I took my daughter to see the dentist a couple of months ago. I was a bit surprised when he said my daughter had three cavities. I’m very diligent with her dental care and even brush after her if I don’t think she’s been through enough. However, I agreed to the fillings as long as he did the white fillings. He didn’t have a problem with that. Unfortunately, every one of the fillings has fallen out…twice! I don’t know if this dentist knows what he’s doing. Should I go elsewhere? We’re a small area and not many dentists do white fillings out here.
Miranda
Dear Miranda,
Based on what you’ve said, I think it’s possible that your dentist did the white fillings just to make you happy but isn’t as experienced with them as with the amalgam fillings. Their bonding methods are completely different. Without adequate experience with then, he may not realize how important it is they stay dry during the bonding process.
If any moisture gets under the filling it breaks the bond. With children especially, this can be challenging. They are wiggly and move their tongues quite a bit. There are methods a dentist can use with children to help keep it dry but he may not be aware of these. Additionally, even with those methods, some children just have trouble cooperating with this particular procedure.
Helping Wiggly Children Get White Fillings
Don’t feel bad if your daughter is one of the wiggly ones. Children are supposed to be wiggly. It’s part of their charm. However, medical procedures sometimes require them to be still. In that case, many dentists will suggest some form of dental sedation. Even a mild sedation, such as nitrous oxide, can put a little one to sleep allowing the dentist to get straight on with the work at hand.
As far as seeing another dentist, you could look for a mercury-free dentist and see if they work with children. A general dentist is qualified to work with children, so you wouldn’t necessarily have to see another pediatric dentist. Each of them did a pediatric rotation. You would want to make sure they enjoy children though. This way your daughter is more likely to have a positive experience.
This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.