Three year old with tooth decay

My son has allergies to dairy, wheat, soy, eggs, peanuts, and tree nuts. I am concerned that he is getting enough nutrition. His central incisors are browning on both top and bottom. He doesn't eat any refined or processed sugars however he does have high starch diet (potatoes, brown rice, rice milk,quinoa) I've taken him to his pediatrician and she believes that he is in wonderful health but attributes his teeth decay to nursing. He has been weaned a year and his teeth seem to be deteriorating in last few months. He brushes his teeth twice a day and both his father and I help him. He is also under the care of a pediatric dentist. I thought perhaps he was not getting enough calcium in his diet. He also takes flovent twice a day via a spacer for his ashtma. Could this be causing brown stains? Does anybody have any suggestions on who I could take him to for a second opinion? concerned mama

Water laser in pediatric dentistry?

I've heard of a new proceedure for use with kids who need to have cavities filled in baby teeth (and others): water laser. A laser is used to get rid of the decay instead of drilling. No novacane is needed. Does anyone know if there are any dangers, side effects, or other reason not to do this? Parent of kid with cavities

Fillings in baby teeth? Why?

Our almost seven year old just had two fillings done. The dentist wants to fill 3 more at $161 a piece plus $66 (each time) anasthetic over two more visits in the next couple of weeks. It apparently can't wait. They also want to schedule appoints every 6 months rather than annually. As a kid, I never heard of filling baby teeth (maybe I just wasn't listening about others) and we never went to the dentist more than once per year. We must pay for all of this ourselves and are already really struggling. Why do they insist on filling teeth that are going to fall out any time now? Thoughts please? thanks! waiting

That said, I've always refused additional fluoride treatments for my kids at the dentist, because they can cause permanent brown deposits on the enamel (we know kids with those brown spots). My kids have always drunk the local fluoridated water and they've had no fillings, at 15 and 12 years old. Maybe kids in areas without fluoridated water need the fluoride treatments.

I've also read that the areas (in Texas?) with fluoridated water where the protective effect was first noted also had water that was high in other minerals (magnesium, maybe?), which at least raised a question about what was really helping. I don't know if there's been more study on that.

I strongly recommend that you ask your dentist about ''sealing'' the adult teeth when your kids' adult molars come in, I think at 10 and 12. It costs as much as a filling, but it protects the tooth. The sealant can't be applied to baby teeth because it doesn't stick to them for some chemical reason. brush and floss

3-year-old needs a filling

I have a 3 1/2 y.o. who has had a cavity on one of her molars for about 2 years. I took her to the dentist over a year ago, who said we should put off filling it as long as possible, due to the complications of the procedure and a small child. She said to try to hold out until (at least) she complains about it...well, the time has come and I'm terrified! The tooth is pretty much eroded and she complains ocassionally that it hurts. My problem now is, what next' My insurance will cover a most of the filling costs, but as far as ''putting her under'' we'd be responsible. Are we talking thousands of dollars here' And, do we have to put her under, or would not doing it traumatize her for life' Also, has anyone heard of Dr. Laston in Berkeley' He comes up as a doctor who would best work with the insurance I have. distraught mom

When my daughter was 2, we had no dental insurance and I was stuck taking her to a dentist who was extremely anti-breastfeeding and judgemental. He physically kept me out of the room and pulled her tooth under local anesthesia while restraining her on a board. I found another dentist the second time through, someone who was trained for pediatric dentistry. There were some improvements: she discussed treatment with me and used valium for major treatments. However, my daughter was understandably fearful by this time, and the new dentist's solution was to punish her for crying by restraining her and threatening to keep me out of the room. By this time, it took weeks of preparation to get my daughter into the exam room without restraining her.

The next time we had a dental problem, I was more careful. We found a very capable dentist who understood that we were faced with overcoming my daughter's terror in the long term, not just a quick fix. She was frank about the problems (and a little judgemental) but created a treatment plan that took the trauma of dental work into account. We used valium and nitrous oxide for the treatment and although it was scary at the time, my daughter didn't remember a thing about it, which is the best possible outcome. The dentist was able to complete a root canal, cap the tooth, and clean the other teeth in a short time, all with me in the room. She said that pulling the tooth could have led to major problems when the adult teeth came in unless she inserted a spacer. She was in LA, or I'd give you her name.

When I moved here, she suggested that I contact the American Academy of Pediatric Dentistry http://www.aapd.org/, then interview the dentists I located. Ask about what strategies the dentist does with fearful patients, if they let you be in the room, their policy and experience with medication, etc.

Finally, don't go to a dentist who tells you or your child that you're at fault. A little sermon about brushing and flossing is ok, but that's it. Good luck! Sarah

Since then we've gone to back to Wampler et al. and worked with ''Dr. Arnold.'' I think they do a great job of building trust with children to be able to do work without general anesthesia. Our three and a half year old (despite her earlier fears) recently sat through a ''scoop and fill'' filling without local (it was pretty big, but not to the nerve). She's looking forward to going back to the next 2-3 appointments for her other cavities. We're paying for it out of pocket because they don't accept our insurance plan (Health Families Delta), but if the alternative is to pay a huge chunk out of pocket for anesthesia, it might be cheaper. It's actually been quite reasonable. Even though we've had quite a bit of work done, I suspect it's costing us less than a private plan that would cover dentists of this quality.

Two more things:

We've avoided Laston because we've heard negative things about him from friends and neighbors, and if I remember correctly had a phone conversation with him that left us underwhelmed. You might look at the other feedback about him on the website.

Also, although it might not help you're specific question, there's an interesting piece in a recent issue (July? 2002) of Mothering magazine that talks about recent research that's found that Early Childhood Caries (ECC) is caused by a particular bacterium, rather than primarily by the bottle or nursing or diet. Peter

5-year-old's first cavities

Our 5 yr. old son has to have his first two cavities filled. They are small and are between two adjoining molars. We'd like to hear about other parents' experiences with kids' first cavities. Our son goes to Dr. Wampler but we were disappointed by the brief time the dentist spent with him at the most recent exam. He did not reassure either my son or my husband about the upcoming procedure. We would like to know what the procedure is like. How much it hurts, and if we can expect him to go to school afterwards.

I chose not to attend the appointment only because my son is more babied by mommy. But my husband, who did attend, said it was not as bad as he expected. Unfortunately he had to have his hands tied down for the fear that he might try to reach for the dentist's hand or move. But with my husband near, my son felt safe knowing that daddy was not going to let anything happen to him. First he was giving laughing gas, and then a local anesthetic was inserted into his gum. It was not very painful, according to my son, but it did frighten him when the doctor placed the mask over his face and the needle in his mouth. The procedure lasted for about 45 minutes, but my son was a little drowsy after wards. We kept him home so that his dad could supervise him and make sure he wasn't experiencing any side effects. Luckily we had nothing to worry about.

The price, after my insurance kicked in was $81. I am not sure what insurance you have or how much your dentist will charge for the procedure, but I can't see it being more expensive than $120. The only thing I suggest is that you find someone who has a lot of patience with kids and is understanding with a child's fear of needles and doctors. The only bad experience we had was the dental assistant, who my husband said was not very pleasant. Otherwise, the dentist was great! Good luck with everything.

Silver vs. tooth-colored fillings for 7-year-old

My child is about to have his first three cavities filled. His dentist recommends tooth-colored fillings for the temporary teeth and then silver for the permanent tooth. This is actually the opposite of what I'd been thinking, so I wonder how others have made their decisions about this or what advice their dentists mayhave given them. I understand that tooth-colored looks better--but are also more expensive and take longer to put in--which is a consideration for a 7-year old. Thank you. LTR