I have been searching in the archives and everywhere i possibly can for some answers as to why my beautiful otherwise healthy 2yr old dd has decay on her little teeth and i am still stumped.
Here is my story:
Around 12mths my dd had a bad case of thrush. I was prescribed Nystatin. One night while trying to wipe her tongue i noticed one of her incisors that had just come in had a small pin size hole in the front. Then a few days later i noticed the other incisors had a discolored indentation across the top! I frantically called the dentist and took her in. To my horror the dentist told me that she had decay in all of her top teeth (she only had 4 at the time) and they would need to sedate her, strap her to a papoose board and cap all of them asap! I was shocked and full of questions that no one could answer. They painted her teeth with fluoride varnish scheduled her procedure for sept, 4 mths later (so much for asap) and sent me on my way. I went home and started reading...
First i researched the fact that she had thrush and the medicine that they prescribed to her to treat it. Then i called all of my friends to find a dentist that would talk to me! Well one yr later i am happy to say that i have a great respectful very conservative dentist and my dd has not been strapped down. We have been "playing" at our dentists office every week for about 5 mths and she feels very comfortable there. Her teeth do not look great but they are getting better (i believe). Her front 2 teeth have some demineralization, both her incisors have decay one on the back and front, and she has a cavity in one molar. We are watching them very carefully and slowly doing what we can. She was able to get her two incisors filled without sedation and without trauma. It took 2 hours, but we were on my dd's time and she was very cooperative and smiling throughout :). I have changed her diet, brush several times a day with fluoride tp, give her mi paste twice a day and chew xylitol gum and use other xylitol products as much as possible.
I feel like we are doing what we can in the situation without traumatizing my dd, but i still have questions and i am still very concerned about her now healthy teeth. My biggest question is to whether or not i should night wean my dd? She loves her "mo mo" and would be so upset if i did not let her have it for "nigh nights" Even if i were to restrict her at night, how will i get her to sleep without nursing after brushing? I have begun to detach her if she falls asleep and is still "sleep-nursing" That way if there is any pooling she will swallow, but i am sure she still has bm in her mouth while she sleeps.
Our dentist does think this is a contributing factor but has not said to wean her in any way. She understands that my dd is "more than her teeth" and would never judge me for continuing our nursing relationship :) I am so thankful to have found her :)
I do fear that if i night wean that maybe the decay will become worse. Maybe the night nursing is not contributing to the problem and it is actually slowing it down? My reading had taught me a lot about the mouth chemistry and one theory i have is that night nursing may help keep your saliva flowing. I notice my dd is a mouth breather and until she nurses her mouth is very dry while she sleeps.
what do you all think about this?
If you have a dc that has or had ecc did you night nurse? Do you think it contributed to the decay? Did you night wean and see improvement?
Thanks for reading.
Hope to hear many thoughts on this topic.