Solarpunk … orthodontics?

My jaw hurts.

It’s hurt for decades; I started clenching it at night when I was asleep when I was a preteen. This coincided with several factors, none of which I think are wholly the source but were probably contributors to the issue: we had just moved cities and I was under a ton of stress moving to a new neighbourhood and starting at a new school for the first time, I had just begun an orthodontics saga of many years which started with wearing headgear to forcibly shove my upper back molars further back into my skull in order to make room for the rest of my upper teeth to move backwards (with the eventual help of braces) to correct an overbite that was starting to affect my bite, and that I was an extremely anxious eldest child. Looking back, it’s clear I was on the spectrum and had a diagnosable anxiety disorder. But discovering that would be much further in the future.

All I knew at the time was that my jaw hurt. I told my dentist and orthodontist and they recommended I sleep on my back, so that I would have less chance of clenching. I did this, and still to this day must choose: do I sleep clenching my jaw, or with my mouth wide open? I have a choice between a) painful muscles or b) terrible breath in the morning + slowly yellowing teeth. Hoorah. I wasn’t given any other advice.

It is at this point that I would have liked any of the professionals involved in the process to have talked to me about the ramifications of seriously and irrevocably altering the shape of my jaw on the surrounding musculature but frankly, I’m not sure they were trained to do that. And by “that” I mean talking to children, communicating professional knowledge to a lay audience, and knowing about the muscles of the face all at the same time.

I would hope that in a future solarpunk society, there would be people with those skillsets employed by health professionals to communicate and emphasize a more holistic look at healthcare - in a way that meets people where they’re at. I was thirteen; I wasn’t ready to hear or understand even the little that dentists would tell me now in my late thirties. I needed someone skilled to discuss this with me. The braces and headgear needed to happen: my bite was getting painful, my overbite was growing so extreme. But even a knowledge of the side effects would have been empowering to me, as a child. I had very little say in any of this process, though I got to pick the colour of the elastics around my braces, yay.

My jaw still hurt.

In the early days of 2012, I woke up one morning and couldn’t chew my food without pain: not even soft foods such as pancakes were safe. I made an emergency appointment with my dentist at the time, who quickly assessed the issue and whipped up a mouthguard for me. I didn’t have insurance at the time (having aged out of my parents’ coverage, and none afforded by my college), and the dentist was sensitive to that, and gave me a discount. Bless him; I’m sure he’s long retired, but I hope that if that little family dentist office off the Danforth in Toronto is still in operation, that it’s seeing some good years.

Wearing a mouthguard every single night to bed wasn’t foreign to me, because I’d worn the retainer I was given after my braces came off religiously for many years until about two years before this. I still wear a retainer to this day: it not only makes it so that I am not clenching quite as hard, but it saves my teeth from the bone-cracking pressure. (I was informed by my current dentist that clenching my teeth is a major contributor to my receding gums, which is a current dental issue I have, yay again.)

My jaw still hurts now, though.

In that future solarpunk world, I’m sure young people wouldn’t wake up with debilitating pain in their jaw and be forced to think above all else about how this is a financial setback. In a future solarpunk world, I would hope that insurance coverage would be a thing of the past, as it would be unnecessary. I don’t know how the details of that would work out. I just know it would save so many young people from worsening the anxiety that was already so bad that it led to jaw pain.

When I moved to a new city and saw a new chiropractor, he would help me to mobilize and relieve the tension somewhat in those muscles at the end of each appointment. It helped, somewhat, especially to mitigate the damage caused by the stress of graduate school - and then a car accident, and then COVID.

I was finally diagnosed with an anxiety disorder several years ago, and though I’m mitigating it to my best abilities, I haven’t stopped clenching my jaw while I sleep, or during the day subconsciously. I’m still searching for some sort of relief other than constantly wearing my nightguard, which is just an automatic thing that I do after brushing my teeth every night. (I don’t think that this sort of wearable tech makes me a cyborg, just a boring responsible person.)

In a solarpunk world, many people are going to need dental surgery. Many people are going to need orthodontic interventions. It’s just a fact. But what can we do now to make sure that the dentists and orthodontists of the future actually work to make their patients’ lives better, not just their teeth?

This is my two cents’ worth. What do you think?

PS: I should mention that though I live in Canada, dental is not covered by our (ailing, politically besieged) social healthcare system.