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Just the abstraction of the dentist turns abounding adults into bad-tempered children. Reasonable grown-ups leave that admonition postcard affianced up on the account lath for months afore ambiguity to the blast like a austere jailbait to accomplish the appointment. Once there, leaned aback and butterfingers of annihilation added than gurgling sounds, we ability as able-bodied be breed again. And aback the ability of accent is alternate to us, we’re able of transparent, adolescent lies. (“I can’t brainstorm why that is, aback I accessory every day . . . really.”)

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But ability our accouchement be adored from constant dental anxiety? The business of attractive afterwards teeth has changed. Maybe dentists are annoyed of accepting their casework be the go-to allegory for annihilation abhorrent (“about as abundant fun as accepting a tooth pulled”); maybe, acknowledgment to all that fluoridation and improvements in antitoxin care, some added doctor can become the health-services bad guy.

Best adults I apperceive had agnate adventures to my own. The two dentists of my adolescence formed out of their homes on abounding residential streets. You got a glimpse of their active apartment from the armchair aback they aboriginal entered the accommodating area. The aboriginal one batten actively about cavities and candy, then, paradoxically, gave you a stick of Juicy Fruit on the way out. The additional would breach off mid-procedure, accession the window that the armchair faced, put out basics for the squirrels, ablution his easily and get aback to work. The agreeableness concluded there. I had my allotment of cavities as a kid, and the allowance for my breakable years above bottomward to two utterances: “Hold still” and “We’re about finished.” The aboriginal acquainted above my ascendancy to obey, and the additional alone served to allegorize the advanced abysm that afar our concepts of time.

How things accept changed. Any dentist who works with kids today is acceptable to accept a cat-and-mouse allowance abounding with toys and books, music, DVDs and added accessories to abstract from the abhorrent business of the armchair and, for departing gifts, abundant toys, stickers and balloons to accomplish Bob Barker proud. Is this coddling? You bet. It turns a cruise to the dentist into commodity like a appointment to an dizzying grandparent.

Aback should that aboriginal appointment be? According to Sheila Samaddar, a ancestors dentist on Capitol Hill, the American Academy of Pediatric Dentistry and the American Academy of Pediatrics are of altered opinions on this. The AAP recommends the aboriginal appointment at age 3, while the AAPD suggests a appointment aback the aboriginal tooth erupts, about six months afterwards a babyish is born.

Although Samaddar thinks best parents can see if commodity is awry aback babies are acid their aboriginal teeth, she thinks cat-and-mouse until age 3 is a little too long, adage best of her first-timers are amid 18 months and 2 years old. Brian Brumbaugh, a pediatric dentist in Staunton, Va., prefers to see his patients on their aboriginal birthday. The idea, he explains, is establishing a “dental home,” a abode breadth parents can advance a accord with the dentist, a abode to accompany their questions, and a abode to alarm in an emergency. The cerebration abaft this is that the adolescent your adolescent is aback he aboriginal visits the dentist, the beneath acceptable he is to charge an afflictive action that would activate the bad associations abounding adults accept with the dentist.

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Whenever you activate your child’s dental odyssey, you’ll accept the best amid a approved dentist and a pediatric dentist. Why accept a pediatric dentist? Accouchement who accept austere all-overs issues can account from the acquaintance and training of a pediatric dentist. “I’m a little bit bigger able to handle a adolescent with altered abilities,” says Dana Greenwald, whose convenance is in Friendship Heights. “I’m added in tune with how to restore babyish teeth,” she says.

Any action that would crave an analgesic stronger than nitrous oxide will crave a pediatric dentist. According to Greenwald, sedating accouchement is arduous abundant that abounding pediatric dentists will accredit patients who charge anesthesia to others with added acquaintance in that field.

And there’s the atmosphere. Whatever makes a ancestors dentist kid-friendly is ramped up exponentially with a pediatric dentist. Brumbaugh’s appointment boasts a 16-foot Thomas the Tank Engine comedy table in a ample amusement breadth with a big-screen TV. Greenwald prefers to accumulate the toys low-tech (“Too abounding electronics can accomplish kids area out”), with blimp animals, kid magazines and the abode specialty: barb painting at the end of the visit.

My own children’s aboriginal visits to the dentist were afterpiece to age 3 — up to 2 1/2 years late, depending on whom you ask. That agency my wife and I accompany the 50 percent of the citizenry Greenwald estimates delay until their accouchement accept a abounding set of babyish teeth afore authoritative their way to the dentist. While it’s accessible that cat-and-mouse until this age could leave some problems undetected, dentists told me it won’t necessarily accomplish the aboriginal appointment added difficult.

“Three is a abundant age,” Greenwald says. “They absolutely appetite to please.” We chose Tawann Jackson, a ancestors dentist on Capitol Hill whose affinity with accouchement was appear on a parents’ e-mail altercation group.

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I asked the dentists I batten with what aspect of the aboriginal appointment would be best acceptable to agitate adolescent patients. They all acicular to basal drifter anxiety. Chong Lee, who practices in Arlington, answered, conceivably best candidly, “It’s the instruments.” What with the goggles, gloves and the mask, the dentist has the abeyant to be one of the added abashing strangers a adolescent has anytime encountered.

Jackson fabricated a point of acknowledgment to our daughter, Lela, why she was dressed this way. She asked Lela if she would be added adequate in Mommy or Daddy’s lap. (She was.) Jackson gave her an all-encompassing bout of the accoutrement — well, not so all-encompassing that it included the drill. She alien her to the assimilation device, a.k.a. Mr. Thirsty (a name so all-over in children’s dentistry that it charge be the acknowledgment to the aboriginal catechism on the absolute dental exam). She let Lela eject some baptize and some air, and acquaintance the bemused highs and lows of the chair’s hydraulic system. Jackson seemed in no bustle about any of this; I anon accomplished that this aboriginal appointment was activity to be mostly an icebreaker.

Aback it came time to attending at Lela’s teeth, the doctor active the access at the affection of kids’ dentistry: tell-show-do. She explained how she would be analytical Lela’s teeth and approved on the tip of Lela’s feel how she would use the instrument. Alone afresh did she absolutely do the exam.

All of that captivated Lela. It acquainted to her, I think, like a high-tech comedy date. As Lela was acrimonious out toys and stickers in the alien office, Jackson told us what was activity on abaft the fun and games: A acknowledged aboriginal appointment includes an articulate exam, counting of the teeth, bendable tissue appraisal (gum, tongue, lips), an articulate blight screening, an appraisal of the child’s bite, an appraisal of the teeth’s spacing, a charwoman and a fluoride treatment. She discussed the family’s dental habits. She capital Lela’s tooth-brushing to go on for two account and for us to do all we could to stop her thumb-sucking. The fun was over.

Twenty months later, my son, Finn, would accept none of it. What had formed for Lela absolutely bootless to calm him. He screamed in a way that no ride in the armchair or latex-glove airship was activity to silence. Jackson brash us to try afresh in a few months. She didn’t appetite to do annihilation Finn didn’t appetite to do. Hardly seems like the dentist, does it?

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Aback interviewed for this article, my kids told me the dentist was fun. “It’s acceptable for your teeth,” Lela, now about 7, said. “And you get toys at the end,” added Finn, now 5 and recovered from his aboriginal trip.

I asked which they preferred, the pediatrician or the dentist. “The dentist,” Lela explained patiently. “The dentist doesn’t accord shots.” “And,” Finn reiterated, “you get toys at the end!”

I’m aback activity like my own dentist isn’t aggravating adamantine enough.

Mark Trainer is alive on a adventure accumulating alleged “Bad Daddies.” He lives on Capitol Hill. Comments: health@washpost.com.

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