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Crowns and extractions for a four- year- old

User Level:
Patient
Posted by: milklad1296  (9 years ago)

Hi all,

My four-year-old son had a toothache and I took him to a pediatric dentist. He got a deep cavity in his first molar. The dentist said my son has four teeth that need to be crowned. She also wanted to extract his two loose teeth. These teeth are ready to come out on their own any time soon. Since I cannot afford all of these, I have asked the dentist if she can just treat the deep cavity for now. She insisted that he needs all the work done.

Should I go to another dentist who will treat the cavity only? The loose teeth are not bothering him and they will come out very soon so I don’t think it is necessary to extract them. Any thoughts? Are crowns for baby teeth necessary? Thank you in advance for any suggestions or comments.
User Level:
Student
Posted by: ghnane  (9 years ago)
Hello. Maintaining the baby teeth until permanent teeth are ready to come out is very important. Baby teeth maintain the proper space for the adult teeth to come out in their right places and not result in crowding. Baby teeth are crowed for the same purpose to keep then as long as necessary until the permanent tooth come out.
You may consult another dentist and perhaps an orthodontist to make sure those proposed extraction do not interfere with normal tooth development.
It is a good idea to teach your child to brush twice daily and maintain healthy diet with reduced sugary drinks and food consumption. If your child is experiencing caries now once he/she has the permanent teeth caries process will continue on adult teeth if diet and oral hygiene is not improved.
User Level:
Dentist

Hi all,

My four-year-old son had a toothache and I took him to a pediatric dentist. He got a deep cavity in his first molar. The dentist said my son has four teeth that need to be crowned. She also wanted to extract his two loose teeth. These teeth are ready to come out on their own any time soon. Since I cannot afford all of these, I have asked the dentist if she can just treat the deep cavity for now. She insisted that he needs all the work done.

Should I go to another dentist who will treat the cavity only? The loose teeth are not bothering him and they will come out very soon so I don’t think it is necessary to extract them. Any thoughts? Are crowns for baby teeth necessary? Thank you in advance for any suggestions or comments.


Four year olds should not have loose teeth. They don't start to lose incisors until 5 1/2 years.

You did something wrong if your child has decay like this. Most likely, gave him too many sweets or allowed him to sleep with a bottle.

Losing baby molars at this age guarantees it will be an extraction orthodontic case later on.

As far as staging treatment, doing the teeth one by one is a reasonable request. Most dentists doing Medicaid or PPO cannot afford to treat teeth singly like this, however.

Kim Henry, D.M.D.
Posted 9 years ago
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