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Dentistry/2 year old Anesthesia Dental


My daughter who is 2 years old was found to have 8 cavities due to breastfeeding. My dentist has recommended she go under anesthesia to have dental work done mainly filling and placing caps. My wife and i very uncomfortable about having our daughter placed under anesthesia and would like to wait until shes a bit older. What would you recommend. Thanks

Dear Mr. Khan,
you are quite correct to worry about general anesthesia. It carries with it great risks.
With a small child general anesthesia should only be done when absolutely necessary under the good supervision of an expert.

I suspect that the teeth in question are in the front , and mostly in the top jaw.
They can be treated with local anesthesia, even if the treatment is imperfect the process of decay can be slowed up enough so that the teeth can be treated when your daughter is older and can cooperate a little better.
If you are concerned , as you should be, I would find a pediatric dentist who is willing to treat the teeth in the office with local anesthesia.This would be with the understanding that it may not be a perfect solution and some of the teeth might be lost early.  

Early loss by infection of the upper anterior teeth will not cause any long term problem with your daughter.  Brush her carious teeth with fluoride toothpaste on a daily basis, it will slow up the process and give you time to let her get older so the teeth can be treated in an office.

Hope this helps,
all the best,

Dr. Moss


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Stephen J. Moss


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.


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.

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

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

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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