I am a lurker here at Mothering, but I have encountered a situation which I would like input on, and I have heard raves about SmileMomma's help.
My daughter is 3 1/2 and is still nursing. She nursed quite a lot at night until I nightweaned her at about 2 1/2 primarily due to recurring ear infections. She is allowed very little sugar and we cut her juice (when she has it) by at least 50% with water. We faithfully brush her teeth twice a day.
I noticed a problem with her front right incisor at the gumline and dh took her to a pediatric dentist yesterday. I am very upset with the findings.
She has 12 cavities.
They have recommended we switch to a flouride toothpaste. (We had her on the non-flouride as she still tends to swallow the paste.) They need to put a crown on one tooth. They have recommended a combination of amalgam and composite fillings for her teeth (Composite on visible teeth and amalgam at back.) They have given us the option of doing the work in one session under GA or 4 sessions with local anesthetic and nitrous oxide.
I have three people in my family (though I am not one of them, neither is dh) with extremely "soft" teeth which are prone to decay. My mom has put thousands of dollars into her mouth and my youngest brother has had even more. They all care for their teeth fanatically and still have problems, and it seems that my baby girl takes after them in this regard. <sigh>
I am extremely uncomfortable with the mercury risk in the amalgam fillings and would prefer to pay the higher amount for all composite, but my husband understood that the amalgam was preferred for molars due to safety/stability issues. Are these issues a concern? Is the stability risk any greater than the mercury risk?
We are also very, very
uncomfortable with the idea of general anesthetic. Are there any risks with the local/nitrous combo? Should I be concerned that the first treatment will be traumatic and cause her fear to return and complete the other treatments?
How can I make this as easy as possible for her? Any tips or tricks to explain the process in a non-frightening, developmentally appropriate way?
Thanks in advance for any info, experiences, or links you can share!