J.K. asks from Condon, MT on May 26, 2010
Son Having Oral Surgery
My 3 year old son has an infected tooth that the dentist we saw says should just be pulled. It is a molar that will usually not come out till he is 10-12 so if they pull it, he will be without a tooth for a long time. Here's my question. They want to do it under general anesthesia and also fill a couple other teeth that have cavities. Is this necessary or will he do ok with just "laughing gas" This dentist says it is less traumatic to be completely out, but that involves not only a $400 anesthesia charge, but also a facility fee and the actual dentist charges. Our dental insurance does not cover any of it so we are probably looking at $1000 or more for this. What do you all think?
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O.D. answers from Philadelphia on May 27, 2010
I would go to another dentist. My kids go to a pediatric dentis and she has never suggested total aneshesia. My little one who was 5 at the time, had a few cavities for which we had to go 3-4 times and each time she had local anesthesia. When one molar got infected, we tried fixing it and even then, only local anesthesia was done. The molar got infected again so they had to pull it out. Local anesthesia was used and there was no problem.
I would not go for general anesthesia. It is risky. Even for adults, total anesthesia is risky. Imagine for the little ones. Try to get another dentist and see if you can do it with local anesthesia and maybe laughing gas.
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B.R. answers from Springfield on May 26, 2010
Hi J.,
Two of my kids ended up having dental surgery with anesthisia for decayed teeth. They were both under 3 years old. I understand your nervousness. I was more of a wreck than the kids were. They pulled through fine but as other moms have said it's always a risk.
We used some homeopathic remedies before and after (right before and right after in the recovery room) to help with pain and to promote healing and de-toxifying.
Also my dental insurance didn't cover the surgery but my normal medical insurance did becasue it was done in the local hospital operating room not at the dentist's office. You should check to see if yours does too.
Good luck.
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A.L. answers from Philadelphia on May 26, 2010
I'm having the same issue with my daughter who is 5. It's either surgery or come back at least four different times for them to fill all the cavities and take out the tooth that needs to be extracted. I HATED (still do) going to the dentist and I really think that if I take her back four times for fillings that she will start to hate it, too. I don't want that which is why we decided to go for the surgery.
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D.M. answers from Detroit on May 26, 2010
Hi J.---I think a lot depends on your son. But I personally would avoid general anethesia if at all possible. It is very serious and has risks involved. I think the trauma that dentist is trying to avoid is for his own purposes. It will be much easier for him to work on your son that way. Ask your dentist if he would reduce the costs for you as you are paying out of pocket.
Have you gotten a second opinion? Be sure you are confident in know how the two different types of 'anesthesia' work before making a decision. Good luck. D.
L.C. answers from Washington DC on May 26, 2010
Get a second opinion.
YMMV
LBC
C.A. answers from Atlanta on May 26, 2010
With him only being 3 years old it might ruin his experience with the dentist. My mom has horror stories of her dentist experiences-granted that was years ago and she was even older than your son but it scarred her and luckily she always made sure her kids were well treated. When our wisdom teeth came in she insisted that an oral surgeon do it instead of inside the dentist office because her experience was so bad. Your son however might be completely different and might do okay....how about putting him on laughing gas to get the cavities filled and see how he does? If he can't handle that then I would say for your own sons comfort maybe putting him under is the best even though its more expensive to do.
Also since it is not being paid by insurance ask them since you are a self pay if they will offer you a discount. If they are a good dentist office they will offer some sort of discount or payment plan for you. Good luck!
O.D. answers from Philadelphia on May 27, 2010
I would go to another dentist. My kids go to a pediatric dentis and she has never suggested total aneshesia. My little one who was 5 at the time, had a few cavities for which we had to go 3-4 times and each time she had local anesthesia. When one molar got infected, we tried fixing it and even then, only local anesthesia was done. The molar got infected again so they had to pull it out. Local anesthesia was used and there was no problem.
I would not go for general anesthesia. It is risky. Even for adults, total anesthesia is risky. Imagine for the little ones. Try to get another dentist and see if you can do it with local anesthesia and maybe laughing gas.
D.S. answers from Allentown on May 26, 2010
Hi, J.:
Get a second opinion. Good luck. D.
C.K. answers from Philadelphia on May 27, 2010
I would let them put him to sleep. Yes everytime you go under anesthesia it is a risk but I think it would be worth it. Otherwise it will be a painful, traumatic experience.
Although most dental plans wouldn't cover anesthesia for this procedure with your son's age and the amount of work needed to be done they may make an exception. Call your Benefits Manager and see what the procedures are. Good Luck!
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