At our annual visit with the craniofacial team a couple months ago, they told me to get a dental X-ray to see where the heck Charlie's lower front lateral incisors are. Those are the two teeth next to the two front teeth, on the bottom. "Where do you go?" they asked me. I told them the name of the pediatric dental practice where I took Summer. "Oh, great, they will have the Panorex machine where he can just stick his face in the chin holder and they'll take a picture. Go have that done and get back to us."
The appointment was this week. We discovered, to my vast irritation, that Fancy Town Pediatric Dentistry does not have a Panorex machine. The dentist, a tan 80-year-old man with a gold chain who looks like he just walked off a tennis court in Boca Raton, gently examined Charlie's mouth and proclaimed that we did not need an X-ray. "You won't see anything," he said. Charlie does not have those teeth. He doesn't have the baby teeth and he won't get the adult teeth.
"How weird is that?" I asked. "Five to eight percent of the population has either an extra tooth or never got a tooth," he answered, "so, not that weird. And it's on the bottom. No one's even going to notice."
Since the high priests and priestesses of the craniofacial team had ordered the X-ray, I asked the dentist if we could please try to do a regular X-ray, even though Charlie is only two and will not hold still for long. I told them about how brave Charlie was when had X-rays at Children's before he was sedated for his CT scan, in case they had to intubate him. "Yeah, but he was sedated," the dentist said. "No," I said, exasperated. "They needed X-rays of his jaw so they could see if it was safe to sedate him."
The dental assistant made a somewhat lame attempt--Charlie was calm, he said "Ah," he bit on that thick paper--but she couldn't get his chin right or something and finally I told her to give up because I didn't want Charlie to be afraid of going to the dentist, like his big sister, who now has to be bribed with Barbie movies to sit through a cleaning. On my way out the door, the technician told me that her son is missing the same two teeth. "They shaped his eye teeth so they'd look flat, like the missing teeth would be. No one can tell but me," she said.
I called the craniofacial team the next day and asked if they still wanted the X-ray or if the Boca dentist's opinion was good enough. "If the maxillofacial surgeon asked for it, you'd better get it," the team coordinator told me. I mentioned all this in my Early Intervention group. Another mom told me that Neighboring Fancy Town Dental has the Panorex. Guess I'll ghead and book that.
Later in the week I picked up my new night guard from my dentist. Apparently I'm grinding my teeth, so I'm paying hundreds of dollars out of pocket for this uncomfortable little piece of clear plastic that I hook onto my two front bottom teeth. As I was falling asleep last night all I could see was Christopher Walken in Pulp Fiction: "I hid this uncomfortable piece of metal up my ass for two years..."