Tag Archives: pediatric dentist

Can a Dental Infection Cause a Fever?

I tried to schedule an emergency dental appointment for my daughter with her pediatric dentist because she said her tooth hurt. Because she had a fever as well, I assumed there was a dental infection there. My pediatric office sort of dismissed me and said that dental infections don’t cause fevers. Maybe I am missing something, but I was under the impression that any infection can be present with a fever?

Carla

Dear Carla,

Young girl in a dental chair smiling

While, technically, any infection can cause a fever, it is not a common symptom of a dental infection. That being said, I don’t think your pediatric dentist should have just blown you off. You were obviously worried about your daughter and there were some legitimate reasons to wonder if it had to do with a dental issue.

You didn’t say if it was her upper or lower teeth. Sometimes, when upper teeth are hurting and there is a fever present, the thing to check would be for a sinus infection. Our upper teeth are close to our sinus cavity, so it is not unusual for the pain to radiate to the mouth and for it to feel like the teeth are hurting.

It was wise for you to call. Dental infections can quickly turn into dental emergencies rather quickly. If your child’s dentist isn’t taking your concerns as a parent seriously, it is time to find a new dentist for her. There are general dentists who are good with children. That may be an option for you.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Angry with Pediatric Dentist

I am so upset right now I am shaking. I had my daughter in for a checkup and he told me there is a cavity on a back tooth and he’ll need to do a pulpotomy. I had some questions. First, what is a pulpotomy? Second, why can’t we just do a filling? Third, if it is a baby tooth, why can’t we just extract it and let the adult one come in? Rather than answer ANY of my questions he said, “Do you ever get tired of questioning experts all the time? Maybe you should trust I am the dentist and know what I’m doing.” I don’t think my questions were unreasonable. AND this is MY child. Not his. Would you mind answering the questions for me so I can decide what to do?

Jennifer

Dear Jennifer,

Four Smiling Children

I am sorry that you were treated this way. I will be happy to answer your questions. Before I do, I am going to suggest you find another dentist for your daughter. You need someone who is on your side and willing to answer every single question and concern you have. It does not have to be a pediatric dentist. There are family dentists who treat both adults and children. Now for your questions.

A pulpotomy is a child’s version of a root canal treatment. They are less involved than the adult versions. It is typically reserved for back teeth and is a last resort at saving the tooth that is infected. This leads to your second question.

If it is a matter of a simple cavity, then a filling will be all she needs. I recommend mercury-free composite fillings as the safest option. Once the cavity spreads to about 30% of the tooth, then a filling will not be enough and you would have to get her a dental crown.

Only if the tooth is infected would you do a pulpotomy. You did not mention that your daughter had an infection in the tooth, just a cavity, so that makes me wonder. It may be in her best interest to get a second opinion.

Your final question was a good one as well. In some cases, it is fine to just extract a baby tooth and wait for the adult tooth to make its appearance. Back molars are different. They have to last until your child is around twelve years of age. Otherwise, that space is left open for too long waiting on the adult molars. The adjacent teeth drift or tip into the spot. When the adult teeth finally do arrive, there is not enough room for them, which leads to crowding and the need for orthodontics.

If a back tooth does have to be extracted, her dentist would need to put a space maintainer there in order to keep the rest of the teeth in place until her adult tooth arises.

I hope this helps.
This blog is brought to you by Gilbert Dentist Dr. Matt Roper.
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My 5 Year Old’s Teeth are Rotting

I have a difficult 5-year-old. I do brush her teeth, but she is a nightmare when I do it. Actually, she’s a bit of a Tasmanian devil. This is especially true in the dental chair where she refuses to cooperate any time they try to do work on her. She now has one molar with a cavity, two that the dentist is saying need to come out, and decay on several other teeth. What is your recommendation for something like this? I don’t know how to get the work done for her.

Patty

Dear Patty,

Young girl in a dental chair smiling

I can tell you are worried and want the best for your daughter. I do have a way for your daughter to get the dental care she needs with minimal fuss, but I am also going to suggest some tough love to help in the long run with her oral health care. The extensive amount of decay you are describing at her age is almost always a result of constant snacking and drinking.

Our saliva is a big help in the fight against decay. It contains minerals that help fight bacteria between meals. But, when we are snacking or drinking (with the exception of water) too often, it doesn’t give our saliva time to do its job. This leads to extensive decay, even when we have good oral hygiene.

I’m going to strongly recommend you don’t let your daughter eat between meals for a while. She won’t starve and it will help her be hungry for the nutritious meals you make rather than snack throughout the day and not get the value out of the healthy food you make. Juice and soda should also be limited because of the citric acid and sugar contained in both of them.

When you have a child who will not cooperate with their pediatric dentist but there is important work that needs to be done, you may have to use dental sedation. This is sometimes called sleep dentistry because even adults are so relaxed when they use this aid that they can sleep through their entire procedure.

What you don’t want to do is put off this treatment at all. Tooth infections are considered dental emergencies. This is because our jaws are close to our hearts, lungs, and brains. A dental infection can turn life-threatening quickly.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Can I stay with my daughter during a sedation dentistry appointment?

My pre-school aged daughter has a significant-sized cavity on one of her back molars. Her dentist suggested using Nitrous oxide to sedate her, in order to place a filling. On the day of the appointment, I was told I could not go into the room with her for the procedure. She is three! Furthermore, in those three years, she has never been sedated. When I questioned this, I was told it was office policy and there was no way around it. Therefore, I canceled her appointment. Is this a common policy? It seems ludicrous for a parent not to be allowed to accompany a three-year-old for a dental procedure, especially one which involves sedation.

Thank you,
Mindi

Dear Mindi,
The presence of a parent during a dental procedure is really the choice of the provider. Oftentimes, the nervousness or fear that a parent is experiencing during a dental procedure is very obvious to the child, and, therefore, wears off on the child. Parents may say things like, “squeeze Mommy’s hand if you’re scared, or if it hurts, ” thus, letting the child know that being scared of feeling pain is an option, when they otherwise may not know this. Sometimes, it is easier for everyone if the only person the child has to focus on is the dentist. This also allows the dentist to give your child and the procedure he or she is performing their sole focus, as opposed to focusing on the procedure, the patient, and you. Sedation dentistry is not any different than a medical procedure. If you were to take your child into a hospital for a surgical procedure, you would not be allowed in the operating room with him or her. This seems to be a policy that many dental providers have also adopted. Though, I am sure you can find a provider who will allow you into the procedure room with your child if you look further.

This post was written by the office of Gilbert sedation dentist, Dr. Matt Roper.

Can’t Afford Pediatric Dentist; Are General Dentists Cheaper?

There are two pediatric clinics in our area. One has a great reputation but is expensive. The other is cheaper and where all the low-income families go (we’re low-income ourselves), but has a horrible reputation and I don’t know a child who likes it. I don’t want to send my son there. Would a general dentist be less expensive? Do they take children?

Bea C.

Dear Bea,

Four Smiling Children
Finding Affordable Pediatric Dental Care

We want the absolute best for our children. Few things are more discouraging than when we can’t afford it. However, being low-income doesn’t mean you can’t find affordable dental care, even pediatric care. Let me answer your two questions separately.

Are General Dentists More Affordable than Pediatric Dentists?

It depends. Each dentist determines his or her price independently. You may have some specialists which are significantly more expensive than your average general dentist. At the same time, you could have some who want to keep their prices down so affordable specialty care is available.

As you don’t have many options when it comes to pediatric care in your area, you have a couple of options. You may want to talk to the good pediatric clinic to see if they have affordable payment plans. Even if they don’t have in-office plans (like Dr. Roper does), many are willing to work with Care Credit, which is a medical card that offers low and even no-interest payment plans.

Do General Dentists See Children?

Again, it depends on the dentist. There are general dentists who enjoy working with children. They’re qualified to treat them and even had to do a pediatric rotation during their training. If ever something came up that required more of a specialist, they could give you a referral.

I’d start by talking to your dentist. It’s always convenient for the whole family to attend the same clinic together. There’s a medical advantage as well. The dentist will have a fuller picture of what your child’s genetic leanings will be when it comes to oral health.

If mom and dad are prone to decay even with good oral care, the dentist will know to keep a closer eye on the children’s teeth, which tend change quickly so they don’t end up with sudden large decay which could have been dealt with sooner.

This blog is brought to you by Dr. Matt Roper.

Will Snap-On Smile work for my daughter?

My daughter is ten years old and she chipped her front teeth. I was thinking I would wait until she is older before I get these teeth fixed. But I was wondering if Snap-On Smile would work until we moved forward with a permanent fix?

Thanks,

– Gina from Ohio

Gina,

Ten years old is a tricky age because your daughter likely has a mix of permanent teeth and she probably still has some baby teeth. The baby teeth she still has may be a little loose too and her permanent teeth are in the process of erupting. The main issue with choosing the Snap-On Smile for your daughter is the fact that the appliance needs to snap onto her existing teeth. And since her teeth are in such a transitional stage, it isn’t going to work very well.

Dental bonding is safe for children and would be a solution to take care of the chipped teeth. You just need to make sure that she is old enough and willing to sit in a dental chair during the procedure.

This post is sponsored by Gilbert dentist Vista Dorada Dental.

Related posts: pediatric dentist

Should my son get his teeth extracted?

My son is almost two years old and has suffered trauma to his front teeth. They are discolored now and I think it is due to the trauma that occurred. His four teeth in front are a green color and I think the enamel is wearing down. I have tried a multivitamin for him on a daily basis but I don’t think that is doing anything to help. Do you think he will need to have these teeth extracted?

– Laura in Iowa

Laura,

It is difficult to make a recommendation without knowing exactly what caused your son’s trauma to his front teeth.

That said, the discoloration is likely due to bacteria. Sometimes kids can get stains on their teeth and their bodies become accustomed to the various bacteria. It would be good to take your child to a pediatric dentist to have his teeth cleaned. This may help with the green color you are referring to.

It was a good idea to give your child a multivitamin, although since the teeth have already erupted in the mouth it won’t have any positive effect.

What happens when you have trauma to the teeth is that the nerve endings can become severed. If this is the case, then you may need to have the teeth extracted. Although, I would not have them removed unless it is absolutely necessary. Since your son is so young, they are helpful for speech development.

This post is sponsored by Gilbert dentist Vista Dorada Dental.

Other links you may be interested in: emergency dentist, affordable dentistry

My child’s broken tooth

I feel so bad for my nine year old daughter. Yesterday, she fell down and broke one of her front teeth. Also, I just noticed a horizontal crack in another one. When I took her to the dentist, they didn’t seem concerned. Basically I was told that he doesn’t have the availability right now to take care of it. He said it should be fine for three months and needs that time to desensitize. Have you heard of this waiting period? I really want her to have it fixed as soon as possible.

Thanks for your time.

– Kendra from Arizona

Kendra,

If it is your desire to have this taken care of immediately, there is really no reason to wait. It would be ideal if you still have the broken piece of the tooth. If you find a cosmetic dentist that has an artistic eye, the tooth will actually be able to be reattached.

Please do your homework though and don’t go to just any dentist. Make sure the dentist is passionate about cosmetic dentistry and has undergone the additional training beyond dental school. From what you have described, the location of your daughter’s tooth is quite prominent and it will be important the the dentist is experienced.

Dental bonding will work to restore the look of the tooth if you don’t have the piece that has come off. As time goes by and your daughter gets older, the pulp in the tooth will be smaller. At that time, a single crown may be more appropriate based on damage that has been done.

Best of luck!

This post is sponsored by Gilbert dentist Vista Dorada Dental.

Related links: emergency dentist, pediatric dentist

My child’s teeth are in bad shape

My daughter is five years old and she needs a lot of dental work done. She has two cavities on her molars that are pretty deep into the tooth. And two other molars are decayed and have lost their structure. In fact, about one-third of the tooth is gone. I don’t know what to do. Should I have the decayed teeth extracted? I really don’t want to have her teeth pulled if we don’t need to. She is also complaining about pain during chewing in one of the right molars. Do I need a pediatric dentist now? Unfortunately, she is not cooperative at the dentist which is a major reason we are in this situation.

– Carrie from Nebraska

Carrie,

From what you have described it sounds like you need to visit a pediatric dentist. At her age, she only has baby teeth in her mouth so eventually she will lose them. But, she does require those teeth to be in good shape so she can eat and keep the spaces for the upcoming permanent teeth. If the teeth are removed, then space maintainers will be needed so the permanent molars don’t cause crowding to her other teeth. There are pediatric dentists that do sedation dentistry. It is worth it if that is what is needed to get her smile healthy again. Cavities and decay at this age are largely due to the frequency in which children eat. From what it sounds like with the condition of her teeth now, she may be eating all day long, asking for treats constantly, etc. You need to discourage this kind of behavior and allow enough time between meals for her hunger to build up so you can break this habit. Over time, her dietary behavior will improve which will improve her dental health as well.

Dentists understand that kids will lose their teeth so they tend to think more temporarily. A crown may be used to treat the decayed molar versus extracting the tooth.

Good luck to you. I hope this information was helpful.

This post is sponsored by Gilbert dentist Vista Dorada Dental.

Related link: Sleep dentistry; dental anxiety

Sucking my thumb

I sucked my thumb until I was 13 years old. My teeth have suffered badly. My top teeth are shaped in an upward curve and are out of alignment. I want to get them fixed. What do I need to do to get them to return to normal.

-Jeanie in Kansas

Jeanie,

I recommend you find an orthodontist in your area. They will be able to correct the misalignment you have from sucking your thumb. Invisalign braces could solve your problem. Without seeing your particular case it is hard to see if you have other options.

Thumb sucking is a common concern of parents whose children have this habit. The best advice is to not worry too much about it. If you make it a really big deal, you may create a complex in your child. Unfortunately, this will have the opposite affect and will actually reinforce the behavior. Thumb sucking does not cause permanent damage to the baby teeth. This means that you are okay until the age of about seven or so. Most likely, when a child starts school their friends will play a large part into making them stop.

Since you sucked your thumb until the age of 13, it did cause damage to your permanent teeth. So, just relax and for most this behavior takes care of itself.

If you are still dealing with your kids sucking their thumb after losing baby teeth, you may need to do something more. Positive encouragement is the way to go. Don’t force them, punish them, or cause shame. This could have lasting implications on your child’s self esteem.

If it still is an issue, there are aids that can help. Although, these aids have the most success when the child truly wants to quit. So, if they do want to stop then you can try a bitter liquid called Thum. This product and other similar products make thumb sucking unpleasant. This will cause them to associate the bad taste with the behavior and under the right circumstances, it will help.

This post was provided by Gilbert dentist Vista Dorada Dental.

Read more about pediatric dentistry.