Q. Shall we go ahead with GA for dental procedures of my 2. 6 years old?

Answered by
Dr. Naveen Thomas
and medically reviewed by iCliniq medical review team.
Published on Oct 09, 2016

Hi doctor,

My son is 2.6 years old. His four front teeth look black now. The enamel did not form in the front teeth when it erupted. Also, the molars have very deep cavity as can be seen in the image and there are other small cavities too. His teeth were crooked and got decayed so fast. The pedodontist suggests that the front four teeth will be taken out and RCT will be done on the two molars and the cavities have to be filled. All this will be done under GA. I am afraid as there has been cases where child died because of improper dosage of anesthesia. Please help as I am not sure of what to do now. Should I go ahead with the procedures? Or should I wait for some time?

Dr. Naveen Thomas

Dentistry Endodontist Paediatric Dentistry Periodontist


Welcome to icliniq.com.

  • There is no need for such procedure at this age. The front four teeth will usually never cause any pain to the child, but it has to remain there to maintain the space till the permanent teeth come in its space. So, leave the front four teeth as it is.
  • The molar teeth, which has a cavity, can be filled for the time being using temporary medicated filling. If only there is pain, then you need to do root canal treatment.
  • It is always best to avoid general anesthesia unless absolute emergency. If your child is cooperative, then no need for anesthesia.
  • If there is no pain or if the child has mild pain, then medicines are enough to reduce pain till four or five years when he can sit cooperatively.

For further information consult a pedodontist online --> https://www.icliniq.com/ask-a-doctor-online/pedodontist

Thank you doctor,

The molars are highly decayed. But, the child does not complain of pain yet. Shall I just go with filling?

Dr. Naveen Thomas

Dentistry Endodontist Paediatric Dentistry Periodontist


Welcome back to icliniq.com.

  • Anesthesia is usually a safe procedure, but I will personally recommend for emergency procedure and this is definitely not an emergency.
  • First, just get the molar teeth filled by temporary medication and after 10 days fill it permanently, if there is no pain involved currently.
  • The front teeth have gone bad since its development due to fast caries infection. But, you do not have to worry till there is no pain.
  • So, leave as it is. The only treatment presently required is to fill the molar teeth. Do not worry about the front teeth.

For further information consult a pedodontist online --> https://www.icliniq.com/ask-a-doctor-online/pedodontist

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