Join Date: Jan 2004
Location: One Step Closer to Insanity
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First, it could be tarter. Second, and I do not want to alarm you, but it could also be early signs of decay. Early decay starts as demineralization of the tooth, resulting in a chalky-white appearance. In kids this age, it is referred to as "Early Childhood Caries" (or ECC). ECC typically affects the top 4 front teeth first, and usually appears on adjacent teeth. It can progress rapidly. (Do a Google search and you will find lots of info. and photos.) As the mother of a child who has been down this road, I can assure you this is not something to mess with. We caught my son's problems early and we have stopped the decay without having to do anything restorative (like drilling, caps, crowns, or root canals).
I would do some searches and if you are concerned, see a PEDIATRIC dentist. This will undoubtedly upset your dd, but in the long run, it is for her health, and sometimes we have to do things that are not pleasant b/c it is the right thing to do, even if it greatly upsets our kids. (You wouldn't keep her from having a bone set if she broke her arm, would you?)
In terms of treatment, there are loads of options available. What you might want to start with is using xylitol containing products. Do a Google search and you'll understand why that is helpful.