I have name changed for this because I'm fucking ashamed and I can't take a flaming in my usual name.
I have a 14 year old child (along 3 others) who had severe health needs, I spend about 4 hours minimum a day getting medication into him in one way or another, one of my other children has dyspraxia and ADHD so need a lot of input - basically I'm exhausted, sprinting to stay still and only just holding it together.
I'm on top of everything usually and everything gets done apart from my eldest child's teeth, they get brushed well once a day (by me) and poorly once a day. He has a crippling fear of the dentist so after toddlerhood has never been. The amount of treatments and medication he has mean his teeth are very discoloured but I've never been able to get close enough to actually look in his mouth. He doesn't complain of pain and doesn't have bad breath, it's been bottom of my 'to sort' list for ever and I know that's not ok. Before anyone asks his father is useless and absent.
Anyway, today during a treatment DS has lost either a tooth or part of a tooth. At the front.
The bit that has come out is very short so after a very stressfully (but had to be very gentle) he's let me look for the first time in his mouth...
I know he lost teeth when he was younger but I never kept count, he claims this one that's come out is a baby one but he's 14 (although physically and behaviourally 3/4 years delayed)
I can see tooth left in the hole but it almost looks like a new tooth that's pushed this old
one out but the old one is so short I assume the root of it might have decayed away 
or is still in there.
I also noticed one of his molars is completely sideways and there's another tooth above it already come out, he's got teeth everywhere and lots of extras. I know I'm a shot mother for not knowing but you don't need to tell me I know (I'm waiting until they're in bed to cry with shame)
Anyway I obviously need a dentist, tomorrow but our area is notorious for not taking on new NHS patients and when they do the appointments take weeks to get.
I will have to try and pay to get him seen. I think if I play it right and the dentist doesn't scold us about the state of his teeth that I might be able to get him in the chair and open his mouth, he can't be sedated without a lot of intervention due to his health condition.
It's all a mess, he doesn't even eat a lot orally which is the joker he's fed via PEG.
Can anyone offer any advice or at least tell me it will be alright?... I keep looking at this pit of tooth wondering where I can find that bit extra to give to sort this out.