3 y/o and cavities-HELP!

MrsKreamer

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My son Kurt jr (just made 3) has at least two cavities. We have seen two dentists. Both dentists want to fill them. One dentist wants to fill them one visit at a time, with him wide awake. No gas, just Novocaine. She said we will have to hold him down, and force his mouth open. Obviously I didn't like the sound of that so I got a second opinion.

Second dentist wants to fill the cavities while he is under anesthesia. In the hospital. He said it is better for him(my son) psychologically if he is asleep the whole time. Plus the dentist will be able to check out two other teeth that may also need to be filled.

Well the more I thought about it, I don't know if I like this option either. He was already under anesthesia once this year(had his tonsils removed in Jan). I don't know that I want him going through that again.

So any advice will be helpful.

Thanks,
Steph
 
Our DD has 2 little ones (she has deep groovy molars)....our ped. dentist is doing them one at a time (first filling on Tuesday am) with "silly gas". General anesthesia is scary....for a couple of fillings?

I would never be a part of holding my child down for any procedure (I have held her for blood draws, etc., but I don't "restrain" her). I figure, they can call in extra help if needed, I need to be her safe place.
 
Take him to a pediatric dentist that uses the "loopy medicine". That is what we call it and it will put in somewhat of a twilight state. He will most likely have to be restrained on a papoose board, but they usually do that after the medicine is administered just as a precaution.

I would NOT let my child go under general anesthesia for something as simple as a filling (I am a dental hygienist). I just recently had my 4 year old's tooth filled and it was done with NO anesthesia and no shot, but the cavity had not gone to the nerve so this was feasible.

I would definitely keep looking for a pediatric dentist that will work with you. You do not want to hold your child's mouth open and traumatize him.....that will set him up for a lifetime phobia of the dentist....:sad2:
 

Wow, sounds like you need a new dentist. My dd goes to a pediatric dentist. They are wonderful. When she had her first filling, they gave her a "clowns nose" to wear (gas). They then simple "washed" her teeth and "painted" them (filled). It's so painless and untramatic I can't even "threaten" her with "too much junk food gives you cavities...":upsidedow

When she's "in the chair", she wears big sunglasses, and watches her own person TV. They have all the kids cartoons for her to choose from. She loves her dentist!
 
Sadly, yes both are pediatric dentists.

They are horrible!!!!:scared1:

There are good ped dentists out there. You are just going to have to find them.

I do have to ask why did the second dentist recommend general? Does he need a root canal or something? I am just confused why a ped. dentist would suggest that.:confused3
 
My daughter has one filled when she was 4-they did not use novacain since it was a baby tooth but they did put the little pig nose on her with sweet air to calm her down. She has a TV to watch and they give her the remote so she is very happy!
 
That first dentist will tramautise your son of dentists for life with that attitude. No wonder people are so afraid of them!

When DD wasn't even 2 she needed some work done and we sought out a peds dentist. We did go the general anaesthesia route because of the severity.(This was done in a hospital setting in a Boston area hospital) Before doing it, I did call other peds dentists in the area to see what they thought. The one we saw the first time was the one these other dentists referred their tougher cases to, so we were in the right hands.

Now she's almost 9 and adores her dentist. Thankfully since needing that work she's had no problems other than needing to replace the caps that needed to go on. She looks forward to the checkup appointments and goes in confidently. Her dentist is also a professor at the Harvard Dental School and has been practicing as long, if not longer than I've been alive and he's really good with the kids.
 
They are horrible!!!!:scared1:

There are good ped dentists out there. You are just going to have to find them.

I do have to ask why did the second dentist recommend general? Does he need a root canal or something? I am just confused why a ped. dentist would suggest that.:confused3

In the case of DD she had a ton of work that needed done and she was just under 2yo (22months) Her teeth were soft and decayed and she needed to have molars capped with stainless steel and her front top teeth had porcelain crowns. They felt doing it this way would be best to get everything done in one fell swoop rather than over several appointments. Being the age that she was we felt it would be less traumatic for her.

We don't know what caused the decay- she was breastfed and did not nurse through the night. I was on antibiotics during the early part my pregnancy and am told that may have been the cause, but I don't know for certain. She's not had any problems since then and we get a big thumbs up at the checkup appointments. (Knock on wood)
 
Hi, If they use the rubber dam or as our dentist calls it a tooth raincoat be aware of the clamp they use to hold open the mouth. My DS 4 did great for first just used sleepy juice for the tooth but he fought the whole time for second. Come to find out his lip was caught between teeth and clamp. I felt horrible becasue he was trying to tell us but couldn't talk with the "raincoat" in his mouth. He had a big sore inside his lip:guilty:
 
Our regular family dentist didn't want to fill DS' cavity when he was little because he couldn't do it without numbing the area & DS was so little; he said he wasn't comfortable with making sure he could get the dosage right ..... so he recommended a pediatric dentist. Let me just say that we will never go to a ped dentist again. We weren't allowed to go back with DS and he said some things later that I was not happy about. Fast forward to this summer. Evidently the guy didn't do such a great job, either. DS had to have the filling removed, the decay under the filling removed, and the tooth refilled. All on a stupid baby tooth. I was all for pulling it, but the x-rays showed that the permanent tooth is a long way from coming in.

I wouldn't do anesthesia on a little one and I wouldn't make it a requirement to see a pediatric dentist. Regular dentists that are gentle do exist.
 
Our regular family dentist didn't want to fill DS' cavity when he was little because he couldn't do it without numbing the area & DS was so little; he said he wasn't comfortable with making sure he could get the dosage right ..... so he recommended a pediatric dentist. Let me just say that we will never go to a ped dentist again. We weren't allowed to go back with DS and he said some things later that I was not happy about. Fast forward to this summer. Evidently the guy didn't do such a great job, either. DS had to have the filling removed, the decay under the filling removed, and the tooth refilled. All on a stupid baby tooth. I was all for pulling it, but the x-rays showed that the permanent tooth is a long way from coming in.

I wouldn't do anesthesia on a little one and I wouldn't make it a requirement to see a pediatric dentist. Regular dentists that are gentle do exist.


Please don't think too badly of the pediatric dentist...most DON'T allow parents back b/c the children do better without them.

Also, if a child is prone to cavities or just not brushing well....they WILL get decay under the existing filling. This happens all the time in our practice (and every other practice) and I promise you, my Dad (the dentist) is top notch...people just don't brush well.

You never want to pull a baby tooth b/c it is a "guide" for the permanent tooth.

I don't mean to chastise you or make you feel badly but many people just don't understand dentistry. If you don't brush ( or brush well), you will continue to get cavities even on previously filled teeth.

Yes, there are many general dentists that work with children, we do....AND we let the parents back. We find it helps the child to have a parent to hold their hand, but we tell them ahead of time NOT to mention "it won't HURT"...that puts fear in the child's mind...just tell them it will be fine.
 
When DD was 4, she needed a filling. Our dentist was great. He had a swab ready with a local Novocaine. He told DD that she just needed to close her eyes, open her mouth and wiggle her toes as fast as she could. While she did this, he swabbed the area and did the Novocaine. When he told her to stop, he was done. She never saw the needle or had any idea that she had a shot. It only took a minute to do the filling. It was very surface level. In fact, DD didn't find out until she was a teenager that she had ever had a shot of Novocaine.
 
Feralpeg, that's wonderful. Love that story!


*************

Short story: keep looking. The first guy I actually agree with, but they shouldnl't sound so combative with your little one already! That to me signals a lack of patience.


Long story.

When DS was 6 months old, first time he sat in a highchair (he wasn't eating, we were at a restaurant and wanted to eat without holding him (selfish moment!), put him in a highchair). We were watching him, and I said "he's getting tired, I'm going to take him out", but just then our food came so I decided to wait (hot food, moving the baby around, just not safe). Food came, he seemed OK, I took a bite...he got sleepy, and before I could act, SLAM his face went into the table.

Knocked out a tooth (lower middle tooth). That's what our focus was on, THAT tooth.

But fast forward a few months, and his upper just-off-of-center teeth started to come in, and they were yellow. Then started to go brown. Grew in more, then turned more brown and started to decay. augh. Turns out that it was either genetic (DH and his dad had crumbling teeth with their primary teeth) or those guys were right there when he slammed his face down, and perhaps he injured them.

We took him to a lovely holistic dentist through 3 very short "get to know you" visits, but ultimately she wasn't sure of how to work with him, and referred us to a pediatric.

Since I didn't want to travel all that way we found a local guy, or so we thought. DS has a very good diet, and is trim. Dh and I are having a bad time with our bodies, and this dentist, before even looking in DS's mouth said that it was because of sugar. I'm not even sure DS had HAD "sugar" yet...we hadn't given him juice at that point, that's for sure! Anyway, he just started blathering about sugar, and diet, and blah blah blah.

From the three appointments with the other dentist, we knew that if I was in the room, he would act more 'babyish', but if it was DH he was brave and more of a 'big boy'. So when he said he would look in DS's mouth, I excused myself from the room, and this dentist acted like I was a chicken! I explained why I was going, as much as I could without really alerting to DS that I was going, but he just gave SUCH attitude, it was nasty.

He looked at the teeth, and lo and behold, it appeared that sugar would have gotten ALL the teeth, but just two teeth NOT touching was caused by, oh I don't know, genetics or trauma. :rolleyes1

He absolutely SWORE that DS HAD TO HAVE general anesthesia, IN the office. We would have to coordinate with our medical insurance and dental insurance to pay for this. He would take out those two teeth. There was actually decay behind his front two teeth, right between them. He said he would "try" to save those front two teeth, but he doubted it. And he mentioned all sorts of little spots, and that he would fill each and every one of them.


I left that place ENRAGED. The guy didn't even take an xray. And he had the policy of refusing to let a parent back there.

Let me state that I understand the reasons that some dentists have that policy. And they need to understand that they will not get a PENNY of my, or my insurance company's, money through my family. It's an abusive, rotten, FEAR-based policy and it is one I won't partake in.


Another ped dentist very local to us, he was full. I called 3 months in a row, as they told me to do, to see if I could get DS an appointment (this was before seeing the second dentist). Suddenly, after the silly dentist appointment, someone on a message board let me know that the impossible to get in to dentist had taken on an associate.

The reason I wanted to see the dentist at this office is that he was known for SINGING small children through a filling. Singing! Cool.

I called immediately and got in for later that week.

Went in. They were HAPPY that we had figured out who DS was braver with, and that I wasn't going to be some helicopter mom who stared the dentist down while he worked on my itty baby. :upsidedow They were more than pleased that we had figured it all out already. Made their jobs easier.

Dh and DS went back, Ben xrayed DS, examined him. Found the problem teeth, found the decay behind the front two teeth. And over the next two visits, it was fixed.

The first working visit, DS had the decay behind the teeth dealt with. With NO medicine at all. No lidocaine (or novocaine, or any 'caine at all), no gas, nothing. They had a big TV in the ceiling and played Finding Nemo, and that was the first time DS saw (part of) that movie, and it was enough to get him through it. They let DS know what they were going to do before they did it, they were wonderful with him. Also, during this visit (and the first), they had DS sit backwards on DH's lap, then lay his head down onto the dentist's lap, so Ben was right over his face, and they did the work that way.

Oh by the way, by the time all this happened DS was 2. We looked for OVER a year for a perfect dentist (it did get desperate at the end b/c the two teeth were disintegrating too much and it was at last causing DS pain, and it was getting nerve-wracking on everyone).

On the second working-visit, they did give him a little lidocaine, and that is ALL. Again, Finding Nemo took his mind off of things. This time he RAN into the back of the office (even after being "traumatized" by a filling without drugs! :) ) and jumped up onto the table/chair! He was happy to be there, because he knew that the pain that had recently started was going to be taken care of at last.

They gave him the lidocaine, pulled those teeth, and it was good. He came tottering out to me with a mushy lip and gauze where the teeth were, excited about the token they gave him to get a prize from the machine. Later he hated having the lidocaine wear off, but that was his main discomfort.

This dentist notices the "spots" that the other ped dentist saw, but says they are NOT decay, and do not need to be drilled and filled. He watches them, we watch them, it's fine.



General anesthetic is dangerous and should be held back for a TON of work, and IMO should only be done in the hospital. GA is not something to play with. The fact that our first ped DDS could mention it so casually (and it was an absolute requirement, by the way) made me ill, thinking of what could happen under that anesthetic...



Keep looking. Or go back to the first and really question them. With Ben, it's on a continuum. First, watch the movie. Then, lidocaine. Maybe gas before that if the kiddo is freaking out. Then having the parent help to calm the child, and yes, they do mention having the parent help hold the child down if they are almost done, or it's a quick procedure... That did not have to happen with DS. They know that if it DID come to that with our son, we would prefer to come back (and perhaps pay out of pocket) rather than hold him down forcibly (main reason is that it is well near impossible to hold that guy down when he wants UP).


Anyway, keep looking. You can very likely find better.
 
I agree with everyone else that you need to keep looking. I would never want my child to be held down or put under general anesthesia for filling cavities. My younger DS had cavities when he was 3 because his molars had deep grooves that made it easier for him to get cavities. The ped dentist he had was great. When Ds went into the chair, he got sunglasses to put on so the light wouldn't hurt his eyes, he got the sleepy juice done very quickly, quietly and with little fuss. DS was so relaxed, he fell asleep during the procedure. When the dentist was done and took off the sunglasses, DS just kept on snoozing. That happened the second time too. Luckily at this ped practice, parents were allowed back to be with their kids. Good luck and I hope you find just the right dentist for your children.
 
I'd like to second the fact that you don't always NEED a ped dentist. Our general dentist is great as well as the hygenist, and they take care of all 3 of us. In fact DD7 & I always have our appts on the same afternoon. We're both in the room together & she gets to choose which of us goes first. She'll hop up on the chair by my legs to get a better view of the hygentist working on me. Too funny! Once the hygenist even let her squirt the rinse water in my mouth. Made her day. She LOVES the dentist's office.

Let me also say she's had 2 fillings done there with no gas or anesthesia. I was a little worried the first time because they took her to another room to do it while they hygenist was working on me, so I wasn't there. I think she was 4 at the time. But she came bee-bopping back in just a little while later perfectly happy. (In that case the dentist by chance had a cancellation & a free few minutes while we were there for our cleanings. They asked me if they could just go ahead & do the filling that day to save us from making another trip. Works for me!)
 
I'd like to second the fact that you don't always NEED a ped dentist. Our general dentist is great as well as the hygenist, and they take care of all 3 of us. In fact DD7 & I always have our appts on the same afternoon. We're both in the room together & she gets to choose which of us goes first. She'll hop up on the chair by my legs to get a better view of the hygentist working on me. Too funny! Once the hygenist even let her squirt the rinse water in my mouth. Made her day. She LOVES the dentist's office.

Let me also say she's had 2 fillings done there with no gas or anesthesia. I was a little worried the first time because they took her to another room to do it while they hygenist was working on me, so I wasn't there. I think she was 4 at the time. But she came bee-bopping back in just a little while later perfectly happy. (In that case the dentist by chance had a cancellation & a free few minutes while we were there for our cleanings. They asked me if they could just go ahead & do the filling that day to save us from making another trip. Works for me!)

You're right, they're not always needed. But some general dentists don't want to work on kids. My own dentist is one of them. I wish he did do kids because I just love him. DD's best friend- her dad is a dentist and will work on kids, but has a 3-strike rule in place. If appointments with a child don't go well for whatever reason, he will refer them to a peds dentist at the 3rd visit. Unfortunately for us he wasn't practicing in our area when we needed DD's dental work. I really like him a lot and wish that she would switch, but she's really comfortable with the one she sees now, so I guess that's what's really important.
 
Tiggersmom2, how about a compromise? We won't go to this particular pediatric dentist again. ;) DD's are strong like DH's; both of our DSs have my teeth, unfortunately. The boys have had to have many fillings, but the only one a pediatric dentist has filled is the only one we've had to have re-done.
 


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