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Featuring consumer information from Columbia School of Dental & Oral Surgery
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Oral Health Made Simple: Your Prescription For Knowledge
 PREVENT PROBLEMS
Small BoxAll About Cavities
Small BoxBrushing and Flossing
Small BoxFluoride
Small BoxMouth-Healthy Eating
Small BoxSealants
Small BoxTaking Care of Your Teeth
Small BoxTobacco
Small BoxYour Dental Visit
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 CONDITIONS
Small BoxBad Breath
Small BoxCavities
Small BoxCold Sores
Small BoxDry Mouth
Small BoxImpacted Tooth
Small BoxSensitive Teeth
Small BoxTMJ
Small BoxTooth Discoloration
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 TREATMENTS
Small BoxCrowns
Small BoxDentures
Small BoxFillings: The Basics
Small BoxGum Surgery
Small BoxImplants
Small BoxRoot Canal Treatment
Small BoxScaling and Root Planing
Small BoxWhitening
Small BoxMORE
 GENERAL TOPICS
Small BoxControlling Pain
Small BoxCosmetic Dentistry
Small BoxEmergencies
Small BoxFill, Repair, Replace
Small BoxKids And Teens
Small BoxOral Health and Your Body
Small BoxOrthodontics
Small BoxPeriodontics
Small BoxSeniors
Small BoxMORE
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Step 1 Prevent ProblemsSimplestepsPrevent Problems
Step 2 Understand ConditionsSimplestepsUnderstand Conditions
Step 3 Explore TreatmentsSimplestepsExplore Treatments

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Q: My daughter is 3 years and 5 months old. She has a few small cavities in her upper and lower front teeth. The dentist does not want to fill them. They say too many of these fillings fall out and they will have to redo the fillings. They have mentioned crowns if the decay gets worse. We are doing everything possible to prevent further decay, but one of the spots is getting larger. Will fillings in the front baby teeth just fall out? Is filling them not the best option? My thought is just to fill them and see what happens.
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July 23, 2014
A:

Dentists who treat young children are faced with challenges. Your daughter is an excellent example of these challenges. Because she is so young, she may not cooperate with treatment. This means she may not be able to have fillings placed. Also, the teeth in question are very small. They have thin enamel and large nerves. Repairing them requires a very conservative approach with great attention to detail.

However, just because there are challenges with your daughter's situation does not mean that her teeth should not be repaired.

One of the concerns I have is that the decay seems to be getting worse. Also, you seem to lack confidence in the recommendations of your daughter's dentist. I believe that if you have doubts, you should get another opinion from a pediatric dentist.

Pediatric dentists have two additional years of training. They are very familiar with treating young children. You can make an appointment for a consultation and see what the pediatric dentist recommends. After that, you can make a decision about how you want your daughter treated.

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