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Medical Forum / General / Dentistry / May 2007

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black front tooth in 4 yr old?

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yoko.guruma@gmail.com - 02 May 2007 13:31 GMT
Hello,

I am trying to get some advice about my 4yr old daughter's top front
tooth.  We have just noticed it is looking a bit gray, and from behind
there is clearly a dark centre to it.  So, I gather that most likely
the nerve has died.  She complained of pain a couple days ago, but
doesn't seem to bother her now, and there's currently no swelling or
redness.

I called one dentist and made an appointment in two days.  He said
that if it is a dead nerve, he'll extract the tooth, because as the
nerve breaks-down, there is a chance those decomposition byproducts
can damage the new tooth that will come down.

I called another dentist for a second opinion on the matter, and he
didn't seem worried about that idea, and just said that barring any
infection, he'd just leave the tooth in and let the new one push it
out one day.

Who do you agree with - extract the tooth, or OK to leave it in?

Thanks very much !
Charlie
Steven Bornfeld - 02 May 2007 13:40 GMT
> Hello,
>
[quoted text clipped - 19 lines]
> Thanks very much !
> Charlie

    On principle, I'm not thrilled with leaving infected teeth in, esp.
since there have been symptoms.  However, I agree that the chances of
any real damage to the secondary tooth at this point are very slim.
    Of course, neither of the dentist you've called (nor I) have actually
seen your child, and I think she should be seen, perhaps an x-ray taken.
 That may push the decision one way or another.

Good luck,
Steve
Dartos - 02 May 2007 16:31 GMT
Absolutely treat or remove an infected primary tooth.

However, just because there was pain at one time, does not necessarily
mean the tooth is infected.

Exam and X-ray to make the final determination.

D

>     On principle, I'm not thrilled with leaving infected teeth in, esp.
> since there have been symptoms.
> Good luck,
> Steve
Amatus Cremona - 03 May 2007 14:30 GMT
All dark primary teeth do NOT need to be removed.

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/

Amatus

/

>
> Absolutely treat or remove an infected primary tooth.
[quoted text clipped - 10 lines]
>> Good luck,
>> Steve
Newbie - 03 May 2007 15:08 GMT
But most of them need some type of treatment.

Pulectomy, then composite.

JMHO

>All dark primary teeth do NOT need to be removed.
>
[quoted text clipped - 11 lines]
>>> Good luck,
>>> Steve
Amatus Cremona - 03 May 2007 17:25 GMT
yup.

Some test vital despite turning dark

Signature

/

Amatus

/

>
> But most of them need some type of treatment.
[quoted text clipped - 18 lines]
>>>> Good luck,
>>>> Steve
 
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