Sheila Nevins | 04/02/2009 6:00 am
The Price of a Million-Dollar Smile, by Sheila Nevins

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Grandma used to put her teeth in a jar.
I do anything, everything to preserve mine and at astronomical costs.
And you? Are you still clinging to your teeth?
I have spent more on my teeth (most of us have 32) than on any of my weddings, expensive spa vacations, or my kid’s entire education. This toothy madness began in preadolescence when I wore braces for some three years for a slight overbite (très shih tzu), which I owed to prolonged thumb sucking. This frontal bucking created a mouth made for remolding. My mother had wanted a perfect child and so I was rushed to an NYU dental clinic where trembling dental wannabes completed their education in my less-than-perfect mouth.
Actually, I was all for this renovation because Stanley (heartthrob) Brettschneider wouldn’t kiss me in the closet during my first hot game of spin the bottle. (I was almost twelve). In this earliest of traumas, Stanley told me, quite frankly, that he didn’t kiss girls with braces. It was too dangerous. I was devastated and waited impatiently for the corrected-perfected me. Yet, alas, when the metal and rubber were removed, Stanley had moved to the burbs, and we never did kiss, never ever. But that was years ago and my poor-girl braces kept my smile going for some 30 years — maintaining at bargain prices a rich girl’s smile, in a poor girl’s clinically improved mouth.
But things do happen and one day in my 40th-something year — a sharp, man-eating pain pierced my left canine. Yelping wolflike, I called my family dentist (now a very old man — sweet Dr. Sweder) and began a winding dental path of new discovery. I was met on a bloody Sunday in April by a drill sergeant named Dr. Bain. He was known as an endodontist – a new word had entered my vocabulary. I was an endodontal emergency and after some 10,000 X-rays, Dr. Bain introduced me to the root-canal experience – a journey I would grow accustomed to. With a rubber towelette, and wee guillotine equipment, a sadist’s drill and a twisting motion, he would remove an infected nerve from my tooth, which was attached to my gum, which was attached to my mouth, which was attached to me. What had led him to do this gyrating turn of the screw? Possibly it was better not to know.
Dr. Bain played opera and whistled while he worked. Each time he pierced and pulled, he asked me if I liked a particular opera and I always grunted – ah, huh, eh, huh – for words were impossible during root-canal incarceration and it seemed foolhardy anyway to disagree with someone who practiced mouth S&M. Anyway, I am not an opera fan. I believe it was he, Dr. Bain, who started me on the dental smile train. I was on an express with no local stops. For even my four-year-old son was referred by him to a pedodontist – a bit scary at first, I was assured he was not a felon, but a trained specialist in baby teeth. Phew. And then through this Dr. Bain – of my existence, this endodontist – I became acquainted with the prosthodontist who introduced me to the periodontist, who introduced me to the oral surgeon.
You see, no one dentist would tend to a whole tooth. The tooth was fragmented. The profession of saving teeth had become, since Grandma’s time, a fine art. Nowhere was there to be found a plain, simple, do-it-all dentist anywhere, anyplace. Nary a month went by when I didn’t pay a visit to be bled, capped or implanted by some relative of the dental family tree. I was working for professional men, the bills were fast and furious, the coverage limited, but oh what a smile I was earning. Rather they were earning. I would show my porcelains off like a college girl with an expensive engagement ring. Showtime.
I do anything, everything to preserve mine and at astronomical costs.
And you? Are you still clinging to your teeth?
I have spent more on my teeth (most of us have 32) than on any of my weddings, expensive spa vacations, or my kid’s entire education. This toothy madness began in preadolescence when I wore braces for some three years for a slight overbite (très shih tzu), which I owed to prolonged thumb sucking. This frontal bucking created a mouth made for remolding. My mother had wanted a perfect child and so I was rushed to an NYU dental clinic where trembling dental wannabes completed their education in my less-than-perfect mouth.
Actually, I was all for this renovation because Stanley (heartthrob) Brettschneider wouldn’t kiss me in the closet during my first hot game of spin the bottle. (I was almost twelve). In this earliest of traumas, Stanley told me, quite frankly, that he didn’t kiss girls with braces. It was too dangerous. I was devastated and waited impatiently for the corrected-perfected me. Yet, alas, when the metal and rubber were removed, Stanley had moved to the burbs, and we never did kiss, never ever. But that was years ago and my poor-girl braces kept my smile going for some 30 years — maintaining at bargain prices a rich girl’s smile, in a poor girl’s clinically improved mouth.
But things do happen and one day in my 40th-something year — a sharp, man-eating pain pierced my left canine. Yelping wolflike, I called my family dentist (now a very old man — sweet Dr. Sweder) and began a winding dental path of new discovery. I was met on a bloody Sunday in April by a drill sergeant named Dr. Bain. He was known as an endodontist – a new word had entered my vocabulary. I was an endodontal emergency and after some 10,000 X-rays, Dr. Bain introduced me to the root-canal experience – a journey I would grow accustomed to. With a rubber towelette, and wee guillotine equipment, a sadist’s drill and a twisting motion, he would remove an infected nerve from my tooth, which was attached to my gum, which was attached to my mouth, which was attached to me. What had led him to do this gyrating turn of the screw? Possibly it was better not to know.
Dr. Bain played opera and whistled while he worked. Each time he pierced and pulled, he asked me if I liked a particular opera and I always grunted – ah, huh, eh, huh – for words were impossible during root-canal incarceration and it seemed foolhardy anyway to disagree with someone who practiced mouth S&M. Anyway, I am not an opera fan. I believe it was he, Dr. Bain, who started me on the dental smile train. I was on an express with no local stops. For even my four-year-old son was referred by him to a pedodontist – a bit scary at first, I was assured he was not a felon, but a trained specialist in baby teeth. Phew. And then through this Dr. Bain – of my existence, this endodontist – I became acquainted with the prosthodontist who introduced me to the periodontist, who introduced me to the oral surgeon.
You see, no one dentist would tend to a whole tooth. The tooth was fragmented. The profession of saving teeth had become, since Grandma’s time, a fine art. Nowhere was there to be found a plain, simple, do-it-all dentist anywhere, anyplace. Nary a month went by when I didn’t pay a visit to be bled, capped or implanted by some relative of the dental family tree. I was working for professional men, the bills were fast and furious, the coverage limited, but oh what a smile I was earning. Rather they were earning. I would show my porcelains off like a college girl with an expensive engagement ring. Showtime.
























61 Reader Comments (so far…) Sign In or Register to comment
Always took care of my teeth as there is nothing like seeing someone who looks good until they open their mouth. Teeth can be taken care of and should be as there are many things we can’t fix about ourselves(unless we want astronomical plastic surgery) but teeth we can.
Had radiation for a throat cancer three years ago and now my teeth are paying the price. A salivary gland was cooked and having very little saliva causes havoc. I didn’t appreciate flouride until I needed it in toothpaste and water and whatever else it comes in. Almost the whole right side of my mouth needs constant dental care because of the radiation but it’s worth it to have my own teeth.
Someone I know had to have her teeth removed at 62 and has never been comfortable with her plate. It is just not the same as having your own chompers and I will keep mine going as long as I can.
In 1943, Nabokov (who had to have all his teeth removed) began a letter to Edmond Wilson without preamble:
Dear Bunny,
Some of them had little red cherries––abcesses––and the man in white was pleased when they came out whole, together with the crimson ivory. My tongue feels like somebody coming home and finding his furniture gone. The plate will be ready next week––and I am orally a cripple…When my face is reflected by some spherical surface, I have often noticed a curious resemblance with the Angel (you know––the wrestler); but now an ordinary mirror produces this effect.
~~~~~The experience waited a while, as experience usually does, before distilling itself into fiction, In "Pnin" published in 1957, the ‘heroic’ Timofey eventually trudges off to his rendezvous with the man in white.~~~~
A warm flow of pain was gradually replacing the ice and wood of the anesthetic in his thawing, still half-dead, abominably martyred mouth..His tongue, a fat sleek seal, used to flop and slide so happily among the familiar rocks, checking the contours of a battered but still secure kingdom, plunging from cave to cove, climbing this jag, nuzzling that notch, finding a shred of sweet seaweed in the same old cleft; but now not a landmark remained, and all there exisited was a great dark wound, a terra incognita of gums which dread and disgust forbade one to investigate.
~~~~~This desolation soon bleeds into another, when Pnin’s fiercely anticipated reunion with his ex-wife (the terrible Liza) comes to nothing-NOTHING. His gentle American landlady, Joan, finds him in the kitchen:~~~~~~~~~~
Pnin’s unnecessarily robust shoulders continued to shake…
‘Doesn’t she want to come back?’ asked Joan softly.
Pnin, his head on his arm, started to beat the table with his loosely clenched fist.
‘I haf nofing,’ wailed Pnin between loud, damp sniffs, ’ I haf nofing left, nofing! nofing!
phyllis; ’ I haf nofing left, nofing! nofing!
Between your post and Sheila Nevins’, I don’t know which is the funniest. A wonderful, light-hearted read.
Hi Phyllis,
thanks for the great addition of Nabokov to this thread …
.. "a splendid toothy tale" indeed … thanks Sheila, for a bittersweet laugh - had many ‘toothy tales’ of my own, and most often no laughing matter either … particularly, as you mentioned, the many different ‘species’ of dentist one has to deal with … while I love my wonderful lady dentist, all those referrals are driving me nuts … anyway, recently it all had to stop … having a break in the big renovation program … just like many new buildings this one will have to sit it out for a while …