Childhood Diseases

Posted by: BMJ | 2012-11-12


Tooth absess

Good morning Doc

I wonder if some children are more prone to tooth absess than other children? My son now has the 4th absess - all on different places in a year - despite reasonable oral hygiene. He seems more prone to caveties as well. He is 11 years old now and in good health. He was at the pead in the last 2 weeks for a general checkup (he is on Concerta and goes every 6 months).

I realise this is a dental question, but I wondered if there may be something that makes him more prone systemically.

Expert's Reply



It is obviously unusual for a boy of 11 years to have repeated dental abscesses especially where dental hygiene is reasonable. So there must be a reason for this to be happening with your son. There are several possible inherited conditions such as 'dens invaginatus' or problems related to dentine development such as 'dentine dysplasia' or infected cysts of the gums known as 'buccal cysts' that may cause a situation such as your son is experiencing.Besides these causes there are several other less common causes that need to be excluded. His dentist should be asking the same question as you are namely why is this happening to your son?The dentist should be trying to diagnose the reason.You may need to get a second opinion about your son's problem..

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