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This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:
Hello!
I have a four-and-a-half-year-old son. Four teeth (4 and 5 upper right, 4 and 5 lower left) were ground down to the gum because pockets or tooth canals had become infected and filled with pus. These inflammations keep recurring; his gums are incised so the pus can drain, and he repeatedly receives antibiotics despite regular and thorough cleaning. The opinions of specialists, however, contradict one another. I am a little confused, because some advised me to have these teeth extracted, while others said they should remain. What does this mean? That until these teeth fall out, my child will take antibiotics on average four times every six months? Because of his teeth? Is it worth it? What would extracting these teeth mean for the permanent teeth? What do you recommend or advise? Extract them? Treat them? Thank you for your answer and kind regards.
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
Premature extraction of primary teeth will most likely cause problems with the eruption of the permanent teeth. The first permanent molar to erupt will move into the space of the premolars and thus cause a disturbance in their eruption. I believe that repeated administration of a systemic antibiotic in cases of inflammation around primary teeth (except in exceptional cases) is inappropriate. The remnants of primary teeth should not cause such severe complications that they could not be retained until their physiological loss.
Have a nice day!
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