by Nina Stibbe
Copyright
The characters and events in this book are fictitious, Any similarity to real persons, living or dead, is coincidental and not intended by the author.
Copyright © 2019 by Nina Stibbe
Cover design by Lucy Kim
Author photograph by Alecsandra Raluca Dragoi
Cover © 2019 Hachette Book Group, Inc.
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First ebook edition: July 2019
Originally published in Great Britain by Viking, March 2019
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Grateful acknowledgment is made for permission to quote from the following: here, ‘Teeth’ by Spike Milligan from Silly Verse for Kids, by kind permission of Norma Farnes.
ISBN 978-0-316-30935-6
E3-20190615-JV-NF-ORI
Contents
Cover
Title Page
Copyright
Dedication
Epigraph
Prologue
Part One
1. Dentally Particular
2. The Flying Pea
3. The First Impressions
4. The Nuclear Bunker
5. The Hoover Aristocrat
6. The Missing Premolars
7. Masonic Improvements
8. The Good Life
9. Angelo
10. Going Home
11. Mildred Quietly
12. ‘Bright Eyes’
13. Sex
14. The American Sabbatical
15. Woman’s Own
16. A Good Bash
Part Two
17. Lessons
18. The Road Ahead
19. Crystal Deep
20. Mrs Greenbottle
21. The Prolapse and the Honeysuckle
22. Immediate Restoration
23. The Cheese Knife
24. Andy’s Test
25. The Photograph
26. The Ossie Dress
Part Three
27. Reverend Woodward
28. The Sermon
29. Claire Rayner
30. The Wheels of Justice
Epilogue
Author’s Note
Acknowledgments
Discover More
About the Author
Also by Nina Stibbe
For Elspeth Sheila Allison
(formerly Stibbe, née Barlow)
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English Teeth, English Teeth!
Shining in the sun
A part of British heritage
Aye, each and every one.
English Teeth, Happy Teeth!
Always having fun
Clamping down on bits of fish
And sausages half done.
English Teeth! HEROES’ Teeth!
Hear them click! and clack!
Let’s sing a song of praise to them –
Three Cheers for the Brown Grey and Black.
Spike Milligan, ‘Teeth’
Prologue
It was quite normal for dentists to self-treat back in 1980, especially lone practitioners, but an intolerance to lignocaine meant that JP Wintergreen, dental surgeon, was unable to perform anything but the briefest procedures on himself–for only minutes after being administered a local anaesthetic he’d experience numbness in his synovial joints and therefore lose the ability to grip anything in his hands.
He could do the basics–scaling and the odd filling towards the front on the lower jaw–but, for anything further back, more complex or painful, he had to call his old pal Bill Turner from a practice five minutes up the road. It was a reciprocal arrangement.
Late one afternoon I noticed that JP had pulled the Medi Light 400S right over to the desk side of the surgery and was up at the wall mirror, licking his front teeth and picking at them with a probe. I was in a hurry to leave and my heart sank. I had to collect my baby brother from Curious Minds nursery by half past five–and it was already five to.
JP skimmed his dental record across the desk at me. ‘Extract upper left and upper right one… fit partial denture, immediate restoration,’ he said, meaning for me to write it up.
I glanced at the clock.
‘Don’t worry, nurse,’ he said, ‘I shan’t take more than a couple of minutes.’
Marking up the chart, I recalled the sorry state of the teeth in question–receding gums, blackened dentine, transparency, stained ridges–and it occurred to me that I’d never have to see them again, grinning at his own joke, coated in coffee-skin, or sinking into the icing on a bun. Also, I reasoned, the post-treatment care usually associated with an extraction–that could take up to fifteen minutes–wouldn’t be necessary, the patient in this case being a dental surgeon, and therefore I needn’t panic about getting to Danny in time.
‘… and fill out an FP17 for the denture.’
He rifled among the instruments cooling on the draining board, eventually settling on a pair of straight anteriors, and, after tossing them from hand to hand like a hot potato, ran them under the cold tap and put them in his breast pocket beside a pack of Gauloises.
Back at the mirror, he loaded a syringe, lifted his upper lip and injected himself somewhere above the right incisor. This first jab was easy, although painful, and his tongue waggled from side to side like a snake’s. The second jab, into the palate, was slower and required considerable force. His thumb wobbled on the plunger, the lids on his half-closed eyes fluttered, and a slight grunt escaped him. I looked away out of decency. When he’d done, he dismantled the syringe, jabbed the sharp end into the rubber of the cartridge and flung the whole thing into the sink for me to clear up later.
He tapped one tooth and then the other with the heavy end of the probe before inspecting a little denture he’d had made. It was rather smart with a cobalt palate that looked like liquid silver, and handsome clasping.
‘Will you want me to assist chair-side?’ I asked. I’d already folded the chair up for the night, pulled the treatment table in, and turned off the spittoon.
‘No, thank you, nurse.’ He worked his mouth. ‘I shan’t need to sit down.’
I’d learned during my months at the Wintergreen practice that teeth aren’t pulled out, as such. ‘Pull’ is the wrong word. There is no need for leverage or brute force like in the old cartoons, no boot on the wall. Teeth are removed in the same way a gardener might take a radish from the ground–that is, with a push, a rock and a twist to break it free of its bindings. There’s actually very little pulling involved, even with a turnip (our code for a very large, or difficult, multi-rooted tooth).
Numb now,
JP tapped again and exhaled in short puffs. He started with the upper left–a very compromised tooth with many restorations including an ancient buccal inlay and a mesial silicate filling. In other words, the crown was weak, there wasn’t much actual tooth left and he’d need to be careful. (Imagine using a rusty, over-cut Yale key in a stiff lock.)
‘All righty.’ He curled his lip up and, breathing noisily through his nostrils, began a gentle but brisk revving. Then he stopped, leaned over and flobbed the inlay into the basin, where it would be caught in the amalgam trap. I stood quickly and turned on the spittoon.
More twisting, a loud groan and the rest of the tooth, minus its root, was there in the forceps, having snapped off at the gum line. Gah! How had he let that happen?
I glanced at the clock. I had less than twenty minutes now to get up to Curious Minds.
JP abandoned the upper left and switched to the upper right. This time he jammed the beaks up hard between the periodontal membrane and the alveolar bone and with two jolting twists brought the tooth out cleanly, root and all, clanging it into the dish with great drama. He spat into the basin leaving a fine bloody spray across everything for a yard around him. I slipped the plastic bib round his neck and handed him some napkins. When he spat into the sink again, a bloody string looped down from the rim to the skirt of his brand-new Latimer tunic. He was no better than a patient now; anxious, dribbly, high-maintenance.
Biting on a gauze wad, he looked up at the clock, mumbling, flexing and unflexing his fingers. Then, back at the mirror, he began digging around the ragged gum line and before you could say ‘spoon excavator’ the instrument fell from his hand and bounced off his plastic clog.
‘Dammit.’ He spat, coughed and then turned to me. ‘Telephone Bill Turner, nurse. Tell him I need him to pop down and get this root out for me.’
I looked at the clock. I hadn’t got time to wait for Bill.
‘Sit down,’ I said, pulling the Medi Light across.
PART ONE
1. Dentally Particular
I’d been happy in my previous job as an auxiliary nurse at Paradise Lodge old people’s home but after my mother reported the owner for tax evasion, I felt it best to move on and took a position at the largest garden centre in the Midlands, which had just opened on the outskirts of our village. I was put in charge of the newly planted display rockery (also the largest in the Midlands) and I’d have settled there and become a horticulturalist–but it was a temporary post and I was needed only until an expert arrived, who’d studied at Kew and would put their alpines on the map.
I spent dinner breaks drinking soup from my flask and scouring the classified advertisements in the Leicester Mercury looking for permanent work. I was old-fashioned in this regard, everyone else having gone on to instant (‘just add hot water’) soups by then but I wasn’t convinced the pieces of dried veg ever fully rehydrated in the cup and would therefore have to do so in my stomach.
Getting a good job was a challenge unless you had O levels or a friend in charge somewhere, which I didn’t. But this was late 1979 and the world was such that if you could demonstrate a bright attitude via a well-crafted letter, you might secure an interview, and with that, the chance to snatch the position from a more suitably qualified candidate. As with so many things back then, it was all about your choice of words, and luckily for me words had been abundant throughout my childhood and the imaginative use of them highly praised–written, sung, dramatized, televised, read and spoken. When my sister got herself into trouble at school for muttering, ‘Oh, go and imbibe nightshade,’ my mother had described it as ‘Shakespeare coming through’ and laughed so much she could hardly light her cigarette.
I had words in my head and at my disposal and now, for the first time in my life, I could appreciate it. For instance, when the Wintergreen Dental Practice in Leicester was seeking a ‘mature lady with previous experience’ to be their new dental surgery assistant, though I was just eighteen and had no surgical experience whatsoever, I was able to put in a confident, creative application with a letter that included the following:
While my own dental history has been uneventful, I have seen the effects of periodontal gum disease, acid saliva and unchecked dental caries at close quarters. In my previous position and the one before that, I maintained a large Alpine show rockery and over twenty sets of dentures, respectively–which in some ways were strikingly similar! I have been a patient at four different dental practices in the city of Leicester, treated by six dental surgeons (listed below) on the NHS and privately.
Any candidate might have used similar words, but they might not have written ‘strikingly’. Strikingly being one of those words, like extraordinary, that mark a person out, in writing. You write it, and it somehow describes you. Which is why it’s best to avoid negative words, like doubt, accident or presume.
An interview off the back of a cleverly worded letter brings with it certain pressures, though–if you’ve written of your ability to do a headstand on a trotting horse, then you must be able to demonstrate it if called upon to do so. Ditto, if you claim to possess ‘a wide-ranging knowledge of all things dental’.
I arrived for my interview at the Wintergreen Dental Practice–as prepared as I could be under the circumstances–ten minutes late, it being my mother’s fervent belief that on-time arrival is never desired by the host. A thoughtful visitor, she said, should aim to be fifteen minutes late and slightly drunk.
I was weak, medically speaking–but thanks to my stepfather, Mr Holt, having a good grasp of British social policy and a collection of reference books, I knew what percentage of the population had no natural teeth, the basics of the arguments for and against fluoridizing the water supply, and that the patron saint of teeth was St Apollonia. I also had a photograph of myself doing a headstand on horseback.
My outfit consisted of a prairie skirt in cheerful pinks and light yellows teamed with a handwash-only bolero in bubblegum. The ensemble (unusual for me, a jeans-and-jumper type) gave off a wholesome pioneering aura and it was a stroke of luck that my interviewer that Monday was practice manager Tammy Gammon (apricot hair and matching lipstick) whose soft-fruits palette toned well with mine. The moment we met she made a tiny nod of approval and recognition, and when she saw the book I held, she mouthed the title and said, ‘Oh, golly!’ in a happy, satisfied, slightly American way.
We took a flight of stairs to the staffroom where Tammy pointed to important features, like the window, kettle and fridge. I gazed at the view while she made three small cups of tea, and then we sat on low spongy chairs, opened our notebooks, and the interview began. She smiled at me for a long time, which I took to mean she wanted me to speak, so I did.
‘Even as a child,’ I began, ‘I was dentally particular–I wouldn’t dream of letting anyone use my toothbrush, especially not on an animal.’
‘“Den-tally par-tic-ul-ar”,’ said Tammy Gammon, scribbling in her notebook, ‘“not-on-an-an-i-mal”.’
‘And if by accident I ever left for school without brushing my teeth,’ I continued, slowly, giving her time to write, ‘I’d suck a Polo fruit at the first possible opportunity or brush them with my finger in the toilets, like a cavewoman.’
‘“Cavewoman”, gosh,’ she said, writing.
Minutes flew by and I think I convinced Tammy that teeth were absolutely central to my life. She certainly smiled a lot, and nodded her orange head as she took notes. While the interview was under way, a separate but consecutive part of my brain tried to fathom her. Was she as nice as she seemed? Did she like me? How old was she? Thirty? Forty? Fifty? Why did she keep writing the wrong things in her notebook? Was she actually American, or just polite? And why had she made three cups of tea?
She reminded me of a diluted Dolly Parton in her sweet womanliness, and though she was vague on dental matters, per se, she was profoundly interested in toothpastes and powders. She’d used more than thirty different brands in her life.
‘I used to love Punch and Judy str
awberry flavoured,’ I said, ‘and progressing on to Signal felt like a rite of passage.’
Tammy cocked her head, unsure. ‘What’s that?’
‘It’s an anthropological term for moments that mark a significant change in status.’
‘But I don’t remember any strawberry toothpaste.’
‘Punch and Judy, it’s for children.’
Tammy winced. ‘Aha, that explains it,’ she said. ‘I was in the States for a bunch of years.’
‘“The States for a bunch of years”,’ I wrote in my notebook.
‘What do you use now?’ she asked.
‘I like Close-up.’
‘Hmmm, not minty enough,’ she said. ‘I used to like Crest and Colgate but, overall, I guess I prefer Macleans nowadays.’
‘Macleans!’ I was impressed. ‘But it’s so strong.’
‘Yeah, I know, not everyone can handle it to begin with, but you get used to it. It’s the best if you want fresh breath, better than SR, in my opinion–but don’t say I said so.’
Tammy told me that whoever got this job would never have to buy toothpaste or any dental product again. ‘You live on the samples from the suppliers. Toothpaste, brushes, floss, Interdens, mouthwash, tongue scrapers, Sterodent–you name it.’
‘Don’t remind me of Sterodent!’ I said, and told her about the mistake I’d made involving Sterodent cleansing tablets, which had her clapping her hands with glee.
She reciprocated with the time she’d written ‘Left’ instead of ‘Right’ on a dental card and a patient had had the wrong tooth extracted. ‘Boy, that took some explaining!’ she shuddered, thinking about it, and forced a little laugh. ‘It didn’t kill her though, and it could have been worse.’
After that, I felt it only fair to tell her about our bogus dental checks.
‘Wait! Bogus dental checks?’ she shouted, excited, alarmed, scribbling.
‘Well,’ I said, simplifying it for her, ‘don’t write this down, but my mother was in the middle of a mental breakdown and couldn’t get out of bed to drive us to the dental surgery and, to make matters worse, she’d just had a disastrous affair with the dentist and he was by then trying to patch things up with his wife.’