A Green Dentist Visit
I started writing this months ago but after getting my cavities[1] filled, my interest in finishing it diminished considerably. Even with a hyper-attentive and -concerned dentist wielding the drill, I was still kinda traumatized. But I’m over it by now, so here it is: my take on going to the green dentist.
I didn’t have particularly crooked teeth as an adolescent, but I had a particularly authoritarian orthodontist.[2] And yet, for all the time he spent barking out instructions to his many assistants[3] (who did all of the actual orthodontic work) he never took even a second to explain anything to me, the person whose mouth was most affected.[4] And so I became accustomed to dissociating from whatever unidentified discomfort was deemed necessary during each visit, and instead eavesdropped intently on the technical exchange going on above my head, trying to parse it for clues.
BARTing my way to the green dentist this morning, I was reading this:
“What Gately can get from what she says to Dr. Pressburger is that there’d been concern that Gately might have got a fragment of whatever projectile he got invaded with in, through, or near his lower-something Trachea, since there’d been trauma to his Something-with-six-syllables-that-started-with-Sterno, she said the radiology results were indefinite but suspicious, and somebody called Pendleton had wanted a 16 mm. siphuncular nebulizer dispensing 4 ml. of 20% Mucomyst q. 2 h. on the off-chance of hemorrage or mucoidal flux, like just in case. The parts of this Gately can follow he doesn’t care for one bit. He doesn’t want to know his body even fucking has something with six syllables in it.” (Infinite Jest p.921)[5]
Gately has been lying in the hospital with a terribly painful, infected gunshot wound for a long but unknown (to him and the reader) period of time by now, and only pieced together a few pages ago that the reason he couldn’t talk was that there was a tube down his throat. This fact was so obvious to his doctors, nurses, and even his visitors, that no one thought to mention it to him.
Despite the fact that my own experience with medical and dental professionals has been (thankfully) incredibly limited in comparison to Don Gately’s, I could totally relate. Whether or not you have an actual, physical tube down your throat[6] preventing you from talking, it always seems to feel like it in a medical setting. It’s not even that questions are discouraged- it’s simply taken for granted that you don’t need or want to know. Anything. It’s like your understanding is superfluous.
This inaccessibility that characterizes most doctor and dentist offices was why I was caught so off-guard when I walked in to the green dentist’s office this morning and was greeted by the dentist herself. She heard me come in and ran out from somewhere in the back especially to introduce herself and lead me to a tiny conference room to ‘get to know me.’ The tiny room’s diagonal feng shui chair arrangement and obligatory ’soothing’ fountain[7] and the direct, searching gaze the (gorgeous) dentist leveled at me as I tried to explain ‘who I was’ made it all a little awkward, but I appreciated the gesture anyway. Because even if she wasn’t as concerned and open as she purported to be, even if it was just a ploy to get more clients, I appreciated the effort. As David Foster Wallace might have said, even pretending that it was important to pretend to care made the experience less soul crushing than it might otherwise have been.
Next, the dentist introduced me to one of her coordinating, modishly-clad assistants[8] who embarked on a tour of the office’s green features. I was not getting special treatment for having mentioned I was interested in the environment. Nope, it was standard procedure to show each new patient around. Pretty much everything she showed me I had already read about on the website (water filtration system, recycled denim insulation, paperless office, high-efficiency autoclave, etc.) except the couch in the waiting room, which was actually from the dentist’s old living room, but, again, it was a nice gesture.
The second half of the visit felt more like a normal dentist, save for the constant[9] checking to see if I was comfortable, and the dreaded warm shoulder wrap, which only made me hot. I got to see the digital X-rays they took on the computer screen, but maybe all with-it dentists do that now (I hadn’t been to see one in three years.)[10] Oh, and they did offer me some sort of high tech goggles to watch a movie while they cleaned, or at least headphones to listen to what the dentist temptingly called “meditation music.” I think I disappointed them by refusing both.[11] Clearly, I am not quite their demographic.
So why am I not focusing on the green innovations I encountered at the only eco-friendly dentist in San Francisco?[12] Because, for the most part, they seemed so obvious. Cloth bibs, reusable tools, eco-friendly toothpaste, typing directly into the computer rather than filling out paper forms. Who wouldn’t think those were good ideas? Filter the ecosystem-destroying mercury from old fillings out of the water before it leaves the building? That’s crazy talk!
No, as great as all that was, what really struck me about the green dentist was that it wasn’t merely a dentist office with eco-friendly features. It was a re-envisioning of dentistry as we know it.
Just as feminism began as a quest for a single equal right for (white) women and came to embody a critique of entire societies and came up with whole new ways of doing everything, the green movement shouldn’t limit itself to carbon footprint size. Nor can it. To be truly effective, I think, we can’t just substitute green products for the toxic and wasteful ones we were using before and be done with it. There has to be a fundamental shift in the way we understand the world.
In Michael Pollan’s Omnivore’s Dilemma, he discusses large-scale industrial organic farming. It turns out that, when you merely substitute organic inputs for chemical, it’s in some respects actually worse for the soil, because more disruptive tilling is needed for weed-control. Trying to farm with the existing industrial model to organic specifications is possible,[13] but not nearly as effective as adopting a true, all-encompassing organic outlook would be.
In the same way, a dentist’s office that regards its patients as human beings rather than so many sets of teeth and takes a holistic view of health is so much greener than an office that simply employs all the latest in green technology. Becoming green should and must entail a reevaluation of the way we do everything, not just a by-the numbers reduction of emissions and pollution, as vital as that may be. Because to keep the old industrial, reductionist view of how the world works entirely misses the point.
[1] Which, I just discovered in Clive Ponting’s Green History of the World, were virtually unheard of until the 16th century when sugar plantations were developed. Seriously, medieval peasants, the ancient Greeks, even hunter-gatherers (who it seems actually had a pretty cushy life) didn’t get cavities. No toothbrushes, no flossing, no dental professionals, no fluoridated water necessary. It’s enough to make you want to cut out sugar altogether.
[2] But maybe that is the nature of people attracted to teeth-straightening as a profession.
[3] All of whom were female, incidentally, and all of whom wore such hideously patterned smocks that they just had to have been designed to go with the office’s blandly offensive decor.
[4] The one time I saw the inside of his conference room, he likened the spacers he was about to insert between my molars to having a piece of meat stuck in your teeth. This metaphor was, of course, entirely lost on me, and my mother and I glanced at each other and burst out laughing. Which, you could tell, totally flustered my sad, straight-laced ortho. Maybe that’s why he never took us into his conference room again…
[5] In retrospect, probably not the best choice of reading material to take my mind off of my appointment. But it sure beat the hell out of my statistics textbook.
[6] or plastic thing holding your mouth open, as my orthodontist was particularly fond of.
[7]At least I’m pretty sure there was a fountain. My imagination could be supplying extraneous details, but you get the idea…
[8] Did those chic black-and-white numbers of which each assistant wore a variation come from the same dental hygienist apparel universe from which my orthodontist’s poor assistants ordered their smocks?
[9] And by constant, I mean every couple of minutes. It bordered on annoying, but better to err on the side of overly-attentive than negligent.
[10] Hence the cavities. I do brush and floss, I swear!
[11] I was a little curious to check out their movie selection though. I could only imagine: Escape to Nature Vol. II: Underwater Peace? The World’s Most Beautiful Places? Power of Flowers: Dreaming Orchids?
[12] There is another one in Berkeley, but it seemed even more new age-y than this one. The website’s description of a complimentary foot massage during your cleaning combined with the vague threat that I was going to be forced to meditate at some point, made the extra effort of getting on BART seem well worth it.
[13] At least with the current, less-than-exacting USDA certification standards.