Caries

Question

Dear experts,
my son (5 years, CF patient) has caries for the first time, at an early stage.
In spite of the former detailed talks with the treating dentist about the illness, as well as about the specialties of the dental treatment in CF patients, the lady immediately does not want to take any responsibility for the treatment of my son anymore.
A "sterile change unit" would be missing.
According to the dentist, there would be the option of waiting until the caries "breaks through", then one could seemingly work without cooling/water.
I really do not know at all what to do. Should I wait until the caries has "broken through"? Can with that the damage be not even greater? To treat a CF patient without a sterile change unti is seemingly risky (Pseudomonas)? What should I do ideally?
Many thanks for your answer,

Answer

Dear parents,
in case a 5-year-old boy has sometimes a small whole, then this is not serious at all, even not if he suffers from CF. To wait, until the caries has become bigger and then "breaks through" to the surface of the tooth, I consider not to be a good idea, as caries grows the same in the inner tooth and it will then be much more difficult to treat it. Therefore a treatment at your dentist can be recommended, finally she knows your son and has buit up a relationsship of trust. I do not know a "steril change unit" which would be necessary for the treatment of your son. Is probably a surgical motor with cooling with sterile NaCl solution ment by this?
Every dentist office, in which implants are made (and these are very many in the meantime) has necessarily such a device; therefore it should be not too hard to find somebody. Furthmore, the infection protection in German dentists' offices is at a very high level due to apparative and personal equipment as well as controls; this is for sure also the case in the office of your dentist.
Many greetings,
Michael Sies

10.02.2014