Aspergers and the dentist

My son has aspergers. I know there is no way he can sit still for a dental appointment. Because of that I haven’t ever brought him in for a dental appointment. I’m worried that he is going to get cavities though.

LeeAnn P. – Rochester, NY

LeeAnn,

You don’t have to fear taking your son to the dentist, though I understand why you’ve hesitated. There are dentists, including pediatric dentists, who have special training and experience in dealing with children (and adults) that have unique needs.

They have ways of helping children in those circumstances. One thing they may suggest is sedation dentistry. That will relax your son so much, he will probably not even remember the procedure.

This blog is brought to you by Lafayette, LA Dentist Dr. John Theriot.

Can a sinus infection cause a tooth infection?

I’ve had a sinus infection and now my gums are hurting. Could my sinus infection cause a tooth infection?  If so, would this be a dental emergency?

Olivia P. – Maryland

Olivia,

Your sinus cavities can be located to the side of your nose, above your teeth.  It’s possible the pain from your sinus infection is radiating to your gums.  Have you sought treatment for your sinus infection, or are you just “toughing it out”?

This isn’t a dental emergency. If you haven’t had an antibiotic for the sinus infection, then I’d do that first. If you’ve had treatment for your sinus infection and your gums are still hurting, then I would look into a dental issue.

This blog is brought to you by Lafayette, LA Dentist Dr. John Theriot.

Pulled something gross from my crowns

I got a dental crown. My gums hurt afterward. I called my dentist and he said they would stop hurting soon. This went on for almost two months with me calling each week in order to find out how much longer it would take for it to get better. He kept telling me any day now.  I was in agony. I finally got so tired of it that I took to the crown with tweezers, deperately trying to releave the pain. When I did that, I pulled what looked like a long piece of cement from under the crown. There was instant relief from the pain. My dentist is swearing that I just got used to the crown and is denying he left any cement. Is this a big deal?

Stanley W. – Little Rock, AR

Stanley,

If by big deal you mean that your health is at risk, then no, it is not a big deal. However, if by big deal you mean totally totally incompetent, then yes. it is a big deal. It is a huge “no-no” for a dentist to leave any material, such as cement.

Cementing isn’t that complicated, so it is ridiculous for anything to be left. If you were to get a more advanced procedure, such as  CEREC crowns, the bonding procedure is much more complicated. I wouldn’t trust your dentist to perform it.

I also wouldn’t trust that you got all of the cement (or whatever material he left there) out. Get a second opinion by someone more competent.

This blog is brought to you by Lafayette, LA Dentist Dr. John Theriot.