Dental Trauma in Children
Accidents can and do happen. If your child sustains trauma to teeth, we recommend that you contact our clinic once your child has been assessed to be medically stable.
Chipped or Fractured teeth
These are usually associated with bleeding gums and lips. Apply pressure or a cold compress to stop bleeding. If possible, locate the broken fragment and place it in some water or milk and bring it with you to the dentist. This fragment may, in some cases, be bonded back.
Small fractures may or may not require restorations. Fractures of a tooth involving the pulp, especially in permanent teeth, will require further treatment in order to save the tooth. Severe fractures of primary teeth may require its removal.
Trauma to baby teeth
Injury to primary teeth may not manifest immediately. Pulpal (nerve) changes may occur causing discolouration. Or their permanent successors may be affected resulting in deformation, depending on the severity of injury. Our pedontist will recommend follow-up visits with x-rays to diagnose potential problems should they arise.
Knocked out baby tooth
A primary tooth that has been knocked out should not be replanted as this can damage the developing permanent tooth.
Trauma to permanent tooth
Injury to permanent teeth may result in pulpal changes disrupting its normal formation or affecting its longevity. Please contact us so that our pedodontist can initiate treatment to save the tooth or review periodically to monitor changes.
Knocked out permanent tooth
Find the tooth and pick it up by the crown - the chewing portion (the white part). Avoid touching the root (the yellow part). If the tooth is dirty, rinse it briefly in cold tap water - do not use soap or scrub it.Try and replant the tooth in its socket immediately. Hold it in position by biting on a clean handkerchief.
If you can't put the tooth back into its socket (or if you are unsure if it is a permanent or primary tooth), place it in a clean container with some milk or saline. If unavailable, the tooth can be placed between the child's molars and cheek, or under the tongue. If you worry your child will swallow the tooth, get him to spit into a container and store it in his saliva. Avoid storage in water. Seek emergency specialist treatment.