Message Report

Generated: 06/08/2022 at 03:04 AM by Brooke Collier OurFamilyWizard, LLC.

230 13th Avenue NE, Minneapolis, MN 55413
Number of messages: 1 ourfamilywizard.com
Timezone: America/Chicago info@ourfamilywizard.com
(866) 755-9991
Parents: Brooke Collier, Tyler Rupert
Child(ren): Eva Rupert, Iris Rupert
Third Party: Nancy Collier, Jenna Esquibel

Message 1 of 1
Sent: 04/19/2019 at 07:24 PM
From: Brooke Collier
To: Tyler Rupert (First Viewed: 04/20/2019 at 07:30 AM)
Nancy Collier (First Viewed: 04/19/2019 at 07:51 PM)
Subject: RE: Girls this weekend
Tyler,
The appliance has not been turned any more or less than the treatment plan prescribed. If you recall, I used to be an orthodontic and pediatric
assistant in Dr. Prater's practice for years when we were together. I have the expertise and I have organized and made the time available for me to make
the adjustments needed. I'm unsure what you feel you are not in control of, or feel you should be controlling about her current orthodontic
appliance? This is a very necessary and important step in Eva's overall health in general and I was disappointed that you were unable to be more
cooperative and pleasant in your messages about the steps I have taken for the most important factor, which is to benefit Eva.

Regarding your notification of this pending orthodontic treatment, you have been notified by both my mom and I on several correspondences
spanning at least 6 months to a year leading up to the recent ortho appointments. Eva's general dentist made the diagnosis and referrals for
orthodontic treatment at the last dental operative appointment and the preventative dental appointment before that. You were given personal
message updates on all of those appointments by my mom, as she is their dental hygienist and then again by me as a reminder of the scheduled
appointment for the procedure to which you replied with acknowledgement of receiving the updates in writing.

The appliance currently in her mouth is not a space maintainer, rather, it is called a rapid palate expander (RPE). This appliance is commonly used in
the correction of crossbite and crowding. More importantly, this phase of orthodontic treatment must be implemented before the maxillary mid-
palatal suture fuses otherwise the correction for a narrow maxillary with a cross-bite can only be fixed by a significantly more invasive oral surgery that
is best not performed if the treatment can be done now ideally at 7 or 8 years of age. In girls, this mid-palatal suture is usually fused by 10 or 11 years
old.

The space maintainer has not been added to her mouth yet and will be placed at a follow up appointment (to be determined by the doctor) to ensure
the permanent tooth has an eruption path that is preserved otherwise this can result in an impaction and damage of the permanent teeth, or drifting
and even more extensive orthodontic treatment later if not done now while the maxillary and mandibular spacing are being corrected.

The appliances used today are quite advanced and different than they used to be in the past. There is very little discomfort associated with a palate
expanding adjustment, just a "tightness" or "pressure" felt in the facial and nasal cavity and only for the small duration of time (usually a few seconds
up to a minute) just following an adjustment.

On top of all of those positive benefits and good reasons to take timely and responsive action for Eva's benefit and overall health, this orthodontic
treatment aids in the continued treatment of her adenotonsillectomy and ear tubes surgery she already had done years ago. The overall treatment she
is receiving will further assist in alleviating any issues the previous surgery was indicated to address. It's not uncommon for the undesirable symptoms
she experienced before the surgery to reappear in kids as they develop and begin to experience similar discomforts. When these issues are not addressed
or corrected through orthodontic interventions at optimal developmental phases in kids, the solutions left available become far more dangerous, less
effective, more painful and substantially more expensive. It also helps provide the corrective spatial requirements for optimal naso-maxillary and sinus
related complications.

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I hope this helps to address some of the emotions and ideas you shared in your response. I did see your brief refusal to allow the kids and I to see each
other if there was any time that you had other plans for yourself without the kids over the weekend. My message request was just simply asking for
the "first right of refusal" to be honored, if it arises. I am asking to spend any time with the kids this weekend that you may have plans to spend doing
other activities while they are being watched by other people.

I have also copied my mom in case you have any questions related to the dental health of either girls or any other concerns you may have that we can
help you to resolve.

Let me know if you change your mind about allowing the girls to see me if you have other plans for this weekend. The girls stated several times that
they wanted to see me this weekend too.

Brooke

On 04/19/2019 at 05:08 PM, Tyler Rupert wrote:

To: Brooke Collier (First Viewed: 04/19/2019 at 05:08 PM)
Subject: RE: Girls this weekend
Nope we are good.

Think about what you just said. If the hardware is turned enough to make it to Tuesday, you over turned it causing her pain. That’s abusive!

I believe you’re using this retainer for control over a situation and disagree with it.

You should have and should talk to me regarding any medical procedures. You’ve overstepped this on many levels.

On 04/19/2019 at 05:04 PM, Brooke Collier wrote:

To: Tyler Rupert (First Viewed: 04/19/2019 at 05:04 PM)
Subject: Girls this weekend
Tyler,
If you and Jen have plans on a night this weekend, I would like to have the girls for an overnight if they are available. I can pick them up and
bring them back. Eva's appliance is at the full amount of turns until her appointment on Tuesday for a check. She has two bonds that are loose
but I spoke to the orthodontist and he said it's fine until Tuesday unless she has issues. Ibuprofen has been working well for any soreness from
adjusting I did this afternoon at wee workshop.

Brooke

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