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Question
My daugther just turned 5 last month. I have taken her to my dentist since she was 3 and she would never let them look at her month. This time she allowed the woman who cleans the teeth to clean her teeth, but they could not get x-rays. The dentist came in and told me he thought she might have a couple of cavities, but he could not be sure without the x-rays. So he recommend I take her to a ped specialist. So I made the appt and took her. This dentist told me she had 8 cavities all in her back of her mouth 2 on the top left, 2 on the bottom left, 2 on the top right, 2 on the bottom right. Also that she had to have 2 root canals with 2 crowns. This seems like a lot of work when my family dentist thought maybe 2. My daughter does not complain of any pain, does not chew differently than anyone else. Wouldn't she be in pain if she had this severe problem. She is very good about brushing her teeth. Also this dentist said that they want to use consciuos sedation on her twice. I want to do the right thing but I'm not really sure what I should do. I am picking up the x-rays this week and bringing them to my dentist to look at. I just kept wondering if this problem is as severe as what this one dentist is leading me to believe. Any help you could give me would be appreciated.
Dear Dawn,
You are correct to be suspicious . Crowns and pulp treatment on someone without obvious decay or symptoms , seems quite aggressive.
But be cautious. Your daughter could have some very deep cavities.
My suggestion would be: ,,,,,,, after your dentist looks at the x-rays , then make your decision.
Without being able to examine your daughter myself, it is impossible to be of much more help.
All the best,
DR. Moss
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Stephen J. Moss
Expertise
I am a professor emeritus at New York University, with a background that includes extensive research, scientific writing and biology. I also am an international consultant in health education, particularly in developing education on new science for health professionals and consumers. I am a past president of the American Academy of Pediatric Dentistry, former head of the NYU Division of Oral Biology and I represent the World Dental Federation at the United Nations. I travel around the world to provide health education to professionals and consumers.
Experience
Having retired from New York Universit, where I directed the pediatric dentistry training program, a walk-in dental clinic and research on oral biology, I formalized my professional and consumer health education initiative in the form of Health Education Enterprises. This entity consults and provides information on new science pertaining to oral and general health, particularly leading edge concepts that can be employed in the health professions to improve the public's health. As such, I am an expert in communicating new science and its usefulness to professional and lay audiences alike. I also had a pediatric dentistry practice in New York City for nearly 30 years.
Organizations
I am affiliated with the American Dental Association, the World Dental Federation, the International Association of Pediatric Dentistry and the American Association of Pediatric Dentistry among other formal organizations. My experience has included a research fellowship at the National Institutes of Health and work at the Forsythe Dental Research Center
Publications
lpha Omegan USA, Nowa Stomatologia Poland, Journal of Public Health Dentistry, The Journal of the Southeastern Society of Pediatric Dentistry USA, News Bulletin Japan, Journal of Marmara University Dental Faculty Turkey, Italian Journal of Paediatric Dentistry Italy, Asian Dentist Singapore, The Journal of the Israel Dental Association Israel, ROBRAC Brazil, Italian Journal of Paediatric Dentistry
Italy, FDI World, STOMA Portugal, Pediatric Dentistry The Philippines, Modern Stomatology Bulgaria, Journal of the Indian Society of Pedodontics and Preventive Dentistry India
Education/Credentials
I obtained a doctor of dental science (DDS) degree, a master of science degree and am a board certified pediatric dentist.
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