dear doctor my 4 year son Umar have 4 teeth of front upper side are not in good condition last time i visited local dental doctor who advise me that these 4 teeths have to extract but i am not satisfy from her advise. so please advise me best way and tell me teeth extraction is harmful or not? as per doctor teeths of my son are deterirated due to milk carry in mouth during sleeping.

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  • Dr.Ritz

    Dr.Ritz 24 - May - 2011, at 11:03 AM

  • Your child is suffering from nursing bottle caries which is due to keeping the milk bottle at night in mouth. So if the front teeth are chipped then you have to get them restored otherwise they can get infected. These teeth will be replaced by adult teeth at age of appox 7 years. Till then you have keep them at place by regular checkup and restorations. If they are not already infected then they can be built with composites or the split crowns will be given. If they are already infected then they will need pulpectomy and then restored with composites or interior crowns. For this you have to take your child to pedodontist who are child dental specialists.

  • Richard Korth

    Richard Korth 23 - May - 2011, at 20:22 PM

  • My 3 year old has the backside of her 4 front teeth missing the enamel. It was probably from the bottle at nighttime. The 2 center teeth chipped several months ago but have been ok since then. Will they be alright till the next ones come in? Thank you

  • Dr.Ritz

    Dr.Ritz 23 - May - 2011, at 10:10 AM

  • Your chld is suffering from nursng bottle caries. In this the decay starts from the front uper teeth and then first goes to upper back teeth and then the lower back teeth .Lower front teeth are spared from this. It is because of the bottle feeding. The front four teeth if effected should be treated if they are restorable. whether extraction is advisable or not can not be commented without seeing the case. We try to save the front teeth as far as  possible as they act as the naturel space maintainers for the erupting milk teeth. For more info on nursng bottle caries you can visit the following

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