11/11/2025
Rowan sees the dentist every 6 months, he has from a baby.
Over the weekend he was complaining of his mouth hurting. I checked it out to see his adult molar tooth had the biggest cavity, exposing the nerve.
Rowan was last seen in April, it was only last week that I had my reminder text to book an appointment with his dentist. Seeing his tooth in that state made me feel so sick.
He had an emergency appointment with the dentist this morning, and confirmed that his tooth had decayed in just 6 months.
Rowan has good oral hygiene, he eats sweets and sugary snacks, but not to the extent of a tooth decaying in such a short space of time.
The dentist suspects the tooth has structural weakness, caused by my factors but the biggest being on long term steroids. Heās explained with the molar having structural weakness; thereās a good chance that the other 3 will also have it.
Now as Rowan is immunocompromised and at risk of adrenal crisis, an urgent referral has been made to Alder Hey dentist team with his care team being aware of the situation so they can act accordingly. Heās on a week of antibiotics to treat/ prevent any infection.
This isnāt just a case of a little boy needing to have teeth out, this is a little boy who hasnāt had his adult teeth for that long and already needing to be removed. Not because of poor oral hygiene, but because of medication that is allowing Rowan to be mobile. To walk, run, ride his bike, all the things a 7 year old does. The steroids stop, all these activities stop too.
Rowans dentist thinks that the best way to go would be knock him out, take the 4 teeth out and x ray to see if other teeth are also affected. For anyone, surgery brings risks, but surgery for Rowan brings scary risk. His adrenal function needs to be carefully monitored and then with hope a relapse doesnāt occur and prevent infections. We then need to discuss the future of steroids.
This is why itās not just a case of a little boy needing a tooth out, this is about saving adult teeth while weighing up the best way to support his mobility, prevent any relapses, and protect his adrenal function.
Itās not easy.