Re: [daughter] Update

[Custodial Dad] and [Step Mother] [last name] <[Custodial Dad’s home email]@[email].com>

Tue, Apr 20, 2010 at 12:53 PM

To: [The Ex] [last name] <[the ex email]@[email].com>

[The Ex];

No, I will not hold up treatment as you are in [other state] and I will not wait to hold up treatment to wait until you have the opportunity to travel to [home state].

I was keeping you informed however, not necessarily asking your permission.  As evidenced by our previous exchanges, I had no doubt you would object to any form of treatment or any decision that I may make for [daughter].

To clarify and answer some of your questions:

[orthodontist] was our SECOND consult as you are aware.  Please see the email update regarding [daughter]’s dental treatment approximately a month prior.

There will be no paces of infection, no body issues and no true alternative outside of oral surgery.  It is an appliance placed in the mouth similar to a retainer or braces.  She may initially have trouble with speech but that should clear up in a day or two.

This is the least invasive method of treatment for [daughter]’s horizontal approach of her adult teeth.

The roots of her frontal adult teeth are being eroded by the placement of her incoming teeth.  Had she been under constant dental care, as is recommended every 6 months, her previous dentist would have witnessed the problem long before it became an issue.

The appliance, which is superficially attached to the roof of her mouth, will hopefully prevent the need for extensive oral surgery including removing baby teeth and guiding the adult teeth into proper placement by utilizing weights.

I am confident in the level of treatment prescribed by [orthodontist] and his staff.  I am very well aware of the caliber of work preformed by [orthodontist] and I am already well versed and fluent on palate extenders as we have done so previously with one of our other children with no issues or side effects.  I provided you with the contact information for [orthodontist] and his office.  If you have subsequent questions, please feel free to contact them directly.

[Custodial Dad]

On Apr 20, 2010, at 12:17 PM, [The Ex] [last name] wrote:

[Custodial Dad],

Can you help me to understand this dental care for [daughter] before anything is actually treated?

I would like to be in the dental office for anything except cleaning and sealing.

Can you respect and uphold that for this dental care you have presented to me?

Please explain the decision to have this expander, consideration of alternatives, the decision to or not to consult another pediatric dentist,infection possibilities, body image issues-if any- for [daughter] and how you have and plan to address these things?

What information supports this decision for this child, [daughter], and why is this being done at this time?  Please ask your selected dentist for a patient education sheet on this option for [daughter] and any other written explanation of the risks involved and need for [daughter] to have this done at this time and send it to me or have it sent to me via mail.  Please verify via email with me the mailing address you will give for me.

Please help me to understand your decision on [daughter] s dental care before you move ahead with treatment.

Thanks.

[The Ex]

On Mon Apr 19th, 2010 6:01 PM EDT The [last name] [last name]s wrote:

[The Ex]

I’ve been side tracked with the flurry of emails but before I forget, [daughter] went for for Orthodontic consult with [orthodontist] today.  It was our initial visit and we discussed [daughter]’s horizontal approach of her eye teeth.  It was decided that she would have a palate expander to expand her upper jaw.  Its a metal appliance that will be placed connected to her molars and will be turned daily by a special key.  He also found that her teeth are severely crowded and that her upper jaw is excessively narrow.

We will begin the process on Wednesday.  We are fairly fluent on the process as one of our children has already undergone a similar process.  [daughter] may or may not need to have her palate extender expanded during her vacation with you.  If that is the case, I will ensure to properly prepare you on the procedures and upkeep of the palate extender while she is visiting with you.

[orthodontist] will decide in the next few months if removing her baby eye teeth  will become necessary but he is reserving judgment to decide depending on how well her jaw expands.  However, thus far he anticipates needing to remove the teeth due to the rapid deterioration of the roots of her front upper teeth caused by the approach of said eye teeth.

The total cost is $2400 but we received a $250 discount since one of my children had his braces fitted with [orthodontist].

Here is a link to explain:

http://www.ehow.com/video_4982783_what-palate-expander.html

Here is a picture of the key:

http://www.jco-online.com/files/reviews/images/2005_11/[custodial dad’s family]neSwivel_1.jpg

Here is a video which is similar to the approach [orthodontist] will be using:

http://www.youtube.com/watch?v=EJKlDbsobkI

If you have any questions, feel free to email [Step Mother] or myself or call the staff at [orthodontist]’s office.  The entire staff is fantastic and very knowledgeable.

Take Care!

[Custodial Dad]

The [last name] [last name]s

[Custodial Dad’s home email]@[email].net

[Custodial Dad] and [Step Mother] [last name]

[Custodial Dad’s home email]@[email].com

[The Ex] [last name] <[the ex email]@[email].com>

Wed, Apr 21, 2010 at 3:56 PM

To: [Custodial Dad’s home email]@[email].com

Hi, [Custodial Dad].

Sounds like you covered your bases in making this decision for [daughter].

I am aware it is your decision but I would make all efforts to be there when it is to be placed- on whatever schedule you make with the doctor. Please let me know the date and time.  I d be grateful to attend. I am able to travel if I am not scheduled for class or rotations.

Thanks.

[The Ex]

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[Custodial Dad] and [Step Mother] [last name] <[Custodial Dad’s home email]@[email].com>

Wed, Apr 21, 2010 at 4:20 PM

To: [The Ex] [last name] <[the ex email]@[email].com>

You can afford a flight to [home state] but can not afford mailings to [daughter]? Anyway...

[daughter] is already under care by the Orthodontist as she was seen today and she always has either [Step Mother] or myself for comfort. She is never alone and expressed no discomfort with the procedure or treatment.

If it were something important, I would be sure to call and invite you up to be present.

[Custodial Dad]

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