Pie had to go in for a three-month “follow-up” for his teeth today, because last time we went to the dentist, he wouldn’t lay back in the chair or let them scrape his teeth — which really needed it. The doctor had us schedule a three-month “follow-up”, which ended up being a cleaning, too. I hadn’t expected it to cost anything, but I should have, because United Concordia pays for little more than six-month cleanings. It wasn’t going to be a lot, but they may have seen a questioning look in my eyes, because the lady asked me if it had been explained to me what the difference would be, or that it would cost at all. I told them I thought it was a follow-up, but figured a cleaning was in store, because his teeth were pretty gross. It made sense that the insurance wasn’t going to pay for it, though. She decided they weren’t going to charge me for it at all, because it hadn’t been explained to me when I originally made the appointment. I only had to pay $10 for the fluoride gel. Yay for no charge, but I still hadn’t expected to pay for a fluoride treatment.
I’m not a big fan of fluoride treatments, especially ingested. It’s kind of funny to me that a topical fluoride product would warn against swallowing, and even recommend one swabs out a child’s mouth if they can’t spit it all out, but on the same sheet of instructions it advocates fluoridated water and fluoride tablets if fluoridated water is not available. What kind of sense does THAT make? One could make the argument that the concentrations are different, but how much difference is there in a slight residue on a child’s teeth that needs to be swabbed out, versus a whole tablet that must be swallowed, or water run from the tap and used in everything the child ingests?
The reason I’ll try it, though, is because Pie’s already developing some little cavities behind his front teeth. The hope of the dentist is that this product will mitigate the need for major fillings in six months. She also recommends (much to Pie’s delight) that he chew Trident (the only gum with xylitol) three or four times a day, especially after meals. This is not a problem — Pie loves gum almost as much as he loves apple juice. Unfortunately, the apple juice has been verboten by the dentist at any time but meal time, and we aren’t allowed to water it down(!) at those times. This dentist is of the school of “volume vs. frequency”, and would rather a child drink a small cup a couple times a day than have it watered down and sipped all day. Apple juice is probably the worst juice, too, she said, because of the acidity. Even Coca-Cola has a pH buffer to keep the acids from eating your teeth (though it can degrease an engine and dissolve a nail in record time!).
*Sigh* Pie doesn’t drink water. He will not drink water! I suppose we’re just going to have to enforce apple juice only at meal time, and then get him used to the idea of water or nothing the rest of the day, but, dang it, we’re trying to potty train here! It’s frustrating enough that he doesn’t eat and that dairy does a number on his stomach. At least he likes almond milk, sort of.
I did have a bit of a brain blast, though: You can buy xylitol at a health foods store (or a health foods section, like in Fred Meyer), so it might be worth it to get some and add it to plain water or watered-down apple juice to create that buffer against the acidity, or give water a flavor. I don’t want to buy “water flavoring” (like Mio), because there are other chemical sugar alternatives in those, and he’ll be getting enough of those in gum.
I know this is doable, but . . . dang it. I can already see the meltdowns over no juice. And I have, like, five cans of frozen apple juice in the freezer.
Oh well. Poor Beanie is currently screaming his sad-baby head off, and has been for almost an hour, because he flat-out refuses to nap. I think we missed the nap window. Too bad my nap window has been wide open for the past two hours, because the same child also did not sleep through the night last night . . .