My Son Is Having a Medical Procedure...

Updated on July 17, 2010
R.S. asks from San Antonio, TX
7 answers

I will take any advice I can get on if I am handling this the right way or not...

On Monday morning my son (5 years old) is going to the dentist to have 4 cavities filled. One of them is pretty deep and might end up with having the tooth pulled (and a spacer put in later). My dentist doesn't do the "baby root canal" because he says they only have a 50/50 chance of working and why go though the expense and trauma only to possible have more trauma later by having to pull the tooth at a later date.

Anyways...my son is a drama KING. He has already had a bad experience where at the ER they had to sedate him and when they mentioned putting him to sleep he totally freaked out and went nuts. They held and strapped him and finally got the iv in place and sedated him but it was horrible for him and me. Oh, and getting him to take medicine of any kind is a pain in the rear.

I am very concerned not to freak him out about Monday...so far i have told him that he has some small holes in his teeth and the dentist is going to fill them in with "plastic" (it was a word my son supplied and seemed okay with so i went with it...plastic). I told him first he had to drink some medicine here at home to keep his stomach from getting upset...this is actually to sedate him...but I don't want him to freak out on me about taking it (I am not sure if he will take it anyways)...then I told him they will let him wear a cool "piggy snout" mask while they work to help him breathe better because his mouth will be open for so long (we all know this is the laughing gas...but pig snout sounded cooler...and he thought it was pretty fun sounding).

Am I totally doing him a disservice by not disclosing more information? Should I just have my dentist send us to a pediatric orthodontist that can put him completely under and skip trying to do it with minimal sedation?

I am dreading this because he gets so upset of things that are not big deals...and this is the biggest thing/deal he has had to face.
thanks.

Edited;

I am not saying he is being a drama king just over this and making it a big deal...I think four cavities is a big deal. I am explaining that to him little things are a BIG DEAL...like taking a Tylenol for a fever is a cause for a hysterical meltdown. His sister looks at him cross eyed and it it a BIG deal. Everything in life is an overwhelming big deal to him...he is super sensitive to everything...and I want to make this as easy as humanly possible for both of us. I love the lovey idea, but he has never attached to one, but maybe he would like to pick a toy to take with him.

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So What Happened?

Well we are home from the dentist...he actually did great. I let him solve the problem of how he wanted to take the Mediciane before we went in...it was liquid Valium. He said he wanted a straw and a spoon of sugar after and he drank it like a trooper. We arrived an hour later at the dentist as instructed...and they started the laughing gas. He was relaxed but fully conscious and responding to questions...so finally the doctor decided to start. He wanted to do the 2 on the bottom first and see how it went...it was the tooth that might have to be pulled and its neighbor.

My son did great with the numbing and then didn't like the feel of the drill vibrating but wasn't in any pain. In between the drilling and the filling the doctor got called out and my son ended up biting his own tongue. He was chewing on it...and could not seem to stop himself. they got the filling in and then as soon as they allowed him to close his mouth he bit his tongue again...and no matter how much they explained or showed him the blood/ his tongue in the mirror...he just couldn't seem to stop,

We decided to call it a day and go back for the other two at a later date...and they did something to un-numb his tongue.

The dentist asked me if I gave him all the Valium...I did...he explained that my son should be completely asleep between the Valium and laughing gas...and he was a bit amazed that he was not only still awake but functioning. We had the same problem at the ER the narcotic given to knock my son out worked 12 minutes as apposed to the 30-40 it should have. He has an incredibly high tolerance to narcotics...they just don't seem to work well on him. .So instead of being carried to the car...my son went and pick some prizes from the toy box. We got him a milkshake on the way home and he is now eating lunch (which he begged for)...all went well...thanks to all moms who responded.

More Answers

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R.M.

answers from Portland on

Hi R.

I suggest bringing a lovey with you and telling your son you will be there holding his hand the whole time.

Do not talk about it hurting or about the procedure in detail, it will only scare him. I would talk about what you'll be doing after the trip.

If you have an I Pod, have him make songs for the procedure and let him listen to his play list too.

There is nothing you can do to change the reality, but you can make it easier by focusing on him and comforting him.

I'm sorry you and the little guy need to go through this, having medical procedures like this is tough being so young.

R. Magby

4 moms found this helpful
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P.W.

answers from San Francisco on

I don't personally believe in giving them a lot of info. too early. I think it gets them worked up unnecessarily.

Other moms can give you more advice.

3 moms found this helpful

N.P.

answers from San Francisco on

It sounds like you did and said everything perfect. I was a big control freak when I was a kid and HATED the dentist. I wanted to do all the procedures myself. I would cry and beg for a hand mirror and the drill. I would also repeat this same act when I had to get my blood drawn. In my mind, doing it myself would hurt less than having someone else do it.

My mom did nearly the same thing as you, with the sedative medicine, but she called it the "no hurt juice". Once that was down I was pretty ok because I held in my mind that because I drank the juice nothing could hurt me so it didn't matter what they asked me to do, I'd be fine.

I felt the prick of the needle when they numbed the area though so after the procedure was over I just told my mother that I was able to feel the needle a little so next time I needed stronger juice.

Kids don't need the the absolute truth if you know it's going to make them spaz. Also, tell him he can bring whatever lovey he wants to and it can stay with him. I brought my blanket and they tucked it around me. lol

3 moms found this helpful
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J.B.

answers from Los Angeles on

your doing it fine. hes not going to be any calmer for a pediatric dentist. my daughter is 3 and when she goes in for her routine appts i tell her what they will do and such and if she freaks she freaks i cant help it much.

1 mom found this helpful
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V.G.

answers from Portland on

He's five- it IS a big deal to him!
How scary to have to go through four fillings AFTER knowing the scariness of a hospital and being put under....
I'd cut him some slack and try to make it as easy on him as possible. He's not being a drama king- he's being a five year old who doesn't know whats going to happen and he's worried.

1 mom found this helpful
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R.Y.

answers from New York on

I'd say try and have the dentist do the less invasive cavities first and see how he does. If he totally freaks out you can always get the referral to the ped orthodontist. I think my 4 year old would have a hard time too since he barely let the dentist look in his mouth.

1 mom found this helpful
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B.B.

answers from Charleston on

general anesthesia is really worse than any dental work. Complications, though quite rare, are usually serious, and many people get sick as a dog upon waking. I suggest keeping it to a minimum-what you said is fine, I'd leave it at that and be as nonchalant as possible. Let them give him the nitrous oxide, it wears off really quickly. Almost immediately. So quick, in fact, that we used to call it "hippie crack" waaay back in the days before kids and responsibilities. Good luck, I hope it turns out ok.

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