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Any dentistry help?(31 Posts)
DS2 (18) has, I think, some tooth decay I've not seen in his mouth but his breath smells like decay.
He's never needed any dentist treatment before, visited dentist every 6 months with a clean bill of health but he started Uni last September, living away, drinking, being up late not brushing his teeth before bed (or probably in the morning/afternoon!). He missed his 6 monthly which should have been October as he was away and he was going to go in April with the rest of us when he was home from Uni and then adjust his 6 month cycle to fit in better with his uni dates. Obviously we've missed that too.
So, he doesn't have toothache, he says he's had a little bit of bleeding, I've told him to brush properly and use floss which he says he has, but he is still stinking.
He obviously won't be a priority even when dentists do open and we are in Scotland so who knows when that will be.
What can we do in the meantime - mouthwash maybe?
He also had a really bad dose of tonsillitis in January (to the point we were told to go directly to A&E if the high dose antibiotics didn't help) and he was stinking with infection then but this smells more like decay but could it be related to that instead? He feels fine, he came home in March and smell has got worse as time has gone on.
I do have quite a sensitive nose but I can smell him from about 4 feet away, even when he says he's just brushed.
Any suggestions please?
Probably use a high fluoride toothpaste but you will need to have it prescribed. Perhaps he could just leave the toothpaste on for a bit on his teeth so that the fluoride can work?
Corsodyl mouthwash is what I use when I have mouth ulcers. It can help with bleeding gums too.
he usually uses sensitive toothpaste and I've suggested he uses a non sensitive one to see if that helps - he also doesn't like anything too minty and wont eat or drink anything until the toothpaste flavour has gone.
I'll definitely suggest that though thanks. We also have some of those little interdental brushes and I've said since he is doing bugger all else, that he could devote some time tomorrow to trying to sort out his teeth.
What is he using to brush his teeth? Is he definitely doing it for long enough/at all?
Could it be a wisdom tooth?? Can be smelly if infected. Ring the dentist in the morning.
Could it be tonsil stones?
We had some corsodyl toothpaste which we have ended up binning as it was disgusting. Maybe should have kept it for him.
I'm definitely thinking mouthwash, we have some listerine stuff that I was going to get him to try but maybe the corsodyl stuff would be better - i'll see what we can pick up tomorrow. Thanks
Could he have tonsil stones? Have a google - and a look on You Tube if you’re brave enough....!
Didn't think of wisdom tooth. Our dentist is shut and number just rings out - might try email if they have one on the website.
As for whether he brushes for long enough etc, I don't really know - he's 18, I thought I'd put in all the ground work when he was younger and certainly neither he or DS1 have ever needed any treatment - thought I'd done a decent job in getting them into a good dental routine but that seems to have gone to pot.
Though tonsil stones maybe a possibility too. he was really bad, Dr thought he might have a quincy and the amount of medication she gave him was unreal.
Get him to ring the dentist, they will still be able to give advice. Bleeding gums and bad breath can be a sign of gum disease which could be problematic if left for too long.
Sorry, cross posted! Is there anything on the dentist's website about what to do if you need help?
Actually now thinking tonsil stones might be it, he often complains that his throat feels blocked and he has also had a chest infection (not covid) that appeared out of nowhere considering he hadn't left the house in 3 weeks. Maybe bacteria in his tonsils still?
Get some disclosing tablets, that will highlight any stagnant plaque and you can take it from there.
Pericoronitis around wisdom teeth doesn’t tend to be asymptomatic.
bibbity, no, there isn't anything on the website at all, no mention of covid or being shut etc, though I obviously know they are. So therefore no indication of what to do in current circumstances.
Your practice should at least be able to triage and advise remotely OP.
You can't really smell decay like that. When drilling into the tooth yes you can and it bloody stinks. He has poor oral hygiene. He needs to brush thoroughly and use a soft brush on his gums. Mouthwash doesn't take away gingivitis but good oral hygiene can. He needs to floss daily and brush his teeth at least two times a day before it turns into a periodontal disease which he won't be able to come back from.
He probably has a build up of plaque. You should change toothbrushes or toothbrush heads every 3 months. Also, he needs to make sure he is brushing his tongue.
Not brushing your tongue is like not wiping your bum after you go for a number 2 well in my eyes anyway.
Also never rinse after brushing your teeth
If his gums are bleeding he has some gum disease. That could be causing the smell - normally I find gum disease smells more than decay
Disclosing tablets can help and show him where hes missing. As well as interdental brushes.
It maybe tonsil stones. But tbh in my experience teenage boys, especially ones just gone to uni, are not normally great at brushing.
I'm a dentist. I agree with above. Sounds like the smell is either gum disease or tonsillitis. Bleeding gums are a sign. Either way get him using a decent electric toothbrush, and on a regimen of corsodyl mouthwash for a short course. That should make a difference. He will need to be seen by dentist/hygiene once lockdown eases.
If he starts to develop painful ulcerated bleeding gums, get in touch with your dentist As soon as possible as he might need antibiotics.
We don't rinse
He says he's been brushing twice a day since he came home and I change the toothbrushes regularly, at least every 3 months.
As I say, DSs are now adults and have never had any treatment. DH and I had terrible teeth as children, both from large families and just no real effort of supervision given about brushing teeth which is why we've been so insistent on good care. As adults neither of us has needed a filling in many many years, I think my last was about 10 years ago and i'm in my 50s so not doing too bad.
I'll definitely keep on his back as I say it's not like he is struggling for time and he has a girlfriend he's hoping to be reunited with at some point so I would think that should be an incentive!
could definitely be an impacted wisdom tooth. I had this issue. caused horrible smell.
He said it wasn't much bleeding, just once or twice and a small amount so I'm leaning towards there being a problem with his tonsils but sorting out his dental hygiene will not do any harm. He has a proper electric one but hasn't used that for ages, so I've just been giving him fresh manual ones.
If it is an impacted wisdom tooth purchase the Tepe tuft brush its brilliant for getting around a particular tooth.
Thank you all, you've been really helpful. I'll get him started on a decent regime tomorrow, he is dyspraxic so can be disorganised so I probably just need to keep at him even though he is an adult. I've not been horrible to him, initially I made him aware as I was wary that the tonsillitis was coming back and wanted him to watch out and not let it get too bad before getting help.
porpoiseinlife - would it be the GP for the tonstil stones if it's that rather than dentist? I might get one of my masks and some cotton wool up my nose and see if he'll let me have a look.