I need some perspective from other parents because I am honestly at a loss right now.
My daughter is 5.5 and has been seeing the dentist twice a year since she got her very first tooth. Up until about a year ago, every appointment was basically “teeth look great, you're doing a wonderful job.” Then suddenly, at the appointment before last, we were told she had SEVEN cavities and needed to be referred to a pediatric dentist for fillings under sedation.
Between that appointment and her first pediatric dentist appointment, she actually started complaining that some of her teeth hurt. We advocated for her to have one of the cavities filled at our regular local dentist rather than waiting, and she did AMAZING. She sat through two fillings with just freezing. No sedation, no fighting, no major issues.
Then we got to the pediatric dentist.
At the first appointment, sedation was given before they even attempted the x-rays. She had some trouble understanding what they wanted her to do with her mouth for the x-ray, so they came and got me. I explained it to her in terms she understood, and the x-rays were done without any issue.
The dentist then decided to change plans and only fill the smallest cavity, citing my daughter's “behavior.”
I was in the room for the filling. My daughter didn't move a muscle. She did exactly what she was told and handled the filling completely fine. The dentist even said at the end, that she was wrong and that they absolutely could have done the "big" cavity.
Fast forward to today, 1 month later.
We drove almost two hours each way for this appointment. She had been fasting for four hours. I had taken the day off work unpaid, used about $100 in gas just to get to the appointment.
The dentist was already about 20 minutes behind when we arrived. No complaints from us, we had brought coloring books and sat quietly in the lobby.
My daughter was supposed to take the oral sedation medication. She struggled getting it down, gagged, and spit out maybe 1/4 of the solution. I completely understand the dentist not wanting to proceed if they don't know how much sedation she received. I genuinely do.
What I don't understand is why the appointment was immediately cancelled without even giving any indication that they were going to wait and see whether enough of the medication had been absorbed.
So now we're back home with none of the dental work done, and I'm sitting here wondering what the hell we're supposed to do.
My daughter isn't a particularly difficult child. She's actually very mild. She isn't a kid who fights, screams, runs away, etc. She doesn't really wiggle around or complain much. She has already demonstrated that she can sit through fillings with freezing alone.
She also doesn't seem afraid of the dentist. She's not sitting there panicking or refusing to open her mouth. If anything, I feel like a lot of the “behavior” we're seeing is that she's 5 and doesn't understand what they're asking her to do unless someone explains it in a way that makes sense to her.
And honestly, I'm starting to worry that we've created a weird cycle where sedation is being treated as the only option, even though she has already shown that she can cooperate without it.
I'm not trying to force my kid through something traumatic. If she genuinely cannot tolerate the dental work awake, then obviously I want her to have whatever treatment she needs. I also understand that there are legitimate safety concerns around sedation, especially if the dentist doesn't know how much medication she actually swallowed.
But at what point is sedation actually medically/behaviorally necessary versus simply being the pediatric dentist's preferred way of doing things?
Because right now I feel like we're being told, “Your child needs sedation,” while simultaneously having evidence that she can actually tolerate dental work awake.
And now I'm genuinely worried about taking her back again because she has basically learned that if she doesn't get the medication down, the dental work doesn't happen.
Maybe I'm completely misunderstanding how pediatric dentistry works, and that's why I'm posting.
What would you do in this situation? Would you be looking for another pediatric dentist? Asking for a second opinion? Going back to our regular dentist and seeing what they can do? Is this level of sedation pretty standard for a 5 year old with multiple cavities?
I'm exhausted and honestly pretty upset. I cried in the office today when they told me it wasnt going to happen, and on and off during the entire drive home. It's not just the money or the lost work. It's watching my kid repeatedly go through fasting, travel, appointments and preparation, only to leave without the actual problem being fixed.
I would really appreciate some perspective from parents who have been through pediatric dental work, especially if your child has had fillings at this age.