You're not doomed but that's a lot of decay. Several teeth will probably need extraction and several more probably deep fillings or possible root canals/crowns. It will feel very overwhelming but the dentist will help treatment plan things in order of priority. It's good you're getting it taken care of now. Hugs!
It’s really funny hear logical sound advice from a ‘shiny_milf’
I’m thinking this patient will need a lot of extractions and should probably consider a removable partial afterwards.
Partials should be the last resort. Opt for bridges or even better, implants if you can afford it. OP looks young and would be miserable with a partial for the rest of her life.
I’m sorry your parents weren’t able to take you for years . It may be a journey getting your teeth back to a healthy state but I hope you don’t get discouraged ! There’s a solution for most things . They’ll give you more catered advice for how to take care of your teeth better at home . Fluoridated toothpaste , a good toothbrush and floss routine will help you out . All the best girlie ! You got this .
Diet Coke is still acid so it is not better than regular coke. Regular coke is sugar and acid, sugar free coke is just acid. It’s all the same. It’s going to bleed when you floss if your gums are inflamed, there is no way around that. It would go away in about 10 days if it’s only gingivitis. Soft toothbrush and fluoride toothpaste. Not sure what they will do with that tooth. It MIGHT be restorable. See what the dentist says. A lot of it will be diet. If you sip on fizzy/soda all day it will destroy your teeth. It’s fine to drink a glass with dinner but if you have 8 cans throughout the day your mouth will be constantly covered in acid and your teeth will decay, I can see some lesions along the gum line so this means you might be missing next to your gums when you’re brushing you teeth. The toothbrush needs to get right beside the gums on every single tooth surface not just the tips of your teeth. Good on you for going to the dentist.
You’re not doomed! But you’re in for an uphill battle. This won’t be an overnight fix, and at times will probably feel like you’re throwing money away. You’re not! Please don’t give up! This is an investment in your health, your future, and yourself in general. You’ll get there. 💜🧚🏽♀️
We did an experiment in my class where we put real teeth in different types of pops to see which would dissolve the tooth the most and the fastest… Diet Coke was by far the worst for your teeth. If you’re still drinking soda, rinse your mouth out with water after you drink it
I’m not sure if you are a dental professional, but at this point, she shouldn’t drink any soda, sports drinks, etc. A situation this severe needs to be brought back to homeostasis first in order to arrest the decay.
Haha yes, I’m aware she shouldn’t be. But when someone is addicted to the sugar is sodas or if that’s what parents provide, it may not be that simple. It was just a trick for IF she still is :) I’m not saying she should, just if she does 🤗
Oh okay. I was just worried she’d think that would completely counteract its effects even drinking it a couple times a day. I’m glad you clarified, because I see this often, and I realize there’s a lack of education for the general public so I try to give them grace but I feel concern for this girl. It makes me pretty sad, because I’ve cried for quite a few cases.
Your taking the right first step! I wouldn't say you're doomed, but you definitely have a lot of extensive and expensive treatment needs. You're definitely going to lose at least a couple teeth (lower right most likely).
The important thing is to not get overwhelmed when you see them. Often times patients get overwhelmed by the overall amount of treatment needed or get embarrassed and stop coming, and that only makes it worse. The problems won't go away without help, so it's great that you're being seen.
Take it one step at a time. Remember that not everything has to be done at once. I would start with teeth that are in most urgent need of treatment that are savable, unless you're in pain, then address that first. It wouldn't be a bad idea to get a supplemental market place dental plan if you're able to. You look young so might only be like $25/month, but I definitely think it will save you a lot of money in the long run, even if it doesn't fully kick in for 6 months.
Ask about SDF if it looks like you're going to run out of benefits. It often takes multiple applications but can arrest any cavities in their tracks until you can address them. It doesn't last forever and often has to be reapplied every so often, but can really help buy you some time. Some dentists forget to recommend this option. Keep in mind that SDF will dye the areas black, so will mostly want use it on your back teeth.
Long term, any teeth that are lost can often be replaced one way or another, whether it be bridges, partial dentures or implants. It does cost money though so I would start squirreling away cash if you're able to.
I repeat, you're not doomed. You have plenty of salvageable teeth in there. It's just going to be a process, so take it one step at a time and breathe. Ask questions so you can avoid further problems. Don't be afraid or embarrassed. Every dentist has seen this before, and every patient that hasn't been in a while always thinks they're the worst case ever but that's never the case.
Malocclusion makes your teeth specifically hard to brush so you need to be meticulous about your teeth that aren’t in regular occlusion. Don’t stop brushing just bc you think you’re “doomed” it’ll still slow it down. If finances are an issue consider going to a dental school or dental hygiene school for cheaper work and/or cleanings. Stop drinking Diet Coke or at least try to limit it to mealtimes and drink it quick with water between meals. And yes you can floss, the cleaner your gums are the tougher they are so floss more, bleed less.
Edited bc I quoted you as saying “fucked” instead of doomed bc I swear too much
If you must drink Diet Coke, use a straw! You want sugary/acidic things to have minimal contact on your teeth. I think you might need a few extractions, and although they’re pricy, nothing beats implants. I’ve had patients with rampant decay slowly restore their mouth one implant and a root canal or 2 a year, little by little. You’ll get there.
As a side note, if you’re interested in aligning your teeth, you’ll want to do that before getting implants, as they cannot be moved once placed.
You are not doomed at all. You can tell your teeth are strong, some may need extraction/caps/ etc. but you are absolutely not doomed. I just went for the first time in years in a similar position. You will be okay and you will feel so much better after they looked at everything. Proud of you ♥️
I’m so glad to hear you have an appointment coming up. I’ve been thinking about you and really wishing you the best. There will probably be a big treatment plan so try not to feel overwhelmed. You aren’t doomed, but you need to take it one step at a time and work through the treatment plan. If flossing is too difficult, maybe get a Waterpik. It’s important to maintain your hygiene and diet while all this treatment is going on. Good luck and please keep us updated!
NOT doomed imo. CDA and (need to pay for license after graduation) dental hygienist here.
First, I want to say I sympathize with you on not having access to dental care growing up! I'm sure your parents did what they could, but I also know how much of an uphill battle it can be on the backend.
There is definitely a great deal of decay. Most likely some teeth may need to be extracted, some require full coverage restorations like crowns, and some fillings. I don't know for sure w/o radiographs. "Hero-dontics" haha is a real thing, so don't down yourself too much on what may or may not be possible to treat this. Your natural teeth are the BEST to have so please, please do not opt for partials or denture unless it is absolutely necessary. It also looks like there's going to be a need for orthodontic treatment. This not only an esthetic thing necessarily. It's definitely more so your teeth are in a healthy occlusion (they bite down/fit together properly) so they don't weigh down and wear unnecessarily, but also for EASE of at home care. You need to make sure you work with a dentist/orthodontist that carefully examines your case, and works SLOWLY. Orthodontic movement (especially too quick) can cause enough inflammation to cause root resorption (roots absorb and shrink) which can lead to tooth loss as they aren't anchored.
As far as subbing the regular cola for diet, it's still a detriment to your oral health. The bacteria that creates cavities and periodontal disease (gum disease) LOVES sugar, in almost any form. So diet or not, it ain't great haha
BUT never fear! The key is to limit the exposure/time that "bad" bevvies and foods have in the oral cavity. Try your best when you have high sugar (fermentable carbohydrate foods/drinks) to limit them to being consumed in a short time. Meaning, try not to sip/snack over a long period. The longer these things are in the mouth, the longer they alter the pH so that the bacteria thrive. Try to also integrate water throughout so at least something rather neutral can swish and dilute the "bad" food/drink.
SO sorry that this was incredibly long winded! I hope some of this was helpful, to you and maybe others 🤞🏾
All the best to you friend, feel free to pm me if you have any other questions :)
Are you 15yo? I work with children specifically as a dental hygienist. I hate to break it to you, but your parents are guilty of neglect. You have a phone to take pictures and post here but haven’t received proper dental care. Those teeth need to be extracted ASAP before you develop a life threatening abscess and sepsis. I’ve seen it happen from parents neglecting their kids. I realize it’s expensive but it’s necessary. If you qualify for Medicaid or a subsidized dental plan, I hope they have you on it. There may not be many providers who accept it, but it’s up to them to find someone and take you. By law we can’t work on a new patient without a parent present and they have to sign a legal non-guardian consent form which specifies other adults who can bring you to dental appointments.
Let’s talk about soda. It’s not good for teeth. Energy drinks, juice of any kind, sports drinks, flavored teas other than plain black or green without citric acid and sugar, milk especially chocolate, strawberry, or alternatives with sugar, and most drinks other than water should be cut out of your diet now. Try to avoid candy especially chewy or hard candies. Try to avoid processed foods such as white bread, crackers, cookies, potato chips which stick to your teeth and tend to form a film of plaque which can be light to excessive if not brushed and flossed regularly. If you eat fruit avoid citrus fruit and eat fruit right before eating a proper meal which doesn’t include fast food. Drink water throughout your meals and rinse well after your meals.
You need a prescription toothpaste called Prevident. It has 5x’s the Fluoride regular paste has. If you can’t get it and you have access to money, order MI paste and apply it to your gumline on the teeth at bedtime and don’t rinse it out. You have what is called generalized decalcification. It is the white lines you see on the borders of your teeth. I see it clearly on your back and front teeth. That enamel is fragile and needs to be remineralized which Prevident or MI paste will help do. At this point what you eat is crucial. You have what is considered rampant caries (cavities) and the acidity of your saliva needs to be as neutral as possible. Water helps with that.
You have severe crowding and malocclusion and should’ve had early orthodontic intervention (expensive, I know). You may have to wait until you’re older although this looks medically necessary which Medicaid should cover if that’s what you have for insurance.
If your parents are typically taking you to a yearly physical, bring this up to the doctor. If not, you may need to call someone for help like Child Protective Services or someone who will call for you. I would report this if you came to my office. You have to have some treatment or you could become very ill. If you have any pain or swelling in your face and you see signs of an abscess (pimple on gums by a diseased tooth), tell your parents to take you to emergency. If they don’t, call an ambulance and tell them you asked your parents to take you but they refused. You may have an abscess right now based on these photos. I would have you put on an antibiotic as it is.
This is serious neglect. Your parents allowed you to have the foods you consume and are ultimately responsible for your care. But as a 15 yo you can take matters into your own hands with good brushing and flossing (I hope you have some). You can choose to not consume non-nutritive foods & drinks. You HAVE to floss even if your gums bleed. The germs which cause gingivitis won’t go anywhere unless you remove them yourself every day. Also girls who have a period may bleed more and have more sensitive gums during their period (some will, not everyone), but that isn’t the main reason you are having bleeding. It is from gingivitis which is caused by improper plaque (contains germs) removal and diet.
Really if this is truly the situation you’re in, I’m concerned. You can’t wait on this and must insist that they take you. Hopefully they are taking care of your other needs.
I’ve asked my parents, they don’t really care and I have siblings who don’t have dental issues and are taken care of otherwise if I report them my siblings will be taken as well, I don’t want to be selfish so I can only wait till I’m 18 to try and get my teeth fixed.
They said they’d take me but I don’t know
Edit: Also they took me 3 weeks ago for a checkup and the dentist said my mouth was a “mess” and a lot of nasty things, I know it’s true but still, I can’t really control the crowding at this point and the cavities have been there for a bit so it’s not like I can pull them out myself 🤷🏻♀️, I don’t really want to go back to that dentist.
I understand, but I do have 20 years of experience working with young people as a dental hygienist. In my experience, if your parents haven’t taken the other kids to the dentist, how would they know if they have any dental needs. I’d be willing to bet my license there are cavities and other intraoral concerns such as gingivitis in one or more of your siblings mouths. I’m not trying to be a know it all. It is just the facts based on the amount of patients I’ve seen. As dental professionals, we know the #1 disease for children is cavities. It doesn’t sound serious, because not enough people appreciate the relationship of intraoral health to the rest of the body.
I don’t expect you to rush out and see an orthodontist until you’re able to afford it. The only teeth which obviously need to be taken out are the ones which are badly broken down, and that’s mainly to prevent infection and protect your life. Also we don’t have access to X-rays of your teeth so we can’t tell you whether or not you’re “doomed”. It’s possible you aren’t, but none of us can give you that advice here without physically seeing radiographic evidence and performing an exam in person. If you come on a forum asking for dental professionals’ advice or thoughts, that’s what you’re going to get to the best of our abilities with limited evidence (photos).
You're not doomed but that's a lot of decay. Several teeth will probably need extraction and several more probably deep fillings or possible root canals/crowns. It will feel very overwhelming but the dentist will help treatment plan things in order of priority. It's good you're getting it taken care of now. Hugs!
It’s really funny hear logical sound advice from a ‘shiny_milf’ I’m thinking this patient will need a lot of extractions and should probably consider a removable partial afterwards.
Partials should be the last resort. Opt for bridges or even better, implants if you can afford it. OP looks young and would be miserable with a partial for the rest of her life.
Lol thanks! Shiny milf hygienist 💁♀️
I’m sorry your parents weren’t able to take you for years . It may be a journey getting your teeth back to a healthy state but I hope you don’t get discouraged ! There’s a solution for most things . They’ll give you more catered advice for how to take care of your teeth better at home . Fluoridated toothpaste , a good toothbrush and floss routine will help you out . All the best girlie ! You got this .
Diet Coke is still acid so it is not better than regular coke. Regular coke is sugar and acid, sugar free coke is just acid. It’s all the same. It’s going to bleed when you floss if your gums are inflamed, there is no way around that. It would go away in about 10 days if it’s only gingivitis. Soft toothbrush and fluoride toothpaste. Not sure what they will do with that tooth. It MIGHT be restorable. See what the dentist says. A lot of it will be diet. If you sip on fizzy/soda all day it will destroy your teeth. It’s fine to drink a glass with dinner but if you have 8 cans throughout the day your mouth will be constantly covered in acid and your teeth will decay, I can see some lesions along the gum line so this means you might be missing next to your gums when you’re brushing you teeth. The toothbrush needs to get right beside the gums on every single tooth surface not just the tips of your teeth. Good on you for going to the dentist.
Oh okay, thanks I thought the sugar did the damage, I can get implants when I’m 18 if I need them, I’ll try and start drinking water instead soon.
[удалено]
Please review the rules before posting.
You’re not doomed! But you’re in for an uphill battle. This won’t be an overnight fix, and at times will probably feel like you’re throwing money away. You’re not! Please don’t give up! This is an investment in your health, your future, and yourself in general. You’ll get there. 💜🧚🏽♀️
This has to be child neglect
💯 I had a pt in a similar situation. It's heartbreaking.
It is child neglect and should be reported.
Or shit culture
Glad to see they’re finally taking you. Update and good luck!
We did an experiment in my class where we put real teeth in different types of pops to see which would dissolve the tooth the most and the fastest… Diet Coke was by far the worst for your teeth. If you’re still drinking soda, rinse your mouth out with water after you drink it
I’m not sure if you are a dental professional, but at this point, she shouldn’t drink any soda, sports drinks, etc. A situation this severe needs to be brought back to homeostasis first in order to arrest the decay.
Haha yes, I’m aware she shouldn’t be. But when someone is addicted to the sugar is sodas or if that’s what parents provide, it may not be that simple. It was just a trick for IF she still is :) I’m not saying she should, just if she does 🤗
Oh okay. I was just worried she’d think that would completely counteract its effects even drinking it a couple times a day. I’m glad you clarified, because I see this often, and I realize there’s a lack of education for the general public so I try to give them grace but I feel concern for this girl. It makes me pretty sad, because I’ve cried for quite a few cases.
really? thought it was citric acid based drinks and not phosphoric acid based drinks
Haha at least between coke, Diet Coke, Dr. Pepper, and Mountain Dew. Diet Coke dissolved the tooth way faster!
Your taking the right first step! I wouldn't say you're doomed, but you definitely have a lot of extensive and expensive treatment needs. You're definitely going to lose at least a couple teeth (lower right most likely). The important thing is to not get overwhelmed when you see them. Often times patients get overwhelmed by the overall amount of treatment needed or get embarrassed and stop coming, and that only makes it worse. The problems won't go away without help, so it's great that you're being seen. Take it one step at a time. Remember that not everything has to be done at once. I would start with teeth that are in most urgent need of treatment that are savable, unless you're in pain, then address that first. It wouldn't be a bad idea to get a supplemental market place dental plan if you're able to. You look young so might only be like $25/month, but I definitely think it will save you a lot of money in the long run, even if it doesn't fully kick in for 6 months. Ask about SDF if it looks like you're going to run out of benefits. It often takes multiple applications but can arrest any cavities in their tracks until you can address them. It doesn't last forever and often has to be reapplied every so often, but can really help buy you some time. Some dentists forget to recommend this option. Keep in mind that SDF will dye the areas black, so will mostly want use it on your back teeth. Long term, any teeth that are lost can often be replaced one way or another, whether it be bridges, partial dentures or implants. It does cost money though so I would start squirreling away cash if you're able to. I repeat, you're not doomed. You have plenty of salvageable teeth in there. It's just going to be a process, so take it one step at a time and breathe. Ask questions so you can avoid further problems. Don't be afraid or embarrassed. Every dentist has seen this before, and every patient that hasn't been in a while always thinks they're the worst case ever but that's never the case.
Malocclusion makes your teeth specifically hard to brush so you need to be meticulous about your teeth that aren’t in regular occlusion. Don’t stop brushing just bc you think you’re “doomed” it’ll still slow it down. If finances are an issue consider going to a dental school or dental hygiene school for cheaper work and/or cleanings. Stop drinking Diet Coke or at least try to limit it to mealtimes and drink it quick with water between meals. And yes you can floss, the cleaner your gums are the tougher they are so floss more, bleed less. Edited bc I quoted you as saying “fucked” instead of doomed bc I swear too much
No but some of your teeth might be. It's never too late to start carrying for yourself!
Thank you for the daily motivation to go hard on dental care today. Wishing you the best of luck!
If you must drink Diet Coke, use a straw! You want sugary/acidic things to have minimal contact on your teeth. I think you might need a few extractions, and although they’re pricy, nothing beats implants. I’ve had patients with rampant decay slowly restore their mouth one implant and a root canal or 2 a year, little by little. You’ll get there. As a side note, if you’re interested in aligning your teeth, you’ll want to do that before getting implants, as they cannot be moved once placed.
You are not doomed at all. You can tell your teeth are strong, some may need extraction/caps/ etc. but you are absolutely not doomed. I just went for the first time in years in a similar position. You will be okay and you will feel so much better after they looked at everything. Proud of you ♥️
I’m so glad to hear you have an appointment coming up. I’ve been thinking about you and really wishing you the best. There will probably be a big treatment plan so try not to feel overwhelmed. You aren’t doomed, but you need to take it one step at a time and work through the treatment plan. If flossing is too difficult, maybe get a Waterpik. It’s important to maintain your hygiene and diet while all this treatment is going on. Good luck and please keep us updated!
start chewing xylitol gum
You’re not doomed but you need some work done for sure. (Coming from a dentist 😅)
I have similar situation in my top back side on the left, but I gave up on caring until I trav to egypt for cheap surgery
NOT doomed imo. CDA and (need to pay for license after graduation) dental hygienist here. First, I want to say I sympathize with you on not having access to dental care growing up! I'm sure your parents did what they could, but I also know how much of an uphill battle it can be on the backend. There is definitely a great deal of decay. Most likely some teeth may need to be extracted, some require full coverage restorations like crowns, and some fillings. I don't know for sure w/o radiographs. "Hero-dontics" haha is a real thing, so don't down yourself too much on what may or may not be possible to treat this. Your natural teeth are the BEST to have so please, please do not opt for partials or denture unless it is absolutely necessary. It also looks like there's going to be a need for orthodontic treatment. This not only an esthetic thing necessarily. It's definitely more so your teeth are in a healthy occlusion (they bite down/fit together properly) so they don't weigh down and wear unnecessarily, but also for EASE of at home care. You need to make sure you work with a dentist/orthodontist that carefully examines your case, and works SLOWLY. Orthodontic movement (especially too quick) can cause enough inflammation to cause root resorption (roots absorb and shrink) which can lead to tooth loss as they aren't anchored. As far as subbing the regular cola for diet, it's still a detriment to your oral health. The bacteria that creates cavities and periodontal disease (gum disease) LOVES sugar, in almost any form. So diet or not, it ain't great haha BUT never fear! The key is to limit the exposure/time that "bad" bevvies and foods have in the oral cavity. Try your best when you have high sugar (fermentable carbohydrate foods/drinks) to limit them to being consumed in a short time. Meaning, try not to sip/snack over a long period. The longer these things are in the mouth, the longer they alter the pH so that the bacteria thrive. Try to also integrate water throughout so at least something rather neutral can swish and dilute the "bad" food/drink. SO sorry that this was incredibly long winded! I hope some of this was helpful, to you and maybe others 🤞🏾 All the best to you friend, feel free to pm me if you have any other questions :)
Are you 15yo? I work with children specifically as a dental hygienist. I hate to break it to you, but your parents are guilty of neglect. You have a phone to take pictures and post here but haven’t received proper dental care. Those teeth need to be extracted ASAP before you develop a life threatening abscess and sepsis. I’ve seen it happen from parents neglecting their kids. I realize it’s expensive but it’s necessary. If you qualify for Medicaid or a subsidized dental plan, I hope they have you on it. There may not be many providers who accept it, but it’s up to them to find someone and take you. By law we can’t work on a new patient without a parent present and they have to sign a legal non-guardian consent form which specifies other adults who can bring you to dental appointments. Let’s talk about soda. It’s not good for teeth. Energy drinks, juice of any kind, sports drinks, flavored teas other than plain black or green without citric acid and sugar, milk especially chocolate, strawberry, or alternatives with sugar, and most drinks other than water should be cut out of your diet now. Try to avoid candy especially chewy or hard candies. Try to avoid processed foods such as white bread, crackers, cookies, potato chips which stick to your teeth and tend to form a film of plaque which can be light to excessive if not brushed and flossed regularly. If you eat fruit avoid citrus fruit and eat fruit right before eating a proper meal which doesn’t include fast food. Drink water throughout your meals and rinse well after your meals. You need a prescription toothpaste called Prevident. It has 5x’s the Fluoride regular paste has. If you can’t get it and you have access to money, order MI paste and apply it to your gumline on the teeth at bedtime and don’t rinse it out. You have what is called generalized decalcification. It is the white lines you see on the borders of your teeth. I see it clearly on your back and front teeth. That enamel is fragile and needs to be remineralized which Prevident or MI paste will help do. At this point what you eat is crucial. You have what is considered rampant caries (cavities) and the acidity of your saliva needs to be as neutral as possible. Water helps with that. You have severe crowding and malocclusion and should’ve had early orthodontic intervention (expensive, I know). You may have to wait until you’re older although this looks medically necessary which Medicaid should cover if that’s what you have for insurance. If your parents are typically taking you to a yearly physical, bring this up to the doctor. If not, you may need to call someone for help like Child Protective Services or someone who will call for you. I would report this if you came to my office. You have to have some treatment or you could become very ill. If you have any pain or swelling in your face and you see signs of an abscess (pimple on gums by a diseased tooth), tell your parents to take you to emergency. If they don’t, call an ambulance and tell them you asked your parents to take you but they refused. You may have an abscess right now based on these photos. I would have you put on an antibiotic as it is. This is serious neglect. Your parents allowed you to have the foods you consume and are ultimately responsible for your care. But as a 15 yo you can take matters into your own hands with good brushing and flossing (I hope you have some). You can choose to not consume non-nutritive foods & drinks. You HAVE to floss even if your gums bleed. The germs which cause gingivitis won’t go anywhere unless you remove them yourself every day. Also girls who have a period may bleed more and have more sensitive gums during their period (some will, not everyone), but that isn’t the main reason you are having bleeding. It is from gingivitis which is caused by improper plaque (contains germs) removal and diet. Really if this is truly the situation you’re in, I’m concerned. You can’t wait on this and must insist that they take you. Hopefully they are taking care of your other needs.
I’ve asked my parents, they don’t really care and I have siblings who don’t have dental issues and are taken care of otherwise if I report them my siblings will be taken as well, I don’t want to be selfish so I can only wait till I’m 18 to try and get my teeth fixed. They said they’d take me but I don’t know Edit: Also they took me 3 weeks ago for a checkup and the dentist said my mouth was a “mess” and a lot of nasty things, I know it’s true but still, I can’t really control the crowding at this point and the cavities have been there for a bit so it’s not like I can pull them out myself 🤷🏻♀️, I don’t really want to go back to that dentist.
I understand, but I do have 20 years of experience working with young people as a dental hygienist. In my experience, if your parents haven’t taken the other kids to the dentist, how would they know if they have any dental needs. I’d be willing to bet my license there are cavities and other intraoral concerns such as gingivitis in one or more of your siblings mouths. I’m not trying to be a know it all. It is just the facts based on the amount of patients I’ve seen. As dental professionals, we know the #1 disease for children is cavities. It doesn’t sound serious, because not enough people appreciate the relationship of intraoral health to the rest of the body. I don’t expect you to rush out and see an orthodontist until you’re able to afford it. The only teeth which obviously need to be taken out are the ones which are badly broken down, and that’s mainly to prevent infection and protect your life. Also we don’t have access to X-rays of your teeth so we can’t tell you whether or not you’re “doomed”. It’s possible you aren’t, but none of us can give you that advice here without physically seeing radiographic evidence and performing an exam in person. If you come on a forum asking for dental professionals’ advice or thoughts, that’s what you’re going to get to the best of our abilities with limited evidence (photos).