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Toddler molar problem potentially

47 replies

Sylviaplathforever · 17/02/2025 20:03

Just wanted some advice before I visit dentist with my son.
we haven’t been yet , he’s 3,5.
i am not sure what’s that on his tooth. I can’t seem to clean it. Posted it on mums group on fb and they all say cavity. Im certain this wasn’t their month ago. In fact there was something smaller and after much cleaning and fighting I managed to clean it off. Now it’s this ! I bought tartar remover on eBay just to gently try to take it off, then I will book appointment. But maybe someone’s child had a similar issue ?
its so hard to get there, he’s gagging when I try to clean and I can’t imagine that he will let dentist do much …

Toddler molar problem potentially
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Sylviaplathforever · 26/03/2025 16:44

EricInk · 26/03/2025 06:46

Also silver diamine fluoride application is a new technique which is great for kids, it’s like a fluoride bomb inside the tooth and is capable to some degree of hardening decay and stopping sensitivity. There are limits to what it can achieve though

Oh yea I did research that and I suggested I would like that for my child. I’m not sure why dentist decided not to do it at this time . I am sure we can go for it on our next checkup .

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Sylviaplathforever · 26/03/2025 16:46

HalfasleepChrisintheMorning · 26/03/2025 06:53

I’m afraid I judge parents who continue to use fluoride free toothpastes in the face of evidence that it is safe and effective.
Please make sure you are using 1450ppm fluoride toothpaste twice a day as per the guidelines in the Delivering better oral health toolkit.
If your child can tolerate dental treatment I would look at a Hall Crown, but if not he may be facing GA extraction.
www.cuh.nhs.uk/patient-information/stainless-steel-crowns-hall-technique-a-parents-guide/

Well you don’t have to judge me because I am using fluoride . I use fluoride before the bed and hydroxyapatite toothpaste in the morning . Alongside putty at night . Thanks

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Sylviaplathforever · 26/03/2025 16:49

EricInk · 26/03/2025 06:42

Yes hydroxyapatite is fine
and shows promise, but it’s an emerging product and there isn’t really any solid evidence base for it yet. I was just pointing out that if you have an issue with small amounts of fluoride that have decades long data of proven benefit aren’t you concerned about small amounts of lead? Also does the putty have any substantively? By that I mean does it stick onto the tooth long enough to have an effect? The magic of fluoride is that hydroxyapatite leaches out of enamel under lower pHs in the mouth and if fluoride is available it is taken up and becomes fluorapatite which is stronger and more decay resistant. Therefore Fl > HA. At £30 for a pot I’d put that towards dental treatment

as your son is 3 he is judged to be ‘precooperative’ which is why the latest dentist hasn’t done anything yet and is reviewing in 3 months. The cavity will be much bigger then the black spot you can see. In that photo a large white frosty appearance around it is visible which indicates rapidly progressing decay. At his age this is likely to get to the pulp soon and cause pain, in which case he’s going to need it pulled under general anaesthetic along with any other teeth showing minor signs of decay. Appropriate fluoride application is the only hope here, it won’t heal it but may slow progression enough to allow filling/intervention when he’s bigger. Ie maybe a gentle filling at 5 and then he might be able to cope with an extraction under local anaesthetic at 8/9. Being pragmatic I don’t think that tooth is going to last pain free until exfoliation age at 12/13. Twice daily fluoride toothpaste is vital- along with regular applications of varnish at the dentist, not once daily and that paste

Hey again. Putty is put on just before bed on clean tooth. It stays on all night and I brush of rest in the morning . I started putting in the morning too and it will last him until lunchtime when he eats .

OP posts:
Sylviaplathforever · 26/03/2025 19:54

HalfasleepChrisintheMorning · 26/03/2025 06:53

I’m afraid I judge parents who continue to use fluoride free toothpastes in the face of evidence that it is safe and effective.
Please make sure you are using 1450ppm fluoride toothpaste twice a day as per the guidelines in the Delivering better oral health toolkit.
If your child can tolerate dental treatment I would look at a Hall Crown, but if not he may be facing GA extraction.
www.cuh.nhs.uk/patient-information/stainless-steel-crowns-hall-technique-a-parents-guide/

I just read the link you have sent me ! Thanks ! I will speak to our NHS dentist on our next appointment. I will also remind about the other treatment which turns tooth black (forgot the name)

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Lollygaggle · 26/03/2025 23:57

Silver diamine is good , but on a pre co operative child can be challenging as it can burn gums if not placed accurately . It tends to be used on adult teeth. That being said I have taken teeth out with local anaesthetic on a three year old .

Hall crowns are probably better but with both these treatments it needs to be done before the tooth is symptomatic ie before decay reaches nerve. Both of these do not require anaesthesia , which is what the private dentist may have been suggesting.

The putty really is completely useless , it is much preferable to have fluoride in contact with tooth all night.

However diet is still the single most important factor here . Watch for dried fruits , dates, raisins, apricots , smoothies , fruit juices, honey , agave syrup , coconut blossom sugar , oat milk , almond milks and most non dairy milks all will rot teeth as easily as coke and sweets

leviosanotleviosa25 · 27/03/2025 00:30

If you wanted a recommendation, my dentist recommended the adult version of this for me. He doesn’t sell it so I’m happy it wasn’t to make money!
the hygienist commented my teeth were better and asked what I had been doing
hopefully one of the dentists on here will be able to advise but apparently it’s a good toothpaste
Also you’re leaving the toothpaste on are you and not rinsing after? You want as much fluoride as you can get

BioMin F for Kids Toothpaste - Strawberry Flavour for 3-6 Years of Age - Toddler Toothpaste for Stronger and Healthier Teeth - Vegan-Friendly
https://amzn.eu/d/iekJ8DE

Bubblebubblepoppop · 27/03/2025 00:37

Please, please use a proper fluoride toothpaste that is age appropriate.

Lollygaggle · 27/03/2025 04:06

leviosanotleviosa25 · 27/03/2025 00:30

If you wanted a recommendation, my dentist recommended the adult version of this for me. He doesn’t sell it so I’m happy it wasn’t to make money!
the hygienist commented my teeth were better and asked what I had been doing
hopefully one of the dentists on here will be able to advise but apparently it’s a good toothpaste
Also you’re leaving the toothpaste on are you and not rinsing after? You want as much fluoride as you can get

BioMin F for Kids Toothpaste - Strawberry Flavour for 3-6 Years of Age - Toddler Toothpaste for Stronger and Healthier Teeth - Vegan-Friendly
https://amzn.eu/d/iekJ8DE

It’s good but to be honest any toothpaste with fluoride in it is good . This just has hydroxyapatite in as well.

The main thing is to use a fluoride containing toothpaste , but even as important as, if not more so, is to adjust diet ie the number of times a day a child or adult is dealing or drinking something sugary or starchy . Although a fluoride or hydroxyapatite toothpaste helps it cannot overcome a diet in which grazing or sipping on sugary/starchy things more than three times a day occurs.

Lollygaggle · 27/03/2025 05:17

Sylviaplathforever · 26/03/2025 16:49

Hey again. Putty is put on just before bed on clean tooth. It stays on all night and I brush of rest in the morning . I started putting in the morning too and it will last him until lunchtime when he eats .

Completely useless. I looked at the photos on the website , in some the child has clearly had fillings, in others the teeth have clearly been made self cleansing ie a dentist has smoothed off the teeth with a disc.

In the remaining photographs the effect would be the same if the parent just stopped giving so much sugary stuff and started using a fluoride toothpaste. If you look at the ingredients it’s mostly chalk with a lot of herbs and flavourings and beeswax! Stick it in a hole and it’s stopping the fluoride from toothpaste getting into the cavity where it could actually do some good. There is no peer reviewed clinical evidence for this stuff , just some photos which do not show what they purport to show. Save your money and brush with fluoride toothpaste last thing at night , spit don’t rinse so it stays on the teeth.

leviosanotleviosa25 · 27/03/2025 05:55

Lollygaggle · 27/03/2025 04:06

It’s good but to be honest any toothpaste with fluoride in it is good . This just has hydroxyapatite in as well.

The main thing is to use a fluoride containing toothpaste , but even as important as, if not more so, is to adjust diet ie the number of times a day a child or adult is dealing or drinking something sugary or starchy . Although a fluoride or hydroxyapatite toothpaste helps it cannot overcome a diet in which grazing or sipping on sugary/starchy things more than three times a day occurs.

Edited

what do you think about xylitol? Dentist also mentioned this is good after eating to use either as gum or a rinse

Lollygaggle · 27/03/2025 06:03

leviosanotleviosa25 · 27/03/2025 05:55

what do you think about xylitol? Dentist also mentioned this is good after eating to use either as gum or a rinse

Xylitol has many years of use , particularly in Finland and Scandinavian countries, where is has proved useful in control of decay . As a gum , particularly , is a good adjunct to fluoride toothpastes and careful diet. Chewing cheese after a meal is also a good idea

leviosanotleviosa25 · 27/03/2025 06:18

Lollygaggle · 27/03/2025 06:03

Xylitol has many years of use , particularly in Finland and Scandinavian countries, where is has proved useful in control of decay . As a gum , particularly , is a good adjunct to fluoride toothpastes and careful diet. Chewing cheese after a meal is also a good idea

Thanks Smile
was just curious! I use the biomin toothpaste, floss, tepe brushes, flourigard mouthwash at lunch time and xylitol so I guess I can’t add much more!

Lollygaggle · 27/03/2025 06:22

leviosanotleviosa25 · 27/03/2025 06:18

Thanks Smile
was just curious! I use the biomin toothpaste, floss, tepe brushes, flourigard mouthwash at lunch time and xylitol so I guess I can’t add much more!

Personally speaking I would use the biomin f as it has fluoride in it as well. I have never seen much point to fluoride mouthwashes unless you are very high risk for decay due to dry mouth , peg feeding , very restrictive high sugar diet , oral morphine etc

leviosanotleviosa25 · 27/03/2025 07:41

Lollygaggle · 27/03/2025 06:22

Personally speaking I would use the biomin f as it has fluoride in it as well. I have never seen much point to fluoride mouthwashes unless you are very high risk for decay due to dry mouth , peg feeding , very restrictive high sugar diet , oral morphine etc

Oh yeah, that’s the one I use
I am on oramorph for endometriosis

Lollygaggle · 27/03/2025 07:47

leviosanotleviosa25 · 27/03/2025 07:41

Oh yeah, that’s the one I use
I am on oramorph for endometriosis

In which case chewing sugar free gum , especially one with xylitol in it may well help as oramorph is associated with dry mouth , and chewing gum stimulates saliva glands to work. Saliva is really important in neutralising the acid produced after eating or drinking sugary/starchy things .

Sylviaplathforever · 30/03/2025 10:07

Little update
first photo middle of Feb
sencond this morning
routine as I mentioned
fluoride toothpaste + hydroxyapatite toothpaste
bliss energetics putty all night
drastic change in diet (no snacking , minimal treats , no oaty bars etc )
we keep on going ❤️🌞❤️🦷🦷🦷🦷

Toddler molar problem potentially
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Lollygaggle · 30/03/2025 11:38

Well done on changing diet drastically, just to point out the hole has not healed , the putty contains beeswax so it is acting like a temporary filling , rather like the first fillings thousands of years ago.

I would not recommend this as it is preventing fluoride getting into the decayed part of the hole .

Sylviaplathforever · 30/03/2025 15:12

Lollygaggle · 30/03/2025 11:38

Well done on changing diet drastically, just to point out the hole has not healed , the putty contains beeswax so it is acting like a temporary filling , rather like the first fillings thousands of years ago.

I would not recommend this as it is preventing fluoride getting into the decayed part of the hole .

Thank you . :)
but that’s a photo of a clean tooth after brushing first thing in the morning . There wasn’t anything in there ?
anyway our next appointment is on25th of May so hopefully dentist can go from there . 😊

OP posts:
Lollygaggle · 30/03/2025 15:32

Sylviaplathforever · 30/03/2025 15:12

Thank you . :)
but that’s a photo of a clean tooth after brushing first thing in the morning . There wasn’t anything in there ?
anyway our next appointment is on25th of May so hopefully dentist can go from there . 😊

There is , clearly , something stuck in the hole that is not tooth, so it is either food or the putty . You cannot heal a hole , you can reverse the very ,very early stages of decay that is demineralisation, but once cavitation has started ie a hole you cannot repair that damage .

Sylviaplathforever · 02/06/2025 21:15

The time has come to finish the story , maybe it will be helpful to some.
another 3 months checkup came. During that a dentist confirmed that cavity which hasn’t appeared yet on right molar is gone. The one with visible cavity he said is not bad but at this point it’s “easy to drop a ball” and he wouldn’t want it get into dentin and suggested cleaning and filling there and the n. I almost got a heat attack but went with it. My son was an angel during checkup as usual. He was fine with the high pressure air but the drill was too much. Dentist suggested manual removal plus air . I had no idea this is possible. So couple of ten seconds air and some scraping. Then filling.
my son wasn’t in any paint and it all was very fast.
To sum it up : since discovering cavities we changed diet (mainly got rid of snacks , I’m sure in our case it was oaty bars) added fluride toothpaste once a day. Added bliss energetics products (highly criticised in here) also which I think was game changer Cell Salts :) couple of pills two times a day.
here are pictures of before and after filling .
also the other tooth which re-mineralised .
🙏🫀🌞

Toddler molar problem potentially
Toddler molar problem potentially
OP posts:
leviosanotleviosa25 · 03/06/2025 18:30

If you’re only going to use it once a day I would use fluoride at night and make sure not to rinse so it sits on the teeth
use a hydroxyapatite toothpaste in the morning

Lollygaggle · 03/06/2025 18:48

Once teeth are formed, they are formed , nothing is taken in or out of, so cell salts will do nothing at all to the tooth.

Fluoride and hydroxyapatite work topically at the surface of the tooth and help to heal early decay that has not cavitated.

Once a tooth has cavitated (has a hole) nothing will heal it up .

Frequency of sugar/starch intake is number one factor in tooth decay , topical fluoride in form of toothpaste that is spat out , not rinsed out is number two.

The rest is expensive , unproven with no proper science behind it.

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