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Toddlers & the Dentist

Feb03

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Advice Smackdown ArchivesHi Amy and fellow avid readers:

1) Necessity of taking a 2 year old with seemingly healthy teeth to an actual dentist?

2) Pros and cons of spending $500 a year to bump up our dental insurance to a family plan vs. just paying for the child’s dental visits out of pocket for a few years?

DISCUSS

Thanks!
%@!* Dental Insurance

Ooh, good one. And one that — SURPRISE SURPRISE — I don’t have an easy, straightforward answer to. Probably because “easy, straightforward answers” simply do not exist in regards to anything parenting related and someday I will truly, finally accept this. But! Here goes:

1) Officially, the recommendations have changed, and it’s a big change: Both the American Academy of Pediatrics AND the American Academy of Pediatric Dentistry now recommend that children visit a dentist BEFORE THEIR FIRST BIRTHDAY. Sometime between six and 12 months of age. I…I know. This is a big jump for those of us who were more used to the looser “between two and three YEARS of age” guideline.

Because that’s exactly what my pediatrician told me — dental visits weren’t even discussed until the two-year check-up, and it was presented more as a “give it a try, here’s a list of dentists we recommend.” I knew there was some talk and opinions about taking babies to the dentist as soon as the first tooth came in, but…I personally never really considered actually doing that. Taking even a six-month-old to the dentist sounds crazy to me, but…well, stuff changes. I guess that’s how our generation will all end up turning into our mother-in-laws someday, going on and on about how WE did things in OUR day and it was FINE and WHATEVER.

So my pediatrician’s (now-outdated) guidance was that first dental visits are more like practice runs to get small children used to the dentist…AND to possibly catch and correct any early problems/mistakes involving brushing technique, diet, bottle rot, thumbsucking, pacifiers, etc. The first visit typical doesn’t involve much hardcore cleaning or anything, but mostly a lot of talking. To you. Some of it will almost seem insulting (“TODDLERS SHOULD NOT DRINK SODA. AND THAT INCLUDES DIET SODA.”) but some of it will be helpful, like tips for ensuring that the nightly toothbrushing/wrangling is as effective as possible. If your child has the vocabulary and communication skills, a good pediatric dentist can very effectively explain the whole WHY we brush our teeth, in addition to making it a nice little game to get those ugly germs, brusha brusha brusha, etc.

Of course, Noah was absolutely USELESS at the dentist at two years old, thanks to his many sensory issues. Of which oral hypersensitivity was a BIIIIIG one. And he simply could not process anything about the visit — the chair, the lights, the PAPER BIB OMFG. Our first visit was a complete disaster and both our pede AND dentist (one recommended to us for special-needs kids) advised that we just go ahead and wait a little while longer before attempting a cleaning — like three, or even four, provided we employed a good brushing technique, used a flouride toothpaste (as opposed to the little baby training mouth cleaners), and promised not to give him like, sugar water and gummy bears for lunch. So dental visits got bumped way down our priority list until we felt there was a chance he could sit through one without screaming and panicking and being thoroughly FREAKING TRAUMATIZED. And his teeth are fine.

Ezra also hasn’t seen the dentist yet, and I didn’t realize that was now WRONG and SHAMEFUL because again, my pediatrician never brought it up until his two-year visit. He didn’t have his last set of molars yet, and I was told it was probably fine to wait for those, if I wanted. So I did. They came in last month, all sneaky-like, with barely any teething symptoms. I’m not so worried about Ezra, and I will take him to a pediatric dentist fairly soon-ish, because I actually think he’ll get something out of the visit, and might even enjoy it.

Basically, I’m still not entirely convinced that these very early dental visits are ESSENTIAL and doom and decay will surely result by waiting a little longer, but they aren’t a bad idea, at all. I think it depends on your kid and your dentist, their ability to communicate with each other, your child’s diet and your general sense of your own competence when it comes to taking care of their teeth. But I’d say it’s usually worth a try, just to be on the safe side, and on that note…

2) We originally did not put our kids on our dental insurance, until my nephew — at age three, with an otherwise perfectly healthy set of teeth — mysteriously and suddenly developed a raging abscess in his gums. It was VERY serious, like, risk-to-his-BRAIN-if-left-untreated serious. His very first visit to the dentist ended up being done under emergency circumstances.

My poor sister, of course, blamed herself for also delaying dental check-ups until he was older, or for doing something “wrong” with toothbrushing at home, but the dentist assured that it had NOTHING to do with that. It was just one of those weird, crazy things that happen. To this day, we don’t really know why it happened. But after quite a few visits to various dentists and specialists, my nephew’s teeth are not only JUST FINE, he actually LOVES going to the dentist.

However, we put our kids on our dental insurance after that. So far, we haven’t had to use it, thank goodness, but I have a real sense of RESPECT for the fact that kids’ oral heath is just as much of a ticking time bomb as the rest of their little bodies. Beyond check-ups and cavities, toddlers can (and do) knock teeth out and need oral surgery, for example. Not to mention the really weird stuff, like abscesses or adult teeth erupting prematurely or dental issues stemming from other health problems or complications. Dental insurance is just like any insurance gamble — you may not need it, you HOPE you won’t need it, but when something unexpected happens and the dentist hands you a $1,500 bill, you might be pretty darn happy to have it.

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If there is a question you would like answered by Amalah on the Advice Smackdown, please submit it to amyadvice@gmail.com.

About the author

Amalah

http://www.amalah.com
Amalah is a pseudonym of Amy Corbett Storch. She is the author of the Advice Smackdown and Bounce Back. You can follow Amy's daily mothering adventures at Amalah. Also, it's pronounced AIM-ah-lah.

If there is a question you would like answered on the Advice Smackdown, please submit it to amyadvice@gmail.com.

Amy also documented her second pregnancy (with Ezra) in our wildly popular Weekly Pregnancy Calendar, Zero to Forty.

Amy is mother to rising first-grader Noah, preschooler Ezra, and toddler Ike.


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32 Responses to “Toddlers & the Dentist”

  1. KelleyD Feb 03 at 9:23 am Reply Reply

    My husband and I followed the “within six months of the first tooth erupting or by the first birthday”
    My older son went for the first time when he was about a year old and has gone every six months since then. My younger son will be going for the first time in March and he’ll be about 11 months old. For most of the visit we have done “lap exams” you sit facing the dentist knee to knee and your baby/toddler/preschooler sits in your lap facing you and then lays back across the dentist’s lap.
    I think a big part of getting them in so early to see a dentist is to get them used to going and to be comfortable with it when they get older.

  2. cindy Feb 03 at 9:58 am Reply Reply

    I had to laugh about the “do not give soda to toddlers” advice, because I have a friend who used to occasionally make her kids’ infant oatmeal using Coke. I swear to God. She admitted this, and didn’t see anything wrong with it. Her kids are all fine and healthy now (though picky eaters).

    Anyway, put your kids on your dental insurance! My daughter slipped on an icy sidewalk when she was about two and injured one of her front teeth. It turned gray, and she needed to see a pediatric dentist and get x-rays to assess the damage, and that was her first dentist visit. It would have cost a lot if we’d had to pay out of pocket!

  3. Rachel Meeks Feb 03 at 10:10 am Reply Reply

    This makes me wonder if medical insurance would cover tooth injuries from accidents, like if your kid falls and a tooth falls out. I think I’ll go check mine.

    I waited a long time to take my kid to the dentist because of her sensory issues, so she was four, but she had a great time. Going to a pediatric dentist instead of a general dentist was so worth it. They even gave her cute sunglasses to wear during her appointment.

  4. Jess Feb 03 at 10:51 am Reply Reply

    We started my older son on dental visits at 2 years old. At 3, he had a raging cavity in one of his molars. I was mortified! The kid eats way less sugar than most kids and we brush religiously. It turns out that the enamel on his back tooth chipped.
    The pediatric dentist said it was unforseeable and unpreventable – it just happens sometimes. Having a 3 year old on nitrous oxide (for the filling) was pretty funny, though.

  5. Kat Feb 03 at 11:01 am Reply Reply

    Our pediatric dentist makes a fortune – but he needs to to be able to afford the huge fish tanks, matching scrubs and all the cool things he has in his office. He also changes twice as much and makes you pay cash up front and then submit to your insurer (which covers about 1/3 of the cost). Most regular dentists with even basic bedside manners can look at your kids teeth and let you know if you have issues.
    I would recommend this and it does get your kids sensitized to the dentist. Remember, some kids are getting their first set of braces at age 8 these days. My 8 year old just had to have dental surgery ($900) to remove a mesiden (extra tooth) above her front permament teeth. Thank goodness I had insurance (that covered half) and a health savings account.

    Also, I live in an area of the country with the higher percentage of college graduates and I still see (rarely)toddlers walking around sucking on bottles with soda or strawberry milk in them and my I have neighbor kids (in a neighborhood where the house range from $300K to $1 million) dollars who have had multiple teeth pulled due to rot. You just don’t know…

  6. yasmara Feb 03 at 11:09 am Reply Reply

    Get the insurance! My friend’s toddler had a cavity & they didn’t have insurance – anything dental-related is SUPER expensive without insurance. You’d easily go over the $500 in one visit. They ended up having an old family friend who was a dentist help them out, but if they had gone to a regular dentist it would have been very very expensive, even just to fill the cavity. Plus, if you are worried about putting heavy metals in your kids’ mouth (if they do get a cavity), the non-metal tooth-colored composite fillings can be hundreds more than the metal ones.

    Medical insurance *should* cover traumatic injuries, but it might vary depending on the injury & your insurance & you’d probably have a huge hassle with the insurance company dealing with it.

  7. Jeannie Feb 03 at 11:36 am Reply Reply

    I’m in Canada, so the insurance question is moot — if you’re unlucky enough not to have dental insurance, which is rare, the government pays for your kids. Here the advice is take your kids to the dentist after they cut their first teeth, but since mine cut teeth at five months and 4.5 months respectively I didn’t. Neither of them was eating solids for months afterwards. I took my son to the dentist around two and he goes yearly. So far we’ve been lucky that all his checkups have been fine (although we’re heading in next week so my fingers are crossed!) My daughter is eight months and I think I’ll see if the dentist can peek at her while we’re there, but I don’t think I’ll subject her to the chair for another year or more.

    Oh, and I second the pediatric dentist thing if you can. We do that for our son and the guy is awesome, as are his assistants — all they do is kids, so they are totally prepared and outfitted for it. I’m sure some regular (family) dentists are too, but this way we know the dentist is prepared to handle any and all child issues!

  8. Camille Feb 03 at 11:40 am Reply Reply

    Our 23 month old saw a pediatric dentist at around 13 months, and it was completely lame (I’m probably bitter because we drove a long way for a pediatric dentist and the only thing that catered to children was that they played cartoons in the waiting room….where we waited for a loooong time even though we had the first appnt of the day). She has an appnt to see our dentist later this month, although dental is covered under my family health plan (which she is on).

    One quick side note: my friend who is a denstist told me that the non-metal tooth colored fillings use BPA as a hardening agent. I’m not sure if this has changed given recent studies/baby bottle issues, but something to look into/consider when making decisions on fillings.

  9. JCF Feb 03 at 12:11 pm Reply Reply

    Yikes. I’ve been thinking about taking my kids to the dentist, but delaying it since we don’t currently have dental insurance and my husband is a full-time student. I had figured I’d wait until he started his job (and got insurance) in June, but maybe I’ll have to look into what a visit would cost out-of-pocket.

    My kids are 3, 2, and 6 months, and they’ve never been. I haven’t taken my oldest, partly because he’s the type of kid to flip out or just straight refuse to open his mouth. Has anyone had experience taking a kid like this to a dentist? How did it go? He doesn’t have sensory issues or anything, but he’s really shy, and he doesn’t like strangers, especially strange men. Once he’s had a chance to warm up, he’s fine, but it takes him a while!

  10. Jill Feb 03 at 12:16 pm Reply Reply

    Yes to the insurance for those “just in case” scenarios.  My mom is a dental hygienist and she (and the dentist she works for) recommend first checkups at 3.  In her experience, anything before that is a waste of time and money for both her and the patient.  She says basically all they can do at that point is count the teeth, so it really isn’t worth it.  Obviously, pediatric dentists may have different ideas and each kid may have their own issues, but that’s her professional experience.  Never mind the whole “let’s see them starting at 6 months because we can charge for it!” mentality that I assume with any changes in the recommendations.

  11. Katie Feb 03 at 12:53 pm Reply Reply

    I asked the hygenist in my dentist’s office the last time I was in…. she said to ignore any suggestions to bring a kid in before age 3. She said something along the lines of “trust me, no matter how good your kid is, we won’t be able to get a good look until at least age 3.” I really trust this practice and find them to be very competent, honest and fair. I’ll admit that I think the really young visits to a pediatraic dentist seem like a way to guilt parents into spending even more…

  12. Ally Feb 03 at 1:44 pm Reply Reply

    We started our kids at two and I’m really glad we did. It has gotten them used to going and also answered concerns I had. Our first visit was to a regular dentist and the other ones were to a pediatric one. The pediatric dentist was amazing. They are so good with the kids. They let my son touch and use everything before it goes in his mouth and are very patient with kids. We are lucky that our insurance covers all dental costs. 

  13. Ginger Feb 03 at 1:49 pm Reply Reply

    We went to see the pediatric dentist @ 13 months, just like our ped requested. The visit was free (check w/the practice you’re looking at, they may have a similar policy) and was more of a “let’s get acquainted” visit. The dentist told us that basically, their concern is knowing a patient and having a file in case of damage until the age of 2-3 (depending on the kid).
    Since our kid is crazy unruly we got the insurance (I can just see him barreling head first into a doorjam and knocking his teeth out). If it was just about cleanings/cavities, I’d have waited until he was at least 2 if not 3.

  14. Julie Feb 03 at 2:23 pm Reply Reply

    My dentist has said not to worry about cleanings for the kids till they were about 3, but given the recommendations I was hearing elsewhere, I called a pediatric dentist to set up an appointment not too long after he turned one – it ended up being closer to 1.5 before he got in because there’s a long delay for new patient routine visits, as with most things. I was glad I did set it up that way though, because a few days before his appointment I noticed that one of his front teeth was turning grey, and was able to have the dentist evaluate it for damage, and for what to watch for down the line.

    I’d definitely recommend getting dental insurance, because little kids do fall down and hit their mouths a lot, and you never know when that might result in some sort of dental issue. (For instance, the grey tooth is not more vulnerable to further damage or infection, so we have to watch for abcesses on the gum that might indicate an infection got into the root.) It’s better to have it and not need it than need it and not have it. And if you have it, why not take advantage of it to get the routine dental visits – likely the early visits will be just teeth counting and discussing health care with you, but it will let your kid and the dentist get to know each other, which will make it a much smoother thing in the future if there is some sort of emergency situation.

    And I found the pediatric dentist awesome, and well worth the slightly longer drive for us. Lots of cool toys and video games in the waiting rooms, tvs playing cartoons above the examining chairs, and the hygenist and dentist were very good about thinking about things that might freak out kids. For instance, the hygenist played peekaboo with the face mask for a bit to show my kid that there was a real person under there, let him feel the gloves and talked about how funny they felt before trying to touch him with gloved hands, etc. And ours billed directly to insurance and was totally covered – we didn’t have any of the issues a previous poster mentioned. Obviously all pediatric dentists are not created equal, so ask around for local recommendations.

  15. Liz Feb 03 at 3:25 pm Reply Reply

    We took my daughter to the dentist at 15 months (she will be 3 in May) after she fell and knocked out her front tooth. My pediatrician recommended it to make sure there wasn’t any damage from the impact. Since then, we have gone back every 6 months to check how her teeth are coming in, discuss a fake tooth option, etc. We did get x-rays one time and that was difficult.

    She has another appointment in 2 weeks for her first tooth cleaning. I’m hoping it is easy–she seems excited to go and we’ve been talking it up, trying to make it sound totally awesome and discussing how we all go to the dentist to get our teeth cleaned.

    Unfortunately our health insurance plan doesn’t have a dental option. Luckily, the pediatric dentist gives a discount for full payment up front. So there’s that, at least. It hasn’t been outrageous thus far, but all the visits have been (mostly) routine. I’d get the insurance it you can. You just never know, especially with kids.

  16. Therese Feb 03 at 4:55 pm Reply Reply

    Our pediatrician and my uncle (a dentist) both told me we didn’t need to worry about seeing a dentist until our son was 2 and really 3 was okay. His ped checks his teeth at every well-child check and would obviously let us know if something was amiss. However, my husband is a dental hygiene FREAK and was super worried that our son had yet to be the dentist. He called our local (very well regarded) pediatric dentist who of course said “your child should see the dentist as soon as they get their first tooth.” Well, my husband immediately made an appointment and paid $50 for the pediatric dentist to look in our 16 month old’s mouth and say “yep, he’s got the right amount of teeth and they look good, see you in 6 months.” Now, $50 is not that much money and is affordable for us but still, it seems a little silly to me. If my son were showing signs of problems with his mouth/teeth and/or the pediatrician was worried I would probably be singing a different tune. I will say that my husband did just add our son to his dental plan which I am fine with in the event we have a serious emergency. However, the $$$ was a big factor with that. My husband has great dental insurance and it was only a few dollars a month to add our son. My dental insurance is so bad that it’s cheaper for me to pay for cleanings out of pocket and save a little extra in case of a dental emergency rather than pay the monthly premiums. All that to say, use your best judgetment on when you think your child needs to see the dentist and do the math on the insuranche regarding what will be the most cost effective. I will also say that a regular dentist can see children and should be fine but I definitely noticed a difference with the pediatric dentist and might especially lean in that direction if I had a child with any sensory or other concerns that could make the dentist visit more scary than normal.

  17. Whozat Feb 03 at 6:34 pm Reply Reply

    Our pediatrician said to take our daughter sometime around 2 – 3. At about 20 months, we noticed that THREE of her top teeth looked suspicious, and made an appointment with a pediatric dentist. At 22 months, she had them capped, under general anesthesia, and had another cavity in the other upper incisor a couple of months later. We would have been TOTALLY screwed with out dental insurance (and, as it is, we’re fighting with the medical insurance about their portion – OR/anesthesia).

  18. May Feb 03 at 7:18 pm Reply Reply

    The dental insurance really depends on the plan and how much it will cost. Get a plan summary from work and check the network.

    Some plans pay quite a bit towards out of network  stuff (especially cleanings) and others not a cent. How much does the plan cover? A lot of plans have an annual max of $1,000. If it costs you $40 a month it might not be worth it. In my experience the really cool pediatric dentists don’t belong to a network.

    Check the network discounts to see if they are significant. If you have a good relationship with your dentist they will sometimes give you the in-network discounted amount but without actually having to be in-network.

    Do you have a flexible spending account at work? You can set aside money pre-tax to pay for medical, dental and vision care. You have to budget really, really carefully though. Keep in mind that payroll deducted premiums are pre-tax.

    And with employer-sponsored plans you usually have one time a year to get in or out of the plan. And some plans have a waiting period for people who have waived in the past and then suddenly decide to take it. 

    And tooth result of an injury (sledding anyone?) will likely be covered by your medical insurance. 

  19. kari Weber Feb 03 at 7:36 pm Reply Reply

    My son killed his front tooth and required a root canal about 2 weeks after his 4th birthday.  My dentist had told me that if there were no problems I could wait till he was 4 to start him.  So I was waiting until about 2 months after his fourth birthday when my company’s open enrollment period opened to add him.  Yeah.  He was running around the family room and bumped his mouth (not even hard) on the chair and that was it.  A few days later it started turning and we had to go in.  $700 later…. sigh.  Had he been on the insurance at the time, it would have cost us next to nothing.  That October, both my boys went on (my youngest was only about 6 months old at the time) and both have gone to regular checkups every 6 months since.  My youngest had his 2nd appointment in November, and it was fine.  He actually had his first real cleaning with the spinny brush and all! 
    My advice: Get them on, and early.  Find a dentist you really like, preferably one that is a PEDIATRIC dentist.  That is not the same as a dentist that sees kids too.  

  20. Bethany Feb 03 at 8:40 pm Reply Reply

    On the dental insurance front, I gotta say: it’s often not worth it unless you’ve got great coverage.
    I work for an endodontist (root canal specialist) and handle a lot of the insurance billing. I can say from experience that premiums will add up to way more than the savings you get on the day of service. It hurts more to shell out $1000 all at once for a root canal, but it’s less than spending over $500 a year for insurance that will only cover 50-80% of dental procedures.

  21. Hannah Feb 04 at 7:01 am Reply Reply

    Also in Canada, here – although it varies big-time from province to province what is covered and for how long. (Our provincial plan only covers visits up to age 10, and that’s only checkups / cleanings). My dentist says that unless there is an obvious issue that needs looking at (tooth pain, for example) that she doesn’t need to see the kids until they’re three. My older son went to see her the week of his third birthday and had a fantastic time (not a ped dentist, BTW, she’s mine, too) – he loved all the “you’re a big boy now so you go to the dentist” attention. His teeth are very healthy and he’s fine.

    His younger brother will be three in two months, and his first appointment is already booked. I frankly can’t imagine taking a six month old to the dentist. How many of you can honestly say that your six month old would like having a total stranger poking around inside their mouths? They won’t remember the visit later, so the “acclimatizing” argument seems a bit thin to me; and it sounds more like an excuse to bill people for extra visits than something actually medically necessary.

    Now, you damn kids get offa mah lawn. ;)

  22. Christine Feb 04 at 10:42 am Reply Reply

    I’m somewhat in awe of all the comments above.  I can NOT believe how many people think it is ok to ignore your child’s dental health.  And, even if your kid turned out to not have issues, be assured that there are plenty of children that do.

    I can not even begin to tell you how many children would come into our general pediatrics clinic when I was in Southern California at less than 1 year with huge number of cavities.  It was truly heart breaking, the teeth were barely coming in and were basically rotting out of the children’s mouth.  Parents did NOT care and felt it didn’t matter, if it wasn’t for those of us in the clinic pushing them to the dentist nothing would have been done.  

    Flame away, I’m sure it’s coming.  I’m just saying as a doctor that I really feel ignoring what the AAP and AAPD recommend (which BTW is NOT a new recommendation, it’s been like that for at least 6 years since that’s how long I’ve been out of primary care, it was the AAP official recommendation when I was still IN primary care and had been the recommendation for quite some time) is really almost bordering on negligence in some cases.  Just because your hygenist said it’s silly (which makes me even more angry, someone needs to go to some CME apparently) doesn’t mean there isn’t an actual public health benefit.

  23. karen Feb 04 at 12:36 pm Reply Reply

    Here in (sunny, warm!) California, it is the law that when you sign up for employer provided insurance for yourself or your dependents, if you get medical, you also need dental. So we had to sign my daughter up for dental as a newborn along with her medical and she didn’t get teeth until 14 months!

  24. Christy Feb 04 at 1:20 pm Reply Reply

    If your child’s teeth touch at all then get them to a dentist early! Even with brushing and flossing my oldest has cavities every appt and at her first appt around 3 years old she had multiple cavities and needed a crown!!! None of my other kids have teeth that touched and have never had a cavity, though.

  25. Katie Feb 04 at 4:07 pm Reply Reply

    I definitely agree that it’s sad that kids have cavities in their baby teeth by one year old… but, I think there are other issues at play besides whether those kids went to the dentist as a baby. If I feed my little girl healthful foods (she doesn’t even drink juice), carefully brush her teeth daily, and discuss her oral health with her pediatrician and my own dentist… I just don’t see that as “bordering on negligence” or ignoring my child’s dental health.

  26. Nancy Feb 04 at 6:17 pm Reply Reply

    Our girls are 3.5 and have their first appt later this month. I am petrified on their behalf, but am hpeful things will go well to get them off on a good start with dentists. I know they’ll get to pick out a little goodie from a toybox when they’re done, so maybe that will help them. On my dentist’s recommendation, we use electric toothbrushes with them (Dora themed) because any brushing is good, and e-brushes get a little more brushing in per attempt than a standard brush, or so he says. We’ll see how it goes!

  27. Rebecca Feb 04 at 11:36 pm Reply Reply

    My mother didn’t send me to the dentist for the first time until I was 10 years old. The summer before 5th grade, she suddenly decided to check all my health stuff and took me for a physical, eye exam, and dental exam. I’ve always had perfectly healthy teeth, even when I went through a rebellious phase as a child and refused to brush my teeth for days at a time. I’m pretty meh about the whole idea, honestly.

  28. ksmaybe Feb 06 at 10:07 pm Reply Reply

    I took my son when I saw a dark spot on his molar. He was almost 2.5. It was a cavity. We tried temp fillings, finally gave in and had it filled under general a couple months before his 3rd birthday. It needed to be capped and there was another cavity in there too. His enamel is extremely soft according to the dentist. Thankfully, I hadn’t even done the math on putting him on our insurance, we just did it. Between the second opinion, the temporary fillings, frequent visits, and the whole fillings/cap/xrays….it was a good idea to have the insurance. At the very least, I recommend picking a dentist for the beginning from the list that your insurance takes, even if you wait to put them on the insurance. Why have to change people when part of the whole deal with the early visits is getting them acclimated to the exam and the dentist. Since we’re there so often with my son, the dentist has already taken 2 quick peek ‘first’ exams on my daughter (14 months). Hopefully her enamel is better….you can bet we’re not holding off on adding her to the insurance!

  29. Marnie Feb 07 at 10:41 pm Reply Reply

    If you can swing the insurance, I would do it. We were able to add my daughter as soon as she was born for about an extra $10/month. Seemed like a no-brainer. THANK HEAVEN we did it. We didn’t use it the first year, but when she was 15 months old, she fell in a driveway, chipped both front teeth, and pushed them both far enough that they had to drift back down into place. We took her in and the dentist filed the sharp edges. About 3 months later, she fell on the tile floor. Another chip (seriously, this kid could not get her hands up when she fell), another visit. Fell on the outside steps about a 18 months later and we thought the tooth was going to die, but it hung in there for about another year until it finally abcessed and had to be pulled just after she turned 4. Lots of mouth trauma, and I’m so glad we didn’t have to stress about the extra bills: we didn’t pay a dime for any of those visits, so over time, the cost of the insurance was far less than we would have paid otherwise.

  30. Lindsay Feb 14 at 3:47 pm Reply Reply

    Insurance is one of those things you have just in case sh*t happens. And with kids, it happens! :) I took my daughter to a pediatric dentist about 6 months after her first tooth came in. Her first visit was great, the second a little rougher, and the third is coming up soon. I’m sort of anal about mouth care because my parents never took us to the dentist regularly growing up and so we only went when there were problems, i.e. absessed tooth and major pain! I don’t want my kids to be afraid to go to the dentist and since weak enamel runs in my family I want to be sure that we stay on top of any issues that might arise.
    I definitely recommend doing your research when it comes to any dentist, but especially pediatric ones. I have heard some awful stories about ones that will do unnecessary work but because it’s your child you will pay whatever it takes to make them better, and those dentists take advantage of that. So do your research and find a good one, but I personally think that all the work is worth it.

  31. Amanda Jan 25 at 12:11 am Reply Reply

    I am currently a dental hygiene student and I would highly recommend dental insurance for your children if it is an option and feasable, it is definitely well worth it. Dental procedures can be very expensive and you never know when you might need them.

    As far as visits are concerned, as soon as your children erupt a tooth it would be good to at least visit a hygienist. Familiarizing children with the dental office when they most likely don’t need many procedures is a good way to teach them not to be afraid and to really value their oral health. Unfortunately, many parents are not aware of the medical implications that poor oral health can lead to. Additionally, cavities are not completely dependent on good brushing, there are many things that can lead to caries, many of which can be diagnosed at an early age. Your dental hygienist can give you a lot of information. Our entire job is teching skills for prevention. I strongly urge visits at least by the age of 1, it may seem pointless but it can potentially spare your kids from dental problems later in life.

    If you have any questions, feel free to ask me. I will answer to the best of my abilities and anything I don’t know, I can ask my instructors who are all experienced hygienists or dentists, including one who specializes in oral surgery, and another in periodontics.

    Thanks. Good luck.

  32. Kirstin Jun 01 at 10:50 am Reply Reply

    Our son has been on it insurance since he was born. It really is only a few dollars a month so we don’t really notice it. 
    He’s three now and we have not gone to a doctor. Not because my dentist said so (which he did) but because I feel it is not necessary. I check his teeth every morning, Once in a while with one of those dental mirrors. We brush extensively twice a day. Hs teeth aren’t even touching anyways. 

    A friend of mine recently posted about her 2 year old daughter’s first dental visit that she is proud he child does not have any cavities although she eats candy and drinks soda all the time. That was shocking for several reasons.

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