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Medical Forum / General / Dentistry / July 2009Children Tooth Abscess
My child is 9 and half now. Her first baby molar had cavity when she was 6 and half, and then got very bad abscess after 1 week when a dentist put white filling. We found a pediatric dentist to heal the root and placed silver crown. Now a little bump (smaller than pea size) comes out on the gum, but definitely not severe as last time. The pediatric dentist the tooth got abscessed again. The pediatric dentist said she can either treat the root one more time. Or she can simple extract the baby molar and the abscess will be self-healed. I don't have much idea which one is the better choice. I watched this group before and found many useful suggestions. Fees are not my consideration. Because we have good insurance. Can dentists here please give me some suggestions on the pros and cons on both treatments? Which treatment will be better for the permanent tooth underneath. I prefer to treat the root so that the baby tooth can hold the space and be naturally pushed out by the permanent tooth underneath. And I don't know if this is correct. Extraction is simple but what is risk? Any serious suggestion will be welcomed and appreciated. Jennifer. > My child is 9 and half now. Her first baby molar had cavity when she > was 6 and half, and then got very bad abscess after 1 week when a [quoted text clipped - 24 lines] > > Jennifer. I haven't seen the tooth--the pediatric dentist has. Having said that, I think that small primary teeth that have had unsuccessful root canal therapy don't stand a good chance of holding up. From my position of relative ignorance I'd say have the tooth extracted, and make sure to have the pediatric dentist place a space maintainer to prevent forward drift of the first permanent molar. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 I agree. If the first effort at treating the abcess of a primary tooth is unseccessful, it wouldn't be a wise investment to try all over again in most cases. JMO, D >> My child is 9 and half now. Her first baby molar had cavity when she >> was 6 and half, and then got very bad abscess after 1 week when a [quoted text clipped - 33 lines] > > Steve On Jul 6, 4:01 pm, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > > My child is 9 and half now. Her first baby molar had cavity when she > > was 6 and half, and then got very bad abscess after 1 week when a [quoted text clipped - 38 lines] > Brooklyn, NY > 718-258-5001 >I prefer to treat the root so that the baby tooth can hold the space >and be naturally pushed out by the permanent tooth underneath. And I >don't know if this is correct. Correct. > Extraction is simple but what is risk? Loss of space, leading to crowding. If the tooth must be extracted a space maintainer should be placed. The Pedo should discuss this with you. Thank you for all replies. My child is already 9 and half. Is there any chance that her adult tooth under the first primary molar will erupt soon? I don't remember the dentist said space maintainer. I might be completely wrong. Some articles on internet say it is OK not to maintain the space for early loss of first baby molar. Because there is still second baby molar. Also, my big concerns are: Will abscess of baby tooth have very bad influence on the development of adult tooth underneath? Will the root treatment, antibiotics and drills be safe for the tooth underneath? Thank you very much in advance for all your professional advices. > Thank you for all replies. > [quoted text clipped - 13 lines] > > Thank you very much in advance for all your professional advices. If this is a first primary molar (4th tooth from the front) you generally do not need a space maintainer--and the permanent tooth may indeed be close to erupting. I misunderstood you. This also makes re-treatment of the root canal even more misguided, IMO. Steve On Jul 10, 11:15 am, Steven Bornfeld <dentaltwinm...@earthlink.net> wrote: > > Thank you for all replies. > [quoted text clipped - 21 lines] > > Steve I appreciated your suggestions. Do you have any idea if extracting baby tooth will cause any problem on the eruption and development of the adult tooth underneath? With any pressure, will the adult tooth erupt too faster and earlier? Thank you. > I appreciated your suggestions. > [quoted text clipped - 3 lines] > > Thank you. In my experience early loss of primary teeth does lead to somewhat earlier eruption of the permanent tooth. For the first primary molar this is not of great significance; in the case of the second primary molar early eruption is in fact desirable to prevent drift of the permanent 6-year molar. If it is not ready to erupt, then a space maintainer should be made, as mentioned before. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Will early erupted tooth be weaker ? Thank you very much. Will early erupted adult teeth be weaker or have more problem in future? Thank you very much. > Will early erupted adult teeth be weaker or have more problem in > future? > > Thank you very much. No reason to believe it will be any weaker. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 |
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