Home » attachment parenting, breastfeeding, family

Finding a Pediatric Dentist – A Tale of Two Dentists

12 March 2008 18 views 7 Comments

A little less than a year ago, we took M for his first trip to the Dentist. I wasn’t sure how to pick a dentist at first. Should it be a pediatric dentist? A family dentist? Should I just pick one out of the phone book?

We chose Dr. M because my sister recommended her. I was told that she was very nice and friendly with the kids, had a very popular office, and the office had lots of “stuff” to entertain the kids. I guess the comment about lots of “stuff” should have been an early warning, but I chose to ignore it. Anything that seemed to make a dental visit more fun for my son made my dental-anxiety-prone heart rest easier.

Dr. M’s office turned out to be more like a bad dream than I expected. Arp and I both went with M to the appointment because he had recently chipped several teeth in a biking accident. As we sat next to the examination chair, just a minute or two into the visit, Arp and I were quickly admonished when we made the mistake of using the word “cavity” in front of M. Dr. M quickly told us about the approved euphemisms allowed in her office, which included “cookie bugs” for the bacteria that cause cavities. I can’t even remember all the weird phrases she used because I think I blocked them out.

Another problem at Dr. M’s office was that she seemed continually upset by anything non-mainstream. We were immediately reduced to a stereotype. Since our pediatrician is one of the least mainstream peds I have ever had the privilege to meet, she continually made comments like, “Oh, you are one of Dr. Z’s patients , so I guess you think…” She was also critical of non-metal fillings because she claimed it took her a whole 5 additional minutes to do them compared with metal. She also criticized the fact that we weren’t giving M fluoride in vitamins. So M was supposed to not only ingest poison in the form of fluoride, but also put leaching metals into his mouth because of a savings of 5 minutes?

The final straw came when the topic of breastfeeding came up. First, her utter surprise when she found out that M still nursed was palpable. Then she gave me this lovely statement: “Babies older than 6 months of age should not be nursing at night because it causes cavities, and after 6 months, they don’t need breast milk for nutrition any longer.” Wow. What a load of crap.  Not only do many babies still wake up due to hunger after the age of 6 months, but they also wake up to breastfeed for reasons other than hunger. When a medical professional makes the kind of wrongheaded blanket statement that Dr. M made, she has a big chance of doing some damage. Damage to the emotional health of children that were prematurely night-weaned due to the fears of their parents. Damage to the babies that fully weaned, again prematurely, due to the interruption of the natural course of breastfeeding. Damage to the attachments of mother and baby. Damage to the trust that baby has in his/her mother that breaks down when she suddenly withholds milk and comfort at the tender age of 6 months. And possible consequences to the mother, who may be put at risk for mastitis when she suddenly night-weans.

I tried to push my distrust of Dr. M out of my mind, but that breastfeeding statement of hers just kept coming back to haunt me. Not able to put up with idiot medical professionals personally, I was unwilling to send M back there. When her receptionists called at the 6-month mark to remind me to make another appointment, I went into great detail over why I wouldn’t be making another appointment and asked her to tell Dr. M. I got a letter from Dr. M a few weeks later explaining that we must have had a “misunderstanding about breastfeeding”. No misunderstanding, Dr. M. Your words were quite clear.

So we were in a place where we had to find a new dentist for M. We also needed a new dentist for Arp and me. Arp hadn’t found a dentist that he liked since he was a child, and plus, he was having some tooth pain. So this time, I did something smart. I asked someone who I really trusted for a recommendation. That person was our very uncommon pediatrician. We are so lucky that we found our pediatrician. We have to drive almost an hour for appointments, but it is soooooo worth it! He treats us like equals. He knows we are smart and allows us to make decisions. He doesn’t pressure us with vaccinations, and talks with us frankly about all the research he knows about. He supports breastfeeding, and he knows who to recommend for more information if he doesn’t know the answer (no bullshit stories about a mother having to wean for this and that reason from his office!). He’s just plain nice, and he wears a kick-ass pair of either hiking shoes, or Keens sandals to office visits. I love that. Dr. Z gave me a recommendation for a holistic dentist, and we made appointments for M and Arp.

Arp and M just got back from their appointments with our new dentist, Dr. H. Dr. H was lovely. No bullshit on breastfeeding. Frank talk with M about his teeth, his health, and brushing (no euphemisms here). They don’t do metal fillings in this office (they must have some sense). And the statement of the day from Dr. H: “It’s sad that more people can’t afford health care in the U.S.  That, and the high mortality rate at birth, are real problems!” I couldn’t agree more. Plus, it turns out that her last child was born at home using a midwife that I know. I plan to call Dr. H to make an appointment for myself today.

The thing is, if you don’t ask the right person for a dental recommendation, you are not going to get one that suits you. Although my sister gave me her best recommendation, the issues that I care about just don’t hit on her radar. So worrying about euphemisms, fluoride, and breastfeeding were just not on her radar. So I got a recommendation that totally didn’t suit me (of course, unless Dr. M only caters to non-breastfeeding children who don’t care about poisonous chemicals, I have to wonder if she really suits anyone.) Thank goodness I got some sense and found a dentist that suits the whole family.

7 Comments »

  • JenC said:

    Yuck…sorry about that! We had a nightmare dentist experience, and this was with a supposedly AP and breastfeeding friendly guy. Turned out he’s a sadistic SOB and we had to leave a filling appointment in the middle (per our daughter’s sensible choice). Blech. Our pediatrician’s partner also turned out to be terrible with children and our other daughter is frightened of all doctor equipment after a check for an earache.

    I’m pretty savvy and a mama bear when it comes to my children but there are a lot of healthcare providers out there who really have no clue and who are really not sensitive with children (sorry…end of auto-rant).

    Glad you found good people!! I’ll be asking you for your recommendations at the next meeting!

  • Summer said:

    I don’t think I would have stuck it out with the first dentist, I might have walked out mid-appointment. LOL I’m glad you found a great dentist to use.

  • oliveoyl said:

    Breastmilk doesn’t even “pool” in the mouth like formula in a bottle so all the more reason not to quit breastfeeding for a dentist in poor taste. :-) My oldest daughter has been traumatized by dentists and it is to the point that I try to make my dh take her now. Apparently her teeth are really sensitive and dentists don’t believe her.

  • Cindy said:

    Arp and Trish, I honour you for finding your own way to a practitioner that fit with your family. We have had our non-suitable peds dentist experiences too … my best advice afterward is to trust your own parental gut. (We, like you, no-showed a next scheduled appointment.) For many reasons I won’t go into here and now, we had our gut repulsion affirmed in a variety of ways as worthy of respecting. We are now with a practitioner we and the boys enjoy — although we still maintain a healthy detachment to her “professional advice”. (Had we heeded, Noah would have started orthodontic intervention at age six. He is now eight, and at our checkup and cleaning on Monday, Dr. H. says Noah’s jaw is growing quite nicely and “early ortho intervention isn’t called for”. I suspect she’d just forgotten that, for about a year and half, at each checkup, she gave us a referral form for ortho.)

  • Trish (author) said:

    You know, our wonderful ped actually gave us some advice on whether to stick it out. He rolled his eyes over our story, but then pointed out that most dentists are really only concerned about that one particular body part – teeth. So the advice you get from one will usually be to do anything and everything for those body parts. So I thought about sticking with the bad one, but the breastfeeding thing is the breaking point for me. Since I work in a volunteer position helping women with breastfeeding troubles, I get very sick of hearing bad breastfeeding advice. I’ve already dumped an OB/GYN over that issue. I just can’t put up with bad breastfeeding advice from the person that I am paying to help me (or my family)!

  • Arp said:

    One thing that I really liked was not having a boatload of distractions – toys, tv, etc. There was a bin of books, but I picked up the Consumer’s Guide to Dentistry and looked through it with M. There were lots of pictures of teeth & mouths in various states of decay/distress/utter fugliness. A little boy who is adamant about not brushing at times was affected by the picture of extreme gingivitis. Not hiding from the kids the actual consequences of (the lack of) dental care probably doesn’t give them a good reason to consistently brush their teeth.

  • Karla said:

    We used to go to a pediatric dentist. They sure had their routine there. Television in the waiting room, television in the exam room, video games and plastic toys everywhere. I had to ask the hygenist to turn off the TV so that I can have my daughter’s attention while talking her through her first dental visit. My daughter had her eyes glued to “Monsters, Inc” but was fidgety in her chair and could not hear the hygenists’ instructions. DUH!!! turn off the darn TV and she may be able to hear you better! We’ve since found a dentist office that does more talking to the girls rather than entertaining.

Leave your response!

Add your comment below, or trackback from your own site. You can also subscribe to these comments via RSS.

Be nice. Keep it clean. Stay on topic. No spam.

You can use these tags:
<a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>

This is a Gravatar-enabled weblog. To get your own globally-recognized-avatar, please register at Gravatar.

CommentLuv badge

Subscribe without commenting