Accidental trauma of the teeth is a very frequent reason for consultation in children’s dentistry clinics. The blows in the teeth can affect the temporary teeth and also to the definitive ones.
Although it is common from 2 years old, when the children start to walk (they do not coordinate their movements well), children between 6 and 12 years old suffer the most injuries, reaching the highest rate at 9 years. These dental traumas can affect, usually front (incisors), both milk and permanent.
The severity of childhood dental injuries is variable, since it can be treated from the loss of a piece of enamel accompanied by soft tissue injuries to the total loss of the piece due to a blow. Regardless of the danger, urgent intervention by your dentist will give the child greater chances of success.
Injuries to the deciduous teeth are important because they can affect the permanent tooth that is located immediately above it. That’s why clinical and radiographic follow-up is so important.
In the case of traumatisms in the final dentition, it is best to call and go as soon as possible to the Pediatric Dentist, who will give the guidelines to follow to minimize the consequences of trauma.
Go to a pediatric dentist to assess the consequences of trauma and long-term follow-up to avoid injuries to the permanent tooth. If the trauma causes an avulsion (exit of the tooth from the osseous orifice) of the temporal tooth, DO NOT REIMPLANT.
AND IF CAUSED BY AN ACCIDENT, THE TOOTH IS DISMISSED FROM THE MOUTH?
- Make sure that it is not a primary or milk tooth since they should not be reimplanted.
- Keep the injured calm.
- Find the tooth and pick it up by the crown (the whitest part). Avoid touching the root (the most yellow part).
If the tooth is dirty, wash it under running water for 10 seconds holding it by the crown. Do not touch or rub or scratch the root.
- Encourage the patient, their father or caregivers, to reimplant the tooth and reposition it in the dental alveolus. Once placed, make a handkerchief bite to keep it in position and go immediately to the dental clinic.
- If it is not possible to reimplant the tooth, place the tooth in an appropriate preservation medium (glass of milk or saline).
- The tooth can be transported, also in the mouth by keeping it between the molars or inside the cheek. Avoid keeping it in water.
- Go to the pediatric dentist urgently. The longer it takes to reimplant, the less chance of cure and the more risk of complications
Consult a pediatric dentist or, failing that, a generalist dentist as soon as possible after the accident. This action has the following advantages:
- Greater chance of preserving the vitality of the tooth.
- A conservative treatment may be applied.
- It improves the prognosis and prevents future complications as well as other more expensive and laborious treatments.
It is very important that all dental injuries are diagnosed and treated immediately. In addition, they must be controlled for a long period of time.
WHAT TO DO IF A PERMANENT TOOTH HAS BEEN FRACTURED?
If there is any trauma to the teeth, a pediatric dentist or, failing that, a generalist dentist, immediately after the trauma, so that a clinical and radiographic examination can be performed that:
- Confirm or rule out the presence of accessory fractures, including the root of the tooth.
- Exclude the presence of tooth fragments or foreign bodies on the lips and cheeks.
If you can get the fractured tooth fragment, keep it in water and take it to the pediatric dentist, since it can be attached to the tooth to recover the shape it had before the trauma. Otherwise, the pediatric dentist will perform the aesthetic reconstruction with composite resins.