Dental filling without anesthesia for 3yr old? - Mothering Forums

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#1 of 13 Old 08-12-2007, 11:57 AM - Thread Starter
 
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DS (3.5 yrs) had his first dental checkup- he did great, I finally found a dentist in the area that doesn't have that dumb policy that children need to go to the examination room unaccompanied by their parent (all pediatric dentists around here are like that). This is actually a family dentistry practice. The hygenist was great- very good "chairside" manner with children, upbeat and caring, put my son at ease right away. She actually even asked very naturally and not judgementally, "Does he still nurse at night?" When I replied yes, she said that could be causing the cavities, but again she didn't judge at all, or even hint that I should wean.

So he has 2 small cavities on his front teeth. She said that the dentist usually doesn't use anesthesia in such young kids if the cavities are that small...but if for some reason she starts the procedure and they aren't cooperative they will refer us to the pediatric dentist down the street (which I heard were completley anti-bfing).

Has anyone ever heard of this? I forgot to ask how quick of a procedure it would be, but even so it sounds strange to me...I don't know if getting a filling even hurts that much because I've always been given local anesthesia, kwim?

I did call one other pediatric dentistry in the area, and asked, they said they use laughing gas for young children when doing fillings- this sounds even stranger to me! Maybe I'm uninformed, but that just sounds terrible, especially the fact that they drug up your child in the room and do not allow you to be present!

I'm really nervous about all this, someone please put my mind at ease, and tell me what the "norm" is for pediatric dentistry- thanks!!!

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#2 of 13 Old 08-12-2007, 12:01 PM
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First of all, laughing gas is a wonderful drug and a great idea. It is non-toxic in appropriate doses, completely self-limiting, and easy to administer.


Secondly, the location of the cavity really does make a difference. I've had cavities filled without novocain...when they are on the top of my teeth. I didn't feel a thing
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#3 of 13 Old 08-12-2007, 12:06 PM
 
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my son has had several cavities filled without using anything. My dentist prefers it that way. Ds does fine with it. I believe he has had larger cavities done as well. (something about 2 layers or surfaces, I can't remember exactly the terminology he used.) He had his forst filling at 4. HTH
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#4 of 13 Old 08-12-2007, 01:02 PM
 
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If the cavities are really tiny then no novacaine should be needed. I suspect the side effects are worse then the benefits when the cavity is small (my ds ws very bothered by the taste, the "pinch", and the numbness of novacaine). The only problem would be if the child was squirmy and uncooperative and they needed to use sedation just to keep the child calm. That is when they would refer you to the other dentist, simply because their office is not set up for that.

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#5 of 13 Old 08-12-2007, 05:20 PM
 
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Originally Posted by ThreeBeans View Post
First of all, laughing gas is a wonderful drug and a great idea. It is non-toxic in appropriate doses, completely self-limiting, and easy to administer.

Yes it is! It's a good thing I don't work in a dental office!

My ds has had laughing gas for his cavities and local. First he gets the gas and then they give the shot. He's had two fillings and then a root canal. Oh, and our dentist uses a "hug blanket" which is more of a chair cover than a blanket. They place a heavy cover over the chair so that the child can not raise their arms to their face during a filling. They only do that for fillings and such not for regular cleanings.


Oh, and as for nursing.....there is no need to volunteer the info if not specifically asked. For example our dentist asked if he gets a *bottle* at night and I honestly said no. There was no need to say he nursed at night because really I know the research and I don't feel the need to debate that with anyone. Some kids just simply are more prone to decay for a variety of reasons. If you are concerned you could consider night weaning. With my older ds (the one with fillings) I stopped night nursing when he was two. Our bedtime routine was that we would read a story, he could nurse for a bit, and then we brushed his teeth in bed and we would cuddle until he was asleep. My younger ds is now 3.5 and does not have any decay so we still nurses at night a bit.
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#6 of 13 Old 08-12-2007, 06:02 PM
 
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Are you sure she meant that it was without novocaine and not "without sedation"?

Our ds has had cavities filled twice - both times with novocaine -- the dentist put some sort of numbing gel on the gums and then injects. He did great. Our dd, on the other hand, had some really deep cavities (yes, it was night nursing, they were all on her left side) and they sent us to a pediatric dentist who could do sedation.

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#7 of 13 Old 08-12-2007, 08:44 PM
 
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Originally Posted by LynnS6 View Post
Are you sure she meant that it was without novocaine and not "without sedation"?

Our ds has had cavities filled twice - both times with novocaine -- the dentist put some sort of numbing gel on the gums and then injects. He did great. Our dd, on the other hand, had some really deep cavities (yes, it was night nursing, they were all on her left side) and they sent us to a pediatric dentist who could do sedation.
I do not think it was just "night nursing". It could have been not brushing/flossing enough and food left on the teeth and then nursing at night created a bad environment. Just my thoughts.
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#8 of 13 Old 08-13-2007, 02:17 AM
 
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Originally Posted by doriansmummy View Post
I do not think it was just "night nursing". It could have been not brushing/flossing enough and food left on the teeth and then nursing at night created a bad environment. Just my thoughts.
Well, it's weak enamel (thanks dh), and night nursing well after age 2. But night nursing played a major role because it interacted with whatever sugars were left on her teeth. I still don't know how to effectively get all the stuff off the teeth of a 2 year old!

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#9 of 13 Old 08-13-2007, 03:20 AM
 
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Moving to the dental forum

"Have faith in yourself and in the direction you have chosen." Ralph Marston

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#10 of 13 Old 08-13-2007, 03:41 AM
 
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dd has had a few fillings, 1st one at 3 - no novocaine - our ped dentist said that the nerves in baby teeth are less sensitive than adults. my dd is pretty sensitive in general, and did just fine - it was real fast and not an issue.
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#11 of 13 Old 08-13-2007, 06:10 AM
 
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Rena just had 2 cavities filled yesterday. The dentist used laughing gas, I was there the whole time, and there was no blanket or anything. She laid there very relaxed and didn't seem phased at all. She can't wait to go back to the dentist

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#12 of 13 Old 08-13-2007, 10:12 AM
 
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We don't sedate for my son's cavities (he has Celiac disease and had some absorption issues). He does get laughing gas and he just sails right through!
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#13 of 13 Old 08-13-2007, 04:26 PM
 
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my ds and dd have both had cavities filled without freezing. i think it depends on how bad they are. they never complained about it hurting because i specifically asked them afterwards.

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