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My 5 y.o. son said his tooth hurt. So I checked it out & was shocked to

see his top front baby teeth look like they've been ground down & you

can see pulp (don't know the right term) or something. I had to have

him tilt his head way back to see it. His teeth were small to begin

with. As far as I know, he does not grind his teeth, & only those 2

seem to be affected.

Any thoughts on what to do, how to prevent, etc? We have a dentist appt

on Friday, & I wanted to get some input before I let them do anything.

TIA,

in AR

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--- In , " Booher, " <booher@a...>

wrote:

> My 5 y.o. son said his tooth hurt. So I checked it out & was

shocked to

> see his top front baby teeth look like they've been ground down &

you

> can see pulp (don't know the right term) or something. I had to

have

> him tilt his head way back to see it. His teeth were small to

begin

> with. As far as I know, he does not grind his teeth, & only those

2

> seem to be affected.

>

It sounds like " attrition " . The enamel gets worn down from

clenching or grinding. And then the dentin (the yellow colored

tissue) is exposed. When it becomes exposed, you can have

sensitivity. Especially in kids because their pulp (nerve) chambers

are so large.

It's usually most sensitive when it first happens and then decreases

when the dentinal tubules occlude with time.

If you can, have your son bite down on his back teeth and you pull

his cheeks out. Look at where his top front teeth contact his lower

front teeth. Are they contacting where you see the wear? It could

be due to his bite.

The good thing is that these are his baby teeth. If he is 5, he

won't have them much longer (usually age six).

Good luck,

Any thoughts on what

to do, how to prevent, etc? We have a dentist appt

> on Friday, & I wanted to get some input before I let them do

anything.

>

> TIA,

> in AR

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You need to rule out decay caused by either overuse of the bottle containing

milk or any other liquid that can support tooth decay at night or during

naptimes. What can occur during this kind of a situation is that the teeth decay

from the tongue side (or " lingual " side), thereby weakening the teeth so that

they gradually chip away. Eventually this chipping is noticeable and the teeth

appear " shortened. " If this is not the case, attrition due to grinding of the

teeth is a likely explanatioon. What does youyr pediatric dentist say?

S. Cantor, DDS

michellepanek2003 <justice9999@...> wrote:

--- In , " Booher, " <booher@a...>

wrote:

> My 5 y.o. son said his tooth hurt. So I checked it out & was

shocked to

> see his top front baby teeth look like they've been ground down &

you

> can see pulp (don't know the right term) or something. I had to

have

> him tilt his head way back to see it. His teeth were small to

begin

> with. As far as I know, he does not grind his teeth, & only those

2

> seem to be affected.

>

It sounds like " attrition " . The enamel gets worn down from

clenching or grinding. And then the dentin (the yellow colored

tissue) is exposed. When it becomes exposed, you can have

sensitivity. Especially in kids because their pulp (nerve) chambers

are so large.

It's usually most sensitive when it first happens and then decreases

when the dentinal tubules occlude with time.

If you can, have your son bite down on his back teeth and you pull

his cheeks out. Look at where his top front teeth contact his lower

front teeth. Are they contacting where you see the wear? It could

be due to his bite.

The good thing is that these are his baby teeth. If he is 5, he

won't have them much longer (usually age six).

Good luck,

Any thoughts on what

to do, how to prevent, etc? We have a dentist appt

> on Friday, & I wanted to get some input before I let them do

anything.

>

> TIA,

> in AR

=======================================================

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I may be reading you wrong here, but he's 5. He hasn't drank from a

bottle or nursed for about 4 years, and hasn't napped since then. So

I'm guessing it's something more recent.

Dentist appt is Friday.

-----Original Message-----

From: Cantor [mailto:jeffreyscantor@...]

You need to rule out decay caused by either overuse of the

bottle containing milk or any other liquid that can support tooth decay

at night or during naptimes. What can occur during this kind of a

situation is that the teeth decay from the tongue side (or " lingual "

side), thereby weakening the teeth so that they gradually chip away.

Eventually this chipping is noticeable and the teeth appear " shortened. "

If this is not the case, attrition due to grinding of the teeth is a

likely explanatioon. What does youyr pediatric dentist say?

S. Cantor, DDS

> My 5 y.o. son said his tooth hurt. So I checked it out & was

shocked to

> see his top front baby teeth look like they've been ground

down &

you

> can see pulp (don't know the right term) or something. I had

to

have

> him tilt his head way back to see it. His teeth were small to

begin

> with. As far as I know, he does not grind his teeth, & only

those

2

> seem to be affected.

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Share on other sites

> My 5 y.o. son said his tooth hurt. So I checked it out & was shocked to

> see his top front baby teeth look like they've been ground down & you

> can see pulp (don't know the right term) or something.

I did this to my permanent teeth a while back. It was overzealous brushing with

a baking soda toothpaste. The dentist had to fill them

for me.

Dana

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