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Hi sir, my 2 years old son has a small dot like cavity. Also recently he bumped into a table and one of his front tooth is slightly broken. That tooth also got some brown line. I consulted a pediatric dentist and he mentioned that this is cavity and also the dot like cavity on other teeth- both needs to be treated. He suggested anesthesia procedure for cleaning and crowning which I am reluctant to at this small age. Is this anesthesia procedure really required or can silver diamine fluoride be helpful if at all it is a cavity. The brown line appeared few days after he was hurt. If I opt for silver diamine fluoride treatment what could be the side effects on toddlers in short or long run. Is it safe or can cause toxicity?

4 Doctors Answered
You can wait for any treatment right now. Just brush his teeth, without toothpaste as he might swallow. If he understand how to spit and rinse then you can use pea sized tooth paste. Brush twice daily and observe whether that discoloration increases or not in a period of 6 months, if not then restoration can wait. If it increases then go ahead with silver diamine treatment. Avoid sticky foods like biscuits. Avoid bottle feeding while sleeping.
Anaesthesia process is safe n done as child won't cooperate otherwise fillings should be done at earliest caps are required definitely if rct is done other wise not required brown line could a fracture line if you can send a picture of that on line may b can tell you better n application of silver. Is safe no toxicity has been reported it can prevent further occupancy of cavities in future.
Hopefully safe. Don't worry.
The treatment is necessary.. And if not taken in time then the carries will spread to other teeth. My suggestion is to take homoeopathic treatment and stop it further developing.. After that you may go ahead with the allopathic treatment..
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