October 16, 2010,
A.H. asks from Hurst, TX on April 25, 2007
My 2 Year Old Needs Silver Caps on Her Teeth, Should We Put Her Through That?
I took my daughter to the dentist for the first time today cause my husband and I noticed some dark spots on her molars. Well, she has a couple small cavities and four large cavities that need silver caps. Because she is under 3 they have to do the procedure in the hospital because they have to put her completely under anesthesia. I am very nervous about this. My daughter doesn't seem to be in any pain so we are going to go for a second opinion to see if this is absolutely necessary. Anybody else have this experience? I would appreciate any feedback. Thank you!
1 mom found this helpful
So What Happened?™
I ended up taking my daughter for a second opinion. I'm so glad I did because he told me she only needed 2 silver caps and a few fillings and they gave us the option of having it done in the hospital or their office(which they've done before with no problems). She had the procedure last week in the office and had to be anesthetized but everything went great. I would highly reccommend the dentist that did the procedure so if anybody is looking for a great pediatric dentist just let me know! Thank you all for your advice!
N.K. answers from Dallas on April 25, 2007
My daughter went through the same ordeal at 3,she is now 11 and they have all left along with her baby teeth. I suggest it be done because the cavaties will grow onto the others and it will be worse on her later.N.
M.B. answers from Dallas on April 25, 2007
I would not worry too much about the anesthetic procedure as I would about the materials they're planning on using for the dental work. My younger son had to be knocked out for early dental work and he had no issues with the anesthetic part, but the "silver" materials they used contain mercury, which is toxic. Here's a summary of the scientific literature documenting that:
If your dentist says that it is safe because the ADA says it is, I would suggest you find another dentist. Other materials are more costly and harder to work with, but they're well worth the cost and effort.
I'm speaking from experience as we made a huge mistake and let them put "silver" fillings and caps in both my sons as they too had lots of problems when they were young due to lack of enamel on their baby teeth. I did not learn about the hazards of the mercury until several years later when we all started having health issues. My younger son and I both had toxic levels of mercury in our bodies.
More importantly, the problems with their not having enamel on their baby teeth was due to my having celiac disease and thus nutritional deficiencies while I was pregnant with them. Celiac disease is genetic and it's an intolerance to the gluten found in wheat, rye, oats and barley. So, both you and your daughter should be tested for celiac disease. Here's a journal article on this topic in case either the dentist or pediatrician doubts this suggestion:
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C.L. answers from Colorado Springs on January 12, 2010
My 5 year old needed a tooth extracted and baby root canal and a cavity to be capped. dentist wanted to do one at a time. We did take her for a 2nd opinion and the diagnosis was correct. They suggested doing it at the hospital under completely just to get it all done at the same time. Thus the child would not have bad experiences at the dentist. We took this option, she needed a physical first . She had the procedure. missed one day of kindergarten. Hardly any pain at all.
C.P. answers from Des Moines on March 18, 2010
I am about to have that operation done on my daughter who won't be 2 until may 1st... I was a bit apprehensive about getting it done but had an adult dentist that is a friend of mine to take a peak at her and he felt that she should get them too. My biggest problem was getting her off milk at night and that's what got her teeth so bad. she has cavities in her top teeth and they can do those with white fillings and and white fillings on the bottom but they said they don't do white caps only silver caps for the bottom. made me sad because it's only her two middle bottom teeth that need it... i didn't know much about the mercury i think i believe she said it didn't have any but i'll have to double check on that and do some more research. it was reassuring to see this post and all the responses included... i have a feeling i will cry when they take her from me monday morning... =*(
K.H. answers from Dallas on April 26, 2007
if your child has cavities they definately need to be taken care of because if they get really bad then it can lead major infection which can get into her whole body. however you do not have to use silver caps, this is just the cheapest way to go. i used to work for a dental lab & we made crowns & bridges & have done lots of work for kids. ask your dentist about alternatives for silver caps, but keep in mind they will be more costly. also many labs offer more than one kind of silver that may not have such a high mercury content as the cheapest. the only thing i would worry about it allergies to the metal, if there are none & you are only concerned with how the silver caps will look keep in mind that they are baby teeth you are repairing & you may not want to spend that much for only a few years until adult teeth come in.
T.O. answers from Dallas on April 25, 2007
I hope you get some good advice.
I did not have your problem, but my daughter had bad teeth and had MANY cavities filled starting at age 5. Her teeth were horribly crowded (since then she's had 5 pulled, some of them were permanent... she's 13 now)and she was a big juice drinker, which together with the crowding really didn't help the growth of cavities.
We did have sealant put on all her teeth except the front after the first round of cavities. You may want to do the same.
I would get a 2nd oppinion.... don't know what dentist you went to but we used to go to Dental Care 4 Kids in Flower Mound and they were wonderful.
S.M. answers from Dallas on April 25, 2007
When my son was 2 he underwent anesthesia for dental work. I would say that yes your daughter should get the caps. Those cavities can get worse and cause damage to the nerve. My son has a silver cap on one of his molars. My other suggestion is that once her permanent molars come in get them sealed by your dentist. Our insurance company covers it but even if they didn't I'd still have it done and pay out of pocket for it.
M.F. answers from Dallas on April 25, 2007
The cavities can cause further damage if it's not taken care of. I would get a second opinion, but I'd also want to investigate why a child so young has teeth that are in such bad shape. Does she have some sort of chronic illness or nutritional deficiency (like celiac disease)? Does she eat a lot of sugary foods and drinks?
V.B. answers from Dallas on March 08, 2010
what is the dentists name i noticed you are in hurst we take my grandson to one in fort worth he already put 7 silver caps on now he wants to do more my grandson brushes his teeth 2 times a day and we have cut out alot of the sugar intake i don't know if the dentist is silver teeth happy or what but we really need a second opinion please send a response