When James' first baby teeth came in we noticed that they looked sort of funny. We took him to the dentist right away and found out that his new teeth had enamel defects. Apparently there are a few risk factors that cause enamel defects in primary teeth. Some of these are:
- birth difficulties
- chronic ear infections
- chronic illness during the first year of life
- mother's health during pregnancy (such as pre-eclampsia)
- critical jaundice
- taking antibiotics for extended periods of time
Just one or two of these could cause enamel defects, but every single scenario rings true for poor little James. His four top front teeth broke down as they came in. We had a very strict brushing routine, even when he was was only 7 months old. Every time I would nurse him I would have to brush his teeth. Even in the middle of the night. After brushing his teeth I had to take xylitol wipes and wipe out his whole mouth (to kill bad bacteria). Luckily he liked the taste of the wipes and would frequently request to chew on one during the day. The kid loves brushing his teeth and does a really great and thorough job for his age.
When he was 7 months old the dentist told us that the teeth would eventually need to be capped but that he wanted to wait as long as possible. So every 3 months we have gone in for fluoride treatments. Last month we decided that it was time to get this taken care of. I might also add that I have been freaking out about this since he was 7 months old (a year and a half...but who's counting!). At the same time I have really been disturbed about how some people look at him. Some people will say he's so cute but then when they see his teeth you can see a look of disgust on their faces. Like he has improper hygiene or something. It's irritating. If any of you have ever seen his teeth you'll know just how sad they've made me. You always dream of these perfectly cute little teeth coming in, and when they are rotting out of their mouth upon arrival it's devastating. I felt guilty for so long, as if I had done something wrong.
On Thursday night we stopped giving fluids and food to James. We arrived at the hospital at 6:27 in the morning to fill out paperwork and get admitted. Shortly afterwards the anesthesiologist came in and gave me a run down of risks, at which point I pretty much lost and started crying. Every nurse and doctor that came in that room had to deal with my bawling. I'm sure they thought I was a basket case, but...whatever.
I got James all dressed up in his little gown and socks and they let him play with some toys to pass the time. When they came in to get him he started yelling, "Mommy, help!" I totally lost it. The nurses were great and they got me a warm blanket, a diet coke and left me alone in a dark room with a tv to wait.
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playing with toys before
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| duck feet! |
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| my waiting place |
I'm pretty sure they had to strap him down to sedate him. He has some bruising on his forehead and arms that makes me think the poor little guy was tied to a table. Everything went well, but it took a little longer than expected. In the recovery room his oxygen levels dropped and he turned blue. As a result he got strapped up to monitoring equipment. They were having a hard time stabilizing him so they brought him to me to hold. It took four people to keep him from ripping off the monitors and his IV. After he was stabilized they took off all the monitoring equipment and said we could leave when he was drinking. He was so wiped out that he just fell asleep in my lap for about 45 minutes. It was quite the ordeal. Start to finish it was about 4 hours.
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| Sleeping it off |
Once I brought him home he was extremely upset and screamed and cried for hours. When I gave him his medicine he screamed so hard that he stopped breathing and turned blue. I think it was equally traumatizing for us. He wasn't eating or drinking even though he kept crying about being hungry. It was so frustrating to see him go through that.

Kindy came by to see how he was and he perked right up. He ate and played and was back to normal by the time she left. Paul decided he had been through so much that he deserved a toy. So we went to the toy store and he picked out this pretty sweet fire truck. I am glad it is finally over and that my little boy has the teeth to match his beautiful smile.
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| Before |
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| After |