Children Tooth Abscess

Discussion in 'Dental Archive' started by Jennifer, Jul 6, 2009.

  1. Jennifer

    Jennifer Guest

    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

    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, Jul 6, 2009
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  2. Jennifer wrote:
    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.


    Mark & Steven Bornfeld DDS
    Brooklyn, NY
    Mark & Steven Bornfeld, Jul 7, 2009
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  3. Jennifer

    Dartos Guest

    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.


    Mark & Steven Bornfeld wrote:
    Dartos, Jul 7, 2009
  4. Jennifer

    New B. Guest

    On Mon, 6 Jul 2009 13:36:52 -0700 (PDT), Jennifer
    <> wrote:
    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.
    New B., Jul 8, 2009
  5. Jennifer

    Jennifer Guest

    On Jul 6, 4:01 pm, Mark & Steven Bornfeld
    <> wrote:
    Jennifer, Jul 10, 2009
  6. Jennifer

    Jennifer Guest

    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

    Thank you very much in advance for all your professional advices.
    Jennifer, Jul 10, 2009
  7. Jennifer

    Jennifer Guest

    On Jul 10, 11:15 am, Steven Bornfeld <>

    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.
    Jennifer, Jul 13, 2009
  8. Jennifer wrote:

    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.


    Mark & Steven Bornfeld DDS
    Brooklyn, NY
    Mark & Steven Bornfeld, Jul 13, 2009
  9. Jennifer

    Jennifer Guest

    Will early erupted tooth be weaker ? Thank you very much.
    Jennifer, Jul 14, 2009
  10. Jennifer

    Jennifer Guest

    Will early erupted adult teeth be weaker or have more problem in

    Thank you very much.
    Jennifer, Jul 14, 2009
  11. Jennifer wrote:

    No reason to believe it will be any weaker.


    Mark & Steven Bornfeld DDS
    Brooklyn, NY
    Mark & Steven Bornfeld, Jul 14, 2009
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