hello and welcome,
your son's teeth are affected by nursing bottle carries.
this is due to bottle feeding before sleep or due to pacifiers dipped in honey or sweeteners or prolong breast-feeding.
this is a specific form of rampant carries,which is an acute widespread caries with early pulpal involvement of teeth,which are usually immune to decay.
in early stages ,the decay can be managed by topical fluride application.
in this case,the decay is too deep as thereis gushing liquid.
the decay has progressed into pulpal and periapical area and there is periapical abscess
seen in x-ray in such cases.
in first visit,lesion should be excavated and restored with ZOE,DRAIN THE abscess,diet chart to be given to record diet for 1 week.,counsel the parent.
in second visit,ie,after one week,analyse the diet chart,isolate the sugar factors from diet chart and control sugar exposure,perform caries activity tests.
in third visit,endodontic treatment ,extraction of unrestorable teeth followed by space maintenance,crowns has to be done.
recall every 3 months.