Yesterday I went to the dentist to have a filling done. I was not thrilled about the idea, if for no other reason than I take excellent care of my teeth, I should not need to have a filling. There should not be any tooth rot when you keep you teeth meticulously clean and floss every night. However, what is more important to me than not needing fillings is not needing gum surgery, root canals, getting teeth pulled out etc. So I can live with a filling.
The dentist I go to retired and passed his practice on to a younger man. The retired dentist was excellent, if not a little unconventional. He is a tall thin man who moves at the speed of light. Nervous energy, thy name is My Dentist. He has a square-looking body and a square-looking head and square-looking hands the size of a frying pans. His voice is as loud as his body is square. No matter where you were in the dental office you could hear him talk to clients, staff, whoever. He does not yell at people the way you and I yell at people - to emphasize something or when we're angry. He just yells because that's how he communicates.
My favorite thing about him was that he lectured his patients relentlessly about good oral hygiene and how critical it is to get your teeth cleaned regularly and to floss every day. If the patient was not taking care of his teeth, he would spout dire predictions while working in their mouth, effectively cutting off any possibility of a retort. "YOU SEE THIS RIGHT HERE? THIS. RIGHT HERE. WAIT, LET ME SHOW YOU IN THE X-RAY." And then, leaving several instruments in the patient's mouth, he'd wheel his chair to the file, come to a skidding stop, grab the x-rays out of the file, and skid back to the terrified patient. "OK NOW YOU CAN SEE IT. LOOK AT THIS DAMAGE. THIS IS BECAUSE YOU SMOKE AND YOU DRINK COFFEE AND YOU DON'T FLOSS. AND THE LAST TIME YOU CLEANED YOUR TEETH" skidding back to the file "WAS TWO YEARS AGO. THERE IS A LOT OF BONE LOSS UNDER THE GUM AND IF YOU DON'T WANT TO LOSE YOUR TEETH IN THE NEXT COUPLE OF YEARS YOU HAVE TO START TAKING CARE OF YOUR TEETH."
Then he would stop, put his hands on his thighs, sigh and his head would droop, in an expression of hopelessness. He would look like he was considering whether or not to say the next thing he was going to say, but of course he was just preparing himself for his dramatic ending. Finally, his head would come up, and would look at the patient straight in the eye with those mad scientist eyes of his, and let loose.
"YOU KNOW, I SEE PATIENTS IN HERE ALL THE TIME. AND I TELL THEM EVERY DAY THAT THEY HAVE TO TAKE CARE OF THEIR TEETH. BUT DO THEY LISTEN? MOSTLY, NO. I AM NOT A MIRACLE WORKER. THERE IS ONLY SO MUCH I CAN DO FOR YOU. BUT IF YOU INSIST ON NOT DOING WHAT YOU HAVE TO DO THEN YOU WILL LOSE YOUR TEETH AND IT WILL BE PAINFUL AND THEN YOU WILL BE HERE AGAIN COMPLAINING ABOUT YOUR TEETH EXPECTING ME TO DO SOMETHING ABOUT IT. BUT I CAN'T. BECAUSE YOU DIDN'T DO WHAT YOU SHOULD HAVE DONE. NOW I'M GOING TO DO MY BEST HERE BUT YOU HAVE TO UNDERSTAND THAT THERE IS ONLY SO MUCH I CAN DO."
Then he would dig in again, and the litany would continue unabated. The patient, eventually, would leave, looking sheepish and probably shamed into taking slightly better care of his teeth.
I myself was regaled to such a lecture the first time I went to see him, and it worked. The last time I saw him, before he retired, he was pleased as punch. "NOW THIS IS WHAT I'M TALKING ABOUT. YOU TAKE EXCELLENT CARE OF YOUR TEETH. WELL DONE. YOU WILL KEEP YOUR TEETH YOUR WHOLE LIFE. I TELL MY PATIENTS EVERY TIME THAT THEY HAVE TO FLOSS AND GET THEIR TEETH CLEANED BUT YOU WOULD NOT BELIEVE HOW FEW PEOPLE ACTUALLY DO IT. I MEAN IT'S INCREDIBLE. DON'T THEY WANT TO KEEP THEIR TEETH? DO THEY WANT TO COME HERE AND HAVE GUM SURGERY?" And so on.
I made sympathetic noises as best I could, and then he sent me on my way. The last thing I heard was his booming voice addressing a naughty patient.
The man who replaced him is a good dentist, but he balances out the personality universe by having as little as his predecessor had much. He has a thick foreign accent, perhaps Armenian, and is a completely humorless man. Or at least, not at work. He also has a dental assistant who has a wolfish look about him, and I don't mean like Jacob.
The assistant is either mean or has no people skills. He asked me how my teeth are, did I have any problems. I said no, but the tooth where I have the crown is sensitive still when I floss. His response: "That's normal. You had EXTENSIVE work done there. When there is SO MUCH WORK, SUCH EXTENSIVE WORK it's normal for it to stay sensitive." I'm thinking, um, it's a crown, it's not that extensive but ok. Then he asked if the previous doctor ever recommended a night guard. I said yes, but I could never get used to it and couldn't sleep with it on. "Well, I think that may have been your error," he responded ominously, and then left it hanging there, and I could almost see the DOT DOT DOT bubble in the air, full of latent meaning. I felt like they were about to remove all my teeth and one of my limbs, and it was my fault because I didn't wear a night guard.
The doctor came by to give me a shot of novocain or whatever it was, which hurt by the way, but the doctor appeared not to care. No soothing noises like, just a couple more seconds hang in there. Nothing. Just more painful jabs. I was all, ok, then and by the way OUCH!
While the anesthetic took effect, the doctor left me with wolf boy. I asked how long he thought it would take to drill. In reality, it took maybe a minute or two, with frequent pauses to rinse things out so it really was not very much. But wolf boy took full advantage of the situation and said the damage was EXTENSIVE. I swear, the man is a ghoul! I asked him to show me the x-ray. He pulled it out and showed me the decay, which was not a tiny speck, but it was not by any means "extensive." So I said that, and he gleefully pointed out that "this is just a cross-section view, the decay might wrap all the way around the side of the tooth it's hard to tell how bad this is but it could be really really bad." Marathon Man came to mind.
