My 13 year old has an adult tooth coming in over a baby tooth, which doesn’t even seem to be loose. I think we should pull it. My dentist says it’s fine. But, Here’s why I’m worried. The permanent tooth is starting to budge in front of the baby tooth. I’m thinking I should get it pulled. My next question is what would you recommend for a teen with anxiety when it comes to removing the tooth, if you think that’s the right thing to do?
It’s a shame you seem to have more sense than your daughter’s pediatric dentist. Yes, if the adult tooth is coming in and the baby tooth isn’t very close to falling out, you need to pull the tooth. If you don’t, the tooth will come in crooked and you’ll be laying out money for expensive orthodontics later. While some teens need braces anyway, there’s no need to guarantee it.
I want you to go with your maternal instinct and get this dealt with. You may need a different dentist to do it. Children and teens do not have to see a pediatric dentist. They can also see a general dentist who treats children.
If your teen has dental anxiety, I’m going to suggest you choose a dentist who offers dental sedation options. If it is just mild anxiety, nitrous oxide should be enough. If they have more severe anxiety, I recommend oral conscious sedation (OCS). Your child will sleep through the procedure completely anxiety-free.
You should be aware that OCS is very strong. They will not be lucid after the procedure, so you’ll still need to keep an eye on them for a few hours afterward. Usually, you can just set them on the couch and let them binge Netflix. Just be certain to help them to and from the bathroom. They won’t be too steady on their feet.
This blog is brought to you by Huntsville Dentist Dr. Steve Murphree.