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Medical Forum / General / Dentistry / March 2006second opinion
Dear All, Hi. I brought my two children aged 13 and 10 to the pediatric dentist last night and I was recommended to have root canal on two teeth for my 13 year old and 7 baby teeth extraction for my 10 year old . She recommended this after taking x-rays. For my 10 year old, she recommended that 7 baby teeth must be pulled because soon premanent teeth are coming out and they might not come in properly because of the baby teeth. Among the seven that she wants to be extracted, two are wiggly, and above these two are small teeth (fang?) that are coming out. Since these two are wiggly, is it fine if we will just wait for it to fell off or really have to go to an oral surgeon to have these extracted? This wiggly teeth with the fang are not bothering my kid. The other five baby teeth are perfectly fine and are not bothering my daughter either and no fang tooth coming out either. Is extracting these 5 baby teeth proper? or should we go get a second opinion? On my 13 year old, I am not comfortable with doing the root canal for her because the teeth are not bothering her. Can an x-ray alone concludes that a root canal needs to be done? If i need a second opinion on the root canal, should I go to a pediatric dentist or to an endodontist. I hope someone can help me. Thank you. > Dear All, > [quoted text clipped - 26 lines] > > Thank you. These are all appropriate questions for your pediatric dentist. If you are not satisfied with the answers a second opinion is appropriate. It is absolutely possible that the x-ray indicates a need for root canal--even in the absence of pain. Either an pediatric, general dentist or endodontist should be able to confirm this. Steve Steve, Thanks for your reply. How about my question for those baby teeth of my 10 year old? Thanks a lot. Momof3 > > Dear All, > > [quoted text clipped - 34 lines] > > Steve > Steve, > [quoted text clipped - 5 lines] > > Momof3 I agree with Steve, and would just add that whether or not something hurts is not always the best indicator of whether care is or is not needed. An asympomatic tooth can be causing damage to bone or surrounding teeth. Get another opinion if you have doubts, but don't let pain be the deciding factor. As for the extractions, once again you would be best served by getting an opinion from someone who has seen your child. 10 extractions does sound like a lot, but that doesn't mean they aren't all needed. It is impossible to tell by a description alone. Find a dentist you trust. It need not be a pediatric dentist or endodontist. A general dentist may suggest you see one of those specialists to have the work done, but should be able to make a proper diagnosis. T > Steve, > [quoted text clipped - 3 lines] > > Thanks a lot. It is certainly a consideration, esp. if the permanent teeth are coming in crooked. Here, if you want a second opinion, I might go to an orthodontist to evaluate. Steve
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