The Dentist and His Dance of Shame

“Do you floss regularly?”
Oh, the shame.
That’s what they’re aiming to fill you with every time you go to the dentist, you know. I think they love making their patients squirm.
So, my insurance is running out pretty soon, and I realized that I really needed to get some long-needed work done before it turned into something much worse and cost me an arm and a leg.
But before I go on, confession session time.
I have never been a daily flosser. I brush twice a day. I use Listerine almost every night. But flossing… I’ve never developed the habit.
And I knew the question was coming. It always does. The hygienist stopped what she was doing, furrowed her brow, squinted her eyes, and looked into the depths of my soul.
“Do you floss regularly?”
Now, in the past, I always squirmed when the question was asked. I always gave them what they wanted. I always felt smaller than a smear on a toilet seat and twice as filthy. And, I would always squeak out something pathetic like, “I’ll do better from now on, please don’t hate me.”
But this time, I decided to play the game back.
“Do you floss regularly?”
“Nope!” I said, showing my smile bigger than ever. I just looked at her. Smiling. Smiling. Still smiling.
She looked back at me, obviously confused about my high spirits. “That’s why your gums are bleeding when I floss them.”
“Hmmm…” I said. And then I smiled at her again.
She so desperately wanted me to feel shame. I could tell. She knew how to respond to shame. Shame was her comfort zone. She didn’t know how to respond to a lack of it.
“Well…” she said, pausing in discomfort, “why don’t you floss?”
“I’m just too lazy!”
Awkward… silence…
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Oh Dan.... sigh.... I am glad you are flossing, your gums (and total body health) will love you for it! ... oh, and BTW, I'm a hygienist. LOL! I don't play the shame game with my patients. I educate them (if they are listening, anyway).... for teens, the gross-out game seems to work pretty well, but sometimes I fall back on the "do you really want to have to get a shot so we can fix a cavity?" technique. For adults I try to explain the direct correlation between periodontal disease (gums, teeth and the bone that supports them) and heart disease, low birth-rate babies and of course, the fact that your teeth could all get loose and fall out. Other than that, I do not "lecture" or "blame" my patients. I sincerely try to get THEM to see the value of good homecare. Because, in the end, if you value something.... you'll take care of it. So, hope you get a better hygienist soon! Hugs!
I have never been a flosser either. I have had one cavity my entire 30 years of life and it was because I was pregnant...the dentist even said so :P lol. I always say I will try to floss, but for the most part am honest. But my Amazing Self Cleaning Teeth are starting to slow down in their old age, so I think I may have to bump up my brushing and flossing. My goal this go around? 1-2x/month as opposed to 1-2x/year. Haven't hit that yet....but I just went to the dentist 3 weeks ago :D
Didn't floss for years, and then I met my current dentist. And for whatever reason, I felt compelled to floss just so I could report back to him my new affinity for flossing. When I reported back 6 months later, it felt good. Pretty much once I finally started, I was sold. I think it's just getting into the habit. Plus I am a huge advocate of the tape floss. I do not like the old fashion kind, but once I found the Oral B satin floss (http://www.crestcomplete.com/product/floss/complete-satin-floss/) I was a happy camper and devoted floss-ee.
I have never flossed. Never. I too have felt the shame when at a dental appointment. I have to say... your post did teach me the importance of flossing. I don't think they ever went into the reasons to do it, they sort of just always barked orders at me to do it and that was it. I suppose it's common sense, but I did not realize that you could get cavities from not flossing. Good information Dan. Thanks!
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petercombs You're actually in the majority when it comes to flossing, but I think the majority don't floss because they don't know why really they should. Not only can not flossing cause cavities in between the teeth, it causes the gums to be inflamed because the bacteria left in there cause an infection of bad bacteria. The immune system tries to attack and kill the bacteria partly by sending white blood cells (which is why the gums bleed easily in those who don't floss, because there's lots of blood right by the surface). The immune system will go through anything to get to the infection including break down the bone that is holding your teeth in, so if you have chronic gingivitis (when the gums are puffy and inflamed) in can turn into periodontitis (where you loose attachment from the gums to the teeth, and bone). That's not something anyone wants to have. This isn't the only reason for periodontitis, but is one....not fun.
TriciaMontezpetercombs
Yes, Tricia, you are absolutely right! Hooray! Another GOOD hygienist on the way!
Ha! So I'm in dental hygiene school right now, and I will say before I started school, I was not a regular flosser. I wasn't until I went through my oral health class, and actually learned the importance of it that I began being a regular flosser. I actually was never even taught the proper way to floss until I started my program. The funniest thing is that hygienists always ask are you flossing, but never in my experience did a hygienist actually take the time to show me how. (Because they have so much time in an appointment...haha). I show all my patients how so they know that they actually have to go over a surface of the tooth multiple times like if they were brushing it. You can't just pop in and out one time. It doesn't break up that plaque biofilm....anyway....I never knew that.
In school, part of what we have to do with each patient is give them oral health instructions and education. I really don't aim to guilt my patients at all, but really just to educate them. My approach is to educate them so they know what happens in their mouth, why and what they can do about it. If they don't choose to do anything about it, I've done all I can. I don't believe in guilting people about anything. In my opinion guilting is an awful tactic.
Well Dan the thing for me is the "shame game". Flossing, doing your accounts, paying a pension, reading the small print, eating five a day, and the list is endless, all come into the same category. It's not the flossing that bothers me it's the judgmental control freak crap. I know most people are not so bad and the dentists and hygienists are often nice people with simple minds and they are just doing their job and trying to get along in a difficult world. But I think you are right that there is a degree of manipulation going on. And when you have been a gullible twit like me for years, walked all over, and you are finally stuck to the bottom of someone's shoe like a piece of chewing gum there seems no escape from the relentless tirade of attempts to make you feel 'wrong'. I suppose it's a bit like the stick and the carrot; But I can't take any more stick. Your approach, of not kowtowing, is the right approach. Oddly it got good results too this time.
My husband turned me onto the little plastic flossing gadgets that have handles. They make getting into the habit of flossing a 'piece of cake'. After 3 years of using them and No Cavities I must say I am a believer.
Bahahahahahahaha! Maybe it's my mood, but this is one of the funniest things you've written. Maybe it's because that's pretty much EXACTLY the same conversation I had with the hygienist last time I had my teeth cleaned. Like you, I attempted to maintain my independence. In fact, I kept it up until just a couple of weeks ago, when I suddenly, for no apparent reason, decided to start flossing. And like you, I realized that there was some nasty crud in my teeth. Now if I'm tempted to crawl into bed without flossing I can't help imagining the goo I KNOW is stuck in there. So gross! I guess I'm a real grown-up now.
I was always an indifferent flosser. I had floss in my bathroom, always. But I only flossed occasionally. But then...I married a "perfect flosser." And for the first year or 18 months, we always got ready for the day and ready for bed together. It wasn't until recently that I realized flossing had become a (good) habit, and that I couldn't stand to go to bed without flossing my teeth.
I am 30 years old and have just become a daily flosser since I had braces put on. My new theory is that this mouth is costing me THOUSANDS of dollars, I better do everything in my power to maintain my investment!
I had a hard time re-developing the habit. I used to be a perfect flosser. I've never had a cavity. Ever. I still go to my dentist. I still get harrassed about flossing. When I got my braces, brused/flossed/rinsed religiously, after anything I ate. I didn't want food in my braces, between my teeth, or stains around where my brackets were.
However, when my braces came off, my orthodontist took a metal file between my teeth, and started SAWING away at my enamel. It KILLS me to drink anything cold or BITE into ice cream... and I can't floss. The sheer sensation of anything between my teeth sends be back to the time of that dang metal file going between my teeth. It makes me cringe. I can feel when stuff is between my teeth, so I will grin and bear it to use some floss and get the guck out. However, it's no longer a regular habit.The dentists also used to play the "gum bleeding" guilt trip on me, too. However, I'm also allergic to mints and salicylates (well it's not a true allergy rather than a sensitivity) - which are found in dang near every mouthwash and toothpaste... and it irritates the heck out of my gums not to mention I go into anaphylactic shock from aspirin (which main ingredient is a salicylic acid). Oi.I'd love to get back into the habit... but... it's so hard. I think now a psychological thing more than ever. I hated my orthodontist. I questioned her and her methods with every fibre of my being. She never answered MY questions and ignored me, and *I* was the one that had to deal with the contraptions she was sticking in my head. Who allows that for their child? :( I know I wouldn't!!
AnjaJD OH ANJA.... I am soooo sorry! What a horrible experience.... there are several desensitizing toothpastes on the market. I hope that you can find one without salicylates! Also, check the ingredients on ACT Fluoride rinses.... and look up MI Paste online and check the ingredients. MI paste is a fabulous desensitizing agent, but only available through your dental office (available in vanilla, tutti fruiti, melon and another flavor I always forget - in addition to the mint). Good luck!
I developed the habit of flossing every time after I eat 10 years ago when I had braces in my early 20's. I of course didn't want to be walking around with food stuck in my braces so I brushed and flossed after each meal. It made me stop snacking too and only eat 3 meals a day cause I knew it was a 10 minute routine after each meal.
Funny, I have a dentist appt w/ the hubs & kids next week.. I was just flossing as I was reading this. So, it made me laugh ! I have a "shameful secret" I had lapsed on going to the dentist regularly for about 15yrs I know what you are thinking !! OMG-GROSS you must have 1 tooth in your head right? NOPE- I actually have a beautiful set of chompers I had braces for 7 yrs. too ! I brush 2x sometimes 3x a day but, never got into the habit of daily flossing until my last dentist appt. my first in 15yrs. ! I've never been so disgusted at myself in my entire life I had to go for a deep scaling it took 45 min. to scrape all the nasty crap from my teeth & then I had to go in AGAIN after a couple weeks to do the rest ANOTHER 45 minutes! It felt like they were breaking off my teeth- that was the hardened plaque- GROSS & it made my gums bleed like hell ! So, while I'm not a perfect flosser even AFTER that horrifying experience I DO try to floss while I'm doing something close to nothing like watching tv. or reading something on the internet.. ! Listerine does help but, flossing combined w/ what i believe really saved my teeth & gums was my ORAL B sonic toothbrush.. The hygenist said, "if I put off going to the dentist I'd have to have gum surgery" That's pretty painful stuff from what I understand " NO THANK YOU!" So, please FLOSS your teeth, gums & heart will thank you !
I work at a dental office, at the front desk. Every time the assistant tells a parent their child needs to floss more, I feel the guilt.. So thats like, 15 times a day. So, do I floss.... Nope... few times a week. am I going to hell.... Yup.
They're right, you know. I never developed the flossing habit either. Now I'm 55 and have about 9 2/3 of my own teeth left. So, yeah. FLOSS, PEOPLE!
For me, it was having a tooth get so rotten it had to be pulled. Luckily for me, it was the last molar in the WAY back, so no one knows, but me. But it was enough. I floss at least once, sometimes twice a day. I use one of those "floss on a stick" tools, because I hate sticking my fingers in my mouth, not to mention losing circulation to the tips of my fingers. But dammit, I do it! ;) And my last cleaning was the easiest I've ever had. So it seems to be working, which makes me want to keep doing it. Funny that. :)
You know what, I never flossed.... my mom never taught me how.... until I got braces in middle school! I was so afraid to smile after I ate... I actually quit talking to people for the first three months I had those things in my mouth! I couldn't take it any more... I learned how to floss and now, 10 years later, I I don't brush, floss, and rinse at least twice a day, I have nightmares that my teeth will fall out! ... and to tell you the truth, even with going through the whole routine twice a day, my dentist still plays the shame game. I think they just get so used to playing it that they expect everyone to have fresh from the dentist clean teeth... sorry charlie, I work in the ER not a dental clinic! High 5 on trying to establish a new good habit :)
Ohhh, the shame game. It's evil. Here is an excerpt about shame and guilt from the novel I'm reading right now. You might find interesting. "There is not enough guilt in the world. There is no way to disarm any man except through guilt. Through that which he himself has accepted as guilt. If a man has ever stolen a dime, you can impose on him the punishment intended for a bank robber and he'll take it. ... If there is not enough guilt in the world, we must create it. If we teach a man it is evil to look at a spring flower and he believes us and then does it - we'll be able to do what we please with him. He won't defend himself. He won't feel he's worth it. But safe us from a man who lives up to his own standards. Save us from a man of clean conscience. He's the man who will beat us." -Dr. Floyd Ferris, Atlas Shrugged, Ayn Rand.
I started flossing regularly on July 5 of this year after my friend who visited me on July 4 shamed me into doing it. It helps that my husband flosses regularly and I use that expensive individual flosser because it's a little easier that way. I went through exactly what you did for years including the promises I broke many times after another horrific cleaning experience. Haven't missed a day since then and no, it's not fun but now I kind of get it....(and instead of Listerine I suggest Crest Pro Health because of the added benefits).
I am not a perfect flosser. Truth be told, I'm not a perfect brusher either... aren't you supposed to do it every time you eat something, or something like that? I"m a morning and nighter, but I don't think we even have floss (not even old floss) in the house. I should be better about that... *shame*
You're funny. Once you start flossing regularly, I bet you will get to the point that you can't go a day WITHOUT it, because it's part of your routine. I FEEL it when I don't floss, and I can't go to sleep if I don't. (I CAN go to sleep with dirty dishes in the sink, but not without flossing my teeth. Go figure.)
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I've flossed at traffic lights five minutes before a dental appointment just so I don't get in trouble for having 'left overs' in hiding.
I was really bad, never flossed ever and had good teeth, but as I turned 18 my teeth started getting closer together so I floss regularly. Man the stuff that gets stuck in there smells worse then a cows rearend. Definitely good to floss.
Keep a little flosser thing in your car. Plackers truly are the best little ones, though I have an Oral-B long-handled one for use at home. I'm not saying you should floss WHILE driving, but it's there if you need it when away from home or if you're stuck at a long traffic light or just stuck in traffic, it gives you something healthy to do.
Try the flosser picks - even my husband (who is exactly like you when it comes to flossing) is flossing now. Leave it close by where you would watch TV at night and do it then. You won't even notice your doing it!!!
My shame doesn't translate into actual flossing for longer than a week either.
Gee, Amanda, that is so sad! I never really flossed much until I turned 40, but my teeth are still in pretty good shape at 53. Now I floss daily and my hygienist is so proud of my gums!! silly yes. Get that son of yours to keep up his teeth! It's worth a little effort every day. YOU TOO, DAN!!
Just went and got a cleaning yesterday and it had been so long since I had done that. I have horrible teeth. I am about to lose all of them but my front ones. I am living proof that not flossing or taking care of your teeth when you are young are going to be one of the biggest mistakes you make in life. I am 28 and will have dentures by the time I am 35. It is a sad sad concept. Not to mention, I have DAILY pain from cavities and infection. It also gives you all kinds of other health problems. I am to the point now that there is no saving 95% of the teeth I still have left. Next appointment I go to is to get 3 pulled (all broken from decay and infected as well) and then to make a game plan about which kind of partial/dentures I will be getting. Yeah. It pays in time, money and heartache to take care of your teeth, especially when you are young. We are militant with our son in dental hygiene. I refuse to see him go through what I have gone through :(
I use plackers all the time. Lots easier than cutting off the circulation on my fingertips with floss! Just look at the fingers of the woman in the beginning photo. How many years can she do that to patient after patient and her own teeth and have any feeling left?
Ha ha ha ha ha! I'm laughing strictly at the first line of the preview above. I haven't even gotten to the full post yet! Ha ha ha! Oh the shame.
@ Jamie Gold Sarver - No Listerine does not claim that their mouth wash removes plaque better than flossing. They say that it helps to remove germs better than flossing alone. So suing them after you loose your teeth because you didn't floss and only swished won't do you any good... lol. You might wanna go buy some floss.
I am not perfect but have improved flossing when I realized there is a direct coorelation to heart health and flssing your teeth...Kept me motivated ever since!
I work at a dental office, and my dentist always says "you only need to floss the teeth you want to keep". The water pik is great, but nothing can replace floss, only doing things (water pik and listerine) in addition to flossing.
When I was a 'sassy teen' and the hygeinist was berating me for not flossing....I told her "if I flossed every day, you would be out of a job!". She did not like me much after that!
lol... I read it last night. I was going to leave a comment but ehhh nope. I ended up spending the rest of my evening reading with them and getting them ready for bed which ended up being a WWF wrestling match by the time 1000 rolled around. Ahhh sigh... I love them girls.
However... I totally get your issue with going to the dentist. I was a guinea pig for years. My mom worked as a dental assistant and there was no way of getting away with saying that I did floss my teeth or even correctly brushed my teeth... they knew better. I was totally had every time I went in (which was way too often). I used to dread getting the notes from the school office saying that I was supposed to go to my moms work after school instead of walking home. UGH... my stomach would start to sink as I thought about my impending doom. Who knew what they were going to do to me. A cleaning, a filling, an extraction... OMG only they knew! And every time I was guaranteed a good shot of novocaine. So for years and years after becoming an adult and moving away, I refused to see a dentist! I actually rebelled. I refused to floss my teeth on a regular basis. I would only brush my teeth once a day and if something happened to my teeth... well I took care of it myself with Ibuprofen and some Jack. But, that only lasted for so long. As I got older and the cavities caught up with me, I was forced to give in. Finally going into the office, smelling that old familiar smell of clean sterilizing equipment, the sound of a drill in the background, a kid crying... UGH. But... over time I got over it and now its not so bad. I still don't floss every day, but I floss at least once a week. I do brush my teeth every day... sometimes twice or more. I love Listerine (OMG that stuff is the BOMB!). And now that I've had all of my wisdom teeth extracted, a couple of root canals done and some fillings.... I'm all good. The only thing that hurts now, is my checking account. Sigh... and I think to myself, why is it that my dentist lives in a mansion and my doctor lives in an apartment? lol... food for thought.
Listerine claims to remove as much plaque as flossing. I believe them. If they're wrong, I'll just sue them for the cost of my dentures.
If you get a water pic, it's better and more comfortable than flossing. Water pic.
I am NOT a perfect flosser, but I definitely have flossing cavities and FROM those flossing cavities, root canals and crowns and you know what? When you get crowns all sorts of nasty crud gets stuck UNDER the crowns and then meat gets jammed in there and it hurts it hurts it HURTS and right now I always eat my meat last because it gets stuck in my teeth and it hurts too much to finish the meal and I have to go floss but then my gums are swollen.... So yeah, PLEASE floss. Love, Lisa
Some of these horror stories are making me feel good about my obsessive flossing! Great suggestion MJ Turner. I love the individual flossers that come from Dollar Tree for - YUP - $l per pkg. Got them everywhere I don't have the pkgs. of small travel tooth brushes. A clean mouth is a healthy person, and until you have a heart condition you may not appreciate how smart this is. Forget the toothache - Bacteria is your worst nightmare, so don't ignore it - it won't go away because you said so. With the flossers , you can clean while talking (a bit rude) - driving - but not drinking. There is a limit to everything. Thanks for the post, Dan. I'm going to use pkgs. of flossers for stocking stuffers this year. Some will like it, some not. But we try.
Loved your post! I just went through floss shaming a couple of weeks ago. Next time, I am going to try your tactic!
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Okay, fine!!! I'll floss. If you can do it, I can do it. :)
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