T.S. asks from Burbank, CA on November 17, 2011
Filling Cavities in Baby Teeth?
According to our pediatric dentist, my five year old daughter has two cavities. One on the bottom left and one on the bottom right between the only teeth that are close together - the rest have great gaps between them. She is in absolutely no pain and we're told the cavities are small. My daughter will have nitrous oxide to calm her and then she'll have to deal with Novocaine and her having her baby teeth drilled and filled with the metal fillings (apparently the white ones aren't covered under our insurance and aren't as strong as the metal ones). She'll have to go to two separate appointments to get this done.
My question is this. Is all of this really truly necessary if she's probably going to lose these teeth in the next year or so? There's a part of me that's a bit cynical and thinks this is all a great way for a pediatric dentist to make money. If, however, it's necessary for the health of my daughter's permanent teeth to fill these cavities right away then I need to know. I just don't want to put a 5 year old through that experience unless it's truly necessary.
I would love to hear your thoughts and advice on this.
Thank you!
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M.J. answers from Minneapolis on November 17, 2011
NO dont have them filled that is a waste of money, you have a choice and a voice, I know they can cap them with something i forgot the name, however they dont need to be filled. My niece had some cavities, and they just capped them with a sealant, because she was about to lose them anyway. Its ridiculous they are telling you to fill them.
Root canal for a bad baby tooth is completely different and the health of the gum is at risk then you need to do that, but just a few small cavities can just be left unless she is in pain.
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H.J. answers from Minneapolis on November 17, 2011
Well all of my molars are baby teeth still and I am 27yrs old...My 6 yr old had one cavity at 5 and she begged me to go back afterwards. I don't think iti s a big deal at all to have it done. They don't feel anything otherwise my daughter would have never been willing to go back
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A.G. answers from Houston on November 17, 2011
Its necessary.........cavities WILL start to hurt her, or can get infected and whats worse can damage her adult teeth underneath. I would go ahead and get the silver since you indicated that she will lose them in about a year anyway.
My daughter got caps on her front teeth (something wrong with the enamel when they grew in) I payed extra for the white.........yes they are weaker but my daughter has years to go before she will lose them and i couldnt bear to have people look at her and judge.
It was worth extra money....you just have to keep them away from food that can create a suction like tootsie rolls and airheads and taffy (we dont have that stuff around anyway)
********id also like to add that just because a kid gets a cavity does not mean the mom feeds her nothing but sweets and junk. My daughter never saw junk food in her life when we noticed the cavities....and she didnt bottle feed AT ALL. I dont know what causes it, maybe its our water supply, maybe something else. All i know is that we did everything possible to prevent it and it still happened.
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C.D. answers from Atlanta on November 17, 2011
Is it truly necessary? NO!
Plus if you get metal put in it could cause all kinds of aliments, aliments that disguise themselves as something else. I wouldn't do it.
Why does she have cavities at such a young age? Does she need to change her diet? I have adult children and so far only one has had a cavity. I didn't give them much sugar when they were kids and most of the sugar they did get was from baked goods, no candy, lots of raw fruits and veggies. I know some are more prone to cavities.
And you're right the dentist is trying to work up some cash. I know I may sound cynical, and I'm certainly not saying to not go to the dentist, but I've seen a lot of riduculous stuff.
My 3 year old grandson had an accident and fell on to the table and hurt his front teeth badly, his teeth were barely hanging in there. His mom took him to the dentist and he told her they'd have to be removed. She was shocked and said, no, let me think on it. I told her just push them back in and hold them and don't let him eat any hard foods till they're healed (my dad did the same once with my brother) and give him lots of vit. C. His teeth "took" and healed fine and they look completely normal. This is just one of several stories I've seen or heard.
This is my two cents or so -- Good Luck with her.
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C.J. answers from Dallas on November 17, 2011
I am a little confused, but if molars, she'll have them until almost 12. And you are assuming she'll lose her teeth on schedule - my 8 yo is about 2 years behind, per his dentist, so he has only lost his front two bottom teeth - that is it.
She could have these teeth for longer than you know. There is also the issue of what will happen if left un attended - will the entire tooth decay? How will that make her feel about her appearance - I know that is a shallow thing to say, but if adults with teeth issues are self consious, think about a child. . . not to mention the numerous studies that link tooth and gum health to overall health.
I guess my advice is if your insurance covers it - i'd do it for the long-term health and well being of your child.
Good luck with your decision.
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M.D. answers from Washington DC on November 17, 2011
My son has had a few done and our dentist tells us it is necessary because they need to stay healthy to promote healthy adult teeth. Not fun for anyone involved though.
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S.P. answers from New York on November 17, 2011
I agree that a second opinion with a family dentist would be advisable, but I'll tell you my recent story for comparison.
I had a similar experience recently to the poster whose dentist took a wait and see approach. Also a family dentist (actually a gum specialist, but also family dentistry). I think family dentists tend to be more conservative in their approach than pediatric dentists. I choose not to speculate why.
My daughter (now 3) started to have her first cavity before she was 2. Still don't know the reason BTW. The dentist was unwilling to fill them when she was so young, and chose to wait and watch until it was absolutely necessary, and she was more prepared to deal with the process. We brushed with a stronger flouride toothpaste and went to the dentist every 3-6 months to have them professionally cleaned and checked.
At the last appontment he said that her teeth were "sticky" and needed to be filled. We had 4 teeth filled with no nitrous, no novocaine, and no trauma. He used a slightly less permanent filling with the idea that if it ended up falling out we could refill it later, but that he didn't want to traumatize her, or use any sort of anesthetic. I know people are very cavalier about using nitrous or other anesthetic to put their kids to sleep for dental procedures, but I consider it very dangerous. We had an older son who had a reaction when he was getting his wisdom teeth out. And Novocaine can hurt more than having the tooth filled if it is a small cavity!
Anyway, I was very happy about the way it worked out. Before I went into a more involved procedure, I'd get a second opinion.
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M.J. answers from Minneapolis on November 17, 2011
NO dont have them filled that is a waste of money, you have a choice and a voice, I know they can cap them with something i forgot the name, however they dont need to be filled. My niece had some cavities, and they just capped them with a sealant, because she was about to lose them anyway. Its ridiculous they are telling you to fill them.
Root canal for a bad baby tooth is completely different and the health of the gum is at risk then you need to do that, but just a few small cavities can just be left unless she is in pain.
1 mom found this helpful
A.L. answers from Chicago on November 17, 2011
I have a dentist friend and this is what he told me. If they are small you can watch them, but if they get a little bigger in a few months or start to hurt you need to get them filled or it will cause more damage to gums and nerves that remain. The longer you wait and the bigger they get the more expensive it is to treat them.
Don't assume she will lose them on time though, there are a lot of kids who do not lose them on schedule.
If they are truly small I would wait to see how they are at her next check up, and then if still there and not ready to fall out and are bigger I would have them filled. I have waited myself when I needed to for financial reasons and had no harm done, so my suggestion is to wait and see.
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S.D. answers from Austin on November 17, 2011
Well, my daughter just turned 4 and had four cavities - all on the very back molars. The dentist said it was important to fill them because those teeth don't fall out until she's 10 or so. The process was amazingly pleasant. The dentist had an incredible bedside manner referring to the drill as a tickle brush, the laughing gas smelled like strawberries, and she got two prizes for doing such a great job. My daughter even wants to go back! So, if it were me, I'd do it, but you might want to get a second opinion from another dentist.
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