Possibly there is an abcess, which is a pus-filled growth on the gums indicating an infection. When these pop, they leave a bad taste because they are filled with infection. He needs to be seen by a dentist. The condition may lead to more serious problems.
Yes, of course, that is the whole purpose. Well, the "Tooth Fairy's" job is to take the tooth from under the pillow and leave a gift, it can be money or whatever she would choose to leave. If the TOOTH isn't there for her to pick up it elimates her job and the story is incomplete. She isn't called the note fairy, or the "iou" fairy, after all! I'd explain to her that, I didn't think it would work, that it is like she is trying to trick the Tooth Fairy, she knows the tooth came out and is waiting for the tooth. But if she still wanted to try I'd let her, but the Tooth Fairy wouldn't be acting like the note fairy, she'd be offended and not take the note. Maybe even leave one of her own, asking for the tooth. Then I'd encourage her to leave the tooth the next night and the Tooth Fairy would be happy to leave a gift, maybe with a note saying it's not nice to try and fool the Tooth Fairy. The Tooth Fairy can leave more than just money, he can leave a note or a small gift. The Tooth Fairy really needs teeth for his castle, so that is why he takes every single tooth.
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