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Mark & Steven Bornfel
medicine forum Guru
Joined: 30 Apr 2005
Posts: 888
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 Posted: Thu May 19, 2005 3:16 pm Post subject:
Re: 6-year old with hypoplastic first molars
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NY Mom wrote:
| Quote: | We live in Westchester Co., and there are no coal-burning buildings
anywhere near here. I don't use humidifiers, and only gave him Earth's
Best baby food. I think it's extremely unlikely that my son was
exposed to anything but minimal levels of fluoride. My older son, who
is now 12, actually took fluoride-containing vitamins as a baby (that
was the recommendation then) and his teeth are fine.
Is this condition common?
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Yes. It sometimes affects multiple teeth, but probably more frequently
just one or two teeth.
Have his lower or upper permanent incisors come in yet?
Steve
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001 |
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Mark & Steven Bornfel
medicine forum Guru
Joined: 30 Apr 2005
Posts: 888
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| Posted: Thu May 19, 2005 3:19 pm Post subject:
Re: 6-year old with hypoplastic first molars
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NY Mom wrote:
| Quote: | I'm expecting orthodontia. My teeth are straight, although I didn't
have braces, but my husband's are crooked. My older son is about to
get them for minor problems, probably for only 6 months according to
the orthodontist. I have the feeling that my younger son will need
more extensive orthodontia.
It occurred to me to wonder whether, if my younger son's orthodontic
treatment requires extraction of teeth and the first molars turn out to
be the only hypoplastic ones, they might take those out and leave the
good ones?
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It's way too soon to worry about this.
It's true that I haven't seen how bad the first molars look, but these
are important teeth. The decision as to whether teeth have to be
extracted will be based on what the orthodontists call an arch-length
analysis. If you get a consultation, this is certainly one of the
issues you will discuss.
Steve
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001 |
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Mark & Steven Bornfel
medicine forum Guru
Joined: 30 Apr 2005
Posts: 888
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| Posted: Thu May 19, 2005 3:20 pm Post subject:
Re: 6-year old with hypoplastic first molars
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NY Mom wrote:
| Quote: | I am stressed out, not because there are white blotches but because the
dentist said that the surfaces were pitted, the enamel was
undercalcified and weak, and the child already has a cavity despite
meticulous brushing and flossing (by me, not by him) and a good diet.
The dentist is going to put on sealers, but he said that if the front
teeth were affected, my son would need cosmetic bonding. I've been
reading about crowns being needed on molars in this state. I'm
wondering whether my son is looking at a lifetime of serious dental
procedures.
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Nah. Don't worry about it. Do what I did--worry about my kid's school
and teachers.
Steve
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001 |
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NY Mom
medicine forum beginner
Joined: 19 May 2005
Posts: 9
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| Posted: Thu May 19, 2005 4:22 pm Post subject:
Re: 6-year old with hypoplastic first molars
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One lower front tooth is partially in, making its own row behind the
baby teeth, which are not giving up the ghost. The part that is peeking
out looks ok to me. |
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Steven Fawks
medicine forum Guru
Joined: 24 Mar 2005
Posts: 447
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| Posted: Thu May 19, 2005 4:52 pm Post subject:
Re: 6-year old with hypoplastic first molars
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I'm
| Quote: | wondering whether my son is looking at a lifetime of serious dental
procedures.
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I doubt it, but no one knows for sure at this point. Every once in a
while I will see a youngster with poor enamel formation on certain
teeth. The first molars seem to be the most commonly affected. Usually
I can deal with it by using bonded filling materials while they are
young and then I might crown any badly affected teeth around 18.
Since nothing lasts forever, they will need further treatment at some
point later in life, but I don't think I would use the word "serious".
In very severe cases, the first molars could be extracted and the second
molars guided into the first molar position, but I can't recall seeing
one this bad in my 26 years of practice.
Fawks |
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NY Mom
medicine forum beginner
Joined: 19 May 2005
Posts: 9
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| Posted: Thu May 19, 2005 5:14 pm Post subject:
Re: 6-year old with hypoplastic first molars
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Thank you. |
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Mark & Steven Bornfel
medicine forum Guru
Joined: 30 Apr 2005
Posts: 888
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| Posted: Thu May 19, 2005 5:40 pm Post subject:
Re: 6-year old with hypoplastic first molars
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NY Mom wrote:
| Quote: | One lower front tooth is partially in, making its own row behind the
baby teeth, which are not giving up the ghost. The part that is peeking
out looks ok to me.
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Since the lower central incisors and the 6-year molars begin to
mineralize at about the same time (in infancy), it is possible that an
event that caused a problem in mineralization of the molars (a high
fever, for instance) could also cause a problem for the incisors.
Typically, this is seen as a horizontal band around the surface of the
incisor(s). If the lower centrals come in clean, it increases the
chance that the first molars are an isolated problem.
Steve
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001 |
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NY Mom
medicine forum beginner
Joined: 19 May 2005
Posts: 9
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| Posted: Thu May 19, 2005 5:43 pm Post subject:
Re: 6-year old with hypoplastic first molars
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Thank you so much. |
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