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What in the world is a pulpotomy?

July 16, 2014

My dentist said my daughter needed a pulpotomy, but our appointment was out of time before he could explain what it was. He said he’d talk me through it as he did it. Can you tell me what in the world it is? I don’t relish going in there blind.

Stacey Anne L. – Pittsburg

Stacey Anne,

You’re a much nicer patient than I would be. My dentist would definitely explain something to me before I’d even agree on another appointment for a procedure. In fact, your dentist has an ethical obligation to explain all your options, so I consider his callousness in telling you that he’s out of time and he’ll just explain it to you as he goes in excuseable, especially for a pedicatric dentist.

Now that my rant is over, I’ll explain the procedure. Basically, a pulpotomy is like a root canal procedure for children.

It’s done on an infected baby tooth to kill the infection. Most of the pulp of the baby tooth is removed, down to the roots, and the tissue inside the roots is daubed with a disinfectant, such as formocresol. The tooth is then sealed and usually covered with a stainless steel crown.

It is usually done only on baby molars, because they need to stay in place until your daughter is about 10 to 12 years old in order to hold the space for the permanent premolars.

I hope this helps put your mind at ease. If you have any more questions, please let me know. This blog is brought to you Oklahoma City Dentist Dr. Don Swearingen.

Do I have to bring my child to a pediatric dentist?

May 14, 2014

We live in a small city/town. There is only one pediatric dentist. I really don’t want to see him because we used to have a relationship.  Is it OK to take a child to a general dentist? If not, I will suck it up and go see the lech.

Name Withheld

I know you want the best for your child. I can tell because you’re willing to sacrifice your comfort for the interest of your child. Let me put your mind at ease.  There are plenty of great general dentists who love to treat children and are highly qualified to as well.

One way to know if they enjoy treating children is the age at which they are comfortable having them in for their first appointment. If they say two or three years old, they’ll be good with children. If they say closer to seven or eight, then they’re not as comfortable with children as you’d like them to be.

This blog is brought to you by Oklahoma City Dentist Dr. Don Swearingen.

Worried our pediatric dentist is a pedophile

April 18, 2014

We’ve been going to a pediatric dentist for a little over a year. He never let the parents come back to the operatory, which always made me a little nervous.  Tonight I saw on the news that he was arrested on charges of child pornography.  I almost threw up.  Now I’m wondering if my child could be on some of that pornography.  My son is already asleep, so I haven’t spoken with him. Should I go to the police? How do I ever trust another dentist with my child?

Emily S. – Arkansas

Emily,

There is nothing worse than a breach of trust from people who work with our children. That is the vilest of crimes. I have a couple of suggestions for your. First, you can bring a photo of your child by the police station. Explain to them your concerns and leave the picture with them. They can compare it with the images they confiscated. That would be one way to find out without having to speak with your child about it.  Though, I’m feeling like you are worried about more than images. In that case, you could ask your child if their dentist ever made them feel unomfortable. Don’t press it.

When it comes to finding a new pediatric dentist, that is something easier to deal with. First, remember, most pediatric dentists get into this field because they care about children and have pure motives.  I know it can be frightening, especially after your experience today, but there are great people in this world.

It sounds like you had a gut feeling about this dentist. Your intuition is a good defense.  If you’re uncomfortable with anything, don’t go to that dentist. I think you would also feel better if you could be in the operatory with your child.  As long as your child responds well to that, your new dentist shouldn’t have any objections.  If he or she does, than find a different pediatric dentist.

I hope everything is OK with your son and you find the best pediatric dentist available in your state.

This blog is brought to you by Oklahoma City Dentist Dr. Don Swearingen.

Pediatric Dentist or Family Dentist

March 29, 2014

I’m about to have my first baby. I’m wanted to know is it better to go to a family dentist or a pediatric dentist?

Holly H. – Oklahoma

Holly,

You can go to either one. A pediatric dentist has done some extra training regarding the dental care of children, but many people prefer a family dentist where everyone can be seen by the same dentist. It’s really a matter of preference.

You’ll want to make sure that the dentist you pick enjoys treating children. If they like to see them around three years old, you can be sure they are comfortable around children. If they want to wait until your child is around 8 or 10, you can be sure they are not the dentist for your child.

One option is to see a family dentist and he can refer you to a true pediatric dentist if there are any complicating issues.

This blog is brought to you by Oklahoma City Dentist Dr. Don Swearingen.

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