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Toddlers and Cavities

  1. ALV91711

    grapefruit / 4668 posts

    @josina: It sounds like it will be one appointment. That is good that he wants to go to the dentist again!

  2. Snowybreeze

    apricot / 277 posts

    @josina: My son eats SO MUCH. and he still refuses to brush. 5 months ago, we had to tackle him down to brush and he would bloody scream. Then he started pointing to his teeth and telling us it hurts and cringes when he bit down on certain food. He was a few months shy of 3 years old at that time. We took him to two different pediatrician dentist to get a few opinions. We know for sure he has a cavity in the front top between two teeth. We can see it. The first place said it is very very tiny and not to worry about it but just keep brushing as best as we can. (They knew how bad he was when we needed 4 people to hold him down just so they can check his teeth- and all they did was open his mouth to look). Both dental place said that the front cavity is very small and that they don't see any other cavities. We were so relief. Just to step back, after the first place, he was still cringing and saying something hurts, so of course we were still worried, so we took him to another, and they said the same thing. One additional thing they told us was that one of his last molars was just 2/3 in and she suspected maybe that the tooth trying to come in was giving him some discomfort. 2 weeks later, he wasn't cringing anymore. Phew! but that isn't the last of our worries. Now 5 months later, he has gotten MUCH better at letting US brush him, no more bloody screaming. He still doesn't know how to rinse and spit out water. We are still working on that but he keeps drinking down the water (we give him bottle water just in case he swallows it). We've tried every trick in getting him to learn to spit it out. No luck yet. So here we are just praying he'll keep his teeth in tact until they are ready to come out on their own. The dentist said that they wouldn't be able to do any work on him with his behavior, even with the options of laughing gas, they need him to be "somewhat good". I couldn't even comprehend giving him laughing gas, I feel so bad thinking about it.

  3. Snowybreeze

    apricot / 277 posts

    @josina: wanted to ask how often did your little one brush? was reading some of the answers regarding genetics or hygiene. My daughter is 5.5 and still loves her bottle. She drinks it every night and although now she has cut out the in the middle of the night sessions, she used to drink a few times a night. She doesn't have a single cavity. She learned to brush/rinse and spit since she was 2.5 and has been diligently doing so twice a day. So I'm here to believe that milk doesn't play a huge part as long as they are brushing well.

  4. josina

    pomegranate / 3113 posts

    @Snowybreeze: We brush once a day always, sometimes twice and he's pretty good about brushing himself and letting me finish to make sure we got all the 'sugar bugs'. He's definitely not great about spitting which is why we just use a small amount of toothpaste.
    Thats great that DD hasn't had any cavities even with the milk at night! Genetics must play a part for DS since I have always had bad teeth also.
    My DD is also a horrible brusher, she's only 18 months and will 'chew' on the brush and screams/cries when I brush for her, but have to do it!

  5. Adira

    wonderful pomelo / 30533 posts

    @josina: Our dentist recommends brushing twice a day. They said a lot of cavities are caused by giving kids gummy vitamins in the morning on the way out the door and not brushing right after. Not sure if that's contributed to your LO's issues, but thought I'd mention it!

  6. Elizabear

    olive / 62 posts

    Hi everyone! I'm curious as to how your dentist diagnosed cavities. We've been going every 6 months since 2 but we haven't had any x rays yet. We are a milk at bedtime and middle of the night which is a terrible habit but works so well. Our dentist told to me to floss in between the molars which has me wondering if he saw something but didn't mention any cavities.

  7. Snowybreeze

    apricot / 277 posts

    @Adira: That's a good point. I am not too keen on those gummies. We get the ones from Honest company which is probably one of the lesser sweet gummies out there, but still contains visible sugar! When Olver started cringing in pain, I told my husband I think we need to stop with those gummies. I was never concerned about his vitamin intake as he eats everything and lots of it. So there was a debate between hubby and I. Of course Oliver is in his terrible threes (yup carried over from the terrible twos), and food is our bribe.

  8. Snowybreeze

    apricot / 277 posts

    @Elizabear: They don't normally do xrays until at least 5-6 years of age if i remembered correctly that's what they said. They basically just look for visible cavities and our question to them was "what if the cavity is in between two teeth?" We went to two places for a 2nd opinion, and both places told us that if it's in between two teeth, the cavity is minor and no cause for concern and not something they would treat at the moment for their age.

  9. Snowybreeze

    apricot / 277 posts

    @josina: So does he swallow the toothpaste? We do have fluoride free toothpaste but I was thinking it's just not worth giving, knowing he would just swallow everything.
    Yes- genetics do play a big part. My side of the family have a history of gum disease. It means we are more prone to developing gum disease even if we brush/routine the same amount as another person. It took me years to understand what needs to be done to get it under control. A little off topic- but similarly the way the teeth comes out is also genetic. For e.g. Both my kids have their baby teeth really close to each other, no gaps at all. and here we are thinking that was a good thing, until we took them to the dentist and he said "Beautiful teeth and smile! unfortunately she will definitely need braces". Both hubby and I had braces.

  10. josina

    pomegranate / 3113 posts

    @Adira: Well, we definitely need to work on brushing twice a day, but don't give gummies, juice, or any other 'major' sugar items.
    @Elizabear: Our dentist diagnosed visually and by checking soft spots initially. The pediatric dentist was able to take x-rays to confirm.
    @Snowybreeze: Yes, he swallows but we always use a small amount so I'm not too worried. And it is kid toothpaste. (funny enough the one time I used adult toothpaste he hated it so much he spit it all out, so an option I guess, lol).
    I think we definitely need the fluoride because we have well-water so don't get the benefit of fluoride water in the city.
    Interesting that the dentist already says she'll need braces. Luckily neither DH nor I had them, so fingers crossed.

  11. KT326

    GOLD / pomegranate / 3034 posts

    @Snowybreeze: just wanted to pop in and say our pediatric dentist and our pediatrician told us we can use fluoride toothpaste in lieu of fluoride drops since we don’t have fluoridated water. It’s perfectly fine for them to swallow small amounts (like a grain of rice size of toothpaste on the toothbrush).

  12. DesertDreams88

    pomegranate / 3580 posts

    @Adira: Thanks for the comment on gummy vitamins, we normally give them around 8 a.m. but we don't brush until about 12:30 as part of his nap routine. I am going to rethink that now.

    We have used a pea sized amount of flouride-free toothpaste since he was about 8-9 months. At 2 years old I started getting nervous about cavities so we added in a grain-size amount of fluoride toothpaste, in addition to the othertoothpaste, to mask the taste.

    The ADA recommendation is to use a grain size amount of fluoride as soon as the teeth erupt.

    I haven't ever encouraged LO to spit, but we wipe inside his mouth with a towel briefly.

    We use an electric toothbrush, which hopefully gets more.

    @gingerbebe had a great tip that we use: have/make your child lay down between your legs, with their arms under your thighs, so that they are immobilized. Brush quickly while singing a simple song. At the end of the song, stop brushing and cheer and clap.

  13. josina

    pomegranate / 3113 posts

    Thought I'd give an update for anyone else dealing with this...
    It has taken forever to get this far after the dentist we were referred to was first on vacation and then just not answering emails/calls at all, so we went with another pediatric dentist who is amazing - but also super busy!

    We ended up scheduling 3 appointments for the fillings, first was last week. We talked up the dentist a LOT with DS, telling him what they were going to do, the noises, etc. He was totally fine and excited to get a toy. At the dentist he got nervous when it came time to lay back so we had to coax him /semi-force him, and immediately did laughing gas which helped SO MUCH. He was great for what ended up being a crown, and 1 filling, and took about a half hour total.
    He loves showing off his shiny new tooth.
    Thankfully the rest will just be fillings.
    We were also able to get dental insurance to cover $1k of it, so we're thinking around $500-600 out of pocket. The laughing gas was not covered by insurance so was $55 day of.

    Luckily DD (1-1/2) had her first appointment and her teeth look great!

  14. snowjewelz

    wonderful kiwi / 23398 posts

    @josina: So glad it went well! Both girls have an appt coming up this month; I'm so nervous!

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