Small Differences: Dentistry

There are two stereotypes about teeth that we all know: Americans have big, wide mouthed smiles; British people have wonky teeth.  Studies show that there is no real difference in oral health and hygiene between Britain and America but the perception of vastly different aesthetics remains.

I have lived in America for almost four years now and still every time I visit the dentist for a check up I imagine the dentist recoiling in horror when I open my mouth and reveal my ever so British teeth.  Truth be told, my teeth are pretty skew-whiff even by British standards – perfectly healthy but very crowded and crooked.  Compared to my American peers, however, they are a complete and utter mess.  The first time the dental nurse at our American practice looked in my mouth, she asked me if I was British or Russian.  It was that obvious that my mouth was not tended to by American dentists.  I never felt self-conscious about my teeth back home in Scotland but here in America I most definitely do.  Cosmetically pristine teeth are clearly valued here and mine don’t pass muster.  I may have made it to the age of 41 and have only one filling but that doesn’t mitigate against the visual mayhem of my mouth.

I think the key to the different dental experiences may be in a different approach between the two cultures.  I cannot compare US dentistry to private dental care in the UK because I have never been to a private dentist.  For the five years when I malingered on the waiting list of an National Health Service dentist, I never had an oral emergency that compelled me to seek out a dentist and pay private fees for the privilege.  Throughout my childhood and all but those five years of my adulthood in Britain, I was treated on the NHS.  This means my dental treatment was heavily subsidised (great for the budget) but it also means that the appointments were pretty perfunctory.  In contrast, my US appointments last for an interminable amount of time even though all I am having is a check up and routine cleaning.  The hygienist actually performs the bulk of the treatment.  This involves lots of ponderous poking and prodding and then a professional cleaning that lasts so long I have to stave off panic attacks.  Only after that marathon is completed does the dentist appear to look over any xrays and give my gob a final, brief once over.

Every single time I go to my check up, either the hygienist or the dentist – and sometimes both – will comment on the overcrowding in my mouth.  It is as if they find it grimly fascinating to contemplate the abyss that is my British mouth.  My teeth are not straight, they overlap, and my lower wisdom teeth came in at right angles to my other molars (though to be fair my UK dentists always found that weird too).  Even the dental hygienist, an expert flosser, has occasionally trapped a piece of floss between my teeth because there is so little space between them.  When I first moved here, the inevitable follow up question was whether I had ever considered orthodontistry.  You can probably imagine their looks of surprise when I tell them that I had a mouth full of metal for almost six of my teenage years.  I don’t think they can comprehend that the mangled mouth they see wide open before them actually represents an improvement on what was there before.  I decline each time the subject is raised.  I have lived with my wonky teeth for enough decades now that I can just accept that this is how they are.  I have endured braces for enough years of my life and don’t need a redux.  Besides, I have to shell out a whole heap of dollars on my kids’ orthodontisty.

Sadly, yes, at least two of my children have inherited my British mouth.  Apparently I have a tiny jaw, especially the mandible, and I have transmitted that “defect” to two of my offspring.  My 10 year old is already in braces because, aside from the crowding, he also had a dramatic crossbite, and my youngest will start orthodontic treatment as soon as he has a couple more adult teeth.  In addition to all of the metal and wire work in his mouth, it has been mentioned that my 10 year old may need to have some teeth pulled to create space and will need a palate expander.  That aspect of the treatment diverges from my experience of having orthodontisry in 1980s and early ’90s Scotland.  I had no teeth pulled and certainly didn’t have my palate expanded which, therefore, means that no extra space was ever created in my apparently minuscule jaw for the relocated teeth to move into.  So, while the six years worth of metalwork pulled everything into line, as soon as all of those devices were removed, my teeth simply began to drift back – especially once my wisdom teeth came in when I was in my mid-20s.

Even with very good dental insurance, the out of pocket cost for the orthodontistry is a major expense.  Multiplied by two kids, that expense becomes eye wateringly winceable.  They need the treatment for physical reasons, not just cosmetic ones, but I also think it is important to their self-esteem that they have winning smiles that fit in here rather than having my experience of people looking quizzically at teeth that look like collapsed tombstones in a long abandoned cemetery.  I am, therefore, going to stick with my awfully British teeth so that my children’s mouths can evolve to become more American.

From Surviving to Thriving

Today marks exactly three years since my four children and I stepped off a plane from Britain to join my husband and their father and embark on a new life in America.  Three years is a weird way-marker because in some ways it feels like we have not been here that long and in other ways it feels like we are way more established here than we would be after a mere three years.  We are inbetweeners.

Looking back, I think the first year of life here was very much about just surviving.  Back then I was so focused on getting through each day and each new challenge that I could not distance myself enough to have adequate perspective to recognise that we were just surviving.  I was just putting one foot in front of the other, sometimes stumbling, but mostly moving forwards.  However, so much has happened in these first three years that have helped us put down roots and start to feel settled here.  We bought a house – which was a massive deal for starting to “belong” – and everyone got settled into rhythms and routines, adjusted to new schools and work places, made new friends, developed new traditions to meld with the old ones we imported from Scotland, passed driving tests, and the children officially became American citizens.  Now I alone am the only Green Card holder, the only alien.

All of these things mean that we are well out of survival territory.  But nor are we quite thriving here yet or at least not in every area of life.  The transition takes far, far longer than one could ever anticipate.  It’s a long journey.  And there are road bumps.  And tolls.  And wrong turns that need to be corrected.  We are still moving towards the same fixed destination but it is just taking a bit longer than we expected.  So, to mix my metaphors, we are in this weird No Man’s Land between Surviving and Thriving.

Long time readers might recall my Lego nightmare and how it became a metaphor for our immigration experience.  I am happy to report that most of the Lego sets have now been rebuilt and are displayed on shelves and played with regularly.  However, there are a few sets left to build and there are some that are going to be extremely challenging to rebuild because it seems that some critical pieces are missing.  We will get there with the Lego and with the feeling of being settled enough to thrive.

Back to Blighty #22 – Old Sarum Cathedral

Back in Wiltshire just ahead of our flight back to America, we decided to go for a walk and stretch our legs.  Old Sarum can be seen from my in-laws’ house so it was an obvious destination.  The kids had already been on an excursion to visit the ancient hillfort with their grandfather earlier in our trip so we decided to take a trek to the ruins of the old Cathedral, which are outside the moated walls of Old Sarum.

We decided to take a circular route and it took us past fields, over styles and past an enclosure containing horses.  My 8 year old son is a horse fanatic so that was a highlight for him.

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The Cathedral dates from the Norman era and was in use until the decision was taken to build the Cathedral in Salisbury in the early 13th Century.  The old cathedral was dismantled and stone from it was used in the construction of its replacement.  It has, therefore, been a ruin for very many centuries, though the footprint is still very clear to see.

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My boys did their usual thing of using the ruins as the setting for some imaginative play and as a climbing frame.  They spent a very long time playing in a lower level space.  I was able to sit in the sun watching them play and observing the bemusement of other tourists who wandered over and observed my kids performing.

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That trek up Old Sarum was the final excursion of our trip back to Britain and it was good to end on a familiar and favourite spot.  We managed to cram a great deal into our month in the UK – as I am sure you will agree since this is the 22nd blog post about our trip.

 

Back to Blighty #21 – Hadrian’s Wall

In order to break up the long car journey from Fife to Wiltshire, we decided to stop off on Hadrian’s Wall.  We had been to Hadrian’s Wall a few times before, including hiking stretches of it with a toddler and a baby in 2006, but we never tire of it – especially Mr Pict since he is a fanatical geek when it comes to ancient Rome.  Our original plan had been to visit Vindolanda, an extensive fort with a fantastic museum.  However, we made such terrible time on the first stretch of our journey that we decided not to commit too much time to a single site and to instead visit two or three sites along Hadrian’s Wall, ones that were free to access so that we didn’t feel we had to stay in any one spot for too long.

Hadrian’s Wall – a defensive barrier between Roman occupied England and Scotland, running wild with ferocious Picts like me – stretches the width of Northern England from the Solway Firth in the West to the Tyne in the East.  There were forts approximately every five miles and milecastles in between.  It was essentially the boundary marker for Roman Britain.  It is popular with hikers and history enthusiasts and it passes through some wonderful landscapes and wonderful, sleepy little villages.  It has been a UNESCO World Heritage Site since 1987 and I think it ought to feature on everyone’s travel “bucket list”.

Our first stop of the day was the Temple of Mithras near Carrawburgh.  The last time we took the kids there, it was raining, the fields were completely water-logged and the temple was submerged under water.  We were glad, therefore, of the opportunity to give them a proper visit.  The trio of carved altars at the end of the temple are reproductions but it still provides a clear indication of what the structure would have looked like.  The cult of Mithras emphasised valour and honour and as such was popular with Roman soldiers and that means its proximity to Hadrian’s Wall makes complete sense.

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Next stop was just a little further west along the route, at Steel Rigg.  This was our first visit to this site and it proved to be a perfect example of the way in which the Wall had been built to conform to the contours of the landscape.  It sloped downwards from hill to valley – where the remains of a milecastle were clearly visible – and then it sharply climbed up a steep and craggy hill.  As we walked down the gentle slope towards the milecastle, the littlest Pict took off at high speed on his sturdy little legs and didn’t stop.  He bounded up the steep, rubbly path as if it was flat ground.  He was nimble as a mountain goat, confident and fearless.  I, on the other hand, was petrified – especially when he galloped past other visitors on the narrow path and was right on the edge.  It was also incredibly blustery and the strong winds did not help me feel secure on my feet as we ascended.  The view from the top was spectacular as it was possible to see the Wall stretching off into the green horizon in both directions.  If ascending had been nerve-wracking, descending was even worse.  The wind had picked up even more plus the perspective looking down at drops onto crags and boulders rather than facing into the rocky path was really amping up my acrophobia.  My boys meanwhile were leaping from rock to rock, practically pirouetting on the edge of the path, bounding down the narrow path, and were making my knees quake.

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Our last stop on that visit to Hadrian’s Wall was the stretch that is near Cawfields Quarry, which we have visited before.  The quarry itself is rather picturesque, a massive triangle of rock rising above the quarry which is filled with water.  The boys spent some time watching birds floating around on its surface.  However, the quarry cuts right through the wall which is visually dramatic but archaeologically devastating.  The three younger Pictlings and I headed along the path to checkout the milecastle, one of the best preserved along the entire Wall.  The walls of the milecastle as well as Hadrian’s Wall itself are really thick at this point so my kids had fun climbing over the walls and pretending to be Roman soldiers guarding the fort.

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We would have loved to have crammed in a few more spots on Hadrian’s Wall but it was mid-afternoon when we finished our exploration at Cawfields and we had not even had breakfast yet.  We also had a long journey ahead of us still as we had to get to Wiltshire at the other end of England.  I have no doubt, however, that we will return to Hadrian’s Wall again some time.

Back to Blighty #20 – Lochore Meadows Country Park

Lochore Meadows Country Park, in Lochgelly, Fife, is on the site of a former colliery.  What was once an expanse of industrial waste and coal bing hillocks was transformed into an outdoor space for people to enjoy.  Knowing that we had a long car journey ahead of us the following day that would keep us all cooped up, it was the perfect venue for letting the boys roam free and burn off some energy.

The playground is arranged around a series of mounds, echoing the coal bings I imagine, so there was lots to explore, loads to do, and plenty of fun to be had.  The boys were especially impressed with the slides because they were long, steep and very slidey indeed.  There were climbing frames that looked reminiscent of mining structures, swings and spinning discs that made the kids dizzy.

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There was a gritty beach around the shore of Loch Ore – which is used for water sports – and the beach was populated by some moody looking swans.  Their poop was all over the shoreline which just added to my loathing of sandy beaches.  Nevertheless, my 9 year old decided to go paddling and ended up having soaking wet jeans for the rest of the day.  At least nobody was attacked by a grumpy swan, however, so there’s that.

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Having exhausted the playground, we wandered over to the area of the park that still has a tangible connection to the site’s coal mining past.  A large concrete headframe with its winding gear looms over the horizon.  Two of my sons immediately asked if they could climb it.  Thankfully that is not remotely possible so I didn’t even have to put my foot down on the basis of safety.  However, at the base of the headframe is a locomotive engine.  It would once have been used to transport coal from the mine but now was a combined piece of local industrial history and a fun climbing frame.  The kids immediately started scaling the engine and were soon crawling all over it.  They had a whale of a time.  The locomotive was definitely the highlight of the day for them.

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Back to Blighty #19 – Loch Leven Castle

My boys and I took a trip to Loch Leven Castle accompanied by my mother, one of my sisters and her youngest son.  A trip to Loch Leven Castle necessitates taking a boat to cross the loch and, as there were eight of us, we were told that our group would have to wait for the 1pm crossing.  This presented us with no problem since there is a fantastic playground on the mainland side of the loch.  The kids had a great time careering up scramble nets and across rope bridges, whipping across zip slides and careering down slides.  As it seemed apt to do so, I also taught the kids how to do “Mary Queen of Scots got her head chopped off” whereby a flick of the thumb is used to knock the head off a dandelion.

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In no time at all, it was time to go to the jetty and clamber aboard the small boat that took us across the loch to the island.  The boat ride was part of the whole experience for the kids rather than just a necessity as they loved being out on the water.  In just a few short minutes we reached the island and were deposited on the shore.

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Loch Leven Castle has a rather sad and sorry story, involved as it was in so much conflict and tragedy.  It was built some time in the 13th Century and went through a period of being captured by the English and then recaptured by the Scots and then retaken by the English and taken by the Scots again … The story of Scottish medieval history really.  The prominent keep dates from the 14th Century and was frequently used as a prison.  Some notable prisoners died in captivity there.

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The most famous of Loch Leven’s prisoners, of course, was Mary Queen of Scots.  The story of her imprisonment and escape are the Castle’s main claim to fame.  Scottish nobles, opposed to Mary’s marriage to the Earl of Bothwell, placed here there in 1657 under a form of house arrest, a sort of awkward guest of the Douglas family who owned the property.  A few days after she miscarried twins, she was forced to abdicate thus making her baby son James the King.  Under a year after she was imprisoned, however, Mary – aided by a member of the Douglas family – was able to make her escape, row across the water and flee to freedom.

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The Castle changed hands several times and fell into ruin by the 18th Century.  That, however, is my kids’ favourite kind of castle.  They much prefer to run around and explore the empty spaces than to see historic buildings with restored and recreated rooms full of furniture, tapestries and treasures.  The keep – or tower house – was originally five storeys.  Access has greatly improved in terms of safety since I last visited.  I felt completely at ease allowing my boys and my nephew to run in and around the keep unaccompanied.  They could enter through one exterior door, ascend staircases inside and then emerge onto an external wooden staircase from a door part way up the tower – and they did so again and again.  They also enjoyed running in and out of the Glassin tower, a round shaped tower of rooms in the opposite corner, and scaling the ruined walls.

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We spent much longer on the island than our fellow visitors as the five boys were having a whale of a time playing in the ruined buildings and running around in the courtyard.  Thankfully they had the boat ride back to look forward to and a trip to the sweet shop for a wee treat each otherwise we might never have got them to leave.

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Back to Blighty #18 – Pittenweem

Fife*  is a peninsula, bounded as it is by the Firth of Tay to the north and Firth of Forth to the South.  Its coastline, therefore, has always been important to its culture and economy, from the docks at Rosyth and around the East Neuk.  I wanted to take the boys to see a typical East Neuk fishing village and plumped for Pittenween, situated between St Monans and Anstruther, since it still has a working fishing harbour.  I went with my four boys, my mother and two of my nephews.

We parked up on the West Braes and, after the six kids had all run off some energy on the playground equipment there, we wandered down a coastal path to the shore line.  That vantage point gave us the perfect view over the village.  I was able to point out to the boys the way in which the village was all clustered around the harbour and shoreline with other streets – narrow wynds – running up the hill from the coast.  They were also able to see the traditional architecture: white stone houses with red tile roofs.  The red pantiles are a legacy from the its history of trade with ships from the Low Countries.  I remember being told that the pantiles would have been brought as ballast in the hulls of those ships and that the locals then put them to good use in their buildings.  The buildings certainly makes the town very distinctive and the only Fife town I can think of that is more quaintly historic is Culross**.

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It mattered not one jot to the kids that it was a chilly, overcast day.  There was a beach and they were going to play on it.  While my 12 year old – having the advantage of longer legs – rolled up his jeans and waded out into the water, the other boys got busy studying shells and soon I got them collecting sea glass.  I was obsessed with collecting sea glass from the Fife coast when I was wee.  Clear was common followed by green and brown but it was like finding treasure to find a piece that was either blue or red.  Soon enough, all the boys were similarly obsessed with a mission to find interesting pieces of sea glass or sea pottery and they too would squeal with delight when they found a tiny piece that was a shade of blue or a sliver of red.

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We then walked through the village.  We stopped opposite the harbour in order for the boys to have an ice cream cone each.  That village sweet shop did well out of us as I gave the six boys a pound each with which to buy treats on the way back too – doubling as an exercise in making budgeting decisions and addition.  Replenished by the ice cream, we then climbed up a steep wynd in order to reach the High Street.  There I popped into the Cocoa Tree coffee shop to borrow the key to St Fillan’s Cave.  In all my years of living in Fife and returning to visit my family, I had never once been to St Fillan’s Cave so it was a new experience for all of us.

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Just a brief wander down Cove Wynd brought us to the cave.  The place name Pittenweem, by combining Pictish and Gaelic, actual means “place of the caves”, probably referring to St Fillan’s Cave rather than any other caves in the vicinity.  Local schoolchildren had decorated the exterior with a mosaic using materials from the beach and a local metalworker had made a fantastic gate.  Unlocking the gate, we entered, flicked on the lights and walked into the cavern.  As its name suggests, the cave is associated with St Fillan.  The legend goes that Fillan was a 7th Century missionary who came to Fife to convert the Picts to Christianity.  He lived in the cave and could read and write in the dark because his left arm was luminous.  The cave was probably used by spiritual hermits and was a place where pilgrims could stop in and visit en route to St Andrews.  It was also used as a store for smuggling and for legitimate fishing equipment.  Apparently it was then forgotten about for many years until a horse, ploughing the land above, fell through a hole.  The cave was then cleared and turned into a chapel again, used for occasional services.  The boys loved exploring all of the nooks and crannies of the cave and I let them experience the pitch dark by gathering them safely in the centre and then switching off the lights.  Without the benefit of luminous arms, they soon wanted the lights back on.

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We then wandered down to the harbour to watch the boats and just enjoy the peace and quiet.  We then wended our way back towards the beach, where the tide had come back in to the consternation of the kids, and back up to the Brae for the kids to have another run around as a conclusion to our trip.

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*Or the Kingdom of Fife as it is still known in reference to it being a Pictish realm, hence the title of this blog since I am a Fifer.

** We unfortunately did not have time to visit Culross on this particular trip to Britain but I heartily recommend visiting.