Handling Tooth Injuries
Created by Dr.Sonali Bassi Updated on Aug 21, 2012
Our little precious ones keep falling and hurting themselves and it is absolutely heart breaking to see those teary eyes. No matter what you cannot see your little one suffer and more often than not you feel quite helpless.
Most dental injuries in pre school age kids occur from falls while in case of older kids they are usually sports related.
Let us start with injuries to the milk or deciduous teeth:
In most situations a little part of the tooth is chipped, this can be filed easily. A larger chip that does not involve pulp can be filled using tooth colored /composite resin. While in cases where one has lost the entire baby /milk tooth it is not normally replaced, in such situations if the patient is too young space maintainers can be given to the child. If there is bleeding one should put cold water on a piece of gauze and apply pressure to the site of injury and make child suck an ice pop to keep swelling in check.
In cases of injury to the permanent teeth: Again in case of a small chip, filing of the roughened edge is done while if the chip is slightly larger a composite filling is required. Incase of severe injury wherein the permanent tooth is completely knocked out one can take following steps to ensure minimum damage till the patient can reach dentist:
Keep in mind that loosing a permanent tooth is a dental emergency and that a permanent tooth has best survival chance if replanted within 30 min.
1) Hold the tooth by the crown (the part above gum line visible to us)not the root.
2) Rinse the tooth immediately with saline solution or milk,note please do not scrub the tooth. Tap water is the last resort as it contains chlorine, which may damage root.
3) The best action is to re insert tooth back into socket or keep inside mouth between cheek and lower gum. If this is not possible then put the tooth in milk till you reach a dentist.
4) In replanted cases, root canal treatment needs to be done within one week of the trauma. In cases where the root apex is not closed dentist may continue treatment called apexification.
5) Safe side arranges for tetanus vaccination if the wound was dirty or if vaccination requires updating.
So Parents God forbid if you ever face such a situation please try not to panic, and rush the child to dentist while keeping the above steps in mind. The child will need your tender loving care; your reactions and body language would only scare him further.
All the best!
| Aug 21, 2012
loved this ...these are very easy to achieve basic precautions which may help a child retain the permanent tooth. Really useful for all parents. Thank you!
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