17/12/2020
"Bata pa bubunutan na?"
"Kaya ba nya yan?"
"Masakit ba yan, Doc?"
"Paano pa sya kakain kun bubunutin na?"
Why do we extract baby teeth?
As dentists, our aim is preservation of the dentition, restoration of function and to improve our patient's quality of life. BUT most of the time patient's would come to us when it is already too late. Most of the time, we do not have any choice but to extract their teeth.
Common concerns and questions of parents.
1. Age of the patient - there is really no minimum age for extracting a tooth esp if it will gravely affect the patient's overall health and safety.
2. Reasons for extraction - non-restorable teeth, teeth with infection or abscess, traumatized tooth, supernumerary or extra tooth, natal or neonatal teeth to name a few.
3. Consequences of non-treatment
Parent (na latest model ang cellphone): "Doc, hayaan na lang natin yan.. baby teeth LANG naman yan e.. hindi na namin ipapagawa."
: "If we leave an infected tooth, there are consequences. Pain, which usually will make the patient cry every night. A child in pain will not sleep well or even miss out on school or other activities. Decreased appetite wherein children would lose weight. Swelling, which can later on lead to cellulitis. Bacterial infection caused by an odontogenic infection can lead to recurring sore throat, rheumatic heart disease, respiratory infection, brain abscess or even death.
4. Antibiotic therapy - swelling brought about an infected tooth can be controlled by antimicrobials upto a certain extent and pain will go away. BUT, as long as the source of infection is present, the child is always at risk of redeveloping the infection. Taking antibiotics without removal of the source of infection is a viscous cycle that we have to avoid.
Extraction will always be the last resort. Dentists would always weigh the risks vs the benefits and always think of how to improve patient's quality of life.
Reminders to parents:
1. Bring your child to the dentist as soon as the first tooth erupts or on or before their first birthday and every 3 to 6 months thereafter.
2. Brush your child's teeth at least twice a day with fluoridated toothpaste.
3. Wean off child from nocturnal bottle feeding.
4. Do not scare your child from going to the dentist. Do not use going to the dentist as a punishment or negative reinforcement.