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dental advice needed pls for three year old with decay

(27 Posts)
dinny Thu 17-Jul-08 13:51:26

blush one of ds's back molars has some decay on it - he goes to dentist every six months and dentist is keeping eye on it till he is a bit older and he can drill without putting him off dentists for ever

we went on Tuesday and the dentist said he may try and drill it in Jan (next app)

but have just looked at it and decay has spread and think ds finds it sore - just wondered if this was usual practice or should I be getting a 2nd opinion? thanks

dinny Thu 17-Jul-08 16:37:11


southeastastra Thu 17-Jul-08 16:38:06

i left my sons until i thought it looked bad. got a second opinion and they whipped them straight out.

dinny Thu 17-Jul-08 16:39:17

how old was he?

AvenaLife Thu 17-Jul-08 16:41:36

I would go for a second opinion. If it is starting to decay then it shouldn't be left for 6 months as it will get alot worse without treatment. I would go back if ds is in pain as it sounds as though the decay is deep. They refer children to the hospital to have them removed where I live. They sedate some, others they have to give them a general anaesthetic so the drill won't upset them. I woul get it looked at again though.

dinny Thu 17-Jul-08 16:43:44

just boooked him in with my dentist on Tuesday... poor ds

sarah293 Thu 17-Jul-08 16:44:52

Message withdrawn

belgo Thu 17-Jul-08 16:47:59

I would get a second opinion. It's rare for a hole to be bad enough to need drilling at this age - usually they can just put a coating on it.

Has the dentist put any sort of coating / pink filling on it?

If it's worse then that, and the child is very young, they may need sedation for treatment.

dinny Thu 17-Jul-08 16:52:32

right, managed to get appointment with my dentist tomorrow am and will see what he says

feel awful now sad

dinny Thu 17-Jul-08 16:53:26

it looked quite bad this morning, maybe as if a bit has snapped off

southeastastra Thu 17-Jul-08 17:00:30

he's 6 i saw them, they were decayed right through, the dentist said it must have been making him feel a bit ill.

dinny Thu 17-Jul-08 17:05:23

did he have general or sedation?

just don't know how this tooth of ds's has got so bad, the others are all fine

southeastastra Thu 17-Jul-08 17:09:14

he was sedated at a specialist clinic

dinny Thu 17-Jul-08 17:14:24

worried now as it doesn't seem to be hurting him that it has damaged the nerve, eek

southeastastra Thu 17-Jul-08 17:48:09

doubt it would damage the nerve. see what the other dentist says.

dinny Thu 17-Jul-08 18:54:17

hope not

thanks for posting

ComeOVeneer Thu 17-Jul-08 19:08:25

If it had damaged the nerve he would be in pain. The molars don't keep the jaw shape, they maintain the space for the adult teeth to come through. If it is removed the dentist will keep an eye on the spacing and if necessary put something in to maintain the gap. A tooth that is likely to be lost in the nearish future I would keep an eye on and not necessarliy treat, but a molar isn't naturally going to fall out for many years (in a 3 year old). Also because baby teeth are much more delicate than adult teeth the decay can be a lot more rapid.

23balloons Thu 17-Jul-08 19:12:57

ds1 had a similar problem with a back molar with a 'funny' groove. The dentist kept covering it but had to drill and fill recently - he is 7 nearly 8 now & has been going on since he was 3- so covering can help to preserve the tooth. I don't know how much longer it will last but they are supposed to loose them around the age of 10 or 11. You should always put the toothpaste on that tooth first and possibly use one with a bit of flouride if he spits out well.

dinny Thu 17-Jul-08 19:54:34

thanks for the posts

yes, think the dentist said ds has a funny groove which collects debris

COV, is it Ok to go for 2nd opinion? feel a bit our of order as ds's dentist is really nice and caring

dinny Fri 18-Jul-08 15:48:10

Update - been to see my dentist this morning and he has put a temp dressing on it and is going to do a pink filling on Tuesday (says he is using a brush drill?)

he also did a fluoride treatment paste thing and says he needs one every 6 months

am SO glad I took him to get 2nd opinion

COV (or any other dentists!) - will he have an injection or doesn't cleaning it with a brush for a pink filling hurt?

thanks, Dinny

dinny Fri 18-Jul-08 16:20:33

bumping in case I miss a dentist.... smile

dinny Fri 18-Jul-08 19:39:39

another try...

23balloons Fri 18-Jul-08 19:44:59

my ds didn't need an injection until the last time when it was actually hurting him and he had to have some removed. He didn't need anything for the covers.

dinny Fri 18-Jul-08 19:57:30

thanks, 23balloons, interestingly the dentist also said children's toothpaste doesn't have enough fluoride and to use small amount of adult's - never knew that...

dinny Sat 19-Jul-08 10:50:25

COV about this am?

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