Dental Implants and Pediatric Dentistry: Key Considerations - Dentistry

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Dental Implants and Pediatric Dentistry


1.
Because the denture in the lower right broke, after its removal, there was a tooth that was nearly decayed.
The dentist recommended extraction, but the tooth root got stuck in the gum and wasn't completely removed.
After more than six months, I was too afraid to return to the clinic.
Now, after consulting three dentists, since there are no teeth to support in the back right, the only options are dental implants or removable dentures (the purpose is just to prevent the upper teeth from growing downwards, otherwise they will touch the gums and require grinding down the upper teeth).
After much hesitation, I decided to undergo minimally invasive surgery to open the gums, remove the tooth root, and place an implant.
However, I encountered a friend's experience with implants who advised against young people getting implants and suggested a bone density test...
When I got home, my mother-in-law also said that the front tooth could be extracted to provide support (I don't quite understand; would someone intentionally extract a healthy tooth? Isn't that a strange theory?).
2.
One of my child's back teeth has a large cavity.
Two dentists recommended extraction and placing a ring-like orthodontic appliance, saying that this would prevent the teeth from growing crooked when it's time for them to change...
but my mother-in-law said that no one extracts teeth from small children (my child is five years old).
How should I handle my tooth? What precautions should I take if I decide to get an implant? Should my child have the tooth extracted now?

f9032, 30~39 year old female. Ask Date: 2010/03/04

Dr. Zhuang Suhui reply Dentistry


You can seek further consultation at the dental department of a large hospital or medical center.
Without seeing the actual condition, I cannot provide specific advice.
As for pediatric dentistry, you can also find a nearby large hospital for consultation.

Reply Date: 2010/03/04

More Info


When considering dental implants and pediatric dentistry, there are several key factors to take into account, especially in the context of your specific situation.

Dental Implants
1. Understanding the Need for Extraction and Implantation: In your case, the recommendation to extract a decayed tooth and consider an implant is based on the condition of your oral health. If a tooth is severely compromised, it is often better to remove it to prevent further complications. The fact that the root was left behind can lead to infection or other issues, which is why a thorough extraction is crucial.
2. Bone Density Considerations: Your friend's advice regarding bone density testing before getting an implant is valid. Bone quality and quantity are critical for the success of dental implants. If the bone is insufficient, the implant may fail. A bone density test can help determine if you need bone grafting before the implant procedure. This is especially important in your case, as you mentioned that there are no supporting teeth in the back, which can lead to bone loss over time.

3. Temporary Solutions: If you are hesitant about implants, a removable partial denture (also known as a flipper) can be a temporary solution. This will prevent your upper teeth from shifting downwards and causing further alignment issues. However, it is essential to understand that this is not a permanent solution and may require adjustments over time.

4. Consultation and Second Opinions: It’s always wise to seek multiple opinions from different dental professionals. If you feel uncertain about the advice given, don’t hesitate to consult with a specialist in oral surgery or prosthodontics who can provide a more comprehensive evaluation of your situation.


Pediatric Dentistry
1. Child's Dental Health: Regarding your child's dental issue, it is common for children to experience dental trauma, such as a broken tooth. The recommendation to extract a severely decayed tooth and possibly place a space maintainer (the "环状的矫正器") is a standard practice. This device helps maintain the space for the permanent tooth that will eventually erupt, preventing adjacent teeth from shifting into the gap.

2. Timing of Extractions: Your concern about whether to extract a child's tooth is understandable. In pediatric dentistry, the goal is to preserve the child's natural teeth as much as possible. However, if a tooth is beyond repair, extraction is often the best course of action to prevent pain, infection, and misalignment of the remaining teeth.

3. Parental Concerns: It’s not uncommon for grandparents or family members to have differing opinions on dental care for children. However, the advice from dental professionals should take precedence, as they are trained to assess the child's dental health and recommend the best course of action.

4. Future Considerations: If your child requires an extraction, it is essential to follow up with a pediatric dentist who can monitor the development of their teeth and ensure that any necessary interventions, such as orthodontic treatment, are planned appropriately.


Conclusion
In summary, for your dental situation, it is crucial to weigh the options between extraction and implants carefully, considering factors like bone density and the potential need for grafting. For your child's dental health, following the advice of dental professionals regarding extraction and space maintenance is important for their long-term dental development. Always feel empowered to seek second opinions and ask questions to ensure that you are making informed decisions about your and your child's dental health.

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