Nick finally had his Dentist consultation at Sick Kids. After our appointment in July, I waited until Nick was all recovered from the MACE before making another appointment to try again. The next appointment we could get was October 1st.
A week or so before the appointment the dentist clinic called me and said that because of what happened before, they wanted him to be seen at Sick Kids. They had put in the referral in July, hadn't I heard? A couple of weeks of back and forth and eventually a letter came in the mail. We had our initial consultation. November 13, Nick's birthday.
So after a morning in school, Nick and I headed downtown to see the dentist. The destination wasn't the most birthday-friendly, but the trip was. Nick really likes riding the train
The dentist appointment was pretty basic. Nick was fantastic, not afraid, very calm and cooperating through the entire thing. We talked about our experiences with the dentist, our last 3 appointments to fix teeth with nitrous and sedation. We also talked about how Nick did not tolerate the visit the last time.
Nick let them look in his mouth and we looked at his old x-rays. They printed the pictures, which Nick thought was great!
The dentist resident thought that we could fix the last 2 teeth with the least amount of intervention. A deep cavity maybe needing a root canal on the back molar tooth, and another one at the front. The dentist came and agreed, but wanted some recent x-rays to make sure we knew exactly what was going on in his mouth.
Nick decided to play a bit while we were waiting.
Pretending to spit in the bowl (he thought a spit-bowl was the funniest thing)
And he wanted to know what all of these things were, and what they were used for, and could he play with them. They found out that it was Nick's birthday, and gave him a lego box and some birthday stickers.
When it was time to get the x-rays done, that is when things started going downhill. He was good with the lead cover. But they couldn't get the x-ray tabs in. He just kept gagging and gagging (which is the chiari symptom). He did this before, but I was hoping it would get better as he gets older (we got the x-rays before with nitrous oxide, which decreases the gag reflex).
Even with the gagging, he was still good, and he let them try. With the gagging and the tears rolling down his face, he still let them try.
But we couldn't get the x-rays. So that changed our plan.
General Anesthesia. We have a 'surgery' date of February 2nd, first thing in the morning (the benefit of latex precautions). They have a 2 hour OR time booked, for x-rays, fill/fix whatever is needed for the teeth and a cleaning. He will then wake up from anesthesia and we can all go home.
I have had a number of people ask if we should be going to this extent for some baby teeth? Well the big one that needs to be repaired is on his big molar in the back. They think that this one is deep, and he will have these teeth for another 6 years or so.
We have tried just local freezing, nitrous and sedation and anesthesia is the final step. I knew it was on the table in May, and we tried all that we could to prevent it. Unfortunately we couldn't prevent it.
Once we get Nick's teeth all fixed up, we want to do our best to prevent him from needing it again. I also got a stern lecture about brushing Nick's teeth twice a day, including getting in the back. Even with the gagging that happens when I try to get to the back of his mouth.
I am really hoping that the oral ditropan is what caused the mouthful of cavities. I don't want every visit to the dentist end up in the operating room!