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Should I allow 13 teeth to be pulled for a 6 year old?

64 replies

TreeHuggerMum1 · 08/07/2015 16:01

Quick summary, DS stopped developing at 32 weeks, was born by emergency section at 34 weeks and has suffered with reflux ever since.
As a result he has quite poor teeth. At a dentist visit recently they said he need one filling, my little boy wouldn't let them do it and so the dentist said they would refer him to a child's dentist for assessment.
At child's dentist I have just been told his teeth are in a shooing state and there is no pint trying to save the tooth, they recommend removing the tooth alright under GA at the local hospital , however 12 other teeth have minor (two major) damage and will need to be pulled out too. I was mortified and incredibly angry. I said there must be a mistake, we are here for one tooth and she said hospital policy is to remove any damaged teeth while the child is under GA to save them having to have them removed under a further GA at a later date.

I have said no, that I want them filled and repaired and they don't think my son will allow them to do this. I have asked can he fillings under the GA and this is apparently too time consuming and so it is better if he just has 13 removed to make way for adult teeth.
I asked if could have just two or 3 out and they said no. All or nothing. HmmHmmHmmHmm
I'm lost, devastated and have no idea what to do for the best.
I went in there for one filling and now they want to take 13 teeth away, he's only 6!

OP posts:
Are your children’s vaccines up to date?
BlackSwan · 11/07/2015 08:51

Thanks Mrs Morton - yes they were a combination of baby and adult teeth. I didn't want braces either (but for different reasons from my parents!). I haven't been permanently scarred!!

LHReturns · 11/07/2015 13:29

OP I would try to digest the expert dentists advice on here, and take total reassurance from it. Of course you haven't done anything wrong...your baby has had reflux for a long time. He will have gorgeous adult teeth waiting to show off!

I had 11 baby teeth removed under GA at age 9 because they were totally messing with the adult teeth's progress, were not budging and going to dramatically delay getting my braces which I needed for yonks anyway. Maybe today that wouldn't be done, but this was 30 years ago....I certainly enjoyed the soufflés and milkshakes and scrambled eggs that my mum made me until my gums hardened up. I have no recollection of feeling embarrassed or silly amongst my peers....I would imagine a 6 year old wouldn't even notice once he was recovered from the actual GA and surgery.

I don't see this as savage or extreme, and I also don't see it as a particularly dramatic course of action to be too worried about either. I also think private dentists would recommend exactly the same approach, I don't see this as NHS corner cutting. These are baby teeth...let the tooth fairy have them and look forward to his (minty) fresh start.

Boysclothes · 11/07/2015 13:46

What an amazing informative thread! I'm sorry OP about your son, I hope everything comes right for him x

OT, DS is 3.5... Should I take him to the dentist soon? I'm due a checkup myself but I usually do the hygienist too, I think taking him with me would mean he'd have to sit still for too long.... What's the best thing to do?

Littlefish · 11/07/2015 14:17

Boyclothes - I have always taken dd with me to dentist appointments. When she was about 2, our lovely dentist used to sit her in the chair and just count her teeth which she loved. When she got to about 3.5 - 4 (I think) he started to do a slightly more detailed check.

Could you take your ds's favourite toy with you, or is there another adult who could go with you to entertain hm while your appointment is going ahead. I'm not a dentist, but if it's a routine appointment, it might be good if he was in the room with you so he can see what happens during the appointment, before he has his check up.

Flowershower · 11/07/2015 21:22

Slightly shocked at the dentist expecting your GP to prescribe sedation for them...I'm not a dentist or a GP, but I'd expect the health professional carrying out treatment under sedation to be the one that prescribed the drug no? I may well be wrong here but it doesn't sound right to me. Surely if your child has dental anxiety then repeated visits back and forth with decaying teeth are much more stressful than a single trip to hospital for a GA and clearance?
For what it's worth, my son had a filling recently and the dentist used a topical local anaesthetic before the needle. Son didn't even realise he'd had an injection.

Laquila · 11/07/2015 21:30

I had 7 teeth removed when I was about 9, not under GA and actually I'm not sure if there was even LA...surely?! I had 4 out one day and 3 two days after. My parents bribed me with the promise of McDonalds and I was too young to realise that wouldn't be possible I were 7 teeth down...

anotherdayanothersquabble · 11/07/2015 21:58

Look into diet, MTHFR gene mutations, Healing Decay Naturally (Not necessarily that it will work completely to heal the teeth but it may help and may help the reflux too. It may not be mainstream medicine / dentistry but some of it makes sense to me.

Mrsmorton · 11/07/2015 22:05

flower yes that surprised me as well but then I've never come across a dentist using oral sedation for a child and even for adults it's falling out of favour as you've no control over the level of sedation with uv sedation, everyone reacts differently and you put the drug in slowly to titrate the effects.

Inhalation sedation much more common in children IME.

"Healing decay naturally" really? There's a reason things become mainstream, it's because they work.

SophiePendragon · 11/07/2015 22:13

OP I really feel for you - I am so so glad your dentists agree with you, though of course sometimes children do need this amount of work, so no disrespect to the dentists who have to do it - must be a very frustrating and upsetting job.

It made me feel AWFUL when poor ds2 had to have four teeth out (which they did one by one over about a year) - I'd thought it would only be two. He is 8 now and doesn't have to have any more out. He was only in pain with one of them for a week or two. The others were 'potential' problems.

I didn't even have the excuse that he was born with poor teeth. I completely failed to look after them well enough. It was awful.

We are careful now. I fight ds3 nearly every night to brush his properly.

Good luck xxx

MrsDeVere · 11/07/2015 22:33

This reply has been deleted

Message withdrawn at poster's request.

Alwaysfrank · 11/07/2015 22:35

Gosh this thread has been an eye opener - really saddens me that this is considered normal. OP I'm so glad you have an alternative course of action now. Certain of my children aren't great at tooth brushing but not a filling between them - I'm feeling very fortunate.

I actually had 8 adult teeth out for braces around 1980. Then I had braces again in my early 30s, and had a further tooth out then to make more room. Definitely true as I have only 19 teeth - I have a very small mouth!

JamesAndTheGiantBanana · 11/07/2015 23:00

I have this situation going on at the moment too, my ds has a big hole & abscess in one tooth, and a hole on the opposite side which both need extracting. Fair enough. They sent me to the clinic, he had X-rays, suddenly it's 8 teeth!

Basically there's nothing to see at all on his lower teeth but they are "questioning" shadowy areas of the X-ray so "may as well whip them all out" under ga. I'm appalled, and I don't want it. I want them to treat the teeth which they can see unrepairable holes in, and fill any "so tiny as to be unnoticeable" ones under la. Why are kids teeth seen as dispensable? I don't consent to this but it seems like all or nothing.

My son has mild sn and is already scared and anxious, I don't want to scare him off the dentist like I was scared off as a child. Having 8 teeth out at once will surely do that! She was so casual about it, it seemed like almost an arbitrary number.

Can I contest this?

TreeHuggerMum1 · 12/07/2015 08:08

I have a GP appt for tomorrow afternoon to discuss this situation. I will know more then.
This temporary filling seems to be holding and I'm praying it lasts a long while.

I'm taking on board all the comments and I can't believe how many of you have replied, so thank you.

Jamesandthegiantbanana - I really feel your pain, have you considered a second opinion? Feel free to message me if you want to. ????????

OP posts:
JamesAndTheGiantBanana · 12/07/2015 10:37

Treehugger I'm not sure where to get a second opinion from because our usual dentist was the one who referred us to the main clinic where they assess kids who may need ga/sedation for dental work. My usual dentist didn't X-ray him before sending. I'm guessing he'll just back up what the other one said.

I don't know how to sort this out, and I'll have several kids in tow in a weeks time too, aagh!

If we're told we have choices in the labour room, why not in the dentists chair on behalf of our kids? I had two teeth out recently, my face hurt, I was sore and felt rough. Surely 8 would be worse.

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