I'm not normally afraid of going to the dentist. It's by no means my favorite pastime, but I don't hate, avoid, or fear it. And I didn't this time, either. But it was my first non-exam appointment with a British-trained dentist.
Until Friday, my dental experiences have been a bit surreal, compared to the private insurance driven, gouging approach to medicine (including dentistry) in the US. Appointments are approximately 5-10 minutes, and involve the dentist quickly examining and poking and prodding around in your mouth, sometimes calling out numbers and commentary. No cleaning, just poking. And x-rays only every 18 months or so. I didn't even get x-rays my first appointment because I was silly enough to bring in copies from my previous dentist (which were about 18 months old when I brought them in, and I didn't get more taken until 18 months later. I was not pleased, especially when they didn't take an extra pic lower down to see if there was still an infection under one of my teeth. Argh).
Last time I went in, our new dentist--Adam and I got transferred to a brand-new dentist, who is about 25 years old and called Adam "sir" every three seconds--discovered a small cavity in an upper molar. Nothing said about the lower molar that my previous dentist put a watch on because it was developing a cavity, which is spreading because I can see more of it now, just the tiny new one. I asked about the lower one, he shrugged it off.* Whatever. Not much I can do about it.
So I made my "drill and fill" appointment, paid for half of it (our dentist has a weird billing system), and went back Friday for the actual filling. I was nervous for two reasons; first, British dentistry is kinda a new thing. Most Brits will agree that Americans are used to better dental care (we also pay a damn site more for it). The other reason I was nervous is because, well, Dentist is the aforementioned 25ish. Brand-new. Baby. And I need a shot of novocaine. Novocaine hurts like a mutha if you put it in too quickly. But surprisingly, he wasn't bad at all. Not the best, but the dentist I had for years and years and years was rockstar and so slow and steady you could barely feel the novocaine going in. So not nearly as good as that, but I didn't try to jump through the celing or anything, and that was good.
His drilling technique was a bit odd--drill for three seconds, pull away and look, think a bit, then repeat (all while holding my mouth open with his hand, which grew painful), but at least he didn't drill unnecessarily. He also didn't wait quite long enough for the novocaine to take full effect before he started drilling, but it wasn't so bad that I had to scream (or barf, which becomes a possibility with too much drilling and no numbing, I've found), and it had taken full effect about the third time he started drilling (the drill, pause thing happened about 9 times).
The whole process took about 15 minutes. Very weird, and I forgot that most dental stuff smells like superglue, which makes me nervous, but the filing seems to be alright, so I'm not complaining. And the one good thing--though it didn't seem to make a difference--is when I asked for novocaine without the vasoconstrictor** he knew what I was talking about, and even found some for me. Even so, with one shot I was still numb for probably 2 hours. Oh well.
Still not a huge fan of British dentistry, but at least I didn't die. And the filling hasn't fallen out.***
*This angers me because I feel that I will have to shell out for another filling in about 8 months. Yes, it's way cheaper than in the US, but the way the NHS treatment plan works is that if multiple work needs to be done, they can only charge one price. There are pricing tiers, with things like crowns being at the top end and root canals in the middle, and fillings at the low end. If you need work done from two different tiers, they can only charge you the highest one, not both tiers. And if you need 1 filling or many fillings, they're all the same price as well. BUT, this only applies when all the work is recommended under the same treatment plan.
**As copied from Wikipedia: "A local anesthetic with vasoconstrictor is a combination drug of a local anesthetic in order to induce absence of pain in an area, given with a vasoconstrictor in order to increase the duration of local anesthesia by constricting the blood vessels, thereby safely concentrating the anesthetic agent for an extended duration, as well as reducing hemorrhage."
***Apparently this happened to my grandfather; many years ago (many many: he died in 1987) he had his tooth filled, went out to pay the receptionist, and as he was writing the check the filling fell out and landed on the counter. He didn't finish writing the check, for what would seem to be fairly obvious reasons.