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Cavities- filling without drilling? And 2.5yo afraid of dentist office...  

post #1 of 3
Thread Starter 
Argh. We took my 2.75yo to the dentist today for a consult, and it didn't go well (that's putting it lightly).
When he saw the room, he refused to even go in it. The nurse got him in by showing him the goody box. He'd only sit in the chair, if I was sitting on it and he was on my lap. He let the dentist look in his mouth (after some coaxing and the dr. making a dog out of a balloon ), but REFUSED to let the hygienist clean his teeth. She was very nice, and explained everything to him, let him pick out his prize first, etc. I really like the way both of them treated him.

So anyways, he has 3 cavities. The dentist said that he won't give midazolam (Versed, I think) to kids that young (he said it usually just makes things worse). So he recommended putting a filling over the cavities, without drilling, freezing, needles, etc. He said it would take 5 minutes.
I asked if it would cause the cavities to spread, and he said it was a fluoridated filling (?) and that it would harden the decay so it wouldn't spread at all, basically would kill it. This would be a temporary thing until we can get to the point that we can either use sedation, or ds will allow dental work.

Is this type of filling a good idea?
I don't use fluoridated toothpaste for ds, and am not a fan of fluoride in water. But I can't say I'm terribly opposed to fluoride directly applied to teeth, especially in this case where ds has bad teeth, kwim?

I guess we'd have to try really hard to talk ds into letting the dentist work in his mouth. That is a possibility, because he did let the dentist look in and count his teeth, etc. But there's also a good chance that we'd have to hold ds down for it, too. The dentist said that we would definitely be allowed in the room the whole time, and we could help hold ds, or not depending on our preference (I'm sure ds would prefer me to hold him). And that if it got too bad, we could stop at any time.
I am not too awfully opposed to holding ds down (its not something I want to do, but I've done it in the past to brush his teeth a couple times, kwim?).
But I'm very concerned that if we hold him down, that the next time at the dentist will be even worse.

Ftr, he had a cavity filled when he was about 18 mos, and that's what we did. He sat in my lap, head on the dentists lap, and I held his hands down. It was SUPER quick, but ds was quite unhappy with it. I figured there was no way he would remember from that age, but maybe he did?

Our other option is to go to another pediatric dentist, and use some kind of sedation. They told me that they use different types. This other dental group is adamently against restraining kids (I talked to the receptionist). I dunno though, about using sedation (I imagine he'd have to be pretty sedated to have the cavities drilled, etc), when we can do a temporary thing with 5 minutes of pain-free work, possibly (probably?) holding him down.

Help! OH, and would it help at all for us to use rescue remedy or something?
post #2 of 3
Ah sorry you had a rough time today. We went through something similar so I can share some thoughts on this. When she was 2.5yrs, our daughter had a cavity I spotted on her molar. Took her to a holistic dentist in London and he scraped it out and filled it with the pink glass ionomer. No drilling, injection or anything. I lay down on the chair and she lay on top of me and her dad and I distracted her like mad while dentist scraped and filled. It was very quick and painless, although that scraping sound went right through me! urhghg!

Then after about a year I noticed that pink filling was gone. It was looking all black. Took her to a holistic dentist in Perth (Australia) this time as we'd moved, and he just poked it with that scrapy thing and he confirmed that the cavity had hardened over thanks to the glass ionomer filling which remineralizes and hardens the tooth. I was so relieved! I have since found out that this glass ionomer does have flouride in it. I'm not a fan of flouride and avoid toothpastes and water containing it, but with such a good outcome I might be persuaded to use this again in the future. Someone said the white composite filling contains formaldehyde so that ain't perfect either!

I suppose what helped was taking it very slowly and not forcing her, lots of distraction, and promises of stickers and whatever they like at the end. Read books about the dentist and/or talk about the dentist loads before you go. But at the end of the day you know your child and what will work. I must say I was pleasantly surprised at my daughter and how she managed to sit still just long enough for dentist to finish (because she's a wild child most of the time), and at 2.75 your son's a lot more "negotiable" than he was at 18 months. I think the preparation paid off.

Could you ask whether any of the cavities are small enough to wait till he's at least a little older, even 6 months when he has that bit more understanding, in the mean time make the nutritional changes to halt the decay? Or split the treatment up into 3 separate quick visits? Good luck whatever you choose and I hope I've helped a little.

Vanessa
post #3 of 3
Thread Starter 
You helped a ton! Thanks so much for responding.

I was wary of the fillings, but what you said sounds exactly like what the dentist was talking about. The fillings sound great!
I was thinking it was just a regular temporary filling, but it sounds like it's a different thing.

I am going to go to the library and get some books about dentists. And someone in another thread said to get a new toy before going, so we'll do that too.

I am so guilty of letting ds have juice and candy. He won't even drink water. But I'm really going to stop all that this time. He doesn't let us brush his teeth easily, though we do it twice a day. It's always a big chore. So we're going to stop the juice and sweets for sure. I don't really want to make it conditional, but I did tell ds yesterday (I was quite upset with him) that he couldn't have sweets and juice if he wasn't going to let us do what we had to do to keep his teeth healthy.

It's a great idea to split them up into different visits. I'll request that.

Thank you so much again, for your answer. It makes me feel like there's hope that we can do this without forcing it or restraining him. The dentist seemed to have a bit of a magic touch with ds too, so hopefully...that combined with toys will work!
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