Double Trouble at School

Jacob had a very busy day at school the other day. When I came to pick him up, nothing seemed amiss. But appearances, as they say, are deceiving.

He takes a backpack to school, though he doesn't have any school books. He's in Reception, which is a sort of kindergarten where they spend most of the day playing. Learning and living by a schedule is acquired through clever guidance by the teachers. But the children don't have homework and don't have any school books, as I say. So the backpack is more of a mobile mailbox, for sending information and items back and forth to school. There's a little notebook if we have any questions or comments we can send them in and the teacher can reply, or she can send us messages. Sometimes he's painted something or some other craft comes home. A weekly newsletter comes home on Thursdays telling us about next week's events at the school.

This day, his backpack had a plastic bag with his pants (that's his underwear to you American readers) and his trousers (that's his pants to you American readers). So naturally I asked him about it. He said that he was too slow going to the potty and had an accident. Luckily his clothes were just wet, so it didn't seem like much of a problem. I asked where he got the pants and trousers he was currently wearing. He wasn't sure. So we put them through the wash that night and sent them back to school the next day.

I was initially surprised that the teacher said nothing about it. But on further reflection, I imagine that it is not so uncommon that children wet themselves by accident at the school. Maybe she thought it was unremarkable, and so didn't remark on it.

The other surprise was when Jacob volunteered information. Usually he doesn't tell us much of anything about his day at school unless something really exciting happened, like the day they had PE in the big room and danced to the song "Life is a Highway" from the movie Cars. He loves the movie and knows the song quite well. But I digress. His volunteered information was in itself surprising--his tooth was loose! He showed me with his tongue. Sure enough, one of the front lower teeth could move back and forth. I even tried moving it very, very, VERY gently with my finger, just to make sure. It did wobble a bit.

We were already walking back to the car or else I would have asked the teacher some questions. I asked Jacob if he had fallen or hit his mouth. He said no. He had no bruises or any marks. He seemed pretty calm and just asked that we see a doctor or a dentist (who we had seen two weeks earlier, even though I just posted about it yesterday). I was still imagining all sort of horrible dental surgery or Jacob spending weeks or months or years with a missing tooth. He's only four years old, and teeth only fall out when your seven or nine, right? At least that was what I was thinking on the drive home. The kids in the back seat seemed so calm. I didn't know how they could do it.

Finally arriving home, I went inside and called up our dentist. I asked them a lot of questions. They thought it was just a normal case of a new tooth pushing out a baby tooth. I took some convincing. They recommended some over the counter medicine in case Jacob felt bad, but their main suggestion was that he should keep working it around until it came out. Jacob seemed fine with this and life went on as normal.

So we are on tooth watch. I will provide updates as they happen. If only I had a Twitter account!

A Visit to a British Dentist

One of the things that the UK is infamous for is the state of people's teeth. One gets the general impression that something is wrong with the water or with dentistry in Britain. I had more than a little trepidation when I made an appointment with a local dentist to have our teeth checked.

No ADA here, only NHS

The first problem was choosing a dentist. The National Health Service covers many but not all dentists here. Looking through the list on their web site, every dentist within a 20 mile radius of our postal code was listed as not receiving new patients--a little disappointing. I called up one dentist that uses NHS for children but not adults and made an appointment. They had an opening about three weeks out. Then, for a lark (and because you can't trust the internet or the government, so a government web page is doubly untrustworthy) I called one of the NHS dentists who was listed as not taking new patients. They said they were taking new patients and scheduled us for the next Wednesday, a mere ten days from when I cold called for an appointment! I was pretty happy about that, but didn't call the other dentist back to cancel, just in case this NHS dentist didn't make the grade. The lady took my information and said the initial exam for all four of use would take about 40 minutes. That's what made me a little skeptical.

Wednesday came and we headed off to the dentist. The children were excited because that meant a late start for school. Lucy was a little afraid but Jacob was okay. While we sat in the waiting room, Lucy said she had 3000 teeth. Maybe the appointment might take longer than they thought!

"Elevate!" said Dalek Dentist

We were called back as a group to the room. Jacob volunteered to go first. He sat in the big grey chair and the doctor raised him up. Jacob said, "Woo-hoo!" as he elevated to a convenient height for the dentist. The dentist asked Jacob to open his mouth wide, which he did. Lucy opened her mouth wide too, even though she was just standing there. The dentist told Jacob he would count Jacob's teeth. He went through testing with his probe and counted to twenty. Everything looked good. The dentist asked if it was okay to give a fluoride treatment since there is none in English water. We agreed. He put a slight layer of paste on Jacob's teeth and asked him not to eat it. It wouldn't really be harmful but it would work best if it stayed on the teeth for a bit. Jacob had a hard time resisting.

Then it was Lucy's turn. After seeing Jacob have a good time, Lucy was excited to try out the automatic chair. Jacob said the chair was a robot. And the bright light too! I agreed it had a robotic arm so the dentist could position it properly. The dentist went through the same procedure with Lucy. His tooth count was substantially lower than Lucy's. He only made it to twenty. He did say she has some overbite, but that may go away or she might need braces at twelve or fourteen. She had a much harder time resisting licking up all the yummy fluoride paste. She was done by the time we got back to the waiting room.

The kids were banished during mommy and daddy's turns. We were okay too. In addition to counting our teeth, he took x-rays. I was surprised there was no heavy lead apron like American doctors use to protect patients from the radiation. Other than that, everything was the same. Neither of us had new cavities. I got the usual lecture about flossing, which I do once per dentist visit. This time, he told me about how it was important as we get older because the food that gets stuck between your teeth won't come out any other way and that is a common way to lose teeth. This was the first looming-old-age lecture from a doctor for me.

I was surprised to discover we had only taken 40 minutes for our visit, just like the receptionist predicted. We sorted all our paperwork with the front desk. The lady said they would mail us when the next appointment was due and we could arrange it then. The visit was very satisfactory. I don't understand why dentistry has a bad rap here in England. Maybe it is just a bad history that has ended but is not forgotten. We will definitely be back, if only to ride in a cool chair.