Patient: When the milk teeth came out at more than 3 weeks old, they started to turn black for a while and fell down piece by piece. Now, except for the newly grown permanent teeth which are good, the rest are black and only the roots are left. The cause may be a bag of yogurt before and after each bedtime for more than a week. I was examined at the county hospital and said that all the black roots had to be replaced with good permanent teeth.
Patient: My daughter has replaced 6 of her first 20 baby teeth, and there is nothing wrong with the teeth she replaced, but I just saw that there are still 6 baby teeth that are bad, some are black and some only have roots left. I have also consulted the dentist, he said not to care, it belongs to the 20 milk teeth, can be replaced, I just feel unsure, ask the famous doctors in large hospitals, can rest assured, after all, you see more patients than our county hospital to see more patients, much more experienced, yesterday my daughter has two milk teeth activity, seems to replace teeth again, I hope you can give a word, still with the treatment, if the treatment, how to cure I hope you can tell me whether it is still necessary to treat them, and if so, how they should be treated, and I would like to hear back.
Yang Jie of Pediatric Dentistry of Peking University Stomatology Hospital: No matter for the milk teeth and permanent teeth, as long as “bad” (caries) from the medical point of view, they need to be treated, but the milk teeth are excessive teeth, and have their own special characteristics, for example, if the milk teeth near replacement are suffering from shallow caries, we can consider observing and not treating for the time being. Because you didn’t describe specifically which tooth has caries, but if it is the first and second milk molar with caries, then it needs to be treated, because these teeth will not be replaced until 11-12 years old, so it is likely to have pulp symptoms, apical lesions, etc. before the caries is replaced. In addition, the lesion of the milk teeth will affect the corresponding permanent teeth, and depending on the period of the lesion and the development of the permanent teeth, there may be underdevelopment of the enamel of the permanent teeth, abnormal eruption direction, etc. This effect may not always occur, but since we know this possibility exists, why not avoid it?
Patient: Hello Dr. Yang, thank you very much for your reply, at a glance you are a medical ethics, a strong sense of responsibility, there is a sketch of my daughter’s teeth, you do not laugh, the drawing is not very good, but I think it can illustrate the problem, I hope you can look at the exact analysis of my daughter’s dental disease, in the end how to treat, or wait for the natural replacement, I am very grateful! (I don’t know which one can be opened)
Beijing University Stomatology Hospital Pediatric Dentistry Yang Jie: Hello! You are a very attentive mother, and you have drawn this pattern very clearly so that I have a preliminary understanding of your child’s condition. The child’s milk molars and cuspids are now bad, and these teeth will not be replaced until 11-12 years old, so they need to be treated. However, each tooth has a different degree of lesion and is treated differently, and not all lesions can be cured, i.e. they can only be extracted (which is also a treatment). Therefore, you need to take your child to the hospital to take x-rays to observe the extent of the root lesion and its relationship to the corresponding permanent tooth before deciding on the treatment design.