Today I’m going to share with you something that I’d rather not. If you thought I was a bad parent because my boys watch SpongeBob and ride their bikes in the street, wait until you read this:
Two of my children have cavities. The third one probably does, too, but so far, he hasn’t cooperated for X-rays.
There, I’ve said it.
Mothers don’t like to talk about cavities because we view them as evidence of what we perceive to be bad parenting. How could we let those precious little baby teeth decay? Even the sound of the word — “decay” — makes us shudder.
Decay? DECAY? My child’s mouth has decay?
We’ve sheltered our children from so many things, made them wash their hands before dinner, and now they have decay — in their mouth.
Every time one of my boys gets a cavity, I feel like I’m the only mom who has let this happen. The dentist assures me I’m wrong. Dental cavities are the most common chronic infectious disease of childhood. Plus, he says, “Cavities aren’t something moms talk about at school pickup.”
He’s right. We don’t ask about cavities (as in, “Are your children’s mouths decaying?”) because we are afraid of the answer: “Cavities? What? No way! Not my kids.”
A mother who asks another mother about cavities might as well announce that she lets her kids eat pizza twice a week and frozen waffles for breakfast. (Done and done.)
The truth is that no matter how many times you brush your children’s teeth, if you floss them more than just “when we remember,” and even when you go to the dentist twice a year, you still might see the D-word (decay) in your child’s chart. Sometimes, genetics simply aren’t on our side.
Except neither my husband nor I have ever had cavities. So that pretty much eliminates genes from my arsenal of defenses. All that’s left is: I should have brushed more and given juice less. I should have fought harder in the bathroom when they resisted my flossing. I shouldn’t have stopped when they screamed because their gums were sensitive. I should have said no to that second box of juice in the afternoon.
My husband had horribly misaligned teeth growing up. When we were in elementary school together, his front teeth stuck out parallel to the floor. They were huge like horse teeth. He couldn’t get his lips around them. And he would spend the next seven years of his life in head gear and braces.
But he didn’t have cavities.
I had braces, retainers and this deceptively small, exquisitely painful bar — a “palate expander” — in the top of my mouth. My teeth had to be filed down and my frenulum snipped.
But I didn’t have cavities.
When the dentist tells me another one of the boys has a cavity, there is a moment when I wish they had Dustin’s front teeth or my small palate instead. Because at least those are things I couldn’t have prevented. There is no blame in them. But cavities? Why don’t I just let my kids watch SpongeBob and eat Goldfish crackers? Maybe ride their bikes in the street?
I mean …
The most recent cavity appeared in our youngest son’s molar. I sent him back with the dentist for what I thought would be an ordinary filling, just like all those other times. He returned to the waiting room an hour later with a silver cap on his molar. Apparently the cavity was so big, a filling would have cracked the baby tooth.
What came out of my mouth when I saw him was, “Oh, honey, how do you feel?” What went through my mind, however, can’t be printed here. There’s no hiding a shiny, silver cap, even if it is in the back on a molar. While the doctor had my son on the nitrous oxide, he should have gone ahead and tattooed “Mom lets me drink juice” on his forehead, too. The silver tooth is like a dagger in my heart.
But that’s just me. My son loves his new tooth, especially because his older brothers are fraught with jealousy. “I want one,” they said, and, “Why did I get a plain filling?” This proves, once again, that my three children will fight over basically anything.
The dentist tells me I did the best I could. Sometimes, these things happen. My son isn’t broken; his teeth will be fine.
“Can’t you just pull the tooth out?” I asked, eager to be rid of the silver blemish on my parenting.
“No,” the dentist said. Extracting the tooth, while eliminating my guilt, would create problems for my son’s permanent teeth. The silver cap “holds a place” for the grownup tooth below.
Oh, right. That.
So I put on my big-girl, mommy pants and accepted it. Because parenting involves getting over ourselves and our guilt for the sake of our child’s future. A silver cap today means healthy teeth for the rest of my son’s life. In theory, at least.
Then, as I finished my conversation with the dentist, he smiled and said, “Remember, when a silver tooth falls out, the tooth fairy brings $50.”
That’s when I realized: I feel guilty — but not that guilty.
Maine author and columnist Sarah Smiley’s writing is syndicated weekly to publications across the country. She and her husband, Dustin, live with their three sons in Bangor. She may be reached at www.Facebook.com/Sarah.is.Smiley.



Have no fear..blame the kids grandparents and revenge of recessive genes! My sister had great teeth and my teeth financed many of my dentists boats. Also, of my five cousins (mothers side), 3 had great teeth, one not so good and one “normal”. In a strange twist of fate, my aunt and I shared the same tooth structure (teeth cave towards the inside rather than protrude out!)..family genetic history at it’s best. Keep up the good work and witty observations about life.
Nothing says you are a bad momma more than “advanced dental carries”. My son has eight, yes eight silver caps. I blame it on bad jeans and the fact that he is gluten intolerant which can cause tooth decay (or so I have heard). I must have something to blame it on. We brushed his teeth twice a day and he rarely drank juice. Sometimes it just happens. Oh, and having three boys I totally get that they will fight over ANYTHING!!
My daughter who will be 14 soon has never had a cavity and yes, she eats junk food. She just has good strong teeth which she did not get from me because I have very soft teeth.
If the kids have pitted teeth they are much more likely to get cavities. Sealants can help with that particular problem.
Maybe their adult teeth will be caries free, let’s hope so.
I have always been perplexed at how teeth can vary so widely from one person to another, even if they have the same dental habits. For example, a close friend of mine who I have known since elementary school (and I am in my 30’s now) has drank mt. dew, eaten lots of sugary foods and he usually brushes his teeth once per day before he goes to bed and he has never had a cavity in his life. I even looked at one point and sure enough, no cavities. I on the other hand rarely drink soda, rarely eat candy (maybe once a month), brush at least twice a day, and I have had more fillings than I can remember. Both of my parents have also had many filings and teeth that had to be pulled. I had filings in my baby teeth and now in my adult teeth. Although this is just one isolated example, I think it shows that genetics plays a huge part in dental health. How can my friend not have any cavities?
I once heard a dentist on tv say that he has heard people talk about soft teeth but has no idea what that means. I was a bit confused at this since I once had the dentist checking my tooth density with some sort of sharp metal instrument, which she actually got stuck in my tooth. It took just about all her strength to get it out and I never let her do that test again, but I think that is the definition of soft teeth.
From what I understand, we are not born with the bacteria responsible for tooth decay. When an adult shares a spoonful of icecream or whatever, that’s when it is transfered to the child. That could be total crap, but it kinda makes sense.
My freshmen college roommate introduced me to floss. I’d never seen it before. A lot of older folks like me would have had better teeth if we had eaten far better and flossed.
Bet your husband loves the description you gave of his teeth back in elementary school.