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Sheila Nevins | 04/02/2009 6:00 am

The Price of a Million-Dollar Smile, by Sheila Nevins

© iStock
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.
Read more about: Dentistry, Family, Fiction, Health, Teeth

61 Reader Comments (so far…) Sign In or Register to comment

Lisa B
I even choke on the trays…  With zoom, they prop open your mouth with a plastic contraption that only goes about halfway back.  Once they put it in my mouth, I concentrated on breathing through my nose.  Once I got through that part and realized I wasn’t going to choke, the rest was a piece of cake.  60 - 90 minutes and you are done!  I also have serious trouble getting my teeth x-rayed, but have discovered that salt on the tongue deadens the gag reflex.  I have always been so embarrassed by my dentist issues and have used more lamaze getting dental work completed than I did giving birth to my daughter!  Don’t even get me started on the root canal gone bad (a needle tip broke off and is still in the hollowed out molar).  Good luck, Chrome Toe!
By Lisa B on 04/02/2009 5:24 pm
georgia fatwood
Hi Lisa…..chomp,chomp,chomp….glad you "zoomed" into wowOwow…welcome…(grinning….)
By georgia fatwood on 04/02/2009 6:38 pm
Lisa B
Thank you for the welcome, Georgia!  I’ve never before commented on any website - but I couldn’t resist Chrome Toe’s question…  I love wowOwow, it’s so interesting.  I found it by following ’Dear Margo’ and have been spending a lot of time here over the past few weeks.  Thanks for the chuckle!
By Lisa B on 04/02/2009 7:33 pm
georgia fatwood
Dear Lisa…Stick around….I think you’ll find that this is a nifty rabbit hole to tumble into….curiouser and curiouser!   
By georgia fatwood on 04/02/2009 7:54 pm
B Clark
There are a few of us who’ve had 7 years in braces.  When I started i had a gap between my from teeth so wide I could fit my thumb between them.  My teeth were everywhere and too big for my jaws.  I ultimately had to have 8 adult teeth removed (wisdoms and bicuspids I think) in order for the rest to fit.  That was before they had expander retainers that made your jaw big enough to hold them.  My son has one right now.  Over 7 years, I had the bands, bars, the thingy that hooked to the front teeth and went around behind your neck at night, rubber bands (I had a chorus instructor who insisted everyone open their mouths wide enough to fit 3 fingers, then he’d point and said "Except for you!" because if I did, the rubber bands would snap and go everywhere), rubbery retainers that looked like teeth guards that usually yellowed over time (my turned green because I cleaned it with a blue tooth paste), etc.  To this day the insides of my cheeks are scarred from all the metal that was in my mouth.  But my teeth are now straight and have no troubles now, except for the receding gum line.
By B Clark on 04/02/2009 9:32 am
Green Tears
B, I remember elastics from my first round of braces! You could snap yourself in the mouth on a regular basis. I have a tiny little pocket of scar tissue inside my lower lip from the first braces as well. Modern orthodontic work is much kinder, but there is still pain involved - it’s funny, but I found that good old aspirin was the best way to ease the terrible jaw pain.
By Green Tears on 04/02/2009 10:55 am
B Clark
I tried aspirin, but nothing would really help me much.  The jaw pain was worse than the scraping of the wires/brackets on the inside of the cheeks.  After most adjustments, I’d end up eating nothing but soup and yogurt for three days.  It’s hard for me to not scare my son with stories about how braces use to be.  He’ll be done with his whole treatment inside of two years (by the end of 6th grade).  He won’t have to deal with braces in high school at all.
By B Clark on 04/02/2009 1:00 pm
Andrea Brandon
My shy friend, Marjorie, was in braces forever. At the end of 4 years the orthodontist took them off but a couple months later they went back on for another year. Once again they were removed, only to be installed again. In all - probably 6 years or so before she got them off for good. By then she was a senior in high school. I think we were all worried she would remain shy once they came off, but the ugly duckling turned into a swan and embraced her new life. We were all so happy for her.
By Andrea Brandon on 04/04/2009 1:47 pm
Judy K.

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.

By Judy K. on 04/02/2009 9:55 am
phyllis Doyle Pepe

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!

By phyllis Doyle Pepe on 04/02/2009 10:28 am
Marjorie C.

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.   

By Marjorie C. on 04/02/2009 3:26 pm
Lila Kuh
Aieeee!  That’s no good!  [Reaching for the floss].
By Lila Kuh on 04/02/2009 10:47 am
Lila Kuh
…. this whole thread is making me appreciate Army dentists.  Some of our young troops have NEVER seen a dentist before enlisting so you can imagine the horrors that the dentists sometimes are faced with.
By Lila Kuh on 04/02/2009 10:53 am
phyllis Doyle Pepe
I must say, Shelia, that was a splendid toothy tale. I enjoyed it very much;you write so very well. My father was a dentist who was much beloved not only for his humerous repartee, (he told great jokes), his gentle handling of children, but for his generous spirit during WWII picking up his younger colleague’s patients while they left for service, and for treating many poor families free. (They paid him in chickens and eggs from their farms). Luckily I have been blessed with good teeth and because when in the dentist chair  I always felt at home, I like going to the dentist even though the hand that scrapes is not the hand I so lovingly adored years ago. 
By phyllis Doyle Pepe on 04/02/2009 10:50 am
Ulla

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 …

By Ulla on 04/02/2009 1:16 pm