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When Shanda Flemming signed a permission slip regarding a dental program that was visiting her son’s school, she thought she was agreeing to a simple routine cleaning.

However, as WJZ reports, the Baltimore mother was in for a rude awakening after her third-grader came home from school with not one, not two, but three of his teeth missing.

According to Flemming, the dental procedure was performed without her knowledge, and she is not sure why the school allowed serious dental work to take place without making a single phone call.

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Flemming’s son, 9-year-old Michael, was still in pain after the procedure and crying over it, according to Flemming. The procedure caused Michael to miss the school bus, so he was forced to walk almost a mile home after having had three teeth extracted.

The report also noted that Michael wasn’t given medication after the procedure.

“I’m angry about this. I don’t think that it should have happened like that,” Flemming said. “He walked home alone after having three teeth extracted from his mouth. He could have fell out or anything.”

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Baltimore City Schools declined the news station’s request for a comment about the case. According to WJZ, the school dental programs became more popular after a Prince George’s County, Md., boy died from an infected tooth back in 2007.

As for Michael, Flemming said that he was scheduled to see a family dentist on Monday.

Read more at WJZ.