My 4-year-old son has many decayed teeth, and his gums are weak. Please advice.

Hello,

Welcome to icliniq.com.

This is your dentist. I went through your query, and the attached image <attachment removed to protect patient identity>.

I am very sorry for the kid's discomfort. Caries are present in the lower right deciduous first and second molars (milk tooth). Kindly let me know if the kid is on a bottle feed. As you have mentioned, the kid had an injury and broke the tooth. Please tell me whether the tooth is mobile. There is a great possibility of food lodgement on the broken tooth.

Food accumulation might result in caries of the tooth adjacent to it.

Kindly mention if any other tooth on the other side of the jaw or opposite jaw has caries.

• First and foremost, cleaning is essential.
• If he is feeding on a bottle at night before bed, it must be strictly avoided.
• Avoid sticky or sweet foods, such as chocolate and chips as much as possible. Train the child to rinse his mouth whenever he has them.
• Use Kidodent toothpaste and Cheerio oral gel.
• Teach him to brush twice daily.
• Syrup Ibuprofen, if needed.

Get the infected tooth filled. A temporary filling will be enough since it is a milk tooth, but it has to stay there till 10 to 12 years of age as the permanent tooth will erupt at that period.

I hope it was helpful. Kindly reply to the basic queries for further instructions. I pray for the kid to stay healthy.

Have a good day.