OT: Baby Bottle Mouth...

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Manna wrote:

What a bad day for me. I'm literally in tears over something so stupid....

My younger son (2) is developing a bad case of baby bottle tooth decay. So I called to try to get an appointment with the only pediatric dentist within an 80 mile radius of where we live.... they won't accept him since he's a Medicaid patient (they only take a limited number, and everyone knows this is b/c Mcaid pays less for their services) - even if I offered to pay the difference in what they'd charge, or pay the whole thing out of pocket (apparently that's illegal).

I'm so upset about it. I already feel like a terrible mama, and now I feel even worse that I can't even get my son decent health care coverage. The system is so screwed up.

Sorry to rant about this here, I just had to let that out somewhere.

Try not to be so hard on yourself. Doctors/dentists are actually getting away from calling it "baby bottle mouth" because they're beginning to realize it's not *caused* by bottles, but by a bacterial infection (strep mutans. If your child has this bacteria present in his/her mouth, then it would be unlikely for him to NOT have tooth decay at some point, in spite of how well you practice dental hygiene.

The best preventative for S. mutans infection is to not share spoons, straws, or anything that would transfer bacteria from your mouth into baby's mouth (because transfer usually comes from the child's primary caregiver). These precautions need to be taken until around age 3-4, at which point the child's mouth is fully colonized and it's very unlikely that S. mutans will colonize.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
Originally posted by txnurse2b

Klone,

Since you are having a hard time finding a dentist that will accept medicaid and your young son...

You must have me confused with someone else. :)

Originally posted by txnurse2b

Klone,

Since you are having a hard time finding a dentist that will accept medicaid and your young son, call the medicaid hotline (should be on the back of your card) and they will give you numbers to the dentists that will accept him.

That would be me, not Klone. :)

The dentist I called - I actually did get his information from the Medicaid hotline. They accept Mcaid patients, but only like twice a year. (and this pedi dentist is supposed to serve half the state!) UGH! :(

Sorry about the confusion... oops.. my bad!

Hard to keep up with everyone sometimes. Good luck to you Manna!!

I could imaging how hard it is to find a medicaid dentist. I have times finding a medicaid doctor. Actually, not really the finding, but finding one that is still accepting new patients. Luckily my 2 have a pedi, but I've been trying to get them into a less busy pedi and that doesn't seem like it is an available option.

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