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Daughter having crowns & extraction due to hypomineralisation

3 replies

TwinkleTwinkleX · 15/10/2026 09:49

My daughter is 5 and has severe hypominerilsation on her very back teeth. We were referred to a paediatric dentist and she was told she needs 3 silver crowns to protect that baby teeth until the adult ones come through. Sadly one of them is damaged and needs extraction using inhalation sedation. I was wondering if anyone has gone through similar with a young child? I feel so sad about it and worried about if she will get teased about the crowns (although they are probably hard to see unless she shows people.. which I’m sure she will haha) wondering if anyone has asked the dentist for white instead? I gather they aren’t as strong. Also not sure what to expect after the extraction.
the dentist said it’s not about her having too much sugar as it’s a medical condition and she has good hygiene but I feel awful regardless.
Any advice or reassurance so welcome

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CuteOrangeElephant · 15/10/2026 09:57

Hey my DD has this. I've experienced the same feelings of guilt! She also has hypomineralisation, likely caused by ear infections/antibiotics she had when she was a baby. She has 7 crowns in total. After two years one of them got infected so it had to be removed. Her crowns are metal, I had the same question about white ones but apparently they are more expensive and just not as good.

She is under the care of a pediatric dentist and they say she has good hygiene. She does have to work hard at it with floss and an electric toothbrush. Unfortunately she has needed more complex dental work including a brace at the age of 9, and looks like it won't stop here. Sadly she has inherited my bad teeth.

She had inhalation sedation and that went fine at the dentist, when she had it in the hospital for something unrelated she really hated it unfortunately. Really panicked when she went under. Last week she had a double extraction with midalozam for the second time, I think that is our preferred option. Does your dentist offer that?

No teasing, she is far from the only one in her class with the crowns.

TwinkleTwinkleX · 15/10/2026 10:04

CuteOrangeElephant · 15/10/2026 09:57

Hey my DD has this. I've experienced the same feelings of guilt! She also has hypomineralisation, likely caused by ear infections/antibiotics she had when she was a baby. She has 7 crowns in total. After two years one of them got infected so it had to be removed. Her crowns are metal, I had the same question about white ones but apparently they are more expensive and just not as good.

She is under the care of a pediatric dentist and they say she has good hygiene. She does have to work hard at it with floss and an electric toothbrush. Unfortunately she has needed more complex dental work including a brace at the age of 9, and looks like it won't stop here. Sadly she has inherited my bad teeth.

She had inhalation sedation and that went fine at the dentist, when she had it in the hospital for something unrelated she really hated it unfortunately. Really panicked when she went under. Last week she had a double extraction with midalozam for the second time, I think that is our preferred option. Does your dentist offer that?

No teasing, she is far from the only one in her class with the crowns.

Thanks so much for your message and thank you for sharing. It’s so tough isn’t it! Were the crowns very visible? It seems like hypomineralisation is more common than I realised but not spoken about openly. My daughter had rsv and several courses of antibiotics as an infant so could’ve been that. She’s a confident and brave girl and so far doesn’t mind the dentist so hoping it will go ok.
my husband is going to take her to the appointments as will be less emotional I think! Ahh that’s interesting, is that an oral sedative?
we were only offered the laughing gass stuff for the extraction..

OP posts:
CuteOrangeElephant · 15/10/2026 10:12

Yes it's an oral sedative, she has had it twice. The first time she reacted worse than the second time, I feel like the second time was a doddle.

You can see the crowns unfortunately, it took some getting used to. Hopefully she will get her adult molars soon so she is rid of them. I've told her the tooth fairy pays double for metal crowned ones :) .

My husband is a massive wuss when it comes to stuff like this, he actually had to be told by a nurse to man up as he was getting so emotional when she went under for an operation in the hospital! I'm a bit more level-headed. Last week she wanted my husband to come with though.

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