlying cause to the muscle spasms causing my jaw to come out of place. During this small operation he also made a gum shield to wear at night to prevent any grinding of the teeth, and injected botox into the muscles as another attempt to prevent muscle spasm.
As you may have guessed by now, this didn't resolve the problem! It was by now a depressing vicious cycle and I was struggling to cope with the pain. I was literally in A&E every other day, and in total I have probably been over 200 times in 2 years. I began to write the dates down and here they are...
28/08/2011 - Jaw dislocated
01/09/2011 - Jaw dislocated - Medazalam and Morphine
06/09/2011 - Jaw dislocated - Gas and Air
12/09/2011 - Jaw dislocated - Medazalam and Pain Relief
16/09/2011 - Jaw dislocated - Gas and Air
20/09/2011 - Jaw dislocated - Medazalam and Morphine
22/09/2011 - Jaw dislocated x2 - Medazalam and Gas & Air
25/09/2011 - Jaw dislocated - Had a General Anaesthetic in Resus
27/09/2011 - Jaw dislocated x2 - Gas & Air and Local Anaesthetic
28/09/2011 - Jaw dislocated - Gas & Air, Morphine and Medazalam
30/09/2011 - Jaw dislocated - Gas & Air and Local Anaesthetic
01/10/2011 - Jaw dislocated - Gas & Air, Morphine and Sedation
03/10/2011 - Jaw dislocated x2 - Sedation and Local Anaesthetic
22nd September 2011 - Whiston A&E, gas and air had been used and failed, so I was taken into resus and sedated, they then had to hold my jaw in place whilst it spasmed and then they bandaged it tightly to try and let it settle...
27th September 2011 - Being left to get myself drugged up on gas and air before they attempt to manipulate it back into place.
Wednesday 31 October 2012
Eminectomy Number 2
For the rest of 2010, I was in and out of hospital, having my jaw relocated and praying for an end to this trauma. I became friendly with the majority of Whiston A&E staff, and every time I went, I would ask if Vi jay was on shift, as he was the only doctor who could relocate with just gas and air. This was no way to live and I really struggled when starting my new course at college! I must have been to A&E over 100 times in a year (no exaggeration!!). I had my second eminectomy in November 2010..
This did seem to work at the time, apart from a small amount of pain, I was ALOT better! I had 5 months of relief and I could smile, laugh, talk and sneeze without dislocation!
This did seem to work at the time, apart from a small amount of pain, I was ALOT better! I had 5 months of relief and I could smile, laugh, talk and sneeze without dislocation!
Eminectomy Number 1
I was admitted to hospital earlier than planned because my jaw dislocated and A&E was unable to relocate it. On Monday 5th April 2010 I was transferred to Ward 29 at Aintree Hospital and on the Tuesday I was taken to theatre to relocate my jaw. I was then told I needed to stay in until my operation on the Friday as my jaw was now dislocating every other day! On the Friday I had the operation and was kept in overnight for monitoring...
This was the left jaw joint which was operated on, however, the right jaw joint was still causing problems, this operation only provided short term relief from the endless trips to A&E but within a month I was back to the same routine; jaw dislocation, A&E, drugs to relocate, sleep, it was a vicious cycle and the pain was terrible!
This was the left jaw joint which was operated on, however, the right jaw joint was still causing problems, this operation only provided short term relief from the endless trips to A&E but within a month I was back to the same routine; jaw dislocation, A&E, drugs to relocate, sleep, it was a vicious cycle and the pain was terrible!
The Jaw Horror, Part 2
After a year and half of no problems, you would think that everything is fine and there is no need to worry...wrong! In 2009, after another seizure at air cadets, my jaw dislocated and this was the start of an agonising three years! I went home and my mum thought that if we put ice on it, the swelling would go down and hopefully it would relocate, but after a painful 12 hours, there was no change. Even though I was 17, we contacted Alder Hey as they had my past history, and they told us to go to the clinic to get seen. They doctor used local anaesthetic in the joints and force to relocate the joint, and even though this was a painful procedure, I felt much better once the joint was back in place.
My jaw dislocated a couple more times and we went back to the same doctor who relocated the jaw each time, but I was referred to Aintree Hospital to see a specialist as I was now too old for Alder Hey. From September 2009 to approximately November, my jaw dislocated over 20 times, and this meant going to Whiston A&E and either using gas and air to get the jaw back in, or being sedated with a variety of medicines in resus so that the doctors could get the jaw back in place.
There came a point where the doctors tried to bandage my head up tightly to try and prevent my jaw coming out of place. I had to eat mush through a straw and also go into college with my head in bandages in an attempt to keep everything in place...
This didn't work, and I just looked like a fool for several weeks! After meeting my consultant; Mr Dodd, he asked for an MRI scan of the jaw joints and recommended arthrocentesis (washing out the jaw joint), so I agreed but this looked like there wasn't going to be a "quick fix". As my jaw was still causing so much trouble, I was admitted to Aintree Hospital because Whiston A&E couldn't relocate the jaw like usual, and I was took into theatre so that they could fit "buttons", which have the same effect as arch bars but aren't as noticable. However, these failed to work as the elastics continued to snap everytime my jaw dislocated so they were removed at a later date. In January 2010, a date was set to have an eminectomy (which is the removal of the articular eminence so the ball of the joint no longer gets stuck in front of it). The date was the 9th April, which meant that I still had a gruelling 3 months to live with this painful problem!
My jaw dislocated a couple more times and we went back to the same doctor who relocated the jaw each time, but I was referred to Aintree Hospital to see a specialist as I was now too old for Alder Hey. From September 2009 to approximately November, my jaw dislocated over 20 times, and this meant going to Whiston A&E and either using gas and air to get the jaw back in, or being sedated with a variety of medicines in resus so that the doctors could get the jaw back in place.
There came a point where the doctors tried to bandage my head up tightly to try and prevent my jaw coming out of place. I had to eat mush through a straw and also go into college with my head in bandages in an attempt to keep everything in place...
This didn't work, and I just looked like a fool for several weeks! After meeting my consultant; Mr Dodd, he asked for an MRI scan of the jaw joints and recommended arthrocentesis (washing out the jaw joint), so I agreed but this looked like there wasn't going to be a "quick fix". As my jaw was still causing so much trouble, I was admitted to Aintree Hospital because Whiston A&E couldn't relocate the jaw like usual, and I was took into theatre so that they could fit "buttons", which have the same effect as arch bars but aren't as noticable. However, these failed to work as the elastics continued to snap everytime my jaw dislocated so they were removed at a later date. In January 2010, a date was set to have an eminectomy (which is the removal of the articular eminence so the ball of the joint no longer gets stuck in front of it). The date was the 9th April, which meant that I still had a gruelling 3 months to live with this painful problem!
Where my problem began!
At 15, I had a seizure down some steps, and BAM! My jaw dislocated there and then and has been problematic ever since! The picture is a few days after the seizure, my face was a bruised and swollen mess and as you can see, my jaw clearly isn't where it is supposed to be!
I was referred to Alder Hey Children's Hospital and that first night in A&E was hell! They tried to relocate it with gas and air but the pain was too great and they couldn't do it so they sent me home, I was told to come back the next day to see someone from the Maxillofacial Department. The next day I met a consultant; Mr Cooper, he examined my jaw and basically said that I would have to wait for a surgical slot. This was in June 2007 and the operation was scheduled for August 2007, two months to wait in pain and unable to eat!
When the August date arrived, I was booked into Alder Hey to have arch bars fitted so that they could wire my jaw into a fixed position. This was their first attempt at keeping it in place, the bands weren't strong enough so it was still dislocating...
Attempt number two was a lot more bands, this made it difficult to breathe and even harder to get food through the bands, I resorted to sticking chocolate buttons down the sides of my mouth and letting them melt :)
Unfortunately, these bands weren't strong enough for my dodgy jaw and after sneezing one evening towards the end of August, my jaw dislocated causing the bands to snap and the arch bars to come loose from my gums.
I went to A&E when this happened and they decided that the only option was to give a local anaesthetic and take the arch bars off as a temporary solution. However, I panicked when they brought the needle towards my face so I was told to attend the clinic the next day...
After seeing my consultant again, he decided to book a theatre slot and to fit the arch bars again, but this time wire them together with metal to prevent the bands snapping.
After this operation, the wires were left on for 5 months, which meant I couldn't eat my Christmas dinner and lost a lot of weight, but in January 2008 the metal was cut off and I was able to open and close my mouth again! After a minor operation in the February to remove the arch bars, everything seemed settled and I was happy with the results, but this wasn't to last...
I was referred to Alder Hey Children's Hospital and that first night in A&E was hell! They tried to relocate it with gas and air but the pain was too great and they couldn't do it so they sent me home, I was told to come back the next day to see someone from the Maxillofacial Department. The next day I met a consultant; Mr Cooper, he examined my jaw and basically said that I would have to wait for a surgical slot. This was in June 2007 and the operation was scheduled for August 2007, two months to wait in pain and unable to eat!
When the August date arrived, I was booked into Alder Hey to have arch bars fitted so that they could wire my jaw into a fixed position. This was their first attempt at keeping it in place, the bands weren't strong enough so it was still dislocating...
Attempt number two was a lot more bands, this made it difficult to breathe and even harder to get food through the bands, I resorted to sticking chocolate buttons down the sides of my mouth and letting them melt :)
Unfortunately, these bands weren't strong enough for my dodgy jaw and after sneezing one evening towards the end of August, my jaw dislocated causing the bands to snap and the arch bars to come loose from my gums.
I went to A&E when this happened and they decided that the only option was to give a local anaesthetic and take the arch bars off as a temporary solution. However, I panicked when they brought the needle towards my face so I was told to attend the clinic the next day...
After seeing my consultant again, he decided to book a theatre slot and to fit the arch bars again, but this time wire them together with metal to prevent the bands snapping.
After this operation, the wires were left on for 5 months, which meant I couldn't eat my Christmas dinner and lost a lot of weight, but in January 2008 the metal was cut off and I was able to open and close my mouth again! After a minor operation in the February to remove the arch bars, everything seemed settled and I was happy with the results, but this wasn't to last...
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