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DXD Admin from Singapore asked a question

What is your advise on teeth extraction for molar incisor hypomineralization?

For kid, 8 yrs old with sever incisor hypominalization problem on their 1st molar both top and bottom (bottom 2 have done the with silver capping) but top already not in good condition and filler came off :

i) Is it a must to extract all the 4 at the same time since the 2nd molar is ready under GA?

ii) Any painless way to extract one at a time?

Kindly advise.

Many Thanks

DOCTOR’S ANSWER (2)
Dr Sylvia Tan
Orthodontist
Singapore
(2 Ratings)
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Dr Sylvia Tan
Orthodontist
Singapore
(2 Ratings)
Answered on Fri Jan 26 2018 03:00:45 GMT+0000 (UTC)

Dear Margaret;

It is very sad for the patient (and the dentist) when first molar teeth have to be extracted. These teeth are extremely important to ensure a proper bite when the child is older.  However there are certain times when extraction is better than keeping the tooth.

I normally suggest that prior to extractions, it is best to consult the orthodontist for an opinion too. This is because once the teeth are extracted, the orthodontist may need to plan for the second molar teeth eruption and also to treat any issues with crowding or bite problems earlier on. The orthodontist may also need to assess your child’s jaw bone growth.

Good luck!

0 149 views 0 Doctors agree Fri Jan 26 2018 03:00:45 GMT+0000 (UTC)
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Dr Joanne Lam
Dentist
Singapore
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Dr Joanne Lam
Dentist
Singapore
Answered on Fri Jan 26 2018 03:01:27 GMT+0000 (UTC)

Hi Margaret,

Thank you for your question.

I suppose the dentist who is attending to your child recommended the extractions based on the fact that the breakdown on the teeth is severe (as you have also described), which may cause more problems for your child in the long run.

They probably timed the extraction of the 1st molar with the growth sequence of the 2nd molar in the hope that the 2nd molar would be able to drift into and occupy the space left behind after extraction.

Is it a must to extract all the 4 at the same time since the 2nd molar is ready under GA? Any painless way to extract one at a time?

It is definitely not a must to extract all 4 under GA at one time. You can do it...

0 149 views 0 Doctors agree Fri Jan 26 2018 03:01:27 GMT+0000 (UTC)
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