### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My daughter is 4 years old. She had tooth decay and doctors said it was due to bottle feeding at the age of 2 years. We stopped after that. But her front 4 teeth is decayed and broken and is black in color. Even few of her lower teeth are decayed. She doesnot complain of any pain. But we feel very sad to see her teeth. No issues with her diet. Now she brushes twice a day and rinses her mouth after every meal. We consulted couple of doctors and few of them said not to worry. One of the asked us to visit at the age of 5 years and he will remove the front four teeth using root canal. We are worried if there is any other simpler solution. I heard root canal treatment is very painful. Can you please provide some guidance.

### output:

Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that your daughter is suffering from Nursing Bottle caries leading to decay in upper and lower front teeth making them black and broken, and she does not have pain due to necrosis of the nerve fibers present inside the tooth due to infection. In this case Lumpectomy procedure or Root Canal Treatment is appropriate and by these teeth are not removed, but they are saved by cleaning the root canals of the teeth and making them infection free followed by capping them if needed. As the permanent teeth erupt by the age of about 6-7 years therefore it is a better option to get the teeth retained so that the milk teeth fall naturally, and the permanent teeth will erupt in proper alignment. There is no other permanent treatment in this condition and Root canal treatment is the best possible option. As it is done under local anesthesia and post treatment pain relievers are advised, therefore you need not worry of pain. Consult a Periodontist and get treatment done which can be done even at this age of 4 years also. Hope this information helps. Thanks and regards. Chat Doctor. 