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If your kid’s baby teeth are decaying from bottle use, what would you actually do?

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Posts: 52
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(@gamer656942)
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[#1925]

Imagine this: you’re at the dentist with your toddler, and they say, “Yep, classic bottle rot. See all those brown spots?” Total parent guilt trip. The dentist rattles off stuff about early intervention—maybe fillings, maybe pulling a tooth if it’s really bad. But then you get home and start googling and… wow, there’s a million opinions out there. Some say just let the baby teeth fall out naturally since they’re gonna go anyway, others act like it’s DEFCON 1 if you don’t treat every spot.

Has anyone else been in that spot where you’re torn between doing whatever the dentist says (even if it means putting your kid under for dental work) or just trying to manage things at home with brushing and cutting out juice/bottles? My cousin swears her daughter’s teeth “healed” once she switched to water only and brushed better, but I’m skeptical. Like, can decay actually reverse itself in little kids?

Also… how much does insurance usually cover for this kind of thing? We’re not talking braces here but all these interventions sound pricey. And sedation for a three-year-old kinda freaks me out.

If you’ve been through this—what did you do? Did anyone try less invasive stuff before going full-on dental procedures? Or is it just wishful thinking to hope things will improve on their own?


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Posts: 11
(@ocean_aaron)
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- Had a similar moment at our last checkup—felt like I was getting called out for bad parenting.
- We tried upping brushing and ditched night bottles, but honestly, those brown spots didn’t budge.
- Dentist pushed for fillings, but I hesitated about sedation too.
- Insurance only covered part, so it added up fast.

Is it actually possible for small cavities to heal with just better habits, or is that just wishful thinking?


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luckyfoodie
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(@luckyfoodie)
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I totally get where you’re coming from—those brown spots can make you feel like you missed something, even when you’re doing your best. About healing cavities: it’s tricky. From what I’ve seen (and gone through with my own kid), really early spots—like white chalky patches—sometimes can be stopped or even improve if you’re religious about brushing, cut out nighttime milk, and maybe use a fluoride varnish. But once they turn brown, I haven’t heard of them going away on their own, no matter how hard you scrub.

The sedation thing is stressful too. We waited a bit to see if things would stabilize, but our dentist said deeper cavities on baby teeth can get painful or infected fast. It felt like a rock-and-a-hard-place situation—pay for fillings now or risk a bigger problem later.

Did your dentist mention silver diamine fluoride? Ours offered it as an option to “freeze” the decay and avoid drilling for a while, but it turns the spot black. We didn’t go that route, but I wonder if anyone here had luck with it?


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Posts: 37
(@aaron_white)
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Did your dentist mention silver diamine fluoride? Ours offered it as an option to “freeze” the decay and avoid drilling for a while, but it turns the spot black.

We actually did try SDF on my daughter’s front teeth. It definitely stopped the decay, but yeah—the black stains are no joke. For us, it was worth it since she was terrified of sedation and drilling, but I do wish someone had warned me how noticeable the color change would be. If it’s a back tooth, I’d do it again, but for front teeth, I’d think twice.


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Posts: 52
Topic starter
(@gamer656942)
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We were in the same boat last year with our son—brown spots, dentist talking about sedation for fillings, and my partner and I stressing out over it. We ended up getting a second opinion, and that dentist was way less aggressive. She suggested focusing on brushing, ditching nighttime bottles, and using fluoride toothpaste before jumping into procedures. The decay didn’t totally reverse, but it did stop getting worse. Insurance covered part of the checkups and fluoride treatments, but the more involved stuff (like sedation) was mostly out of pocket. Honestly, the guilt is real, but I’m glad we didn’t rush into drilling right away.


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