Wednesday, May 13, 2009

Help! My daughter is two and has four front teeth that are decayed! I need to know which option to go for?

Options:


1. To remove all front for of the teeth


2. To remove the nerves and put in fillings and/or caps





(For both options she will go into a surgery clininc and be put under anesthesia so she will not be awake).





I am scared and do not know if her permanent teeth will grow back in can I get some advice from someone educated in the dentistry field please! Help me I am loding sleep over this. She has 10 cavities total and the front for of course are the worse ones! They will fix all of them at once.

Help! My daughter is two and has four front teeth that are decayed! I need to know which option to go for?
The kids in my family haave had lots of cavities regardless of how thoroughly we brush (including cousins). Some is simply genetics, some could be oral hygeine (genetics), and some could be acid-reflux (which might be worth discussing with the pediatrician.) Obviously you love and care about your daughter so I'm sure you are brushing the best you can (which isn't always easy).





To get to your question, I had to cross the same bridge with one of my daughter's top two front teeth. After much consideration, we had one tooth pulled (it was beyond the repair a cap could do) and the other was capped. She was under general anesthetic in the dentist's office with a licensed anesthesiologist administering the medication. If I had to do it over, I would make the same decision, with the exception of location - I'd rather it be done in the hospital because if there is a reaction to the anesthesia they are better equipped to address the reaction.





We have cousins who, one had all her teeth capped when she was 3 and her sister had her front teeth pulled at 18 months.





Let's address the myths here:


1. Removing the front teeth does NOT affect tooth alignment, only removing the back ones does (and the dentist would put in a spacer if that were he case).


2. Performing a root canal on baby teeth (what you called "removing the nerve") does not impact the nerve of the adult teeth.





Truth:


1. Leaving rotten baby teeth in the mouth because they are going to fall out anyway can affect the adult teeth developing underneath, can cause pain foor your child, and can cause infection. Don't do this.


2. The adult teeth may come in sooner where the baby teeth were removed. The dentist who removed the teeth mentioned this possibility and it was just confirmed by our newer dentist at a checkup - that daughter just turned 4 - we could see it on the x-ray getting ready to come through anytime now.


3. If all her front teeth are removed, it may affect her speech. That's OK. It will clear up when her adult teeth come in. (She'd go through the speech issues whenever those teeth come out - either by the dentist or naturally.)





Please don't lose more sleep over this. Our rule of thumb was that if it could be fixed, then fix it (tooth-colored caps), otherwise remove them. Hopefully the dentist will apply sealents to her back teeth so she haas better protection going forward.





If brushing is difficult, try a fun, battery powered tooth brush for $5 - sometimes just the feeling of it is neat for little ones. There is also a new product called Spiffies, which are wipes for teeth. They have xylitol in them, which cleans teeth until you can use fluoride toothpaste. The website is www.spiffies.com. I think you have to buy them by the case, though.





Good luck and please sleep well tonight.
Reply:get them fixed and teach the wee thing how to brush her teeth=if you have them pulled,the back ones will move forward and there will be no room for the next set to grow in
Reply:why are they so decayed at 2yrs old, does she eat alot of sweets? i wouldnt pull out teeth from a kid that young there eventually going to fall out anyway.
Reply:my niece had this problem only worse. My sister had the doctors and dentist do as little as they could get away with until she was about 6, she just didn't want to put her under anesthesia until she absolutely had to. Talk with your doctor and dentist to see what the damage would be if you waited on the major procedures and had them minor procedure instead. Way your benefits and risks.





In the future don't put your children to bed with milk, its like rubbing chocolate across your teeth and then going to bed.
Reply:Wow, that is a lot of cavities for someone so young. I would recommend removing the teeth because those are her baby teeth. If you remove the nerves and her adult teeth come in she won't have the sensations in her mouth that she needs.
Reply:A two year old with that many cavities is definitely a problem. This is not something you should ask at this location.You should see not only a dentist, but also a doctor.


Ten cavities, at that age, is something that you really need to investigate, VERY soon!


Also. cut out the sweets, immediately! If your child is using a lot of sugar, I would recommend you start using a non-sugar sweetener, but NOT, I repeat, NOT, aspartame(that causes bigger, worse, problems than sugar), Splenda is a much better substitute. It's expensive, but still the better way to go.


If you cannot afford to take your child to the necessary professionals, ALL states will help you with this type of problem.


Good luck, and act quickly.
Reply:Don't beat yourself up about what's in the past. Just focus going forward. Either option, her adult teeth should come in just fine. For esthetic purposes I would have the pulpotomies, and crowns. She has a long time to go until her adult teeth come in, usually around age 7. If you have no family history of complications of anesthesia, that isn't a big deal. I understand your anxiety over this. However, you've learned and are getting it fixed.





Side note: Having the pulp removed (nerves) will NOT effect her adult teeth's nerves/roots in ANY way.



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