Author Zadie Smith’s debut novel is called White Teeth. It’s broad story spanning three generations and addressing issues of race, class, gender, and education and, despite my prejudice against fiction, I’m reading it right now and have I’ve devoured most of its 550 pages. But that’s not the point. The point is that Smith uses an extended dental metaphor throughout the novel, which I don’t fully understand yet because I haven’t finished reading but still find clever. Chapters are entitled “Teething Trouble,” “Molars,” “Canines: The Ripping of Teeth,” and my favorite figurative title, “The Root Canals of Mangal Pande,” in which the character’s history and origin are mined. However, save for one character’s complete toothlessness, none of the book’s plot concerns anything to do with teeth.
My life, on the other hand, has begun to revolve around my teeth. Despite brushing twice a day throughout my childhood, I’ve never seen a dentist without receiving a long report of bad news. An addiction to gum (mostly sugar-filled gum I realize now), a general familial aversion to doctors, and bad genetics exacerbated the problem, which is why I’m now 23 with a seemingly unsolvable number of cavities, broken teeth, and infected nerves. True, the six or so teeth that show when I smile look lovely, well-proportioned and perfectly straight even though I’ve never had braces. But I would trade that superficial nicety for general dental health in a heartbeat.
As early as 14, small pieces of teeth began breaking off and landing on my tongue without warning. I frequently reach into my mouth to pull out tiny grains of canines, or bigger apple seed-sized pieces of molars off my tongue. It’s an instinctually sickening sensation to witness your own body crumbling apart, and though it happens often, I always feel nauseous and panicked when I hold the glistening, white morsels in my hand and hesitantly explore the new vacancy with my tongue.
“Calcium-shaving minced-molar/ pulp…” is a line from an uncharacteristically twisted poem I once wrote about addiction. Readers have always found those words the most grotesque, which I marvel at, because, for me, it’s the most truthful, concrete description in the poem. The exorbitant cost of dental visits and root canals, and my unfortunate habit of thinking things will go away if I ignore them long enough, has prevented me from solving my problems. Years ago, noting my otherwise perfect health and happy life, I melodramatically decided that it was simply my fate in life to deal with perpetual calcium shavings and minced molars.
Until now.
It was at my mother’s suggestion that dental work here would be cheaper, and Mathias’ insistence that I deal with the problem, that I walked into Dr. Guzman’s office off main street in Pucon and asked for an appointment. The secretary looked surprised to see a giant in her office but then composed herself and asked “Tienes una carie?” I smiled, wishing my problem was as simple as a cavity, and told her there were a lot of issues. We agreed on scheduling an evaluation and since then I’ve been back three times: for the initial assessment, a root canal, and another session to prepare the excavated tooth for a crown. This has become my Mouth Month and I’ll meet with him a couple of times a week for the remainder of my stay in Chile. He’s doing Mathias a favor by squeezing in as much work on me as possible in the time that remains and I am grateful.
During the first visit the dentist asked me if I had general pain from my teeth and I said no. A more truthful answer would have been: “I have an intricate knowledge of my teeth and have developed an elaborate system of ingestion which usually runs without me thinking about it and allows me to avoid pain. I’ve mapped the routes food may safely take through my mouth and know precisely which teeth can handle chewing which food, and which are too brittle. I choke more frequently, from swallowing bigger pieces to avoid chewing, and keep most food between my front teeth, moving it to the final, right side molars when grinding is absolutely necessary. I let my tea cool to a bland tepid temperature, I don’t put ice in my drinks, I swallow ice cream immediately, and I only breathe through my nose when it’s cold outside or I’m running. I let my granola swell into mush in my milk, I suck on tortilla chips instead of crunching, and I grate my carrots. By doing this I rarely have pain.” I don’t say any of this to him, but I still fantasize about chewing with both sides of my mouth and letting ice cream linger on my tongue.
Last November, shortly before Thanksgiving dinner, half of one of my canines unexpectedly cracked off in my mouth. From the outside it still looked normal but the inner half was gone and chills ran up my arms and down my spine whenever my tongue accidentally passed over the hole and jagged remnants. In March, as it was bound to, the rest of tooth broke as I, Oh the irony, idly pushed a piece of gum around my mouth. Chewing gum literally made my teeth fall out. It was vanity more than anything that motivated me to face another dentist. It was not the certain pain I feared, the eventual aching horror of the rot reaching my nerve, but rather the ugliness of the hole in mouth that I would not be able to hide from friends and family once I returned home.
And so, I’m taking advantage of this rainy month, of the few riders, of there being another helper here to do the work, to get (some of) my teeth fixed. Most of all, I’m taking advantage of the fact that everything will (incredibly) cost me less than a quarter of what it would in the U.S., and more importantly, this dentist is kind and sympathetic. Every American dentist I’ve ever seen has considered it his/ her responsibly to make me feel fully and acutely guilty for the state of my mouth, as if I enjoy the pain and bizarreness of my hole-filled mouth and have deliberately encouraged my teeth to crumble into countless tiny grains. While the dental work here in general is less expensive, not having to endure a lecture-from-on-high is priceless.