Concave teeth

[jrog]

When my two year old daughter's teeth first erupted at 4 months, we were concerned. Her top front teeth each had two points on the corners, and the rest of the tooth was concave. I called the dentist, and was told to wait until she was a year old. At the first appointment, the two dentists in the office conferred, and decided that neither of them had ever seen anything like it, but since she could not communicate well, we should wait until she could speak.
She is now 2 years old, and we have seen another dentist, who first said it was bottle mouth, but since I didn't give her a bottle, it must be nursing caries, but since I didn't nurse her much at night, it must be too much juice.
We have excellent oral hygene with her, and didn't do flouride treatments because the water was flouridated.
I am taking her for a second opinion. Any suggestions on what to ask? What do I need to know before the appointment?
Thank you!

[Daniel Ravel DDS, FAAPD]

Dear jrog,

What you have described is some form of dental hypoplasia. That is, the tooth has not formed correctly.

The causes of dental hypoplasia could be genetic, environmental, prenatal infectious, or unknown.

[jrog]

Thank you! Does the cause of the hypoplasia determine the treatment, or is it treated the same regardless the cause?
Also, how can I go about choosing an appropriate dentist. This goes beyong choosing a dentist who is "good with children."

[Daniel Ravel DDS, FAAPD]

Dear jrog,

You would be best off with a pediatric dentist, since your 2-year-old will probably need to be sedated for any treatment.

The treatment for hypoplasia usually involves covering the tooth with some sort of cap or crown.

[jrog]

Thank you for the information.
Do pediatric dentists receive more education on disorders and diseases than general/family dentists? I'm just wondering why these other dentists were not familiar with dental hypoplasia. I've done a little researching, and this is not an new concept.
Thanks

[nicoledawson]

Here is one blog, where you can read and learn all required information in regard to how to keep your teeth strong and your smile perfect. Just follow the link and you won't regret:) Have a happy reading!

[charli9]

It’s quite normal in kids as faced the same problem with both my son as well as my niece. Took consultation from a local dentist Torrance and he assured that this it’s a common problem and nothing to worry about. .