Shika Kenshin – Stage One


The first stage of three

A few days ago, I took my daughter to a scheduled dental checkup (shika kenshin), sponsored by our local municipal citizen’s welfare department. Like all the other health check ups (at seven months, a year, and a year and a half), the dental check up was free (well, paid for by our taxes!). Unlike the other health check ups, I was on my own this time (my wife had work).

My daughter and I arrived just after the doors opened at 9:30 and at the second story window I handed over the post card we got in the mail, along with my daughter’s boshi-techo, and was asked to fill out a questionnaire. This took me some time. I couldn’t read about half of the kanji (Chinese characters), so I started looking up some of them on my cell phone dictionary with trying to prevent my daughter from grabbing said cell phone.  Some of the questions were very specific:

  • what time does your child wake up? take a nap? go to bed?
  • what times does your child eat breakfast? lunch? snack? dinner?
  • when does your child brush his/her teeth? how is this done? do you help him/her?
  • which teeth does your child have? Mark them on the mouth diagram.

I didn’t actually finish all the questions. After about 10 minutes someone came over and took the clipboard from me, saying that they would confirm the rest orally once the examination started. It was slightly embarrassing, knowing that my language ability was good enough to speak, but not to read. She gave me a numbered, laminated piece of cardboard and we went in to the main room.

As with the other health check ups, there were four stages, each consisting of consulting a different person. The first stage was the dentist. He was the only person whose qualifications were clear. (He checked her teeth quickly and pronounced, “Ijyo nashi” [no problems].)

After seeing the dentist, we were ushered into a waiting that consisted of several desks in front of the outer walls of the room, and several benches in a square in the middle of the room. Inside the benches several tots were playing with various kids’ toys. I took off my daughter’s shoes and let her wade right in. Time passed. People kept coming. After half an hour and an additional two dozen children the noise was deafening.

How to choose a brush, how to brush, and how to "finish up."

Eventually, as my daughter was beginning to get tired and started clinging to me, we were called to talk to an older woman about how to properly brush our daughter’s teeth. The woman first asked me whether my daughter brushed her own teeth and whether “the mother” helped my daughter “finish off” at the end (shi-age). When I responded that my daughter brushed her own teeth, the woman said, “I see,” then proceeded to tell me that although it was good for our daughter to brush her own teeth with a child’s toothbrush, “the mother” should “finish off” with a second, longer brush.

She then held up a set of plastic teeth and a toothbrush and instructed me that “the mother” should make sure not to brush strongly along the gums but to brush diagonally to the gumline. Men, she added, were stronger than woman and tended to damage the gums, so if I helped then I should be extra careful. I nodded and said, “Hai.” (What else was there to say?)

She then gave me a flyer and instructed me that “the mother” should make sure to “finish off” the brushing by having our daughter lay down with her head in the mother’s lap while the mother brushed. I’d seen this before…on some of the morning children’s shows…and thought it utterly ludicrous.

“Why is this necessary?” I asked politely.

The woman started a bit. Her reaction was almost as if nobody had ever asked this question before. “Well,” she explained, “you can see the teeth at the back more clearly.”

I nodded, and said, “Hai, wakarimashita.” Of course, that didn’t really mean that I agreed with her statement, but I didn’t see the point in arguing. I suppose that it was true, making your child lie down enabled a clear view of the back teeth (if you can convince your kid to open his or her mouth long enough and use a flashlight).

However (I neglected to remind the “mother brusher helper,” whose dental qualifications remain a mystery to me) the same would be true for adults as well as children. I also had no desire to try to force my daughter to lie on the floor, resting her neck on my knees while attempting to get her to open her mouth wide enough to see the back teeth. True to form, when my wife and I attempted just to brush our daughter’s teeth – while she was still standing – she clenched the brush in her teeth and shook her head vigorously while batting our hands away.

After saying thank you for the shi-age advice and detailed teeth-brushing info pamphlet, my daughter and I took a seat once again in the middle, toy-strewn floor area and waited for the next stage.

STAGE ONE CLEAR

Click here to start Stage Two.

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About MThomas

I've been teaching English as a foreign language in Japan for 16 years. A few years ago, I became the first male faculty member in a Japanese technical college to take child care leave. My first blog on Wordpress detailed that experience. My second blog is about my fiction and non-fiction writing, both published and works in progress.
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