When DS2 was nine months old, I noticed that the enamel on his top front four teeth was patchy. Over the next couple of weeks I realised it was crumbling off so I took him to the dentist sharpish. She confirmed it was coming off but didn't seem particularly worried. She asked me to go back in six months.
Three months and lots of visible loss of enamel later (chips a couple of millimetres big flaking off, loss of about two millimetres off the bottom of the two front teeth), I took him back and asked to be referred to the hospital. She declined and said he only needed to go there if the teeth disintegrated to the point that they had to come out, but that this was the worst case scenario. Losing the teeth isn't just cosmetic, they also act as place markers for the adult teeth and without them he could end up with poor spacing. She stared him on a course of fluoride painting every three months.
Two months later and I'm wondering whether to go back again. Those four teeth are basically stubs. He is highly averse to having his teeth brushed. But the worst thing of all is his sleep, which is appalling. Last night he woke up maybe 20 times. On a good night he wakes every 1-2 hours. When he wakes he often rubs at his face. Now obviously I can't prove he's in pain (dentist seemed to think it shouldn't hurt) but it seems a reasonable assumption to think he is. I'm a physical wreck.
Should/can I insist on a referral? The rest of his teeth are perfectly fine btw, the only explanation I've heard so far is that I might have been ill at the point in pregnancy when the enamel formed.