Wednesday, May 13, 2009

Why is it that so many people on here give the advice that toddlers don't need to brush their teeth?

I have read post after post where people are are telling mothers or caregivers not to worry about brushing their kids teeth until they are 3-4 years old!! To me that's just CRAZY! Baby teeth should be taken care of too- so what if they are replaced later with permanent teeth! Who wants their kids teeth to rot?? Plus teach them young about good oral hygiene.





I just hate to think that there are parents out there who don't brush their kids teeth! I would feel so guilty taking care of mine and not taking care of my helpless toddler's teeth!





What a shame!

Why is it that so many people on here give the advice that toddlers don't need to brush their teeth?
I totally agree with you.


Im a dental nurse and Im surprised people think that its ok not to brush babies teeth.


Get em there straight away.


Teeth have no idea how old they are when the food and sugar attack them.


Plus tooth ache doesnt care how old a person is, I call it child abuse when parents dont look after their childrens teeth.
Reply:Who the hell is saying that?!?!? What a stupid thing to say. We have been brushing my daughter teeth since she got them. she's now 3 and the dentist told us to switch to fluoride toothpaste but to make sure she spits it out. Maybe that's what people are talking about.
Reply:I don't see a question here, but I'll agree with you.


I've had to anesthetize kids under 3 to get their mouths rehabilitated due to rampant decay.





I had times when I had to hold my own toddlers down and forcibly brush their teeth. (They're older now and have beautiful smiles)
Reply:i agree--toddler teeth should be their PRACTICE TEETH show them how to take good care of their teeth on their first set so they will know how when their permanent teeth come in... Whats wrong with you lasy people!!!!! this is your child we are talking about!! to the people who aren taking care of thei childs teeth---





Dont be coming on here when they are teens asking what to do because:


1 kids are picking on my child becaue his/hr teeth are rotting?


2 How are we going to pay for false teeth for our teenager?


3 I cant get my teen to brush their teeth, what do i do?





Take care of the situation NOW!!!! if you havent been then you better start asap! or i guarantee you will be back yrs from now asking those very questions!





good luck to you all!





FOR YOUR ADDITION TO YOUR QUESTION:


THE EASIER WAYS TO GET THEM BRUSHING IS TO MAKE IT FUN!!


GET TOOTHPASTE WITH BARBIE/DORA/BOB THE BUILDER ON IT- GET THE TOOTHBRUSHES WITH THEM ON IT TOO!


BRUSH YOUR TEETH WITH YOUR CHILD TO SHOW THEM HOW FUN IT IS.


ENCOURAGE YOUR CHILD BY AFTER BRUSHING SAY OK LET ME SEE YOUR PRETTY SMILE? OR LETS GO SHOW DADDY HOW PRETTY! LET THEM SEE IN THE MIRROR DURING AND AFTER- SAY OH WHAT A GOOD BOY/GIRL LOOK HOW SHINY YO'VE MADE THEM!! THERE ARE LOTS OF WAYS PEOPLE USE THEM!





PLUS! by the age of 5 the personallity of your child will be definate-- meaning the habits-attidute- and way of living your child has at 5 will be permanent--





And for TOOTHPASTE ISSUES they have beginners toothpaste its SAFE TO SWALLOW for the younger ones--
Reply:Ohhh gross. Please for the love of all things holy, brush ur child's teeth! Mine have been going to the dentist for check ups and regular cleanings since they got their teeth. Telling people not to brush their childs teeth is just bad advice. That is the problem with this site, everyone has some advice to give and most of it is bad.
Reply:Thank you for pointing that out!! I went to the dentist on Friday and asked what age I should start bringing my son to the dentist, and he said around 4, but I should start brushing his teeth around 3!!!! WTF- My son is 18 months and he has brushed his teeth ever since the first one came in. It's just part of our bath routine. I got him a really cool, battery powered race car tooth brush, and he loves it. Why wouldn't people brush their kids teeth?? It's more than a shame, it's gross.
Reply:in my opinion . . . . the people giving that advice are simply STUPID and IRRESPONSIBLE . . . . one should practice plain good old fashioned oral hygiene at EVERY age. The earlier one starts developing good habits, the better.





My kids started brushing (or at least chewing on their toothbrush) as soon as their first tooth appeared! They would sit on the bathroom counter and brush their teeth while I brushed mine. We learned the strokes, rinsing, and cleaning %26amp; storing our toothbrushes properly.





Maybe those people telling mothers %26amp; caregivers not to worry are the ones we see out on the street who look like they've never encountered a toothbrush and their gums are repulsive !!!
Reply:every body with a tooth needs too brush it but children under 3 dont need any toothpaste
Reply:These people must be nuts. Toddlers are eating solid food now. Things that leave redisues that can easily turn into plaque and cause cavities. Don't listen to these people. Get your toddlers a toothbrush before they end up with a drill in their grills!!!!
Reply:you should start wiping your childrens gums with gauze from when they are young and then as teeth come inus a infant toothbrush, toothpaste is not neccesary at this age, too much flouride in the toothpaste will cause problems. Never Ever send your child to bed with anything but water in their cups or nothing at all and amke sure at night is especillay when you are brushing their teeth
Reply:If only all mothers thought as you do. I'm a Dental Therapist and I see this sort of thing all the time at work.



Philosophy

If a child doesn't have permanant teeth, is it nessecarry to have a root canal performed?

is this a normal procedure for a two year old child?


what are the risk?


will this have any affect on his permanent teeth later if I don't have the root canal performed.

If a child doesn't have permanant teeth, is it nessecarry to have a root canal performed?
A root canal is not "normal" for a 2 year old (but it is possible), I would like to know why your child needs a root canal. Did they have an accident or do they have a large cavity??? If there is an infection in this tooth and you don't have it treated then yes it can affect the adult tooth that is forming underneath. The person who said baby teeth don't have roots is INCORRECT baby teeth do have roots, what does he thinks holds them in kids mouths????!!!!
Reply:I didn't think it was possible to perform a root canal on a baby tooth; after all, it's got no roots.
Reply:i definatly would not waste your money having a root canal done on a two year old she/he is going to lose that tooth.It sounds weird to me that a dentist would want to to do that.ive heard of fillings and caps and extractions on a child but never that.really think about this before having it done and let me tell you ive had about 6 done on my adult teeth and they are not fun
Reply:Baby teeth do too have roots. That is how they stay in. Normally, root canals are not done on children. What re the extenuating circumstances? The doctor should tell you.
Reply:A root canal on a primary tooth is called a "pulpotomy" and it is performed to save the tooth until the permanant tooth grows in.





It is often important to keep a baby-tooth in place so the space is maintained.





Dr. Sam or one of the other dentists who post here would be a good source. But I can say that although it is unusual to perform a pulpotomy on a two year old, it is not unknown.





If you don't trust your dentist, ask for a second opinion.
Reply:Emmalue is correct. Thank you very much. The procedure is called a pulpotomy, which is a child's version of root canal. It is a much quicker technique. The dentist removes the tissue from the root canal of the baby tooth (Yes, they DO have roots until they are ready to be shed when the roots have disolved.) and fills it in with a special cement made for this purpose. The tooth is then restored with either a simple filling or, if there has been a lot of breakdown, a pre-formed (inexpensive) stainless steel crown.





I'd say, the younger the child, the greater the indication for doing a pulpotomy. The purpose of this is to save a tooth rather than have it removed. Baby teeth DO serve a purpose, you know. The child uses them to eat with. On top of that, they will maintain the space that is needed for the permanent tooth to fit into the arch.





If you don't have the pulpotomy performed, the tooth will eventually hurt like heck, as the pulp (nerve and blood vessels inside the tooth) are already inflamed and probably infected. An abscess can pop up very quickly in a child. An infection (the abscess) can cause discoloration or even deformity of the permanent tooth.





If you decide to have the tooth taken out, especially at such a young age, it is very likely that the arch space will close up and there will not be room for the permanent tooth to come in. It is rather common to see a lower premolar growing in with the crown pointed half-way towards the tongue after one of the baby molars was removed at an early age without being replaced with a space maintainer.





If there is already an abscess showing in the mouth and if the x-ray shows that the bone between the roots has already been destroyed, a pulpotomy has a lower chance of success. Since this can happen in a matter of days in a child, do not delay treatment once it has been recommended.



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How long does it take for a permanent tooth to grow in completely?

here are some facts that might help:


1: I am 13 years old and i'm just loosing (it's just about to come out, aka hanging by a thread) one of my last baby teeth (is this normal?)


2: It is my upper right canine


3: I can feel the tip of my new tooth growing in already


4: I just want to know so I can figure out when I'll have all my teeth back...

How long does it take for a permanent tooth to grow in completely?
it'll take between 3 to 6 months.u shud've lost all ur baby teeth by the age of 12.but its ok fer em to fall out later.don't be concerned.its alright.what u need to do to is get an OPG aka orthpantomogram done.its a full mouth x-ray.it will show the position of all ur teeth in one x-ray.



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Can a 15 year old get their teeth whitened at the dentist?

I've got all my permanent teeth, and they're all perfectly straight.





Is 15 too young or can I get it done now?

Can a 15 year old get their teeth whitened at the dentist?
with signed parental consent, you can.
Reply:Use something much cheaper - and I found - very effective...........Pepsodent toothpaste!!!
Reply:i just use crest white strips.
Reply:i guess you can! 15 is not very young!!
Reply:yeh can get it but remember if you have a cap that wont be whitened along with your teeth
Reply:Save yourself/parents a fortunes and use some thing you can't buy in shops .........elbow grease.





My daughter at 14 wasn't the most concensious about pbrushing her teeth and her teeth went quite discoloured. I set a rule that she had to brush her teeth til the end of her favourite song. Hey it worked now she bruishes them twice a day for at least 2.5 mins and she don't need no whitening.





Have a go for a week you will notice the difference.
Reply:Yes it can be whitened at a dental clinic. No you arent too young. As long as they give a gel to remineralise your teeth afterwards you will be fine. As for the statement by some1 earlier about elbow grease. It is utter nonsense. The harder you brush your teeth the more you damage your teeth. That is why alot of people as they get older they get more sensitivity even though they dont need any fillings due to decay. Yes Enamel is stronger than your tooth brushbut cementum isn't and unfortunately all those who use the"elbow grease" are just setting themselves up for bigger problems later in life all be it with whiter teeth.


Good Luck



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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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Is it possible to correct an orthodontist-caused upward-to-the-back cant of the upper teeth on one side?

Unsuccessful attempts to pull down a stubborn permanent tooth from the roof of my daughter's mouth (5th tooth back-- pre molar?) raised the whole row of her teeth on that side. After 6 years in braces (she is 18 now) is there any way to get the teeth (and bone structure) down again in line with the other side? The stubborn tooth has been removed with plans to replace it with an implant.

Is it possible to correct an orthodontist-caused upward-to-the-back cant of the upper teeth on one side?
HELLO,


IF YOU'RE SPEAKING OF THE WAY THE TWO JAWS RELATE TO EACH OTHERS THIS IS NOT TOOTH RELATED BUT BONE ANATOMY RELATED. BRACES ALONE WON'T HELP THIS, BUT JAW SURGERY WOULD.


CONSULT WITH AN ORAL SURGEON AND ORTHODONTIST REGARDING THIS.



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What foods can an adult eat who has had all the teeth removed from his upper mouth?

My husband had a partial and then had to have four teeth removed. He is waiting to receive his permanent teeth but this will not happen until April 4th. In the meantime, I am at my wits end trying to cook "soft" items that he can "gum" without any difficulty. As a result, he is not eating dinner at night, with the exceptions of soups or beans in a broth. What are some other items that I may be able to cook for him that will satisfy his appetite. At the rate that he is going, he will be skinny as a rake by April. He is already a small man and does not need to loose any weight! Please help me out. Thank you for what ever suggestions that you can give me.

What foods can an adult eat who has had all the teeth removed from his upper mouth?
I had to cope with a similar problem with my elderly father. It wasn't so difficult. Can he eat pasta? Ground meats? If so, the door is open for tasty and meaty things like lasagna or spaghetti bolognese. Then there are cannelloni, ravioli, meat loaf, burger patties. There are pates, quiche, omelets, egg and tuna salads. Thick, tasty soups like split pea and vichyssoise. As a last resort, you can make baby-type foods: just put a mix of cooked, well-seasoned goodies in a blender or food processor, give it a good spin, and voila! Not particularly visually appealing, but tasty and nutritious.
Reply:Mashed potatoes, applesauce, if you don't have one go out get a food processor, even a mini one (I got one a walmart for about 5 dollars), grind up meat and stuff looks nasty, but it's good.
Reply:Soft foods. like soups, stews, bananas, apple sauce, mac and cheese. Although my uncle is diabetic and had all his teeth pulled out and now has dentures, well he hates his dentures and loves to eat, and somehow he manages to eat the normal things like burgers, steaks, nachos, with out his dentures in his mouth. I don't know how he does it.
Reply:soup and mashed potatoes
Reply:I am also having to make soft foods for a couple of days since my daughter just had her braces put on.





I am making her oatmeal, scrambled eggs with cheese (lots of protein and calories there) yogurt smoothies blended with bananas, strawberries and/or peaches. You can also give him meal supplement shakes (Ensure, Boost, Carnation Instant Breakfasts) as a way to keep up with calories.
Reply:milkshakes...pudding ...mashed potatoes...applesauce...mashed sweet potatoes, mashed up bananas with chocolate sauce... tomato soup...yogurt...soft serve ice cream...cheddar cheese soup...protein drinks
Reply:My husband had to have all his teeth pulled 10 years ago before his heart surgery. We have not been able to afford to have any dentures made for him so he's been without any teeth since then. He eats anything--steak, pork chops, ribs--you name it!



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Is it normal for a 12-week-old puppy's front teeth to still not be fully grown?

My puppy's other baby teeth seem to be fully grown but some of her front teeth are still not all the way out of her gums. Will they keep her permanent teeth from growing in right?

Is it normal for a 12-week-old puppy's front teeth to still not be fully grown?
Most dogs start losing their puppy teeth at 16 weeks old, although that varies widely from breed to breed and each animal has its own internal clock. If the puppy's parent have normal teeth, then you shouldn't start worrying until the dog is about 6 months old.
Reply:Yep :)
Reply:Yeah its totally normal even if they don't grow out in the next year its still is
Reply:I think so. It took my babies awhile to get all theirs in. I wouldn't be too terribly concerned. Just keep an eye on it for a couple more months.
Reply:Yeah. They are getting ready to lose their baby teeth and get their adult teeth.
Reply:my 4 mth old poochi still has all his baby teeth,it can take a while to get the new ones. i have had other pups whose baby teeth were still in when the new fangs pushed through. i wouldn.t worry about it until he is a yr old or so.



mens health

I lost my front1 teeth when i was 9 years old.?

Now i am 17 years old.I consulted a dentist he said to wear a bridge.But i m very depressed still.Is losing a permanent teeth means that they are abnormal??????Please answer me...I am very depressed still crying for it.........

I lost my front1 teeth when i was 9 years old.?
They can do fantastic work now with replacing teeth. No one will ever know that it's not your natural tooth. Talk to a cosmetic dentist about it. Don't cry anymore.
Reply:i dont know but you can always get partials so sorry for this



mobile

My son has 2 teeth fused together?

Has anyone ever heard of this? Will his permanent teeth grow in this way?

My son has 2 teeth fused together?
This is not on common. It is called either gemination (if the teeth are different) or twinning (if the second tooth is an extra one). It is a developmental anomaly, not a genetic problem. It is very unlikely that the permanent teeth will be similarly affected.


If you are very concerned you could see a Pediatric Dentist who would take an x-ray of the area to evaluate the developing permanent teeth.
Reply:I hope not! My daughter just lost her 'fused teeth'. Her dentist never seemed concerned about it!!!
Reply:The likelihood of the permanent teeth coming in the same way is very small, have some x-rays taken, they may be able to see the permanent teeth. Depending on how old your son is. It should put your mind at ease.




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Is it possible on todays technology to regrow our teeth?

when you already have a permanent teeth?


how about surgery and paste false teeth in there?


or screw the false teeth to youre bone?

Is it possible on todays technology to regrow our teeth?
It is not possible to regrow teeth, otherwise there wouldn't be a need for Dentist's anymore would there. Fingers crossed it will happen one day. There are some scientist doing research into this sort of thing, but they are not having much luck as yet.





You can get an implant which is where they use a metal screw and screw it into your bone. For heaps more information on implants try this link.





http://www.aos.org.au/public/index.php?o...
Reply:impossible
Reply:it is not possible to regrow our teeth when you already have permanent teeth. as far as surgery goes- are you talking root canal- that doesn't always work. they do have implants- which are teeth that are false but implanted into the gum and don't usually come out- a friend of mine has 3 implants which is a false tooth that screws to the bone. or false teeth. false teeth are usually cheaper than implants. not sure about root canals but i've heard they are very painful and don't always save the tooth.
Reply:Funny you ask this question, just the other day a friend of mine told me that they can clone your teeth not sure if they have tried it yet, I think they are still experimenting.
Reply:research is being done in other countries that have leaders that actually believe in science and encourage stem cell research. teeth have already been regrown in rats which is promising. i estimate that in 20 years you will be able to have a small surgical procedure and 5 years after that you'll magically have a tooth emerging from your gums just like when you were 9 years old.





right now you have to get dental implants at $3000 a pop. there the easiest, most painless way to have a tooth replaced.
Reply:I wish. I just had two implants placed in March, still healing on my two left front teeth. Hopefully after July 5th I'll be on my way to teeth 3. I was in pain and discomfort for a month, but after that, I felt the healing taking place. Wish I had the other two done, but someday I will on those, until then, I'll crown them and keep my own.
Reply:Nope, try dental implants. To date they are the closest thing to natural teeth. Much better than full dentures or partial dentures.



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What are those caps that kids get on their teeth?

what are they exactly? i went to the dentist every 6 months since i had teeth and I've never had one. i only had 2 fillings in my baby teeth and now none in my permanent teeth. p.s they are usually silver ish i think.





thank you

What are those caps that kids get on their teeth?
Those are a type of crown that we place on baby teeth that are too far decayed to use fillings on. You don't want any! Keep up the good work on your permanent teeth....floss too!
Reply:i think they r called crowns and they like protect the toot from cavities
Reply:Sealants. Sealants are sort of like fillings, only most of the time, they are put on your teeth before any major drilling has to be done to prevent future cavities. They smooth over the grooves on your molars so that plaque, etc., cannot get into small spaces and decay your teeth. They are a bit faulty, though; they get chipped sometimes.





Sealants can be silver; however, the silver-colored sealants or fillings contain mercury, and it is advisable to steer clear of them. If you have any mercury sealants/fillings, you should probably have them removed and replaced with ceramic ones. Ceramic is less noticeable and not harmful to your health.
Reply:Sealants are place on the 6 year and 12 year molars after they come in. The sealant is placed in the cracks of the biting edge of the tooth. This is to help prevent cavaties by keeping food etc. from becoming stuck. Sealants are usually white.





Silver is usually a filling and the material is called amalgam. Some crowns (caps) are all silver. A crown covers the entire tooth.



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My 9 yr old son's teeth cracked!?

My son 's two front teeth are now halfway missing, he fell in gym while playing tag and we rushed him to the dentist. The dentist put some medicine on it saying they were in shock and we will see him next week for the white fill ins. Has anyone ever had their permanent teeth knocked out or majorly chipped? I don't know how this will effect him in the future, medically and his self-image.

My 9 yr old son's teeth cracked!?
At nine years old, the apex (the end of the root) problably has not formed and closed completely. Depending on how close the break is to pulp chamber (nerve), he may be okay for now. What can happen, is that the nerves in both teeth have been traumatized, but not showing symptoms at this time. It is possible that the nerves may die, leading to abcesses. This could happen in days or years, each individual is different.


The signs you need to look for: teeth getting gray or darker than now or hurting when biting down, swelling at the root tips (under his nose), a fistula (this is like a pimple at the end of the root (same area as where the swelling could be--in the mouth where the top of his gum and lip meet), if he has a fistula-that means the infection is draining thru the "pimple" and therefore; he may not experience swelling or pain-because he is getting relief from the draining.





Because of his age he would need some material placed into the root to get it to close sooner and then a root-canal is done.





I recommend fillings only until he is 18-19 years old, then once his growing is complete then do crowns.
Reply:Don't worry the dentist will fix him up
Reply:i got two teeth missing.front bottom , im saving for implants..
Reply:HELLO MANNY,


YOUR SON WILL BE JUST FINE. THE DENTIST KNOWS WHAT TO DO.


AS FAR AS THE DENTAL EFFECTS HE MAY NEED ROOT CANALS AND CROWNS. HE CAN TELL OTHERS THAT FOR A TIME HE IS A WORK IN PROGRESS.


GOOD LUCK.
Reply:...YES THAT IS NORMAL PROCEDURE, DONT WORRY HE IS IN GOOD HANDS.....ALOT OF KIDS HAVE THIS HAPPEN AND DENTISTS ARE VERY WELL EQUIPED TO HANDLE THIS. IT WILL NOT AFFECT HIM IN ANY WAY NEGATIVELY.
Reply:Im sure the dentist will help him out. Medically he will be fine if his tooth was all that was chipped. The best thing you can do is just keep an eye on it make sure it doesnt change if it does get him to the dentist. There are all kinds of things dentists can do to fix his teeth too. Crowns, bonding, filling. Just keep up on getting them checked every 6 months or more often if they seem to need to be changed or anything.
Reply:yup....i chipped my 2 front teeth when i was 8 and the dentist couldnt do anyting about it till the teeht were fully grown in... they just fixed them when i was 13 and they havent broken again yet but its only been a year ...my brother borke his front tooth when he was about 9 and the fill in thing has fallen out a lot of times but mostly when he was accidently hit or fighting iwht my other brother ...u cant tell that the fill ins arent real teeth they look relalyyyyyyy good and they iimproved my smile alot! ...but then i got braces and look like a loser when i smile ahahha but yeah the fill ins work good ...


and i forgot to say that my teeth were chipped more then halfway through and they got chipped when i hot my favce on a scooter
Reply:use putty lol
Reply:my brother had a similar accident, breaking both front teeth shortly after they came in.





Initially he was given metal caps. silver in color. After a few years, when the majority of the permanent teeth had come in (and after having to have braces, unrealted to the damaged teeth) the caps were replaced with natureal color ones.





You would have to be told in order to know that the teeth were capped.





************





yes, he got some teasing about "Lead mouth" from some ignorant and rude kids. People need to teach thier kids to be civilized.



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What can we do to get her teeth to come in?

My seven-year-old daughter lost her two front over eight months ago and I am quite concerned that I can neither see nor feel signs of her permanent teeth coming in. Her dentist assured me that the x-rays show there are teeth there. Is there anything we can do to speed this process along? I am concerned that as other teeth fall out she will have difficulty eating.

What can we do to get her teeth to come in?
There is NOTHING you can do to make these teeth come in. Nature will take it's course. You have to be patient.
Reply:Trust your dentist.
Reply:You really can't rush mother nature. Look at as a good thing. The longer they stay up in the gum the less exposure they have to all the bad things that cause decay.
Reply:I think it's time to see another dentist and get a second opinion,. Teeth don't usually fall out until the permanent teeth are ready to come in. So this isn't normal.





Take her to a pediatric dentist.
Reply:Don't worry about it. Let it come in naturally.
Reply:don't worry about it...it'll come in sooner or later...but if you're concern have the dentist take an x-ray to make sure everything is normal...I work in a dental office and have seen teeth stuck in there and not coming out for some reason...in a situation like that they usually connect a wirelike material to it and pull it down over a gradual period...sound weird but that's how they do it.
Reply:teeth come out when the adult teeth push or force them out.. so they will come in, nothing you can do to rush it. And she will be able to eat when she loses more.








I had to have 12 of my baby teeth pulled ( all at the same visit), my adult werent coming in, I was still able to eat.
Reply:There is nothing you can do to make her teeth come in. You will just have to be patient and let them come in on their own. I have a younger brother who is six years old. He just pulled out his front two teeth also! It has been atleast seven months and there are small signs that the teeth are coming in! Everybody's teeth are different so we are all just going to have to deal with that!



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Does the orthodontist pull the last to teeth on every side from top to bottom of the mouth?

My son is getting braces he has all his permanent teeth and but I'm not sure if the last 2 teeth on the bottom to top left to right are pulled.Are they already adult teeth?

Does the orthodontist pull the last to teeth on every side from top to bottom of the mouth?
your orthodontist will place braces on teeth that have an occlusion: meaning at teeth that touch a complementary tooth. If the teeth arnt out yet, he will put braces on all the teeth exept these 2. when they are long enough, he will put braces on them. and wire them with the rest.
Reply:Half the time the orthodotist will put braces on thoses teeth to help his bite, They are permanent teeth.



HORSE

Daughters new teeth seem loose?

my 6 yr old daughters 2 front bottom seem loose. they are permanent teeth that are coming in. is it normal or is it something i should be concerned w/

Daughters new teeth seem loose?
Her gums have not adjusted to them yet. I wouldnt worry about it much. My sons was like that as well. He is seven. If you are too worried about it, take her to the dentist. There is no need in it though other than putting your mind at ease.
Reply:it will ok, most have that.
Reply:Just don't have your daughter play with them. Leave them alone and forget about them. If they do fall out, put them immediately into a glass of milk and bring her to a dentist. They can put them back in surgerically. The milk gives the tissue on the teeth alive. But believe me, this worst case scenario.



city opera

Will my child's teeth be permanently damaged?

My 2 year old daughter still uses a pacifier and her teeth are starting to show all of the signs of pacifier damage,misalignment,narrowing roof,ect. Should I be worried about her permanent teeth or will this problem fix by the time they start to come in? signed,Worried Mommy

Will my child's teeth be permanently damaged?
Sorry, but baby teeth are almost as important as adult teeth. You cannot damage baby teeth and then wait for adult teeth to make up for it. Stop the pacifier bit, and take her to a dentist who specialises in children's teeth. Take care of it now, and you will not have serious problems later. Part of being a parent is to take care of things that children cannot.
Reply:****** idiot Report It

Reply:Yous should be worried. They will affect her for a very long time, because using a pacifier will hurt her structurally. You should wean her off her pacifier as soon as possible.
Reply:No it will not be permanently damaged, these are baby teeth.





You might be paying big if the second teeth are damaged braces are very expensive. my mom took all of us off by the time we were 6 month before teeth
Reply:As long as they are baby teeth you are fine.





Coach
Reply:Braces fix everything anyway, so you shouldn't worry.
Reply:maybe go to a dentist he would know for sure
Reply:She will lose her baby teeth and grow back normal, if not then she can get them fixed later in life.
Reply:Work to get her off the pacifier. If she continues to use it and / or suck her thumb after the permanent teeth start to come in there will be a problem. My oldest daughter has continued to suck her thumb and now has a narrow pallet and needs braces and her pallet widened.
Reply:yes it will damaged her permanent teeth. It will cause the front teeth to stick out like rabbit. Asked a dentist they will tell you the same.
Reply:Of my three kids, the one who wouldn't quit sucking her thumb until she was 8 or 10 turned out to have the best bite and best smile of them all - without braces. Lip pressure is an awesome force. Once she actually quit, it was only a matter of a few months before it was obvious that her teeth were being pushed back down where they belonged.





So, take heart. She might not need braces after it is all said and done. I'd start saving, though.



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I'm 18 and i still have my baby teeth for both my canines. what could my dentist do about it?

i had it xrayed and it showed that there are no more permanent teeth that would replace them. (missing) so that leaves the baby teeth. when i smile they look very small compared with my other teeth. it makes my teeth uneven. what procedure would you recommend to solve this problem?

I'm 18 and i still have my baby teeth for both my canines. what could my dentist do about it?
stay on pureed foods
Reply:you could do a veneer crown over that baby teeth, or extract and get implants
Reply:If there is no pain...just leave them. My parents were concerned when i was a kid cos xrays showed that I had a tooth missing...as u..it just wasnt there....I went through 3 yrs of dental surgery and 2.5 yrs of braces. As I said....dont worry bout it. As another post said...have them capped if it makes u feel beeter. Besides...i bet u have a gr8 smile...lol
Reply:I'm not alone!! I have a permanent baby tooth as well, and I like it cause it makes me unique. but mine is a front lower molar so it's hard to tell which one it is.





veneers are probably the best way to go. if you don't want to do it that way, you can get them removed, and get braces to bond the teeth together. my friend had two of her upper canines removed and got braces to bring the rest of her teeth closer together because her teeth were very crooked. you could consider implants, but that would cost alot. you could consider caps which might be the cheaper way to go. or you could just keep them and learn to accept them!!
Reply:pull those fkrs
Reply:you can ask for a crown and make it appear like a permanent tooth , dont hve it remove it is more costly if done coz u hve to get a permanent bridge or implant to replace it. A cap will do the works.Its cosmetic and can be done by all dentist.
Reply:i had that very same problem when i was around 15 and i had to have them both removed and braces fitted to close the gaps. I really liked my canines because they were quite pointed, but the dentist recommended they be removed so thats what i had done. And i have to admit now that they look much better and you cant tell i dont have canines
Reply:That's up to you and how you feel about the baby teeth. My cousin has her two front bottom baby teeth and she too has no permanent teeth. Her dentist said she could keep them or have them removed and have a bridge put in [false teeth} She chose to keep them.
Reply:My baby teeth took a long time to come out too. everyone loses them in their own time. No reason to add extra expense, the best thing is to just wait until the new teeth start to grow and the baby teeth will come out!



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Do baby teeth have roots?

Can cavities go to the permanent teeth in children?

Do baby teeth have roots?
yes they do
Reply:Baby teeth do not have any roots.
Reply:yes, all teeth have roots otherwise they'd fall out of your head, but the baby teeth and the permanent are not connected, a cavity can not bore down the root of the baby tooth into a permanent tooth, but a permanent tooth can get a cavity before it is fully in if it is exposed above the gum line at all and is not taken care of
Reply:Baby teeth dont have anything to do with permanent teeth. baby teeth are just there to aid in chewing before the permanent teeth come in. They dont have roots. My son had a cavity in his baby tooth, but now that the baby tooth is out and replaced by a permanent tooth, theres no more cavity
Reply:no they don't if they had roots that would not fall out naturally
Reply:ABSOLUTELY THEY HAVE ROOTS. WHEN YOUR ADULT TEETH START TO COME IN YOUR BODY REABSORBS THE ROOTS AND THAT IS WHY THEY BECOME LOOSE. SOMETIME THEY GET LOOSE AND RE-TIGHTEN, THIS IS BECAUSE OF THE LIGAMENT THAT SURROUND THE ROOTS TIGHTEN UP AGAIN BUT THEN THEY LOOSEN UP AND ALLOW THE PROCESS OF EXFOLIATION TO TAKE PLACE. THE NORMAL SHEDDING OF TEETH. CAVITIES CANNOT GO INTO BABY TEETH HOWEVER IF YOUR CHILD HAS MIXED DENTITION BOTH ADULT AND BABY TEETH, BECAUSE ALL THE BABY TEETH HAVEN'T FALLEN OUT YET, THE DECAY CAN AND WILL TRANSFER TO THE NEW ADULT TEETH. IT IS A MYTH THAT BABY TEETH DO NOT MATTER. YES THEY DO!!!
Reply:Its rare that the cavity would go down to the permanent tooth beneath. They have roots but much shallower than the permanent teeth roots.


If you think your child has a cavity you should consult a dentist .
Reply:Yes absalutely


They are graduall resobred(eaten away) by the


advancing adult teeth.
Reply:yes of course .all baby teeth that is all 20 of them have roots.as mentioned by afew others the roots resorb when the permanent teeth erupts.the baby teeth has got a very important function of space maintenance apart from helping in chewing and esthetics.they do get decayed and have to be restored and it has to be retained in the mouth till the permanent erupts.if the baby tooth gets decayed and become infected there is a chance of the underlying permanent tooth germ to be affected.if the milk tooth is extracted earlier the underlying permanent teeth of the adjacent tooth can erupt into the open space and block the space for the tooth which is supposed to erupt there leading to malocclusion.
Reply:Oh yeah they have roots. When teeth become loose when kids start loosing teeth, it's b/c the root has deteriorated and no longer there.
Reply:Yes, they do have roots, but a cavity can't travel down the root of a baby tooth and into a permanent tooth. However, if your child has cavities, you still have to get them filled, they can still cause a lot of pain if you leave them, and I'm sure you wouldn't want that for your child.
Reply:Yes. The idiots who said they do not are uneducated. When a baby tooth comes out, you will usually not see roots as the permanent tooth caused them to resporb when it was erupting, that is how they get loose. Ask your dentist to show you an xray of some baby teeth and the roots are quite obviously there. Decay in baby teeth cannot go to the secondary ones however, if you do not have it fixed, the tooth can abscess causing pain and this will damage the permanent tooth. If you are concerned, take your child to your family dentist, they should see a dentist by the age of three and every six months there after.



konq-bugs

Daughters new teeth seem loose?

my 6 yr old daughters 2 front bottom seem loose. they are permanent teeth that are coming in. is it normal or is it something i should be concerned w/

Daughters new teeth seem loose?
Well my cousin who's a dentist said that It should be normal but it shouldn't be like hanging lose


Hope this helps
Reply:i think its normal - thats why its easier to have your teeth corrected by braces when you are younger and more moveable.





take care



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My daughter has two rows of teeth?

Okay she's almost 6 and one of her bottom front baby teeth has been loose for a week or so. I looked in her mouth today and I saw that her two permanent teeth have already come in behind the baby ones. Is this normal? Do you think I should be worried or will the others just fall out after a while? She's always had a severe underbite and now the two new teeth line up perfectly with the top row-does this sound familiar to anyone??

My daughter has two rows of teeth?
it happened to my daughter. she is six now, she was 5 when it happened. i looked and saw both her bottom front teeth had come in behind her baby teeth. the dentist let it go for a while, he said her new teeth will start moving forward and cause her baby teeth to get wiggly which is exactly what happened. both her baby teeth fell out withing about a month and her new teeth moved up on their own. dont worry. it happens. you should take her to her dentist to just make sure everythings going ok but it was fine with us. good luck!
Reply:Get her to the dentist. It's not normal.
Reply:I've never heard of that before. Maybe you should take her to the dentist
Reply:i dont think this is normal, so maybe get an appointment at the dentist. They may need to take the baby teeth out to make room for the permanent ones
Reply:I would take her to the dentist. Has she been having her 6 month cleanings? and yearly ex-rays?
Reply:My daughters did this. I called the dentist and he wasn't real worried. Just said work to try to get those baby teeth out. He did say that they should straighten with time (mine daughters are crooked from coming in early) but if not he would worry about that later on. So my answer based on our experience is it isn't anything abnormal or anything to worry about.
Reply:My son did that and I really wish now I had the baby teeth pulled.. His was one of his top teeth, and one bottom...They are both really messed up..If you can get them out, do asap If not,.I would suggest getting them pulled..Just my .02
Reply:No, it's not familiar, though my dad had his wisdoms pulled and they grew back in. It would be least traumatic to the child to let them fall out by themselves, though I think a dentist or orthodontist would think differently.





Take care!


tx mom


not an expert
Reply:Don't freak out, this is more common than you might think. They should fall out on their own. I have seen this several times before and even had several teeth do this for me. They will eventually fall out or need to be extracted. As long as they aren't bothering her I wouldn't worry about it, but I would still suggest seeing a dentist about it.





Hope this helps! :-)
Reply:you should defiantly go to the dentist, there was a boy I knew in high school with two rows of teeth....his teeth reminded me of a shark's.


so it may not just go away on it's own, and letting them stay can cause the new teeth to come in crooked...so do you want to pay to get some teeth pulled or the much more expensive option of braces.
Reply:Everyone is born with two sets of teeth. Normally, one set pushes the other out. In her case, both sets are crowding themselves in.





It's not incredibly common, but not at all unheard of.





Two of my teeth did this, and the others did not. They were the uppers, third from the center on either side. The adult set came in over the baby set.





I had braces, and it pulled them down (because they came in over, not in the same place as, the baby set, they were higher than all the other teeth).





You should speak with her dentist, but the truth is, if she needs braces, she'll need them whether you have the teeth pulled or not. Mine were pulled about a year before I got braces. Still needed 'em.
Reply:My little brother actually had 2 rows of teeth, and a few extra here and there that made him technically have 3 rows in places. He got braces, needless to say. He's absolutely fine now.
Reply:my adult cousin has this problem, he says there is nothing they can do until her adult teeth are in, go in the dentist section for better advice from proffessionals
Reply:Take her to the dentist. I had two teeth that didn't fall out like they should and my parents didn't do anything...both were out of place.
Reply:My brother and I both grew 2 rows of teeth because we didn't like wiggling our teeth to get them out. They did fall out in time, though, no problem. They were loose, after all.


I remember my brother went for a dental checkup and the dentist said, "I can get those loose teeth out for you." My brother didn't want that, so my mom wouldn't let the dentist do it.


On the other hand my puppy grew a double set of canine teeth, and the baby teeth didn't get loose. Finally I had the extras extracted; it's not a big deal with baby teeth.
Reply:Yes it is fine! It happened to my 6 year old daughter too. I took her to the dentist. He said it is called "sharks teeth". It is okay. He just told her to really work at wiggling the baby teeth so they would come out. When they did, the permanent teeth moved right up into position!! Nothing to worry about. but you really need to make her wiggle so they come out. Because after awhile he said if they didn't fall out on their own, he would have had to pull them!! But that got her wiggling them!! Good luck and don't worry!!!
Reply:This is happening to our 6yo daughter as we speak..She has both of her front bottom teeth coming in behind the baby ones. I took her to the dentist as soon as I saw the 1st one and he said it was normal and to have her wiggle them all the time to get the baby ones out. He explained that the baby teeth fall out as a result of the grown teeth coming but they do not push them out, rather the baby tooths root disolves and then the crown of the baby tooth then comes out since it is only attached at the gum. If you are worried I would go to the dentist just for a healthy check up.



konsole-devel

Can anyone give me advice about my pup's teeth?

Ok first of all yes he will be going to the vet. But I would like some insight from others first to see if perhaps I am just being paranoid about the whole thing. I got him from a friend not sure how old he was or is but he is around 4-5 months approx from what I can tell of his development. Now I check out his mouth as much as I can and I noticed one of his front canine teeth looked funny, it looked funny like smaller or more blunt than the other one. I kept an eye on it and noticed it was also loose.. none of his other teeth looked like this or were as loose as that one. Then a few days later it had fallen out, but I see no sign of his permanent tooth erupting yet in that space. It is not bleeding or bothering him as far as I can tell but in all the other dogs I have had when the baby teeth fell out you could already see the new one coming through.. my pup just has a small opening where the tooth was. Is this normal or should I be more concerned than I already am?

Can anyone give me advice about my pup's teeth?
Good for you that he's going to the vet. I'm glad to see that you're concerned. I wouldn't worry about it though. Sounds very normal. Have the vet take a look. Puppies lose teeth in spurts and the adult ones come in at various times.
Reply:Sometimes the adult tooth is following right in behind the puppy tooth, sometimes it takes a day or two to show up.. I wouldn't get all bent out of shape about it yet...
Reply:Its normal. Puppies lose their teeth. My puppy is 6 months old. I haven't found any of her teeth yet. Don't worry.
Reply:Adult teeth start to erupt within a few days of losing a tooth, and you'll notice your puppy has started a reign of terror, mouthing everything, chewing like there's no tomorrow.
Reply:Try brushing and flossing his teeth like you would do yours then if that doesnt work take it to a vet.



opera.com

I have a 6 tooth permanent bridge to have put in which is best porcelain to high nobel mental or nobel metal?

I have a 6 tooth permanent bridge to have put in but I am confused as to which material to use. Porcelain to high nobel mental (I think gold) or procelain to nobel mental. I want a bridge that will last like the last one 25 years. help please

I have a 6 tooth permanent bridge to have put in which is best porcelain to high nobel mental or nobel metal?
I agree with LM above.


Porcelain fused to a precious alloy (also called "noble" - high in gold) will bond very well to the procelain. This is the alloy of best choice and are worth the cost.


The semi- or non-precious alloys do not adhere well to the porcelain, and sometimes have a poor colouration that can come thru the porcelain.
Reply:Porcelain fused to a noble metal will do unless you have severe allergies to certain types of metal, in which case gold is used. The lifespan of a bridge is dependent on how you will take care of the abutments (the teeth used as anchors) and not on the type of metal. The adherence of the porcelain to the metal however, is largely dependent on the firing (process to make porcelain stick to metal) of the bridge.
Reply:We always do porcelain to high nobel metal. Please, just don't let him do a porcelain to non-precious metal. I don't care how much cheaper they are, and what others might tell you, they are crap.



Visual Basic

How to harden teeth??

My daughter thinks one her her permanent teeth are starting to wiggle. Shes really scared. Will this stay in place with some sort of treatmeant, Or willl the tooth eventually come out?

How to harden teeth??
permanent teeth loosen because of gingivitis, she isn't brushing or flossing adequately. If she starts properly brushing and flossing three times a day, she may be able to save the tooth.
Reply:It will come out or you can take her to the dentist and get it pulled out.
Reply:have her drink milk..the calcium helps the bones...
Reply:If she keeps tugging at it, it will jeopardize it. Get her to the dentist.
Reply:our teeth are already the hardest in the human body. maybe all you can do is to strenghten the gums. fruits and vegetables can contribute to that
Reply:it's just normal. milk teeth wiggles itself to be replaced by permanent teeth not later than 7 yrs old. it doesn't need any sort of treatment, unless it causes discomfort.
Reply:You cannot "harden/strengthen" teeth anymore that what they already are. Enamel cannot be "regrown".





Brush+floss regularly and stay away from high sugar products (soda!).
Reply:You should take her to the dentist and they might give her something, but most likely they will tell her that it will tighten up on its own. You should not wiggle it at all. That would really cause it to come out. Then she would have to get a cap for life or have a false tooth.



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C#

My 9 year old's teeth still haven't grown in?

My daughter lost two of the teeth about 2 years ago. The permanent teeth still haven't come in. Her dentist wont do anything because there is no telling when her teeth will erupt. My ex husband wont leave me alone about it cause he doesn't want her to have braces. He's threatening to take me court because I'm not taking worried about her needing braces. She's been to 3 different dentist and I have gotten the same answer. If I get spacers they will be a waste of money and chances are she's still going to need braces. How do explain to him there is nothing we can do now? I told him everything and he's still not listening. He wont go to the dentist about it either.

My 9 year old's teeth still haven't grown in?
If you have gotten proper medical advice...and a second opinion, and have informed your ex about the outcome of those visits, tell him to sit on it. Let him take you to court if he wants to be an idiot. All you will have to do is show the judge a notarized letter from your dentist(s) explaining the situation, and also inform the judge that you already told your ex all of this information, and he will just look stupid.





Your ex is pretty stupid btw...regardless of when her teeth come in, if she needs braces, she needs braces. There isn't anything any dentist can do about that.
Reply:ask a doctor





(I doubt a doctor is going to waist his/her time on Yahoo answers)
Reply:I would have one of the dentist send him a letter about it. Have them send you a copy also. And let him take you to court, I have never heard of anyone being able to take someone to court over not getting your kid braces, it sounds like he is a controlling jerk!! And if he takes you then ask for him to pay your court cost.


Have they x-rayed to make sure the teeth are there? And if he is so worried why doesn't he take her when he has her to his own dentist, bottom line he does not want to pay the money but wants to complain about it.


I would say then take me to court, other wise drop it. And not getting your child braces even if they need them has never been grounds for taking someone to court or having your child taken away, he is trying to scare you, don't let him!!
Reply:The dentist can't do anything about teeth that haven't erupted yet. What's he going to attach braces to?





Stop taking her to different dentists. She needs to go back to the same person, who can see how her mouth is developing over time.





The only thing I'd wonder is whether she's had an x-ray to determine that the teeth are actually there. If they are, they'll erupt in their own time. Plenty of nine year olds are still short of many of their adult teeth - heck, my 11 year old's still only got about half of hers!
Reply:If the teeth are there they will come in their own due time. There is no way to speed it up.


As far as your husband taking you to court- first of all, no lawyer or judge is going to agree to take the case to hear it in court because he doesn't have one. It would be a waste of time and money on his part not to mention it would make him look like a complete a_ _. Think about how stupid it is to tell someone "I'll take you to court because later on our child will need braces."


Even down the road if she will need braces, what does he care? If she needs them there is very little that he is going to be able to do about it. Your husband needs to GROW UP.
Reply:Just because her teeth haven't come in yet, doesn't necessarily mean she's going to need braces. I had a baby tooth come out and a permanent tooth never has come in. It's been 50 years now. I never had braces. If you are doing what a dentist has advised you....don't take your ex-husband's crap. Tell him that until he goes to dental school and gets a degree, you are going to follow the dentist's advice. Just because he wants to be cheap and not pay for braces, isn't any excuse. The dentist can't force the teeth to come in. They come in when they do....he doesn't have a magic wand.



Poetry

Dog's baby teeth will not come out, help.?

We bought a little Yorkie a year ago, she has her permanent teeth in but also still has the incisor baby teeth, poor little thing, she looks like a little alligator, we have tried to see if they are even loose with a piece of dental floss, they are not. Does anyone know approximately how much to have the vet remove these. Am afraid to even guess. She weighs about four or five pounds. Thanks much.

Dog's baby teeth will not come out, help.?
prob not alot because of the little weight but depends who you go to
Reply:If she isn't in pain (as much as you) leave her alone, they'll come out when they're ready.
Reply:hey, this happened with my dog and the teeth eventually fell out, although my dogs teeth happened one at a time, your sound like they are all there at the same time. it sounds like a problem and you should get a dentist to check it out, just get a quote from the dentist, prices vary.
Reply:You should go to the vet to have them removed...the cost varies from vet to vet of course...my guess would be between $150-$250, depending on how many teeth need to be removed it could be more. Call around to different vets to find the best deal.


And in case your wondering, the price gets so high because it usually includes office visit, anesthia, surgery and pain meds..
Reply:I have a 6 lb Yorkie-poo with the exact same problem. She has about 10 baby teeth behind her adult teeth and also looks like an alligator : ) My vet is going to pull them when she gets spayed next month and he charges $10 - $15 a tooth. However, a friend of mine said she was charged $5/ea for her pup's teeth in Florida, so it might depend on your area. I don't have an at home fix, but it was suggested to me to give them bully sticks as they get stringy and help loosen them. Hope that helps a little!



Java and C++

My two front teeth?

my two front teeth have been knocked out and the dentist is down for the day, im just worried they wont be able to put in new actual permanent teeth, can they? or how do they go about fixing this problem

My two front teeth?
THERE ARE MANY OPTIONS FOR THIS TYPE OF INJURY OR SITUATION. IF IT JUST HAPPENED, CALL THE DENTIST'S OFFICE AND HAVE HIM/HER OR THE COVERING DOC SEE YOU ON AN EMERGENCY.





THE REPLACEMENT OPTIONS ARE AS FOLLOWS:





IMPLANTS- THE CLOSEST THING TO NATURAL TEETH. THEY ARE TITANIUM POST PLACED INTO THE JAW AND CROWNS PLACED ON THEM. TAKES TIME FOR HEALING.





A BRIDGE OR FIXED PARTIAL DENTURE- THE TEETH ARE CROWNED ON EITHER SIDE OF THE SPACE, THE WHOLE THING IS 4-6 CROWNS AND CEMENTED PERMANENTLY AS A SINGLE UNIT.





MARYLAND BRIDGE- THE TEETH ON EITHER SIDE OF THE SPACE HAVE A BONDED BACKING PLACED ON THEM AND THE REPLACEMENT TEETH ARE ON THIS.





REMOVABLE PARTIAL DENTURE- A SET OF REPLACEMENT TEETH THAT YOU TAKE IN AND OUT .





YOUR DENTIST CAN HELP YOU DECIDE WHICH OPTION IS BEST FOR YOU.
Reply:for sure you will be able to fix them - this is 2007 ! you have no idea how many options are available for you - im sure your doctor will go through all of them ... a lady at my work had this happen to her - and she nows has false teeth in the front -- you cant even tell.








dont worry im sure you will be fine.
Reply:If the roots are still there they will probably put in a post and crown, if they are missing or badly damaged they will put in a bridge with 2 false teeth fastened by crowns to the teeth beside it, or a plate with two false teeth attatched to it. If you have the bucks they can always do an implant with two crowns. Any way the teeth will be false.
Reply:I have a bridge. Looks and feels so natural, I forget they aren't really teeth. Don't worry at all... your new teeth will probably look better than the ones you lost. It's amazing what they can now. And no... it won't hurt.
Reply:Doesn't answer the question but something nice to know. Medical insurance will usually cover treatments due to an accident. It's a pain and you'll have to probably fight for it but it will be worth the reimbursement. Make sure you document everything for reference, you may need to send info to them. Tell every dentist doing the work it was caused from an accident so they can document it in their records. Finally, try to find something from the accident(medical records, insurance claims) that states the tooth issue was the result of it.



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Did anyone else enjoy the sensation of teeth growing in?

When I was younger and my permanent teeth were growing in, I always enjoyed the sensation. It hurt, yes, but it felt good...my brother and mother felt the same way, and we called it the "good hurt." Sometimes I get a similar type of pain on the bottom right side of my gums, near the last tooth. When I put pressure on the area with my finger, it hurts but it feels good at the same time, so I really push hard on that spot with my finger to just to feel the pain.





I don't understand how this type of pain can feel both good and bad. I *hate* all other kinds of pain. Have other people experienced this or is this just a quirk that runs in my family? I've tried to find answers on Google but the only thing I get is that most people find teething to be an excruciating process...not me. I wish I had more teeth left to grow.

Did anyone else enjoy the sensation of teeth growing in?
i know what your talking about, sort of. like when babies are teething they like the chew on something, so like when your teeth where growing in you wanted to push down on the spot, maybe it relived the pain. anyways its nothing to worry about i don't think your that unusual



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*braces/wisdom teeth*?

well they took out 4 of my permanent teeth out cuz they were alittle crowded 2 top 2 bottom and in getting braces in 2 weeks and my wisdom teeth havent grown.will they have to take em out or leave um if they dont bug?

*braces/wisdom teeth*?
For most people, they don't push through the gums, that doesn't mean they're not causing trouble down there though! Sometimes the top ones can poke at your sinuses, and the bottom ones can push sideways against your back molars causing all sorts of problems. Make sure to get regular x-rays! I didn't when I was a teen, and I'm paying for it now. Wisdom teeth come out easy when you're 17-20, if you wait too long though, they become complicated and expensive. Good luck!
Reply:leave em.
Reply:they should be able to leave them in.
Reply:they can stay in as long as they don't bother you. Even after, they are able to take them out anyway because they are far back.
Reply:They will probably recommend removal of your wisdom teeth as they have the potential to crowd your teeth once your braces are removed. Wisdom teeth are generally useless so orthodontist recommend extraction so all your hard work is not compromised.
Reply:They'll most likely leave them in if they don't cause any problems.
Reply:they did the same thing to you huh?!





i got four permanent teeth removed a few days before i got my braces on, and i got my braces of in November. it depends. because my wisdom teeth were impacted. so i have to get them removed. but it depends on your dentist and orthodontist.



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Does it hurt to get braces and teeth pulled off?

I have to get braces because my teeth are to crowded and the orthodontist told me that I have to get 4 permanent teeth pulled out so can anyone give me advise on this question. Or if you had teeth pulled out for braces how much does it hurt?


Thanx

Does it hurt to get braces and teeth pulled off?
The same exact thing happened to me! Except, my mom asked if there was an alternative because she knew I would bite the ortho's finger off if he did anything like that. So, the orthodontist gave me an expander thing. It was installed on the roof (might be for the bottom for you) of my mouth. It's metal and it's not really noticeable from the outside. Every night, i had to crank it to make it expand more. It's purpose was to expand my teeth outward, so there was more room. , This went on for like, a few months.





If you don't want an expander, you can pull your teeth out. They don't numb it, sadly. :[ It's a quick and easy process. Assuming your orthodontist has pretty good strength, he can pull the tooth out really fast. They know how nervous you are, so they'll probably make it quick. I can't lie and say that it's not going to hurt, it's more like a pinch.





I hope you're unnerved





Edit:





I might as well answer that braces question too.





Getting braces doesn't really hurt. It's just a pain to get them on. First, they clean your teeth with this gray..gunk. It tastes really bad, so don't lick your teeth. Then they take this special glue and glue the brackets onto your teeth. This doesn't hurt at all. Then, they take this dryer thing similar to a hair dryer and just dry the glue. After that, they put these metal rings on your 4 backest teeth. I think they're called molars.. hmm.. This might hurt a little, but remember: No pain, no gain. For some orthodontists, they just leave it like that and wait until next week until they do the rest. For me..they just went ahead and put the wire in. Then, you choose a color of rubber band you want. They put it in and youre done! Oh wait, then they give you this tooth brushing kit and tell ya how to floss and brush. Now you're done!
Reply:yes.
Reply:No but you won't be able to keep your tounge off your teeth for 2 weeks afterwards.
Reply:It hurts BAD!!!!
Reply:it hurts
Reply:If you are going to be awake . . . . . . First what happens is they numb your mouth with a q-tip then give you a shot. The shot doesn't hurt because you are numb and after that everything goes by really smoothly.





If you are unconcious you have absoloutely NOTHING TO WORRY ABOUT





Braces Don't Hurt! Not as bad as everyone says. Sometimes they might bug you but overall they aren't bad





trust me i'd know, the exact same thing have happened to me several times!
Reply:i dont know about braces but whe u get ur teeth pulled out it hurts like i dont know what for guys having someone cut off ur dick!which happened once gurls someone kicking u in da chest a million times over and over again
Reply:Braces don’t hurt when they put it on. At first it might feel weird in your mouth, but later you will get use to it. A few hours later it starts hurting. The next day is the WORST because it hurts so badly. Take some Advil or some pain pills. Then the 3rd day it kind of get better. You will get cuts in your mouth, but use the braces wax. I tried to use the braces wax, but it doesn’t stay on %26amp; don't worry if you swallowed it because nothing will happen. Later on you won’t get cuts because you build up tougher skin. I know what it's called, it starts w/ a C. It will hurt for a couple of days, but days %26amp; days past by it will get better. You won't even notice you have braces on. Probably they will be sore for about 3-7 days. For the first couple of days, you should eat soft food. You could eat food like oatmeal, mash potatoes, porridge, banana %26amp; other soft food.





I'm not sure about TEETH BEING PULLED. My friend had her pulls %26amp; she said it didnt hurt b/c they numb it first %26amp; then pull it.
Reply:lol i had to get 4 of my teeth pulled a few days ago for my braces too...well they do numb your mouth to help with the pain and all...but um yeah it hurts. Don't worry by the end of the day you'll feel a little better. Good luck T_T



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When you get older, do your teeth change?

Not like baby teeth to big teeth, but I have all my permanent teeth and in the front, there's a gap that's getting wider all of a sudden,and I think that's why my teeth are starting to ache. But anyway, does that happen when you get older, b/c like 2 years ago, there was barely enough room to get a string of floss through, now I feel like bugs bunny. But anyways, does it happen?

When you get older, do your teeth change?
Your skull will keep growing slowly until about age 18-20 or so. After that, you teeth should stay put.
Reply:yes, my teeth used to be so talkative, but now in their older age they just sit there, not saying a word.
Reply:Everything changes.
Reply:yea they do i was born with a perfect jaw and now its slightly to the left enough that i need to get jaw surgery and i have an under bite
Reply:Yes, as you grow older in your teenage years you start too develop new habbits, grinding your teeth at night, eating weird, not brushing it all depdns and your teeth shall change.
Reply:Go to the dentist, and say "hey wats up doc"
Reply:Even adult teeth are continually shifting at a slow pace. Generally they shift forward. If you are concerned, talk with your dentist.
Reply:Teeth move.... that's why you still have to wear a retainer even after braces. You just need to go to your dentist and they can move the teeth back..... no big deal.
Reply:if the space between your teeth are widening noticeably - you may have gum problems.





so if you are starting to bleed when brushing you need to stop brushing into the gums - brush from gums to end of teeth - make sure you use soft brush - gargle with listerin twice a day and always floss - use real gentle brush so as not to damage gums.





there is a period of time between cavities and gum disease where you start replacing large fillings with caps.





and grinding teeth (at night) can really shift things in your mouth and cause head aches.





when you get older cavities aren't your biggest problem - gum disease is.
Reply:like that happens too some people, but if you feel like this, then you should probably go too your Dr. and ask more about it.



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What is the right age when teeth stop growing. ?

my kid lost his front 2 permanent teeth in an accident. what is the age when his remaining teeth wll grow to their maximum length , so that i can fix him up with permanent dentures.

What is the right age when teeth stop growing. ?
The last eruption is generally at about the age of about 13-14 (not including the wisdom teeth of course). I suggest you get him fixed up right away with a partial denture as it is really important whilst he is growing that the space is maintained, or he could also end up needing orthodontics carried out!! When he is older, he can decide whether he would like a bridge or a more permanent fix but well worth it for such a young man would be to have implants, expensive but so worth it if we are talking about his 2 front teeth!!! Hope this helps
Reply:i would say around 18...maybe a little younger or older...the dentist should be able to take a x-ray to see when the rest will stop growing
Reply:You're going to make him wait??? Just ask the dentist to make them "too long" if you are concerned that he will outgrow them.





Full eruption (at least 90-95% anyway) is generally achieved by age 16-18.
Reply:go and see your dentist! a gap in the teeth will render your teech unstable and will creat gaps!
Reply:You do not have to give him dentures. You did not mention how old he is. That makes a big difference. I woud assume that he is somewhere between 6 and 12. You need to have a spacer installed so that his permanent teeth will grow in properly. Also you can get a removable appliance with teeth, just for aesthetics. It has to be removed for eating. Later your options can be implants or a bridge. I am assuming that the teeth immediately adjacent to the missing teeth are not permanent. If money is an issue, call the nearest school of dentistry. Healthy families, a nationwide program from the Clinton administration, covers medical, dental, and vision for as little as $9-$22 per month for all the children in the family.



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When do you get your wisdom teeth?

I want to know because I will be getting braces soon and I don't have my wisdom teeth and since when I was little I had one of my big permanent teeth removed (on the bottom) and I would like to have a good ammount of teeth and not have one missing anymore. So I was wondering when they grew in and if they grow in while I have my braces will they remove them or just connect them to the braces?

When do you get your wisdom teeth?
They are normally out by 18. If your are getting braces do not worry about your wisdom teeth. In most cases they do not affect the orthodontic treatment. Your orthodontics not your dentist will let you know.
Reply:everyone has wisdom teeth, i just had mine removed 2 days ago... but they wernt comming throught yet.


i had to go under anestetic and get them cut out.


its best to get them removed before u get the braces becasue it may cause ur teeth to move or crowd after u have had your braces and then u will have wasted all this money



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Temporary teeth???

My 10-year old son still has temporary teeth. Is it possible? How long should we wait for all of his permanent teeth to be shown up?

Temporary teeth???
My child is 13 and still has two baby teeth. One of the baby teeth has a full root, one has a partial root left.





His 2nd molars have not yet erupted, nor have the cuspid teeth erupted - but one is starting to appear to erupt. He lost 4 baby teeth, when he was 12 1/2 years old. Much later than his classmates, but this is still within normal age range of tooth loss for children.





Also, the first molars did not erupt until my son was between the ages of 8 and 9, unlike most children who are six when their first molars erupt.





Most children at 10 have lost most if not all their baby teeth. They are within the average of the normal age range. Whereas, someone like my son is still within the normal age range, but on the far end of the scale.





When my son was six, his dental xrays showed his adult teeth, so late loss was not a concern. In some ways, I consider the late loss a benefit. The later loss allowed my son to better care for his teeth (baby teeth) and I was able to stregthen the importance of home care before his adult teeth came in.
Reply:It really depends on his personal growth. This is something you should check with his dentist about.
Reply:Temporary teeth? Do you mean baby teeth? If so he should usually have his permanent teeth by now...if not i would suggest taking him to ur dentist...Its possible he might not have any permanents underneath his baby teeth...its more common than you think...but his dentist can take xrays and find out..he could just be a real late bloomer! good luck!
Reply:do not worry


the time for shedding of your baby teeth is not over yet over you better talk to your dentist he is the best person to tell you.


thanks %26amp; regards


www.thind.com



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Baby Teeth?

My son is almost 7yrs. old and has not lost any of his baby teeth. He has a permanent tooth coming in on the bottom, should I be concerned?

Baby Teeth?
punch that kid in the face just kidding but don't worry that's about the age when they start losing
Reply:No beacuse then its pushing the teeth out you should be happy he is macuring.
Reply:That's about the age it starts, but there's no absolute time. If he's nine or ten...then worry.
Reply:if he has an adult toothe coming in, it should push the baby teeth out. why not take him to the denist so he can have xrays done to make sure the adult teeth are not just gonna push ou the front or back of the baby teeth,


they should start loosing their baby teeth at age 5
Reply:naaaa! not at all just relax hes growing if thier is any other case check with a dentist.
Reply:The tooth will end up coming out sooner or later. I was about that age when I lost my first tooth (2nd grade). It is normal.
Reply:Nope. be happy for him.





He's finally getting his permanent teeth.
Reply:Don't worry its normal. If he was like like 10 and more than you should ask a dentist he might have really big teeth inside part. but DOnt worry for now =]/
Reply:maybe a little, my sister had an adult tooth push her baby tooth out, but the baby tooth started 2 decay. it became grey and trying 2 get it out became painful. try talking ur son 2 a dentist and get more info from him/her.
Reply:Sounds like he might have dental problem in the future.When the teeth grow out of other areas he may need braces.
Reply:I heard the other day that if your son got his first tooth late (eg/ over 8 months or so) then you can expect him to get his permanents later too. It's fine. On a wonderful note though...the longer they hold onto their baby teeth, the healthier teeth they will have as adults. So don't worry about it. It just means he will have great teeth!
Reply:yes because his tooth is gooing to be pushed outwards for the rest of his life inless he gets braces later on same happend to me!
Reply:no, some peoples teeth grow in like that if the baby tooth dose not fall out go to the dentice
Reply:What does his dentist say about it.
Reply:I remember having permanent teeth coming in around that age 'til about 8 I think. It's actually rare for people not to have their milk teeth replaced by permanent ones. No worries =D
Reply:no b/c i didn't lose my 1st tooth til i was 9( i'm 14 now) and my mama toock me to the dentist and the dentist said it is ok that my teeth weren't ready yet and they would come out on their own. And his permanent tooth will eventually make his baby tooth lose and push his baby tooth out of the way.
Reply:He should be having regular dentist visits by his age, just ask the dentist. My daughter was very slow to lose teeth too, and had to have two pulled when the new teeth started coming in out of place.
Reply:keep an eye on it; my sister did not lose any of her baby teeth. when she went to get braces for her crooked teeth at 33 years old they found out that her adult set was still trying to come out; my sister had to have all her baby teeth yanked out. she had to wait for the teeth to finish coming in in order to have her braces and jaw realigned. do not wait until your kid is going to be 8 or 9 because it is painful
Reply:wow.....i have same situation w/my son his also 7yrs old.....he never lost any teeth not until my newphew pull the pillow while my son was biting it. that only happen few months ago but after 2wks the teeth start growing...up to now his baby teeth look good...no cavities and no problem at all....maybe right now if you notice if the permanent teeth are start to come out and they BIG teeth don't panic its normal cz ofcourse your child will GROW still and it will look weird if they have SMALL teeth if they grow older isn't??



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Teeth staining?

ooooook i heard minocycline can stain your teeth badly.. does that happen to EVERYONE? im 14 and i just started minocycline and i only got 1 of my molars out but not the ones in the VERY VERY VERY back. will i get permanent teeth staining?

Teeth staining?
Minocycline: Stain Devil?








M.L. Good, D.L. Hussey


Br J Dermatol 149(2):237-239, 2003. © 2003 Blackwell Publishing





Posted 10/03/2003


Summary and Introduction


Summary


Minocycline is the treatment of choice for acne vulgaris, the most common form of inflammatory acne, despite the increase in awareness of rare but significant side-effects. This paper discusses the undesirable side-effect of minocycline staining in permanent teeth.





Introduction


Minocycline is the treatment of choice for acne vulgaris, the most common form of inflammatory acne,[1] despite the increase in awareness of rare but significant side-effects[2] such as tissue hyperpigmentation,[3-5] serious hypersensitivity reactions[6] and autoimmune disorders.[6] This paper discusses the undesirable side-effect of minocycline staining in permanent teeth.








Background


Tetracycline was first introduced in 1947, with its semisynthetic second-generation derivative minocycline being introduced in 1967. Minocycline is a broad-spectrum antibiotic which inhibits protein synthesis, causing bacteriostasis. It also reduces fatty acids in sebum,[7] and exhibits an anti-inflammatory effect. Its structure contains the same basic ring as tetracycline but it is chemically different in that there is substitution of a dimethylamino group at C7 and it lacks a functional group at C6, making it more lipophilic. This increases the drug's distribution and half-life, and enables it to cross bacterial lipid membranes. Minocycline, unlike tetracycline, poorly chelates calcium and so is completely absorbed from the gastrointestinal tract even when administered with dairy products. The drug can, however, chelate some divalent metal ions, especially iron, forming insoluble complexes. Minocycline is highly plasma-protein bound and reaches its maximum concentration in 2-3 h, with a half-life of approximately 16 h. Its concentration in saliva reaches 30-60% of that in serum but its concentration in gingival crevicular fluid is five times greater than that found in serum.[4] Minocycline is deposited in tissues rich in collagen.





The most common clinical indication for prescribing minocycline is moderate to severe acne vulgaris,[7] and the commonest indication for prescribing minocycline for long-term treatment is rosacea.[8] It is also used in the management of certain sexually transmitted diseases such as those caused by Mycoplasma, Chlamydia and Treponema. Other indications include chronic respiratory disease, rheumatoid arthritis,[9] and as an adjunct in the management of periodontal disease.[10] The most common side-effects are gastrointestinal symptoms, dizziness and vertigo. Less commonly, tissue hyperpigmentation can occur, affecting tissues such as the oral mucosa, sclera, skin, thyroid, nails, bone and teeth.[3-5] Generalized intrinsic staining of the permanent dentition most commonly occurs during tooth development, between the ages of 4 months and 12 years, and therefore the discoloration is evident on eruption. With minocycline, however, the generalized intrinsic staining occurs posteruption in previously normal-coloured fully mineralized adult teeth. This staining is distinctly different to that caused by tetracycline (Table 1). Other rare but severe side-effects do exist, including serious hypersensitivity reactions[6] and autoimmune disorders such as autoimmune hepatitis[6] and systemic lupus erythematosus.[6]





Staining of the adult dentition appears to occur in 3-6% of patients taking long-term minocycline at %26gt; 100 mg daily.[4,11] The onset of discoloration can occur any time from 1 month to many years after the initiation of treatment.[3,11] However, other drugs are also known to cause intrinsic staining of teeth, such as oral contraceptives and phenothiazines and therefore a full medical and drug history is needed to determine if minocycline is the causative agent.








Mechanisms of Tooth Staining


Tetracycline staining of permanent teeth takes place during tooth development, and the mechanism by which this occurs is well documented. Tetracycline forms a complex with calcium orthophosphate during tooth calcification which then darkens with exposure to light.[12,13]





Four theories exist on the mechanism of tooth discoloration by minocycline, but further research is required. The first is the 'extrinsic theory'[4] where it is thought that minocycline attaches to the acquired pellicle's glycoproteins. This in turn etches the enamel and demineralization/remineralization cycles occur. It oxidizes on exposure to air or as a result of bacterial activity and so causes degradation of the aromatic ring, forming insoluble black quinone. The second is the 'intrinsic theory'[5,14] where the minocycline bound to plasma proteins is deposited in collagen-rich tissues such as pulp, teeth and bone. This then oxidizes slowly over time with exposure to light. The third possibility is that haemosiderin, a breakdown product of minocycline, chelates with iron to form an insoluble complex.[3,13] The fourth and last suggestion is that minocycline could be deposited in dentine during dentinogenesis, and the process of dentinogenesis can be accelerated in bruxists.








Prevention


It is said that prevention is better than cure, and in patients with moderate to severe acne the importance of avoiding minocycline staining of teeth cannot be overemphasized as these patients are already prone to negative psychological effects.[15] Various ways of preventing and treating minocycline staining have been put forward. It has been suggested that there may be a relationship with thyroid function and that this should be checked prior to prescribing minocycline and reviewed during long-term treatment.[14] Vitamin C, or an alternative antioxidant, taken together with minocycline has been shown to prevent the formation of the quinone ring, which is part of the degradation product and a component of the stain pigment.[14,16] Alternatively, reducing the therapeutic dose of minocycline to below 100 mg daily for long-term therapy may in itself prevent dental staining: an effective therapeutic regimen for acne is 100 mg daily initially, reducing to 50 mg daily after 15 days.[17] Alternative drugs to minocycline should also be considered in the management of acne[18] such as other systemic and topical antimicrobials, e.g. lymecycline, systemic and topical retinoids, systemic hormonal therapy and zinc gluconate used singly or in combination.








Treatment


In cases where minocycline staining of permanent teeth has already occurred (Fig. 1) the staining is not removable by dental polishing.[3] The treatment options are therefore no intervention, bleaching, composite or porcelain veneers, or crowns. Veneer and crown preparations involve the removal of at least 0·7 mm of sound tooth substance, allowing sufficient depth of porcelain in each restoration to mask the discoloration. These restorations produce reasonable results but are quite destructive. The preferred treatment option is vital bleaching as it avoids any tissue removal and has no known damaging effects on enamel or dentine.[19] Bleaching causes extensive structural changes in both enamel and dentine which can either alter or liberate the pigment (Fig. 2). Research carried out on rats demonstrated that hydrogen peroxide breaks down the quinone ring in tetracycline-stained teeth, although repeated maintenance is required and the results are best for more uniform grey/brown stains.[16]














Figure 1. This appearance is typical of a patient with minocycline staining in the permanent dentition.








Figure 2. Following the application of a vital bleaching system for 17 weeks there has been a satisfactory resolution of the stained teeth seen in Figure 1.


In conclusion, patients who have suffered moderate to severe acne are generally conscious of their appearance and it would be adding insult to injury for them to then experience greying of their permanent teeth following minocycline therapy. Before minocycline is prescribed it is important to evaluate whether the benefits outweigh the risks as the management of dental staining may be destructive, expensive and in the case of bleaching unpredictable, not forgetting the possible medicolegal considerations.








CLICK HERE for subscription information about this journal.








Tables


Table 1. Comparison Between Tetracycline-and Minocycline-Stained Teeth








Tetracycline (parent drug) Minocycline hydrochloride (semisynthetic derivative)


Colour of staining Bright yellow to brown/grey[12] Green/grey, blue/grey[3,13]


Pattern Gingival margin or cervical third of crown[12] or band relating to duration and timing of drug administration Incisal edge and most intensely the middle third of crown[3,13]


Severity Severe Less severe


Fluorescence Yellow fluorescence None clinically[13] but will fluoresce in an acid medium


Resolution with drug stoppage None Resolution rare in teeth[3]











References


Pierard-Franchimont C, Goffin V, Arrese JE et al. Lymecycline and minocycline in inflammatory acne, a randomised, double-blind intent-to-treat study on clinical and in vivo antibacterial efficacy. Skin Pharmacol Appl Skin Physiol 2002; 15: 112-19.


Hoefnagel JJ, Leeuwen RL, Mattie H, Bastiaens MT. Side effects of minocycline in the treatment of acne vulgaris. Ned Tijdschr Geneeskd 1997; 19(141): 1424-7.


Poliak SC, DiGiovanna JJ, Gross EG et al. Minocycline-associated tooth discoloration in young adults. JAMA 1985; 254: 2930-2.


Berger RS, Mandel EB, Hayes TJ, Grimwood RR. Minocycline staining of the oral cavity. J Am Acad Dermatol 1989; 21: 1300-1.


Bowles WH, Bokmeyer TJ. Staining of adult teeth by minocycline: binding of minocycline by specific proteins. J Esthet Dent 1997; 9: 30-4.


Gough A, Chapman S, Wagstaff K et al. Minocycline-induced autoimmune hepatitis and systemic lupus erythematosus-like syndrome. Br Med J 1996; 312: 169-72.


Hubbell CG, Hobbs ER, Rist T, White JW Jr. Efficacy of minocycline compared with tetracycline in treatment of acne vulgaris. Arch Dermatol 1982; 118: 989-92.


Rebora A. The management of rosacea. Am J Clin Dermatol 2002; 3: 489-96.


Tilley BS, Alarcon GS, Heyse SP et al. Minocycline in rheumatoid arthritis. Ann Intern Med 1995; 122: 81-9.


Seymour RA, Heasman PA. Pharmacologic control of periodontal disease. II. Antimicrobial agents. J Dent 1995; 23: 5-14.


Westbury LW, Najera A. Minocycline-induced intraoral pharmacogenic pigmentation: case reports and review of the literature. J Periodontol 1997; 68: 84-91.


Wallman IS, Hilton HB. Teeth pigmented by tetracycline. Lancet 1962; i: 827-9.


Rosen T, Hoffman TJ. Minocycline-induced discoloration of the permanent teeth. J Am Acad Dermatol 1989; 21: 569.


Bowles WH. Protection against minocycline pigment formation by ascorbic acid (vitamin C). J Esthet Dent 1998; 100: 182-6.


Aktan S, Ozmen E, Sanli B. Anxiety, depression, and nature of acne vulgaris in adolescents. Int J Dermatol 2000; 39: 354-7.


Ledoux WR, Malloy RB, Hurst RVV et al. Structural effects of bleaching on tetracycline-stained vital rat teeth. J Prosthet Dent 1985; 54: 55-9.


Bernier C, Dreno B. Minocycline. Ann Dermatol Venereol 2001; 128: 627-37.


Stein RH, Lebwohl M. Acne therapy: clinical pearls. Semin Cutan Med Surg 2001; 20: 184-9.


Kelleher MGD, Roe FJC. The safety-in-use of 10% carbamide peroxide (Opalescence) for bleaching teeth under the supervision of a dentist. Br Dent J 1999; 187: 190-4.


Reprint Address





Correspondence: Melissa Good. E-mail: m.l.good@qub.ac.uk














M.L. Good, D.L. Hussey





Department of Restorative Dentistry, Royal Victoria Hospital, Belfast BT12 6BA, U.K.





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