Love your broken tooth

Tooth2 I don’t know the names of my teeth.

Do you?

Oh, sure, I know “Front Tooth” and “Back Tooth,” but that’s the extent of my dental lexicon.

So, I can’t tell you the exact name of it, but I broke the Tooth- Beside- The-Front-Tooth in half a few weeks back. Did your mother ever tell you never to open a plastic bag with your teeth? Turns out the woman knew what she was talking about. I was desperately trying to open a bag of Ginger Chews because they, quite frankly, are the nectar of the gods and I harbor just the teeniest addiction to them. As in I must stop at the Metropolitan Market in West Seattle to find them before boarding a cross-country flight or there’ll be hell to pay at 37,000 feet. Hypothetically, of course.

So there it was, half gone. HALF GONE. I tried sticking it back on with toothpaste. It is called tooth PASTE after all. That didn’t work. They lie. They should just call it tooth cream. I had just bought new wax earplugs to survive any snoring that might or might not take place in my home, so I cut off a tiny corner of one of the earplugs to try to stick the tooth remnant back on. No go. I tried sticking a Chicklet onto the stub so you couldn’t notice, at least from a distance. That worked from 50 feet, but was noticeable if you got any closer than that, and it kept dissolving and falling off, which might have been more disconcerting to the viewer than the broken tooth. Plus I had lunch meetings to go to and couldn’t figure out how to eat with a Chicklet stuck on my tooth-beside-the-front tooth (let’s call him Reet for the sake of abbreviation)

I hadn’t been to the dentist in a while. A year or so ago, he had told me I needed some dental work done, but, frankly, I didn’t have the money for what he needed to do, so had to put it on hold.

When Reet fell off with great abandon, I dialed the dentist’s office.

“My tooth-beside-the-front-tooth just broke in half!” I shrieked in a not-moving-my-head kind of way. “Can I get in to see the dentist today?” I asked, thinking of all the meetings I had scheduled, including one an hour later that day. What would people think if I showed up with half a tooth?

“Well, Patti,” the receptionist said. “I see you haven’t yet come in to have the dental work done that the dentist suggested.”

Um. What does this have to do with my current tragedy, I thought to myself.

“No, I really haven’t been able to afford it,” I answered. “But this is kind of an emergency.”

“Well,” she hesitated. “I’m going to have to see if the dentist still wants to see you as a patient.”

Blink.

Tooth “Excuse me?” I replied. “Um, it’s just that I have a bit of an emergency here. Tooth. Front. Broken in half?”

“I’ll check with the doctor and call you back.”

Okay, I had to arrange a payment plan for the last work he did, so perhaps I’m just not a top priority for him. I get that. But c’mon. A broken front tooth? I’m being fired by my dentist in the middle of an emergency, and a visible one at that?

Sure enough, the call came in while I was out at a meeting trying to hide Reet with my tongue, a strategy that I’ll have to admit wasn’t very effective. In fact, that meeting was the beginning of my exploration of appearance—why does a broken tooth matter so much? Or any other kind of “defect”? What was the impact of that “defect” on me?

The receptionist explained in her message that the dentist really was only interested in treating patients who showed a vested interest in their overall dental health and wasn’t interested in treating patients only on an emergency basis. “If you are able to commit to the full program of work he outlined for you, we’d be happy to see you, but not for this emergency work. When you are ready to do the full work, give us a call back and we’ll be glad to set up an appointment.”

Blink.

I’d been fired by what appears to be a Morally Indignant Dentist (MID). That was a first for me. And to be honest, it felt just a wee bit like blackmail. Don’t you think I’d like to fix what needs fixing? I wanted to call back and ask. Don’t you think if I had the money to do it, I would have come in to have it done?

It was an odd feeling, being fired by a Morally Indignant Dentist. Where does one go after that? Is that the bottom of the barrel? Is there no way to go but up after that? Is it a lifetime of gruel and mush after that?

I decided to ask my wonderful neighbor, Pam, for her recommendation, and found a great dentist with small hands and a gentle spirit. Because of my schedule and his, he fixed my tooth after a week of broken smiles and ordered a lovely all glass porcelain crown for me which I hope my kids will enjoy inheriting someday since it is now one of my most expensive possessions, surpassed only by all those gym memberships I bought and never used.

What I wanted to do and what I did in response to being fired by my Morally Indignant Dentist were two different things. What I did was write a nice note thanking him for his years of service and requesting my x-rays since I didn’t think it likely (i.e., When Hell Freezes Over) that I’d be coming back for extensive dental work there. What I wanted to do was, like I said, something different. But being the self-actualized half-toothed crone that I am, I restrained myself.

This story, however, is not about the Morally Indignant Dentist, however tempting that might be to expound upon and cast in a major motion picture. No, this story is about what I did and felt with my broken tooth, the impact that tiny gap had on me, how I compensated for it, and what I learned.

What was it about a broken tooth that seemed so shameful to me that I wanted to cancel appointments and meetings, stay home, and hide during that week? In fact, that’s not what I did—what I did instead was worse. I went to all those meetings and in my discomfort, I inoculated those I met with a disclaimer and, I’m ashamed to say, a joke about being a redneck.

I found myself so embarrassed by that simple broken tooth that I disparaged myself and made redneck and hillbilly jokes. Perhaps I felt I could, since I’m from here, I don’t know. I participated in unjust stereotypes to deflect judgment by others—it is hard to admit it, but true. I negated my own discomfort by lashing out in this insidious, “I’m better than they are but feeling unsure” kind of way.

I found myself fascinated by the process, and deeply shamed by it. And it was difficult to stop, to just own the broken tooth without making a remark at the expense of myself or another group.

External oppression is the unjust exercise of authority and power by one group over another. It includes imposing one group’s belief system, values and life ways over another group. External oppression becomes internalized oppression when we come to believe and act as if the oppressor’s beliefs system, values, and life way is reality.”

“’Self-hate’ and ‘internalized racism’ are other ways of saying internalized oppression. The result of internalized oppression is shame and the disowning of our individual and cultural reality.”

What stereotypes were caught up, for me, in the image of broken teeth? What other physical characteristics do I hold unconscious stereotypes (and preferences) for? How do they limit my ability to interact with the people who hold those characteristics?

Is my sense of self so tenuous that half a tooth can knock it loose?

I was quieter, more muted, less outgoing, less talkative that week. It changed me, my way of being in the world. When I did speak, I exaggerated my smile to make fun of it. I saw myself doing it. Did I want to post photos with this essay? No. Evidently I am still processing that damned tooth.

Turns out, the Morally Indignant Dentist did me a favor by his refusal, which allowed me those seven days to explore my discomfort and what I did with it.

I still want my x-rays back.

37days Do it Now Challenge

Tooth3_2 If an evaluative word leaps to mind when you see someone on the street, at work, in a meeting—stop. What stereotypes do you have about people with that physical characteristic? How did you come to that conclusion about people with that physical characteristic? Is it possible it is not true?

And what are you willing to make fun of yourself about? Perhaps that merits exploration on your part, too. Is it a deflection of what you assume people think about you, what they are judging you for, what you feel shames you? Is it a part of the story you’ve begun telling yourself about yourself?

About Patti Digh

Patti Digh is an author, speaker, and educator who builds learning communities and gets to the heart of difficult topics. Her work over the last three decades has focused on diversity, inclusion, social justice, and living and working mindfully. She has developed diversity strategies and educational programming for major nonprofit and corporate organizations and has been a featured speaker at many national and international conferences.

19 comments to " Love your broken tooth "
  • Funny, my husband broke a tooth last week too (must be chronic for those of us in the AARP generation ;). He initially had a similar reaction. We were in Naples, Florida, at the time, a town filled with rich and “beautiful” people, so he was hyper aware of looking like a “redneck.”

    Our willingness to “make fun of ourselves” is an interesting question. There are some areas I’m fine with being teased about -my inability to take photographs, or throw a ball, or cut cake straight are all family jokes and don’t bother me a bit. But I’m sensitive about my appearance and my cooking ability, and can’t joke about those things very well.

    Great post as always! And good luck with your new dentist.

    BTW – my son just had lots of dental work done in Thailand, where the care was superb and the prices incredibly cheap. If you’re planning a trip there anytime soon, check it out :)

  • Thanks for your honesty. I realized years ago that perfect teeth were a sign of wealth – that you could afford braces (which my family could not). So, of course, perfect teeth, like new cars and big houses, were preferable.

    What’s the image of homeless people in the movies? Disheveled people with broken (or no) teeth. As you explored, the image of “rednecks” is the same. I wonder if the people in those meetings were uncomfortable with your joke? I would have been. I wonder if I would have said anything?

    After seeing “The Story of Stuff” where Anne Leonard flat-out says if you’re not a consumer, you’re not valued in our society, I actually have more acceptance for my broken teeth (which I can’t afford to have capped or crowned). I wonder if I’d find a way if they were in the front?

    So, that’s what I was thinking – a broken tooth means you’re not a big consumer, so you’re not as valuable.

    And for some reason I’m crying.

  • That would be a lateral incisor, Patti, fondly known to dentists, both MIDs and nice ones with small hands, as “7”. That’s to distinguish it from the other lateral incisor, which is known as “10”. All you want for Christmas? They are known as “8” and “9”, the central incisors…your two front teeth.

    From whom are you quoting in the two paragraphs defining both external and internalized oppression and the consequences?

    Certainly, one of the central challenges with one recognizing the aging process and the resulting changes in one’s own body is the adjustment of self-image without loss of esteem. That’s how I relate to this essay, Patti: there are parts of me that are harder to love, for me, than they were when they were younger.

    Do I love those parts less? Not really. I just have less interest in parading them in public, and that’s where the similarity lies. You tried all means of disguising your broken tooth just as I work to disguise my aging and how it is manifested in my appearance. Neither of us need to worry, though, as people are mostly too busy trying to hide their own warts to pay much attention to ours.

  • I can’t beleive your dentist fired you!! You’re better off not being treated by such an individual. Im glad that your tooth has been repaired and I hope your meetings all went well.

  • So…a medical care proffessional, with whom you’d had a long standing relationship, denied you emergency treatment. Indignant doesn’t begin to describe how angry I’d be.

    I was just yesterday thinking about how I judge people with missing or broken teeth – even as I put off getting a crown put on a back tooth because I know it’s going to cost a fortune I don’t currently have. As non-judgemental as I try to be, there are still those snap judgements that jump out and say “boo”.

  • As someone who is still paying for having two root canals done on the same tooth over a year ago, I can empathize with desire to put off the work. I’m still sort of astounded by the dentist who refused to treat you because you hadn’t lived up to his expectations of you as a patient. Doesn’t a long term relationship count for anything? In this financial climate, is it so hard for him to understand that we might need to make conscious choices about how we handle our money? Sad.

    And I have an unfixed broken tooth, right in the middle (according to Rick, an “8 or 9”) that I’ve had ever since I was a kid. I’ve sort of gotten used to it. It adds “character”.

  • This is not just about appearances–is it? in our country—not fixing ones teeth is associated with being poor ? and uneducated? but in many other countries a chipped or broken tooth would be more common—and not such a negative thing. I do applaud your introspection about your reaction! I recently fell and fractured my kneecap—which has me in a leg brace for 3 months–and I find myself thinking about all those folks who have a permanent leg injury—like the young soldiers returning minus a leg from Iraq–and feel blessed that my injury is not permanent—I try to remind myself of this when I get discouraged and frustrated at having my mobility curtailed. Do you now appreciate your teeth a little more? I sure appreciate my legs…and the one fully functioning knee I still have…I have learned there are hidden blessings in every hassle life hands us.

  • Lisa

    Patti Digh, girl you crack me up and teach me at the same time and I love you for it!!! I have a large nose which is ok for a man but not for a woman. Just this week I started looking for plastic surgeons to prepare for a 45th birthday gift to myself of a more acceptable nose. I think maybe I will keep what I have and work on my self image. I will be so much better off which a beautiful soul rather than a beautiful face!! Besides, how many hungry people could I feed with the money it would cost me to get a nose job?
    Lisa

  • K

    Hi Patti, I’d be very careful about dentists. I had to go through 4 of them before I found one I was comfortable with, and I don’t mean the novocaine! I requested second opinions from a couple of recommendations (who all independently came to the same treatment plan) and found one that wanted to charge $700, another that charged $100. For the SAME treatment plan. And I was covered by dental insurance, what does that say about this country!

    Dentists all have to survive, and often they’ll have a particular treatment around which their profit center revolves. Could be scalar root planing, could be cosmetic whitening, whatever. I respect that. But it helps to go in as an informed consumer.

    And it’s hard to get patients to pay up for necessary medical treatment vs. cometic ones. (See http://www.slate.com/id/33269/) – so to some extent I can see why your dentist “fired” you; it’s frustrating to put in the effort to craft a plan of treatment and then have the other party not follow through even if it’s in their best interest. He’s probably saving himself that frustration, and there’s plenty of other dentists out there.

    But because there ARE plenty of other dentists out there, it does pay to shop around.

  • Your (now-ex-) MID needs to be slapped into next week. Just my humble, had-a-crazy-morning, fed-up-with-the-medical-profession, could-it-BE-more-humid-outside?? opinion. :)

  • I am seething at this, Patty! So many of us have no health/dental insurance and have to face these issues.

    I’d report this guy to the NC Dental Board.

    -Joy

  • Sally

    K wrote: so to some extent I can see why your dentist “fired” you; it’s frustrating to put in the effort to craft a plan of treatment and then have the other party not follow through even if it’s in their best interest.

    What bothered me, though, was that the dentist did not have a conversation himself with Patti to see why she hadn’t followed through with his plan. His actions make him sound like she had offended him somehow when, in fact, she had to make a fiduciary choice.

    I think, Patti, you should send him this post and all the comments.

  • Becky

    Ooh… be glad you didn’t put that dentist’s name in your post, Patti! I’m a loose cannon you know–when it comes to sending your posts to just about everyone!

    It’s crazy to think just how fragile our self-esteem really is. I mean, I view you as a well rounded person. I’m a well rounded person. However, one physical change in our appearance and the perceptions they bring about is enough to knock us off kilter. Now, that’s not to say we wouldn’t gain back that same esteem after becoming adjusted to our new self…. but none the less.

    I had very large issues with acne the majority of my life 14-27, no kidding. Dermatologist after dermatologist appointments (another racket, I tell ya!) with different derms and still, it would come and go. It’s back again for a number of different reasons, but I’m not letting it get to me this time. After all, I’m the only one judging myself and I can feel comfortable or not in my own skin.

  • Lisa

    I have three broken teeth. One is in the “hick” position. I don’t know how long they have been broken. I can’t afford to have them fixed. I am ashamed that I can’t.

  • Oy. Fired by your dentist. As always, so much food for thought here. I am especially captured by what you said about our willingness to make fun of ourselves, a sort of social Stockholm Syndrome where we try to distance ourselves from ourselves and all of our perceived flaws.

    I am actually trying to be less self-depreciating because so often it smacks of this type of protective self-dislike.

    Great post, as always!

  • Hello —
    I’ve been a lurker for a while and was just catching up. What a great lot of posts you’ve made in June!

    I thought this was a great story with a good “rub.”

    Blessings,
    Stacy

  • Oh Patti…exactly what I was speaking of in my email to you…felt shame and for what? I have no control over my teeth (I’ve been shown this several times here lately). I came on to Saluda and tried to hide the gaping hole in my smile…thereby hiding a large part of my personality…and for what? Vanity? Shame? What lessons we learn in the silliest forms…

  • Vicente Tellez

    Thanks. Exact same situation

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