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They include painting teeth with silver diamine fluoride, a safe and painless drug available since that can stop the decay, the Pediatrics article notes. In spite of this, the pediatric dentist performed surgery in this case — and in a dental office, not a hospital operating room. Money may have played a role. The insurer is essentially saying, "First do harm.
Around the country, sedating a child for dental work happens up to , times a year, often with opioids, but even other medications can cause serious problems including death, the Pediatrics paper notes. Surgery and deep sedation used to be considered worth the risk when tooth decay in childhood was thought to cause subsequent decay in permanent teeth. It includes more frequent office visits to reinforce oral hygiene and diet, while prescribing application of topical fluoride at home to arrest decay. Even better is preventing caries in the first place.
Yet, according to the pediatric dental academy, half of American children have never been to the dentist. And make no mistake: