Tag Archives: space maintainers

Pediatric Dentistry

What Can I Do About My Son’s Broken Baby Teeth?

Hi,

Our family dentist is recommending an extraction for two of my son’s back teeth. She found that some of his back teeth have broken from decay and have cavities. However, he is only 7 and still has his baby teeth. Isn’t he too young for extractions? What should I do?

Thank you,

Noel, from Charleston, South Carolina

 

Hi Noel,

Yes, your family dentist is correct – your son does need these teeth extracted. If these teeth are not removed, the decay can spread down to your son’s jaw and cause more problems down the line. If your son had his adult teeth, a root canal would be an option, but it’s not available for baby teeth.

When certain baby teeth are extracted, a space maintainer can be placed in your child’s mouth. Space maintainers are placeholders, and will prevent your son’s molars from growing in sideways.

If you dentist did not recommend these to you, you should seek a second opinion from a pediatric dentist. Dentists with additional training and experience in treating children would be your best option.

For more information on how to prepare your son for his upcoming appointment, you can check Dr. Peck’s dental tips for parents page.

This blog post is brought to you by Phoenix pediatric dentist, Dr. Hillary Peck, of Peck Family Dentistry. Please note that pediatric dentistry is not a specialty recognized by the ADA, but Dr. Peck is comfortable and experienced in treating the needs of children.

 

Pediatric Dentistry

Pediatric Dentist Missed Long Coming Cavity

My son has a bit of trouble at the pediatric dentist’s office. We’ve only been twice, but both times they were unable to get x-rays on him. The exam and cleanings seem to go fine. The x-rays scare him. Both times, they’ve sent us on our way saying everything looked fine. Then, two days after our last appointment, he came to my room crying with a toothache and massive fever. I gave him some pain reliever and called the pediatric dentist. They weren’t open, so I called my dentist who agreed to see him. Thankfully, because he turned out to have a massive tooth infection on his back molar. My dentist was able to give him an x-ray without any problem. The decay was so bad he couldn’t save the tooth, which worries me because it was a molar. He gave him some dental sedation and extracted the molar right there. He said that cavity was a long time coming. How did the pediatric dentist miss it?

Lucy

Dear Lucy,

A child holding a teddy bear at the pediatric dentists office

It’s hard to say why the pediatric dentist missed it. I’m curious as to what your dentist did differently than your pediatric dentist which helped your son feel comfortable with the x-rays. It sounds like your family dentist is good with children. If you’re not satisfied with your current pediatric dentist you may consider you and your son going to the same practice. It’s perfectly fine for general dentists to treat children if they’re good with them.

I’m glad your dentist was able to deal with the infection so quickly. That could have turned out horribly if it spread further. You’re right it’s a shame that the molar couldn’t be saved. Hopefully, your dentist placed a space maintainer there for him. Otherwise, your son’s teeth will shift and cause crowding in his teeth. That will mean expensive orthodontics. You definitely don’t want to deal with that.

Effective Pediatric Dental Care

You’re wise to take your son to the dentist regularly. Too many parents wait until there’s a dental emergency to bring their children to the dentist. That makes their first experience a negative one, which often leads to dental anxiety.

It sounds like he responded well to dental sedation for the extraction. That’s good news too. The goal in pediatric care, along with good oral health, is to feel positive about the dentist.

Hopefully, this infection hasn’t completely thrown him off and he can enjoy going again.

This blog is brought to you by Phoenix Dentists Drs. Kevin and Hillary Peck.

Pediatric Dentistry

My pediatric dentist refuses to make a dental flipper

I need some advice. My pediatric dentist absolutely refuses to make a dental flipper for my son.  He’s three years old and lost a front baby tooth in an accident. I keep hearing how important it is to replace missing teeth in children because of shifting, but my dentist absolutely refuses. She says toddlers can’t do the procedure. I think she just can’t be bothered working with him because he’s so young. But, why did she go into pediatric dentistry then?

Brooklyn L. – Minn.

Brooklyn,

I wish your dentist had a better chairside manner and took the time to explain things for you. It is only a child’s molars that require some form of replacement. Otherwise it could cause shifting as you mentioned. That is because molars aren’t replaced until around twelve years old. Permanent front teeth come in much sooner.

However, even with molars a pediatric dentist wouldn’t make a flipper for the missing tooth. Instead, they’d place a space maintainer. That just holds the space so things come in properly when it’s time.

Despite her poor manners toward you, she’s right that a toddler wouldn’t easily tolerate the procedure for a flipper. Plus, because they’re so easily removable, they’re a choking hazard.

This blog is brought to you by Drs. Kevin and Hillary Peck.

 

Pediatric Dentistry

Does a child’s molar HAVE to be removed?

My son has an infected molar.  The dentist is recommending it be extracted. Is that necessary before they even try a treatment?

Olivia M. – Massachusetts

Olivia,

Adult tooth infections can often be treated with a root canal.  children’s teeth can sometimes be treated with a similar procedure called a pulpotomoy. However, with molars this never works.  If the tooth is infected it will have to be extracted.

Make sure your pediatric dentist also places a space maintainer where the tooth was.  It will be many years until his adult molar comes in.  You don’t want his teeth tipping or shifting into that place.  It will cause crowding and other orthodonitic problems later on.

You also don’t want to leave the infection.  It will spread and cause other serious problems.

This blog is brought to you by Phoenix Dentists Drs. Kevin and Hillary Peck.

 

Pediatric Dentistry

What is a pulpotomy?

I’ve been told my daughter needs a pulpotomy, but I’m unclear what it is. I know it has to do with her infected tooth, but its just a baby tooth so won’t it fall out anyway?

Serina- Detroit, MI

Serina,

Think of a pupotomy as a root canal for baby teeth. With this procedure, most of the pulp of the baby tooth is removed. Then the tissue inside the roots is daubed with a disinfectant. The tooth is then sealed and covered with crown. Unless you’re talking about a molar, it is unnecessary.

I know that her teeth are falling out anyway, but you want to keep her molars until she is about 10 or 12 years old, when her adult molars come in. If you don’t her teeth will become bunched together.

There is an alternative treatment of extracting her tooth and placing a space maintainer.

You may be interested in reading about pediatric dentistry.

This blog is brought to you by Phoenix Dentist Dr. Hilary Peck.