A 4 year old child has recurrent pus discharge in gums. Please advice.

Question

Hello doctor,

My 4-year-old child has caries on teeth. Since one year we observed pus in the gums above the front tooth. This pus frequently appears with mild pain and disappears within no time. We consulted a doctor who prescribed antibiotic Mox Kid for a week. After using this, again pus was found in the next 10 days.

It is in the same place frequently observed. Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

I can see in attached pictures (attachment removed to protect patient identity), actually, there are multiple apical infections. I suggest you please ask your dentist for dental X-ray, to find out the number of injected teeth and I think you need root canal treatment followed by gum treatment.

Please do not worry it is common in early childhood and known as rampant caries. Generally occurs due to bottle feeding, more sugar-containing food, poor oral hygiene. Root canal (pulpectomy in child patient) is an effective way of draining out root infection.

Prolonged use of antibiotic is not good for child health, a dental procedure done in dental office and medication is the best way to treat this type of problem. Pedodontist is a specialist for child dental problem so I suggest you please see an experienced pedodontist for your baby. Get well soon.