Monday, May 27, 2013

‘You’ll find life is still worthwhile, if you just smile’ – Nat King Cole

I remember a few years back watching this tooth whitening advertisement on TV.  A middle-aged Dentist walks into the waiting room, only to discover that his next patient is a gorgeous Supermodel.  She flashes him a sparkly smile, and he returns an equally sparkly grin, as he ushers her in to the next room.  The next scene sees the Supermodel reclining back in the dental chair, and the Dentist slowly approaching her with the standard silver chain and paper bib.  He opens the clasp at one end of the silver chain bringing it instead around his own neck and clipping it securely to the paper bib on his chest.  For some reason, it got taken off the air.  I thought it was hilarious. 

Yesterday, I went to the Dentist to have my wisdom tooth pulled out.  After my HALF HOUR appointment, I left the clinic with a slight tingling along the right side of my mouth, and the offending tooth was handed to me inside a tiny, orange, ‘tear drop’ plastic capsule shaped like a mouse, complete with whiskers and eyes!  A novelty meant for younger patients no doubt.   
I was astounded at how short the procedure took and that unlike my past experiences with dentists back home, I was in absolutely no pain or discomfort afterwards.  The dental team, bless their hearts do not speak English, and as I don’t speak Japanese, it has been a problem in the past explaining my ailments, and them in turn explaining what they can do about them. 
The receptionist is a lovely lady who was ready waiting this time with several handy strips of paper, a single sentence, in English, written on each one, about my appointment.  As I lay in the reclined chair, she held up the first strip of paper for me to read.  It read, ‘Now injection anaesthesia’.  I nodded that I understood.  The Dentist injected anaesthesia in and around my tooth without much fuss.  I was waiting for the needle to go in, but I didn’t feel a thing.  The next strip of paper read, ‘Finish injection anaesthesia’.  I nodded again but was a little bit nervous as I couldn’t be sure that the surrounding area in and around my tooth had in fact been put to ‘sleep’.  In the past, the effect of the anaesthetic was tantamount to swallowing a loaded tranquilizer gun, like the ones used by illegal poachers, on large, wild animals.  Maybe the Dentist would wait a while, until the anaesthesia really kicked in.  He didn’t.
The next strip of paper held in front of me read, ‘Extraction tooth’. I blinked a few times to acknowledge the message although was still a bit apprehensive and maybe a little panicky at this point.    I started chanting in my head, ‘they know what they’re doing… they know what they’re doing’.  Maybe, now’s a good time to pray.    
In the next 5-7 minutes, the dentist used several steel instruments that were carefully laid out on the trolley and brought them to my mouth.  He was very fast and still no pain.  The dental assistant came at me with her suction hose, and then a short time after that, the receptionist showed me another strip of paper that read, ‘Bite hard gauze 30 minutes’ quickly followed by the final strip of paper, ’30 minutes after, gauze garbage’.  The dentist then put a piece of gauze in my mouth and signalled to me to bite down on it. 
All of a sudden my chair was brought back up to its’ normal position.  The Dentist turned away to write some notes, and I’m sitting there wondering why we’ve stopped.   The Dental Assistant then hands me my glasses to put back on my face.  I’m a little confused, what just happened? I look down at the trolley and am astonished to see, lying there amongst the discarded instruments on a square piece of gauze is my tooth!  There’s very little blood on it and I know they didn’t have time to wash it.  I can’t even taste any blood in my mouth!  My mouth doesn’t feel swollen or tender.  I’m not drooling or self-consciously covering my jaw with my hand.  I’m not doing anything that I’ve done in the past following a dental procedure.  Wow. 
By this time, everyone had moved off to their designated areas in the clinic.  I rose from the chair and thanked the Dentist who was still scribbling in my notes.  I’m surprised to find that I’m not suffering any temporary speech impediment.  I’m talking normally, with the exception of the gauze stuffed at the back of my mouth. 
I honestly cannot believe that it’s all over.  My appointment was at 4.30pm and I’m back in the waiting room, discussing a follow up appointment with the Receptionist, and it’s now 4.55pm!  I said to the Receptionist that the appointment was very ‘fast’, and she gave me a half smile and nodded.  I was very impressed, but this is obviously the norm here.  The Receptionist then hands me a paper bag of antibiotics and another containing only 6 tablets for pain relief, if I need any later.  She had written the instructions in English on the outside of each paper bag, so there was no way I could get it wrong.  This was truly the best dentist appointment ever.  There were no big dramas, or over the top warnings that I might experience this or that.  No x-rays, no ‘call if pain persists’ comments.  Very low key, very simple, and very quick.  The next thing I know, I’m sitting at home in front of my computer, kicking back and listening to some upbeat songs, while waiting for my toast to pop up, that I fully intend to wash down with a hot cup of black coffee.  Later I destroyed a cute tub of choc mint ice-cream.
When I spat the gauze out of my mouth, I couldn’t help but have a closer look.  It was a little bloody, but well below what I would’ve expected from a tooth extraction, especially a wisdom tooth.  I’m amazed.
I don’t know if I’m relaying anything incredible, but past experiences with all things dental, have never been anything but traumatic for me.   At the end of each consultation, I’d be clutching my mouth with one hand, an empty purse in the other, vowing never to return. 
The local anaesthetic used back home is highly potent, compared to whatever the dentist used yesterday.  I’m convinced now that the anaesthetic needn’t be so strong.  Whatever the dosage of anaesthetic was yesterday seemed to be more than sufficient for the purpose of immobilising the tooth, so it could be extracted easily.  Maybe it’s a completely different formula altogether.  I don’t know, but if so, NZ should place an order for a shipment to head south.    
I’m all for copying another country’s practice if it means less pain and suffering for the average citizen, like me.  It’s difficult enough having to recover from whatever procedure you went through, without also having to deal with the effects of the anaesthetic.
Back home, it takes almost half a day for the anaesthetic to completely wear off, and in all that time, you can’t eat or drink properly, and if you did, you certainly wouldn’t enjoy it.  You can’t do anything, because you feel as if you’ve been ‘knee’ed’ in the face, so you just sit there, dabbing at your mouth with a tissue every five seconds, praying that the painkillers (you’re tempted to overdose on) will mercifully take effect soon.  It’s a pathetic sight really, which annoys me, as having now gone through the Japanese system it’s a situation that could easily be avoided by employing the ‘less is more’ approach of anaesthetic that they use here.   
I acknowledge that I’m no expert in this field and there are obviously other factors that need to be considered.  However, when it comes to pain, I’ll happily go with the option that offers less of it.
Yesterday’s procedure set me back 1100 yen.  That’s approximately $13 NZD!  Of course it’s heavily subsidised with a Health Insurance Card, but still, that’s ridiculously cheap.  Back home, extracting a tooth, usually costs between $150-$200, and that’s if it’s straight-forward.   If you go to an Oral Health department at a hospital, where tooth extractions cost around $40, you’ll have to compete for an appointment with several hundred other people who want to save a few precious pennies as well.  If the clinic opens at 8.00am, you’ll need to be there at 4.00am to ensure a place.  It’s like queuing up for concert tickets to see a band that you don’t even like.  You know they suck and you’d rather spend your money on something else, but you’re left with no choice but to go.
And yet even the cheapest deal in NZ (which is also the most inconvenient) is still significantly more expensive than Japan.  You have to wonder, what your $40 DOESN’T cover, for the fee to be so much lower than what is usually charged by Dentists in NZ. 
I’ve been to the Dentist 12 times since I’ve been in Japan.  All those visits combined add up to approximately 4520 yen which is $54.99 NZD.  Using a conservative estimate, that’s slightly over a third of the cost of a tooth extraction in NZ!
Verdict:  If you’re a foreigner living and working here, take advantage.   Get the smile you’ve always wanted for only a fraction of the price. 

As you can see, I’ve been taking full advantage of the dental benefits here, hence my 12 trips already to the Dentist! I'm just getting started.  


No comments:

Post a Comment