On Wednesday I had bought some hot dogs and buns, and decided to have a couple for lunch. When I munched them down, something felt a little painful, and my tooth stayed sore for a while. By about 3pm the next day, it felt quite sensitive, and I felt a bump under my jaw. My pastor was coming over at 4pm to go over his sermon and have an early dinner so there wasn’t much I could do right then. I figured the lump would go down soon. But by 8pm the swelling had moved from my jaw, pushed up the flesh between jaw and cheek, and was pushing its way upwards on my cheek.
Time to get some outside help – but whence? Was it a tooth thing, or was it something else – should I go to the hospital? I was pretty sure it was my tooth, but would they tell me to get the swelling down before they could do anything? I also remembered that my brother had an abscess when the dentist was working on him, and it got into his bloodstream and he wound up in hospital for a few days. Further: if the dentist, which one? Since I didn’t really have a connection with any dentist, could I go back to the first one – the only one left who’d done any major work on me and whose office was a lot closer, or should I go to the one where my records were, despite the fact that there would be those soaps and game shows blaring at me?
I passed the night pondering these mighty variables. There was no significant pain, but it was uncomfortable nonetheless.
About 7:45am I called Soap Central. I figured they had my most recent records, so there was more of a connection. It turned out to be an inspired decision. I told the woman who answered the phone that I had a crisis-level toothache, and she asked me for more details – which surprised me somewhat, coming from a receptionist. I explained about the abscess, and – far from sending me to the hospital – she said come down for 9am and we’ll start you as soon as the dentist gets in. A most surprisingly authorized receptionist.
When I reached the office around 8:40 all was explained – I had been talking to the dental assistant. I walked in and she called me by name, took me to one of the side rooms and checked things out. Took an X-ray which went straight onto the PC beside me, and in less than 5 minutes had assessed the situation, determined the course of treatment, brought in the equipment needed and was explaining it all to me. (She also arranged to have Pandora stream in classical music rather than soapy games, so for a couple of hours I got the bliss of Mahler and co. Later I re-tuned The Pandorica to build a set around Jo Stafford.)
Clearly the dentist held her intelligence in as high esteem as I immediately had, because he questioned neither her assessment nor her treatment approach. For nearly four hours I was at the center of a sort of professional ballet as the two of them, along with a new student who was shadowing the dentist, multi-tasked me into their regular schedule. It must have been exhausting for them to ramp up the workload like that.
The dentist gave me a couple of jabs. I don’t remember jabs hurting that much! And what’s with this wiggling the needle around once it’s in? Spreading the juice around perhaps? But it didn’t seem to do anything for me. While they were waiting, I tried moving my jaw around a bit, on the theory that the pressure of the abscess was blocking the stuff from working – which was ridiculous, since the anesthetic was never down at that level. The dentist cheerfully agreed with me that that was sure to have helped, then explained that the anesthetic worked best at a neutral ph, and the infection had pushed my ph off-kilter. So he gave me two more jabs that – despite the previous ones – hurt even more. From now on, that needle stays in her hands!
And we were off! First a crown was freed and pulled – that felt weird and crunchy – and then the cracked and broken tooth that caused the most immediate problem was pulled (it seemed to come out fairly easily). Pulling the tooth before draining the abscess concerned me a great deal, in view of my brother’s problem. But in for a penny, I thought – and these folks clearly knew what they were doing. Looked kind of funny in their full-face screens, though. That must be one deadly abscess.
The down-side of the anesthetic, of course, is that you can’t feel the relief as the abscess drains, but that’s a trade-off I’ll live with. One of the things that the assistant had promised early on was that the abscess would be fully drained before they sewed everything back up, and she and the new student worked away to get the stuff out – her hands carefully and gently massaging the swollen areas on my cheek and under the jaw. There was a lot of goop to get out, and a couple of other openings had been made by the dentist – aren’t you enjoying reading about my experiences with pus? – one in the cheek and one in the valley between jaw and cheek. They needed to stay open for a while to drain.
She had just gone out for a while, and the dentist had come in and was sewing up the cavity when she came back in – and I felt that she shifted straight into ‘patient arbiter’ mode. She was very concerned that he was sewing up the cheek already instead of letting it keep draining. Clearly I wasn’t the only one who thought she was ready to jump down his throat, because he hurriedly interrupted her to explain that he was only sewing up the cavity, not the incision. Felt pretty good to have someone in my corner like that.
At around the two-hour mark I started to feel a bit faint. I’m needle- and blood-phobic at the best of times, although it’s never hit in the dentist office before. When I mentioned it to the dentist, he offered water or orange juice. I opted for water at first. I tried putting my head down, but that didn’t seem to work. Then the dentist came back in to see how I was doing, and I thought I’d better go for the OJ after all – I assumed he had it in the refrigerator – that was certainly the impression I got. Turns out he actually sent someone out to get it – no wonder it took so long to get to me! The assistant, meanwhile, draped a wet paper towel over my forehead and that did the trick.
Periodically, the dentist or the assistant would give me a pat on the shoulder as they passed – a sort of ‘You’re doing OK.’ Sometimes touch can be such an encouragement.
As I left, I got a firm and clearly sincere command from the dentist. If there was any problem at all at anytime, weekend or not, call in, get his cell phone off the office machine and contact him immediately.
Hard not to be impressed with MY dentist and his team.