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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Dental Cavities In A Child?

I have a 3 year old with some dental cavities in the back molars. My current dentist is stating we need to have him placed under anesthesia and have all 4 cleaned and filled or capped. I am wondering if this is necessary. my son has a neurological issue of he doesn't feel pain like most children. So I have several concerns, 1) Is this worth it for temporary teeth, what are my other options 2) placing him under anesthesia seems drastic. I live in a small town in Louisiana and not really confident with the dentist. We have already had issues in the passed with surgery with ENT and how he was handled. He was held down and "man handled" to give IV an medication before surgery. Multiple bruises and trauma of which all could have been avoided is they had pre medicated him for anxiety.
Wed, 3 May 2017
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Dentist,  's  Response
Hi..
Thanks for trusting us.

I can understand your concern but would like to tell you that your son is just 3 years old and his milk teeth will still last for about 3 years and for this he needs to have them in healthy state.
If they are infected or decayed, they should be treated.
You are being advised anaesthesia due to his neurological problem only as if the treatment is attempted in local anaesthesia then probably he will not be able to co-operate and can cause him injuries as well treatment cannot be successfully completed.
You should however consult a hospital care and he should be anaesthetised only under proper medical supervision of an Anaesthetist and then only the dentist should perform dental treatment..
Giving anaesthesia is for his safe and easy treatment only so do not worry about it but his teeth should be treated as long standing untreated dental infections can cause space infection which can be fatal....

Hope this helps..

Regards.
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How To Treat Dental Cavities In A Child?

Hi.. Thanks for trusting us. I can understand your concern but would like to tell you that your son is just 3 years old and his milk teeth will still last for about 3 years and for this he needs to have them in healthy state. If they are infected or decayed, they should be treated. You are being advised anaesthesia due to his neurological problem only as if the treatment is attempted in local anaesthesia then probably he will not be able to co-operate and can cause him injuries as well treatment cannot be successfully completed. You should however consult a hospital care and he should be anaesthetised only under proper medical supervision of an Anaesthetist and then only the dentist should perform dental treatment.. Giving anaesthesia is for his safe and easy treatment only so do not worry about it but his teeth should be treated as long standing untreated dental infections can cause space infection which can be fatal.... Hope this helps.. Regards.