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    « goods for good: to haiti with love | Main | hearing lhasa »
    Thursday
    Jan212010

    pediatric oral surgeries of the backwoods

    I walked down the stairs and to the car calmly, white crunching underfoot. Buckled Evan into his seat calmly. Shut the door calmly. Dialed the phone calmly. Justin answered. Calmly. At which point I stepped out of my kid's frame of view and unleashed fifteen minutes of f-bombs and sobbing.

    Six months ago our dentist said that Evan had a "tiny" cavity, and instructed us to come back in six months or so to get it fixed. Today, it took a mirror on a stick and all of fourteen seconds for her to step back from him, pull me aside and tell me that she suspects he is a werewolf. A werewolf who drinks too much Pepsi.

    Then she told me what she saw in his mouth, other than half-chewed accountants.

    Five large cavities so far gone that one tooth is half lost. A referral for two root canals, two stainless steel crowns and three fillings. For a boy who just turned five. Heavy sedation at best. Hospital and general anesthesia at worst. For a boy who JUST TURNED FIVE.

    Two root canals. He's five. I can't even joke about it.

    +++

    The lady across the road dropped a can of Mountain Dew into his bag at Halloween and he pulled it back out and gave it to her and said, "Thank you nice lady, but I don't drink beer."

    "It's not beer!" she replied.

    "Oh. Thank you nice lady, but I don't drink wine."

    Yeah I know. Move along. The point is, Evan doesn't know what pop is.

    We are unfun (see exhibit A: video game meltdown). We don't buy ice cream or sweets or Sugar Crisp cereal (dammit, Justin) because if you don't have them in the house, they don't cause tantrums. It's easier that way. The kids get dilute juice, if at all, except on special occasions like Christmas or birthdays or Parliamentary prorogue parties.

    Alright. So I guess I can joke about it. Mostly because I don't want you to think we're prissy and due for comeuppance. We're responsible, but not uptight. We're cautious, but not unfair. So I show you evidence of Evan's one and only slushie to prove... what, exactly? That we're neither better nor worse than any other parent? Maybe. That I can take my preschooler's two root canals in stride? That would be a lie. I can't relay the news to anyone without crying and asking to be tied up to the nearest whipping post.

    Most of the time, we're beyond unfun. We're demented. We pour All-Bran onto yogurt and call it Stick Soup and bring it over to the table singing and ooohing and aahhing like it's gold-leafed croquembouche. They think it's dessert. We slap five and cackle behind our hands.

    We brush no less diligently than anyone else with the exception of that family in Blue Rocks that has three sumo wrestlers living in their upstairs bathroom. We do marginally less well than they do at enforcing oral hygiene. Fair enough.

    My story, the one I'm still trying to sell to myself? As a rural kid, he's never had a drop of fluoride. We're on a well and always have been. Combine that with naturally soft or cavity-prone teeth and you end up with a kid with a stainless-steel grill who can bite through electrical cable if required. In case that pesky British spy shows up trying to seduce an almost-37 year-old mother of highly dubious performance, we have an in-house villain.

    From here we go to a specialist, and urgently. Then the possibility of the hospital to fix it, and then what? I know. Carrot sticks and water until he goes away to university. Clothes made of styrofoam popcorn. Payouts to witch doctors and the mafia. Jesus Christ himself nabbed in one of those Holy Ghost traps that you bait with marshmallow fluff, then tethered to my kid with velcro like an inhuman shield.

    +++

    This is just the beginning, isn't it?

     

    Reader Comments (79)

    Oh, Kate. I'm sorry. That does suck, and poor Evan. Hopefully all the procedures go well. Fluoride probably does help teeth, but applying it directly to the teeth with toothpaste, rinses, trays, etc. works a lot better than taking the fluoride pills/drops. Does your dentist have suggestions for what to do?
    January 22, 2010 | Unregistered CommenterKK
    I'm not sure there's much you can do about teeth - either they're hard, or they're not. Either way it's not a reflection of your parenting. If you're concerned about flouride though, you can get drops to give the boys. We picked up some for ours but the dentist actually told us not to give it to them - just to use high flouride toothpaste. I'm a bit confused about the whole thing so we're not using the drops yet...

    An aside... My mother has soft teeth and has spent too much time with the dentist... When she and my father first became very serious, she found out he'd never been to a dentist so she took him to hers. When his appointment finished, the dentist came out and told her to marry my father for her childrens sake - my father had only one tiny cavity. (It worked, both my brother and I have good teeth (not straight, but solid)).
    January 22, 2010 | Unregistered Commentertrish
    No, not necessarily just the beginning. My oldest had a similar batch of cavities around that age... maybe a little older (I've blocked it out, she was afraid of the dentist, so there was a whole nother level of misery), but hardly any trouble since then. Maybe just the baby teeth are soft? Good luck.
    January 22, 2010 | Unregistered Commentersteph
    Oh, and we did the general anesthesia. I tried to avoid it at first, but in the end it was the best way to go (for us) and completely worth it. Terrifying, but worth it.
    January 22, 2010 | Unregistered Commentersteph
    AND! We had well water at the time as well (hehe). Sorry. I shouldn't comment at 1:45 AM. The boychild is sick, currently asleep on the couch so I'll be signing off now.
    January 22, 2010 | Unregistered Commentersteph
    HOLY COW.

    I posted about this quandary yesterday. My husband and I are in epic fluoride drop batttle with our 8 month old. We are even on well water.

    I am so sorry for the wee one. MY teeth suck and so I empathize greatly.

    This just totally solidifies my desire to put him on drops like his ped. recommends.
    January 22, 2010 | Unregistered CommenterLoralee
    My ex has HORRID teeth. The dentist is completely dumbfounded, because to all appearances, it looks like he sucks on a lemon every day. And he's obsessive about his teeth, so it's just weird.

    I would be yelling and crying, but this is so totally not you. You aren't like me, sneaking Dr. Pepper to the brats. :D

    The dentist and a 5 year old tho. Shudder. Good luck hun.
    January 22, 2010 | Unregistered Commenterthordora
    Delurking to tell you how very sorry I am for your little one. :( This sucks so very badly! My baby is 20 months old now and I constantly worry about her six tiny teeth. On that note, I am off to make her first appointment with the dentist right now.
    January 22, 2010 | Unregistered CommenterThe Lass
    I'd offer words of comfort but I can't because I'm so terrified of dentists that I'm having a panic attack right now at the thought.

    Poor Evan. I can totally understand why you're frantic.

    The only time I drank flouridated water was in university. Every other place I've lived (incl. now) has had a well. My teeth seem fine. Some people just have very soft enamel. With luck, his permanent teeth will be a bit stronger. Good luck.
    January 22, 2010 | Unregistered CommenterHannah
    Oh I'm sorry, poor little man. I guess these are his baby teeth still? I'm pretty sure here in the UK (yeah I know we don't have the best reputation when it comes to good teeth) they wouldn't be doing all that work on baby teeth.
    This is another one of those things we all beat ourselves up over,so I doubt it will help you when I tell you it's not your fault. You know that already, but I doubt it makes you feel any better. x
    January 22, 2010 | Unregistered CommenterJeanette
    Teeth are funny. My oldest had to have one extraction and 2 root canals (really pulpectomies, as baby teeth dont really have the same kind of roots, so its not nearly as bad as an adult tooth and only took my paediatric dentist 15 minutes to do) when he was Evan's age - he had never had pop, sugary treats and we brushed his teeth religiously. My middle had to go to Sick kids to be put under to have a total of 10 teeth worked on (root canals, fillings) when he was three. We were still pretty rigid about sugary treats back then too. My youngest, who is 4.5 has the greatest teeth ever - not a single cavity or sign of one... and she eats crap and sometimes we forget to brush her teeth - the decline of parenting standards with each child!! It really is genetics, and if you find a good paediatric dentist (there must be lots working out of the IWK) it will be no prob!! But I do remember feeling what you are at the time.
    January 22, 2010 | Unregistered Commentervictoria
    Thank you so much, everyone.. especially Victoria, for sharing such a similar experience. It's curbing the fuckity fuckits and the self-loathing.

    I just wish I could shake this feeling that it's something we've done or not done. I know that's not true in my head, but once you're a parent you're pretty much hardwired to take on all the fault in the universe.... fun, games, etc.
    January 22, 2010 | Unregistered Commentersweetsalty kate
    ooooh. unfair. sucky. poor mama. poor Evan. poor mama.

    we sing about the all bran too. :)

    anyhoo, your Mother of the Year feelings are catching...i need to sneak away from work now and go floss my kids and rub fluoride all over them and say a few hail Marys.
    January 22, 2010 | Unregistered CommenterBon
    Ah, Kate, that sucks. Of course, it's the people who eat a whole heap of sugary crap and don't go to the dentist for 10 years who never have anything wrong with their teeth, But, naturally, the kid whose diet is the picture of healthy living has to have this kind of luck. I'm sorry.

    You could kick yourself over and over again if he'd been given candy corn and poptarts for every meal, and, you'd deserve a few self-inflicted kicks(and maybe some from others) if that were that case. This is just bad lack, not a result of bad choices.

    Try not to beat yourself up about it. Also, let me know if I need to buy 8,000 copies of The Dread Crew to help fund your dentist bill! ;)
    January 22, 2010 | Unregistered CommenterAlison
    Oh Shit Kate, I'm so sorry. We had terrible tap for the first two years living in this old house, so I gave her bottled water and crossed my appendages and prayed every time we went to the dentist expecting the absolute worst. She hates soda ("has bubbles"), hates gum, doesn't get anything beyond an occasional small glass of OJ for breakfast, no sweets unless it's an occasion. But there's the slip where I give her cocoa (a few days in a row?!) on a cold day after school, or let her go on the weekend without brushing her teeth after pancakes. And she wants to brush and floss by herself and I cringe and cross and sigh. We finally put a filter on the system when we redid the kitchen, so she's back on flouride from our water, and I"m breathing just a wee bit easier. Now I'm staring at her loose teeth (again, she's 5 too) and thinking she'll probably be in braces by 7. I don't think we can win here.

    I'd ask about drops, or anything really. And I'm so so sorry. I had massive oral surgery at age 8 to get rid of pretty much every remaining baby tooth in my mouth and a number of the adult teeth that were set to come in before they did. My mom gave me a huge pack of different flavored lip gloss when I woke up, and I made it through. Love to you all, and let the poor kid know a great sugar free surprise awaits.
    January 22, 2010 | Unregistered Commentertash
    (Haven't read other comments so I may be repeating ass-vice).

    You can get fluoride supplements. I would, in your case, considering the well water. Or could you drink bottled water?

    You can also get his remaining teeth sealed with some kind of magic that will prevent cavities in the future. Ask your dentist. My siblings and I had this sealant applied as children.

    Speaking of my siblings, my brother had asthma and took gallons and gallons of that pink bubblegum medicine (is it amoxicillin?) over the course of his childhood. He had the worst teeth of the three of us (my sister and I didn't take much medicine) and his teeth improved when my mom finally put it together and started him taking pills instead of syrup. So, while his DIET may be great, look to your son's medications (if he takes any), too.

    But most of all, don't feel guilty. It's not your fault.
    January 22, 2010 | Unregistered CommenterAmy
    oh man! i'm so sorry. but really the self loathing won't change the enamel of his teeth. my best friend's daughter came back from the dentist with five cavities, she was told her enamel never fully formed in utereo. in utereo people!! it's so fucked up. another good friend's daughter had similar surgery, and has amazing silver super chompers in her mouth. it just happens. and my son? cough... has yet to see a dentist.... cough. so, where's that mother of the year award? i hear ya on tying yourself to the whipping post. but... go easy on yourself. teeth have a mind of their own.
    January 22, 2010 | Unregistered Commentercamerashymomma
    Not to contradict but I grew up on well water for the first 9 years of my life, not a cavity in my head for my 33 years and I don't floss either, only brush twice a day. My father on the other hand had every tooth in his head pulled and replaced with a crown by age 40. Dumb luck is what I'm saying, just the gene pool most likely. Go for the bad teeth though, better than bad eyes or such.

    So SO sorry about this Kate that would drive any mother insane. :( I'll be praying for peace for you guys, that is such a really big deal but he will be fine and you are ever still his amazing mother and nothing less and don't listen to voices that tell you any different or berate you for every grain of sugar! Did I mention my mom kept a giant salad bowl with candy, twinkies and ding dongs, coke and capri suns at the ready my whole life with no limitations... yes, dumb luck (although I did fall in K5 and knock out all four front teeth for two years)... I wish I could take his cavities and root canals for him. much love.
    January 22, 2010 | Unregistered CommenterJen
    Dude, it's NOT YOUR FAULT!! Get yourself down off the whipping post already.

    Our dentist posts stuff on his walls in the waiting room about the acid levels in our everyday drinks. Makes for fun waiting, but nothing I'd ever thought of...

    My husband had misformed enamel on his teeth as a child. And this WAS in the days of the backwoods dentistry in his neck of Henry County. YIKES!! Evan will have much better care, guaranteed. And I LOVE, LOVE, LOVED the trick-or-treating story. Adorable.

    My advice to you: flouinated vitamins. Had them myself as a well water-drinking kid and came out with nice teeth (if I do say so myself). Oh, and never again walk out of a dentist's office with a "tiny" cavity (I'm sure you learned that lesson). My daughter had one of those and we had it filled, immediately, and didn't even have to have lidocaine. It was awesome!
    And one more thing...sealants! Have they talked to you about sealants?

    Hoping for the best for Evan and YOU!
    January 22, 2010 | Unregistered Commentermnkathy
    Really? For baby teeth? I'm no dentist but that seems really harsh for teeth that he is going to lose in a year or two. Crap. Keep your chin up lady, this is not your fault. This is a big bag of suck but there is no way your parenting skills came into play here. This is weak-teeth genes and the well water's fault. Bastards.
    January 22, 2010 | Unregistered CommenterBinkytown
    My step sister's daughter had to have four root canals and she's three. Sometimes I think people just get bad luck in the teeth department. I will mention this, at the risk of giving unwanted advice, but I remember reading Melissa @ Suburban Bliss a while back and her daughter had an awful time with her teeth until she started using a sonic toothbrush. And additionally, I will second the sealant option. I evidently had very deep grooves in my teeth and they cleaned them thoroughly and put a white filler in them. These were my permanent teeth, though I would think given the severity of the problem, they might consider it for baby teeth. I hope everything goes well.
    January 22, 2010 | Unregistered Commenterjen
    Eeesh. My heart sinks on your behalf. My niece has had very similar experiences with her baby teeth, but none at all since the permanent teeth have come in - hopefully your son will be the same? Once my daughters are all in, I think I'll go the teeth sealing route....

    Good luck. sigh....
    January 22, 2010 | Unregistered Commentermosey along
    Oh, I know all too well how that feels. My 9 year old just had to get two root canals over the summer and it was SO HARD for me and so EASY for him! Seriously, he just laid there and let them do their thing. He swears it didn't hurt at all and the only hard part was holding his mouth open for so long. He went through the fillings like a champ as well. I know 9 isn't 5, but hopefully you're little dude will handle it well. Hang in there!
    January 22, 2010 | Unregistered CommenterKarly
    I'm so, so sorry. This sucks so incredibly much. No advice to add, just feeling your misery with you. :(
    January 22, 2010 | Unregistered CommenterJulie
    Oh God. I wanted to delurk to send you some commiseration. We just went through something similar with my now 4 year old. It ended with heavy sedation for a LOT of fillings. It made me feel like a trailer park parent who sends their kid to bed with bottles of juice... except you know, she'd never even had a bottle, or juice for that matter. And then I wanted to punch out every kid whose smiling face is on my dentist's wall for "no cavities". Sigh. My daughter came through it wonderfully, and I hope Evan will too. I'm slowly forgiving myself. Give yourself some time.
    January 22, 2010 | Unregistered CommenterEllen
    So sorry to hear of this -- I know it's scary and you of all people don't need to be reminded of having perspective. If it helps at all, my oldest boy, now eleven, had to have two mini root canals at age four. He's fine and eats normal food. His little brother who got way more crap than he ever did has NEVER, NOT ONCE had a cavity or any teeth problems. And unlike you, I'm a terrible enforcer of tooth-brushing. In other words, no whipping post is necessary for you. It's just one of those things -- horrible, I know, but just one of those things.
    January 22, 2010 | Unregistered Commenterelizabeth
    I'm more worried about the fact that you let him get a tattoo. Sorry!

    I guess I'm not totally horrified because I WAS THIS KID. Fluoride could not help me. I just lost the genetic lottery toothwise. And NO, it's not your fault unless you want to beat yourself up for carrying the genes.

    What is important is to continue to get him good care and to teach him that he will need more care than the average person for the rest of his life. But we are in the first world and modern dentistry is very, very good. Also, I don't know if anyone has said this yet, but I'd definitely want a second opinion before going any route that requires general anesthesia. I've had radically different advice from different dental professionals and I'd have something in my mouth that I'd have to put in a glass at night if I listened to some of them.
    January 22, 2010 | Unregistered CommenterLeigh
    I'd be all fuckity fuck and beating myself up too - sorry. That sucks.
    (And by saying that, I don't at all mean that you *should* be beating yourself up!!)
    Also a worry of mine as we are on well water too.
    January 22, 2010 | Unregistered CommenterEmma
    Ugh, our latest checkup? 7 cavities for Bella, 5 for Julianna. That will come to $800 and some change thankyouverymuch.

    I swear we brush too, every morning, every night. I have to admit that after 7 years of policing the candy, Bella at some point over the last year turned into a crack head candy addict and Julie followed suit. I got really busy and life was crazy and uh, I totally let it happen because it was easier than fighting.

    The moral of my story? I blame Halloween. And Christmas. And Elijah's Grandmother - who delivers bags full of contraband treats to all 26 members of Bella's second grade class on a weekly basis. I've never met Elijah's grandmother, but I plan on sending her a portion of the dental bill.
    January 22, 2010 | Unregistered CommenterJeanette
    This story broke my heart. Poor little guy, but I feel worse for you. The thing about future parenthood that freaks me out the most is that even when you do everything perfectly right bad things still happen. What could you have even done differently?? Grr.
    January 22, 2010 | Unregistered CommenterShannon
    Hey, like I said on twitter, this is totally not your fault. Floruide works if you brush teeth with it, absolutely, it's a great invention. But there really isn't much evidence to show it matters in the water supply for middle and upper middle class families who have access to dentists and toothpaste, and when you compare cities with it in the water vs. not? It's still more about the socioeconomics of the population.

    In other words, pretty global, and not something one individual mom could affect.

    I mentioned vitamin D just because my dental surgeon is all over it, not just as a bone issue, but because there is a strong correlation between Vitamin D deficiency and dental problems and low D has literally become an epidemic in Canada. Everyone thought it was no big deal.....but that idea and the old guidelines are based on a pre-global warming era, when we could get decent vitamin D from the sun. And when Maritimers and Moms handed out cod liver oil which actually had D back then, and no longer has much at all.

    And Health Canada isn't doing anything to increase D in milk or food or vitamins so here we are giving our kids yogurt and milk and thinking it's enough, and it's nowhere near enough.....I took loads of vitamin D when I was pregnant with Julius for example, but I was already so deficient that I was crippled with osteomalacia right after he was born, and still haven't caught up. Hence my soon to happen dental surgery. Sigh....

    So in a global sense, dental problems can be prevented and treated, but on an individual level? How in the hell were you supposed to know about this? You did the best you could, and no more could be asked.

    Just hand your kid a slushy to swallow down his vitamin D pills and give yourself a break. ;)
    January 22, 2010 | Unregistered CommenterAurelia
    Dear Kate,
    Please, please get a second opinion...
    I've never written to a blogger before. But I saw this and my heart sank.
    My local dentist (have been to him for 25 years) told me this recession is causing many dentists in our area to prescribe unnecessary work. Sad, but true...
    January 22, 2010 | Unregistered CommenterDeborah
    I know this must be very upsetting to you. How does well water work? I visualize those wells with buckets where Moses met his wife in the old testament. Where is this water coming from? The rain?
    January 22, 2010 | Unregistered CommenterNeil
    sorry i didn't read the above comments... i want to delurk because what's happening to your son totally scares me out, poor little one, & i wanted to add a western european two-cents.
    i live in France, was raised by my grandparents & had the type of childhood your son has ( no extra sugar, no pops, no candies) ... and yet many cavities on molars.
    as the age of 39 i have 6 crowns (and was told it could have been worse) i'm totally obsessed by having my teeth clean & not eating/drinking too much sugar. i'm doing my best but there will always be some regrets although it was not my fault.
    for a while we thought it was because i grew up like a weed up to 5ft 10, but when i see my daughter with a 100% clean bill from the dentist at the age of 10 (and as tall as i was at her age) i got to think there must be a good thing in the fluoride + vit. D they supply kids with nowadays.
    there is no fluoride supply in our (from tap) water in france & here in the western area we don't get that much sun after all... children get regular (drinkable) shots of fluoride as babies & toddlers & vit.D until age of 8 or 10... it is not too late for your son, since for now it's about his milk teeth. i was so upset he had to have crowns... i've never seen this here, unless it's a broken tooth by accident.
    also, this past decade dentists "seal" molar teeth tops with a kind of resin, that lasts for about 6 years and is supposed to protect them at a critical stage (age 8 to 14)...
    good luck & a better teeth health to your son
    January 22, 2010 | Unregistered CommenterValerie
    My oldest had this exact thing done when he was five. He drank the magic Kool-Aid that put him to sleep and $1000 later (just the copays) we were done. Several silver caps on his baby teeth. I kept them as they fell out, thinking I was getting my money back?! Anyway, his adult teeth grew in, and aside from a cavity here and there, his teeth are fine. He's 16 and going through that whole "why do I have to shower?" phase so getting him to floss is a major accomplishment. Anyway, my youngest is 7, just had his first pulpectomy. One silver crown. No other cavities. We're a multi-grain, hemp wearing hippy family so no sugars in our house. I had NO enamel on my teeth when I was a tot. The dentist applied it every 3 years. You either have hard teeth or soft teeth. It's part genetics and part shitty luck. So maybe Ben will have perfect chompers! Hang in there. Give lots of hugs and love.
    January 22, 2010 | Unregistered CommenterKim
    I feel like you're all sitting here next to the woodstove. You've all made me feel better, you've given me questions to ask when we go to the pediatric specialist, you've put me on guard, you've passed on supplements as well as sanity.

    You're all just so wise and so generous. Thank you so, so much.

    In contrast, I've been watching Hope for Haiti tonight and feel like a silly and oblivious fool for fretting so much about teeth. That's all it is, after all.

    Still, thank you all. I'll be re-reading with a pen and paper in hand. xo
    January 22, 2010 | Unregistered Commentersweetsalty kate
    ....and Neil, you crack me up. As usual. I won't explain because I want you to always be a pristine New Yorker, unblemished by a functional understanding of artesian wells and kindling.

    ...and Leigh, you're kidding, right? I'm giggling. That's one of those water tattoos that presses on with a wet washcloth. They boys are regularly festooned with swords in hearts and skulls and sharks and guitars. But you had to be joking. Either way, still giggling. :)
    January 22, 2010 | Unregistered Commentersweetsalty kate
    I know the pain.

    I am naturally prone to bad teeth. My mother didn't feed me bad foods. I wasn't even allowed chocolate until I was nearly four. The closest thing I came to dangerous tooth habits as a small child was sucking my thumb and an all abiding love of my blue sippy cup, or my "blue lolly" which I was only allowed to indulge in at bedtimes, while being rocked on my mother's lap.

    And yet, by the time I was six, I had had multiple tooth extractions. My teeth kept abscessing. I remember those extractions rather vividly. It helped that my dentist was Brown Owl of my Brownie troop, but it was still very uncomfortable.

    The worst part was that those early extractions made my big girl teeth come in sooner, which meant that I had more teeth than my mouth had room for, resulting in a hideous overlapping jumble which took years of retainers and braces to sort out.

    The bright side? I have only had a couple of cavities filled, ever. I have learned to take good care of my teeth, out of fear of the dentist!

    In any case, thank heavens for modern dentisty. When my dad was 16, he went to a dentist. The dentist found his teeth, hitherto untouched by denistry, to be riddled with cavities. His solution? Yank the teeth. My dad came to high school the next day with only ten teeth left in his mouth. He never talks about that day, but he's very weird about his teeth. My mother, who has been married to him for 35 years, has NEVER seen him with his teeth out. He sleeps with them in. I was 10 before I learned that he even wore false teeth.

    So be glad that your son won't have to live through that shame! Nowadays they FIX the teeth.
    January 23, 2010 | Unregistered CommenterCarol
    OH, that is just so unlucky. I'm really sorry to hear that your son has to go through all that at such a young age. I would almost say full anaesthesia would be better (oh, except of course for THE BILL) as it will likely spare him a lifetime supply of DENTIST FEAR. I will be hoping you all get through it smoothly and with no pain.
    That said, I had AWFUL teeth as a kid, partially due to me decieving my parents about nighttime teeth brushing and partially due to a mouthful of soft, wimpy grinders. But then I turned seven and started getting my adult teeth, and they were much, much more sturdy. So far, I've only got one cavity. Have hope! This is not your fault!
    January 23, 2010 | Unregistered CommenterEmily
    I don't have much to offer in advice (we've been lucky so far, but we don't see the dentist much — bad mom, slap me on the wrist). Just please don't beat yourself up too much. It really sounds like one of those things beyond your control. I'm sorry you are going through it though. No fun.
    January 23, 2010 | Unregistered Commenterred pen mama
    I'm going to echo what other people have said: IT'S NOT YOUR FAULT. Teeth are a genetic crapshoot. I have a 7yo with no cavities and a 3yo with 4 rotten front teeth that our dentist keeps patching up and praying she can hang on to them til they fall out naturally. Avalon got her first tooth at 4 months and had 8 by 8 months and by 14 months they were visibly decaying. I did a ton of research and we started using xylitol wipes for her and later on gum. I also got some MI Paste and applied it every night. It seemed to help a lot. I looked into the Weston Price information on tooth decay and incorporated some of their suggestions, making sure we were all getting adequate micronutrients. It took me a really long time to stop blaming myself, but now I've accepted that it is what it is and I will do whatever I can to preserve her adult teeth. It's terrifying to imagine putting your precious child under general anaesthesia, but honestly the hospital is the safest place to do it. I would choose it over heavy sedation in a dentist's office. Love to you and your family.
    January 23, 2010 | Unregistered Commentersara
    The tatoo comment made me laugh out loud. Not at first, but then I scrolled back up and looked at Evan with that preposterous Teenage Mutant Ninja Turtle tongue, and the thought of him taking it like a man at tatoo parlor that he was driven to by his mom in a minivan...do you even drive a minivan anymore? Anyway - that SUCKS about the teeth. It's TOTALLY 100% genetic Kate. My best friends are 4 sisters. Two of them could slurp Mountain Dew through a Twizzler (which is really yummy, btw) and never have a cavity and the other 2 are fanatical about flossing and brushing and rinsing and their teeth still crumble like Mayan ruins. I promise this was meant to be encouraging.
    January 23, 2010 | Unregistered CommenterBetsy
    Delurking to write, me too. Fluoride is not added to the water in our rural village. After our dentist found a cavity in Mr 3, we started using a fluoride supplement (pills). I am world class in beating myself up (read American and teeth-obsessed). Very sorry to read that you are going through this. Thanks for sharing your story.
    January 23, 2010 | Unregistered CommenterJuli Ryan
    I had something like 9 cavities on my baby teeth, and then I right away got about 4 on my adult teeth as soon as they come in. But that was 20 some years ago now, and I've never had another. Teeth are weird. It's not your fault, mama.
    January 23, 2010 | Unregistered CommenterGillian
    crap. poor evan and poor you, and though i think it is nearly impossible to stop self-flagellation as we are parents and that is what we do...it is not your fault. one of our boys has the most beautiful teeth and brushes them like a champ...the other does not have good teeth, there is a hole in the gap between his front teeth and he could give a shit about brushing.

    i have to confess some fear regarding dentist visits in the future now. sending lots of tooth fixing vibes your way for the upcoming surgeries.
    January 23, 2010 | Unregistered Commentermamie
    reading bleary-eyed through the comments at 3:40am and i think two things: whoever said ge a second opinion? what could it hurt?

    and hospital anesthesia that'll set you back a cool .... well, several thousand USD (you can do the exchange) and I am here to tell that I have a child with the same diagnosis and the sedation VERSED worked quite nicely and she had at least the amount of dental work your son is facing if not more. VERSED (ver-sed). Ask about it when you consult the next best dentist in your maritime province.
    January 24, 2010 | Unregistered Commenterjeannie
    Jeannie - you're not the first person to mention the cost and I always feel kinda sheepish, to be honest. Because I can't imagine the stress of living in a country that makes its people equate health issues with financial struggle. In Canada, more or less, any health fix that is medically necessary - dental or otherwise - is covered. The concern of how to pay for it just doesn't exist. We don't make decisions as to how to proceed based on affordability.

    I don't want to sound like I'm all "nyaa! nyaa!" from the north. It just boggles my mind that so many Americans still object to the idea of universal healthcare (not saying that you do), and that so many of them still seem to cling to so many myths about the rumoured healthcare shortfalls of other systems. Not that we don't have shortfalls - but the point is that we get the care we need for the people we love without the question of money ever entering the picture. That reality sets the tone in families, I think. There isn't that stress hanging over our heads, the stress of imminent ruin (or at best, inadequate and expensive insurance coverage that fails to get you what you need in crisis) based on inevitable health issues. All we need to do is get angsty as moms and dads. Not as credit line holders.

    Yeah. See? Sheepish.
    January 24, 2010 | Unregistered Commentersweetsalty kate
    My oldest had the same oral surgery at age 4. He had cavities from the time his teeth came in-no joke.

    My oldest daughter had the same thing done at age 4 as well.

    Neither of them ate much by way of sugar, and we were regular brushers and flossers. One dentist told me that it was genetics. Some kids have bacteria in their mouth that makes them more prone to cavities.

    I have 2 other kids with no cavities who eat way more junk then the older 2.

    All in all it cost us about $9,000, and now my oldest just graduated to braces to the tune of $2700 (half is covered by insurance). Fun!

    The surgery is scary, but he'll be fine. Just be aware that he'll be REALLY loopy when they first bring you back to see him. Then they conk out again and wake up mostly normal.
    January 24, 2010 | Unregistered CommenterKelly
    I'm all stressed out for you. But there's no way you could have prevented this and it sounds like you're going to do everything you can to make this as stress-free as possible for him. The truth is that you'll probably end up bearing the brunt of the stress here and for that I wish I could offer a great big hug.

    I have severe phobias about dentistry due to some extractions that were done in a mostly-painless but unsympathetic and very scary way when I was seven or eight. My only advice would be to seek out the pros who know how to make this as scariness-free as possible for a little boy. I hope he sees it as a weird adventure.

    My sister had TWO root canals at four (put mostly under with gas) and was over it by the next day.
    January 24, 2010 | Unregistered CommenterMaria
    Yes, I was kidding!
    January 24, 2010 | Unregistered CommenterLeigh

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