A week ago I noticed a what looked like a chip off the front of one of Amanda’s front teeth (lateral incisor). Her molars still haven’t broken through, so she does all her chewing with her eight tiny front teeth, and I figured she must have bitten on something really hard. Just before her first dentist appointment this morning, I noticed what looked like a squiggly gash in the front of the same tooth on the opposite side.

After a quick inspection, the dentist said they weren’t chips – they were cavities. One of the teeth was clearly defective, he said, meaning that the enamel never fully formed around the tooth before it sprouted. That’s why food was able to carve a bigger cavity. And the first tooth, with a large piece of enamel missing, probably got as bad as it did for the same reason. He said nobody knows why the teeth don’t form properly, but it likely wasn’t a mineral deficiency or anything I could have prevented, but rather genetic.

Now comes the tough part. He said there were only two ways to fix it: take her to the hospital and put her under general anesthesia in order to fill the cavities, or bring her into the office and hold her down quickly so he could put temporary fillings on. He couldn’t guarantee how long the temporary fillings would last, but said, “I wouldn’t put my daughter through the hospital route unless absolutely necessary." I’m really torn now. I don’t want to pin Amanda down and traumatize her for something that won’t last more than a couple of months, and have to do it all over again. I’m worried that her teeth are already temperature and touch sensitive because of how much enamel they’ve lost already, and it’s only going to get worse unless they’re filled. I’m also concerned about the “drastic” general anesthesia route. I was hoping he’d be able to sedate her or put her in twilight sleep right there in the office. Now I don’t know what to do.

To make matters even worse, he says that weak teeth like hers should be kept as clean as possible, so he wants me to wean her from night nursing completely. She’s never had a bottle in her life, and I only put water in their sippy cups, so the kids don’t get sugary drinks. I normally don’t talk about extended nursing because it’s so “socially incorrect” in our culture, even though she’s barely a year and a half. But we’ve been trying to night wean her for some time, and so far have only managed to have her sleep in her crib until 4 or 6am, at which time she wakes up wanting to nurse. I’m so tired that I usually just let her nurse in bed with me, and she’ll often nurse every hour or so until she wakes for good at 8am. Afternoon naps are just as tough. I’ll nurse her before her nap, and then try to lay her down in her crib, but she wakes and cries and wakes up Eva. I’ve tried other methods like rocking or slow dancing, but she’s a hopeless nursing addict. I had planned to gradually wean her, stopping completely before her 2nd birthday, but I know doing it more quickly would be a tough road. She’s stubborn, fiercely clingy to mommy, and doesn’t do well with major changes. With this on top of Eva’s broken foot, I’ve got a lot on my plate right now!