My daughter, who is only 7 years badly chipped her front teeth
Q. My daughter, who is only 7 years badly chipped her two front teeth, losing about a half of one tooth and a third of the other. These are her 2nd teeth and therefore the dentist has stated that until she is over 16 she will require fillings to be placed on to the teeth in order that they will appear normal. In order for the fillings to be strong the dentist has advised that she will need to have pins placed into her teeth and the fillings will then be attached to these pins as well as her teeth. Obviously we want to ensure she gets the best and correct treatment possible so can you advise if the pins are a routine way of dealing with this situation considering there has been such amajor loss of tooth. Thank you for your assistance in this matter.
A. Treatment varies from dentist to dentist. This is a very sad situation and I feel very sorry for your daughter and for you her parents. In my practice I do not use pins to restore teeth but instead rely on bonding the white filling to the remaining tooth structure. Having said that the restorations can from time to time fail and need replacing. When the nerves inside her teeth have reduced in size a more permanent veneer or crown can be placed. If this is carried out too soon the teeth can die due to nerve damage caused by the tooth shaping. Sorry I cannot give you a better answer – this is always difficult to treat as your daughter is at such a young age a the treatment options are limited.
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