I have taken my eye off the ball over Christmas and let my partner deal with my four year old while I sort the baby and the festivities. So he has been cleaning his teeth night and morning and getting him washed dressed etc.
I am very careful with his teeth and his last dental appointment was about 6 weeks ago and everything was fine. This morning I noticed his gums were red and inflamed with red dots and white marks which the dentist has said is the start of an ulcer. My partner took him to the dentist this afternoon as I managed to grab a cancellation and from what I can gather he has said he sees this a lot in children my son's age. He is currently unwell so he is attributing it to a virus and advising we try and get him to gargle salt water and if it doesn't clean up in a week we are to ring NHS direct.
I'm so angry with myself as I don't know when this started and I also think the dentists advise seemed a bit woolly. He hasn't suggested seeing him again or mentioned referring him or anything. I assume ringing the NHS helpline will be to try and get referred to a dental hospital?
Any advice would be very much appreciated as I need a plan of action beyond just waiting and seeing what happens. Thank you.
You could try changing your toothpaste. get him a new brush and a toothpaste that doesn't have sodium lauryl sulfates in it. And don't let him eat bananas for a while. Both of these are very common causes of mouth ulcers and can appear any time, even if DC weren't previously susceptible to them. Calgel might help soothe the pain until then.
Faded I think I will if he is no better on Monday. He is eating dinner at the moment so he must be feeling brighter. His gums just honestly look shocking. Every time he talks to me I can't keep my eyes off them.
Yes I agree, if it's severe, but not every case needs a GP urgently to give antivirals as had been suggested. If he gets analgesia and can eat and drink then antivirals won't be necessary and there is limited evidence that they work in these cases anyway. Analgesia +\_ iv fluids in very severe cases are the mainstay of treatment
He's not complaining that anything is actually hurting in his mouth at the moment. He does keep smacking his lips together which of course will spread it. How on earth do you stop the outbreak from spreading?