Hello ladies. My daughter went to the dentist yesterday. Not her first time. But the first time she turned up with cavitys. Of course I got worried, but he assured me its common in children and nothing to worrie about. Its only 2. one of them is small.

However the other one is very deep, almost to the root. And he wants to crown it. I agree. I had crowns and fillings when I was little, and I'm not worried about that at all.

However I was older, and only got that local anestetic shot in the mouth. This dentist prefers NOT to do that in kids her age (5)

So what he is going to do is give her a seditive (a visteral, which I myself have used before, and another medication, I forgot which) and also the nitrous oxide gas. Not to put her under. But enough to calm her down. He said she may fall asleep, but she won't be unconscious.


I'm not 'worried' about anything. My daughter tolerates most medication well and we have a GREAT dentist/dental assistants.

What I would like to ask, that I forgot to ask the dentist and techs, is

what can i expect AFTER the crown is done. will she stay asleep all day? will she be lethargic? the doctor said it may hurt, but how much?

She may be a little groggy from the meds and probably won't have much of an appetite. The crown itself really shouldn't cause her pain; the anesthesia is more to keep her still during the procedure. If she does have a dull pain, a small dose of Children's Tylenol should do the trick.

Did he suggest giving your daughter some Advil before her treatment and then again 6 hours after?
I don't know why he isn't using freezing even with the sedation. Most do.
Did the dentist say whether the nerve is being removed from the tooth (pulpectomy)?

Thanks NM :) that's what I was thinking.

flossie I wanted to answer you real quick before I logged off.

Here is the 'primary treatment plan' they gave me.

Yeah a pulpotomy is on there. Is that the same as pupectomy?


Behavioral management

Drugs/medication by report

Analgesia/nitrous oxide

Prophylaxis-child

Fluoride

SURF: OL composite 2 surface posterior Prim/perm

SURF: DO composite 2 surface posterior prim/perm

Stainless steel CRN/Primary

Pulpotomy

SURF: OBM Composite 3 Surface posterior prim/perm

SURF: DO Composit 2 Surface posterior prim/perm

SURF: O Composit 1 Surface posterior prim/perm

Stainless steel CRN/Primary

Pulpotomy


Thanks hon. Ill be back later


*EDIT* yes he said I had the choice to give her tyenol or motrin, that's one of the reasons I'm asking so that I know how much pain she is going to be in. because if she is already going to be sleeping and 'knocked out' from the other meds they give her I don't want to give her MORE you know?

Just the manipulation alone may cause her to be a little achy. From what you've posted, they're going to do a cleaning as well and looks like they will be filling the cavities at the same time so I agree with Flossie, a small dose of Motrin or Tylenol a couple hours before you go should help. Due to the length of time these procedures will take, having her sedated will keep her calm. If her gum tissue is healthy, she really shouldn't have much trouble with the pulpectomy.

Yeah they said they would do a cleaning too. I didn't think they were going to be filling the other cavitys but that works for me ;) that way they don't get deeper like the other one.

Just ask him what he's going to do step by step and what he will be using.

I don't know how they can do 3 occlusal surface fillings ("O") on one primary tooth:confused: and 2 occlusals on another? Teeth only have 5 surfaces. Do you have dental insurance?
Perhaps in the US they can bill like that, here in Ontario insurance companies will deny duplicate tooth surfaces.

Yeah we have state insurance (medicaid) I know there are 3 teeth with a cavity on them. I don't think he said there was more than one on any of them. Perhapes it was an accedent.

I wanted to update anyone who was interested :)

She did fine today. First, they gave her Soma and visteral in a little cup, and she said it was nasty, even though it was suppose to taste like bubble gum lol. Then she got to lay in a quiet room on a nice comfy bed with a movie on. (aristoCats)
She was so excited this whole week waiting for her crowns to be put on (she got 2 it turns out) and she was excited the whole way, even when they wraped her up in the velcro snuggly blanket (to keep her from thrashing or panicking in case she got upset) and even when they were getting everything all ready. THEN... they pulled out the little mask. It was the tiny one that only goes on your nose not the nose and mouth. And she FREAKED. Luckily she was already wraped in the blanket so she couldn't go anywhere, and I was able to calm her down. And once she took a few deep breaths of the nitrous oxide, added to the Soma and Visteral, she was OUT. Lol.

After wards, she was so wabbly and sick :( she threw up. So aparently she does not do well with the nitrous oxide. I guess some kids and adults too, get sick afterwards.

Then she fell asleep on the way home. And when we got home she ate some pudding :D and got some motrin. Then went back to sleep. And when she woke up, she was all hyper and perfectly fine. Lol. Not even a little bit of tooth pain at all. We will see if that continues tomorrow because she can start chewing solid foods again tomorrow lol.

So that was our adventure.:) thanks everyone for the advise.

Good to hear that it went fairly well, all things considered. :)

Glad to hear it's all over and things went well!:)

I doubt it was the nitrous that made your daughter sick though, it was probably the combination of the muscle relaxant (Soma) and the anti-anxiety (Vistaril). I've never seen anyone vomit after nitrous only. Don't be afraid to have her work done with nitrous only if needed in the future.

Oh OK. I figured it was the nitrous. But I didn't think of the medication. And your probably right because on top of the meds, she had an empty tummy. Which I'm sure didn't help.

You should be glad she had an empty tummy!! Imagine what you would have had to clean up! :eek:

Hahah definitely! That wouldn't have been good.

I'm glad we found such a good dentist. Its called KidZaam Dentistry. Go check ou their website. KidZaam Dentistry | Pediatric Dentistry | Family Dentistry | Family Pediatrics | Family Orthodontics | Children's Dentistry

The last dentist she had (which was her first one when she was a toddler) was so brief. He walked in pried her mouth open looked inside. Said 'she is fine' and walked out.

Which she wasn't really fine, her teeth are very crowded and she has a 10% over bite and a 3mm jet bite and will probably need braces when she is older.

But it was nice to have a kid dentist that did SO much for the kids. Fun colors everywhere. A quiet room that had low lighting, blankets pillows and soft pallets to lay on with books to read and movies to watch while the meds kicked in, and for recovering later.

I just can't imagine how scary it would have been for that other doctor to do her teeth yesterday. A big huge adult size chair, blank white walls, no fun, no talking. *shudder*