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If your DC has SI issues, what type of tx did you do for cavities?  

post #1 of 3
Thread Starter 
DD is extrememly sensitive and has many SI issues. She also has 8 cavities we need to take care of. Supposedly they weren't there at her appt 6 mo's ago, but now they are. I find it hard to believe that they just appeared in 6 mo's, since the dentist is saying she may need to have two crowns, but we've just moved and maybe this dentist is better than the last one we were going to. That's another story / question though, because I know they need to be taken care of, the question is how.....esp. w/ a kid w/ SI issues?!

Dentist #1 has this tx plan: 1st visit, one lower quadrant, fill maybe crown two cavities. 2nd visit, one upper and one lower quadrant, fill four small caviites. 3rd visit, one upper quadrant, fill maybe crown two cavities. He wants to use novacaine (sp?) and nitrous oxide at all visits. I can be there, but can't talk (ok fine, I understand the reasoning) but they wanted me to sign a form saying I would leave immediately if DD started "acting out". I didn't sign the form, and absolutely will not leave her alone, so this isn't the dentist for us.

So, we're going to Dentist #2 for a second tx opinion (we know there are cavities that need to be fixed, I just need to explore all tx options) next week.

Dentist #1 said that if he couldn't do it in 3 visits, he always refers out for sedation. I'm thinking....you'll be lucky if you get DD thru 1 visit, much less me having to bring her back for 2 more once she knows what's going to happen.

The question is though....what to do tx-wise?? I've read a gazillion posts of pros and cons of nitrous, GA, sedation, etc, here, but I'm still confused. I'm terrified of GA and sedation (and DH is especially terrified as he lost a dog under GA....I know, a dog not a child, but it still impacted DH and he's not happy about GA or sedation). But, how does one decide? Our sitter is a dental hygenist, and she recommended sedation, knowing DD well and her sensitivites. I'm not sure I can do it though, but the alternative is having a child absolutely freak out w/ things on her nose and rubber dams in her mouth and everything.

Maybe I'm talking myself into sedation, and I know I'm rambling. I don't know how to decide though.

It doesn't help that I am extrememly dental phobic myself and can barely hold it together just to take DD to a cleaning. I'm trying not to enter my story in to the picture, but it's difficult. Our sitter said sedation is great because then kids don't get scared of the dentist and turn in to adults like me.

Any thoughts or advice? TIA and thanks also for reading a rambling, "I can't believe she has 8 cavities" shocked post.
post #2 of 3
My son is nine and has a lot of sensory issues along with ADHD. He is terrified of things like the hook, the water squirter, and the water suctioner, let alone a drill. He doesn't like laying back in the chair or having the light in his eyes. Having a very nice dental assistant who explains everything helps him get through cleanings. Oral sedatives have not worked because they make him hyper. Laughing gas is not enough to calm him down. It is impossible to tell if he is screaming from pain or fear when he has had work done. He's also been traumatized from having work done without his permission.

We had some work done a few years ago under general and it was so much easier.

Last time we went he was very nervous from the beginning and started screaming when they tried to put q-tips with numbing gel in his mouth. So the dentist sat him back up and told me he would definitely need general again. I was so thankful! He has had enough trauma and I honestly don't think he will ever be able to go to the dentist without severe anxiety.
post #3 of 3
My son who is 5 has sensory issues as well.
I would only let them do 1-2 teeth at a time.
Go in for a mock visit and have him try the laughing gas mask on etc
Headphones with music or book on tape, this will help with the scary sounds.
Rescue Remedy helped my son be more calm.
Sunglasses for the light.
Find a dentist that will not talk down to your son about him being scared you need someone that will explain everything and be supportive of your son.

Big hugs to you mama. I know this is sooo hard.
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Mothering › Forums › Health › Health and Healing › Dental › If your DC has SI issues, what type of tx did you do for cavities?