[GCS]

We had a pretty extreme situation with our son's teeth. He was 3 years old when we brought him home so we knew that they were all baby teeth.
Most of his teeth were either rotted completely below the gum line or pretty close.
He had rickets (calcium deficency causes problems with teeth) and was malnurished. He likely was given sugar water to fill him up as a toddler.
We found a specialist before we brought him home. You need a good pediatric dentist not just a dentist who also takes kids. We found one that specializes in special needs kids as our child would not know the language and would likely be a difficult patient those first few months.
He had 11 teeth pulled 10 days after we got home. The only reason we waited the 10 days was to let the antibiotic take effect. His mouth was full of infections. We brought him in to be checked the day after we came home because we saw while in Russia that his need was urgent.
A few months after having all those teeth pulled our dentist had an appliance built for him that worked like a retainer but was glued in and fastened to his back molars. This way he had some teeth in front and would learn to speak properly.
Last year at age 6 his permanent teeth started to come in. We had been watching for it (we are at the dentist every 2-3 months) so we were ready. The device was removed and today at almost 7 years you would not look at his mouth and know about any of his dental issues.
By the way his permanent teeth are fine. Good size and healthy. He has no cavities so far!

Feel free to pm me with any questions!
Christina