Injuries of teeth and permanent teeth. Treatment and first aid

Article by pediatrician, Mr. Vanessa Boca

By the age of 5, about 1/3 of the boys and 1/4 of the girls have been injured in their teeth. The critical age of tooth injuries is 2-4 years, when children learn to move, explore their environment and are prone to falling. Tooth lesions are what often lead to the child’s first contact with the pediatric dentist. At older age (over 6 years) injuries usually result in sports or play.

The most common injuries to neonatal and permanent teeth are teeth fractures (teeth), which usually involve the front teeth. It is important for parents to look for the broken part of the tooth when it is a TOOTH tooth, because in many cases the dentist will stick the broken piece for better aesthetic results. We do not hold the piece in the teeth because it is not possible to weld it. The piece is important to keep it in water or milk until we visit our doctor.

In a permanent tooth fracture, either the piece is glued or the tooth is made using the appropriate color material (white seal). When the fracture is done in neonatal teeth and if the parents want aesthetic restoration, the treatment is for restoration with a composite resin (white seal). Caution is needed if there is a rim injury at the same time, so an X-ray check should be made for any part of the tooth in the soft tissues. In very deep fractures, where we see the nerve of the tooth, the Pediatric Dentist will decide whether to do full or partial denervation.

Another common injury to teenagers and permanent teeth is relaxation. This results from a milder tooth injury and is manifested by low tooth mobility and perhaps a slight bleeding from the gums. In these cases we visit our pediatric dentist for x-ray examination and the basic instruction is the attention and abstention from hard food for 1 week until the tooth (neonillary or permanent) stabilizes. Often, in the simplest wounds of teething teeth, the tooth discoloration is also the only finding that makes parents worry. The intensity of discoloration may also decrease as time passes. Discoloration of the tooth does not necessarily mean that the neonatal tooth is dead.

The most serious injuries, which particularly alarm the parents, are deepening and compromise. Deepening is the wedge of the tooth in the jawbone (the tooth is lost partially or totally in the gums) and the ejection is when the tooth comes out of its place completely. At the recess in both neophyte and permanent teeth, we expect the tooth to come into place, provided of course we have visited the Pediatric Dentist, who has been followed and has taken the necessary radiographs. In voiding, the prognosis depends on the measures to be taken at the site of the injury and on the time until the treatment.

In the case of permanent tooth ejection:

Confirm that it is a permanent tooth as the newborns MUST NOT be re-planted
Relaxation and tranquility of the patient
Find the tooth and keep it from the mill and never from the root
If the tooth is dirty, then it is washed with clean cold water for 10 seconds and replaced in its position by encouraging the patient
Bend into a napkin to keep the tooth in place
If this is not possible then the tooth should be placed in a glass of saline or milk or kept in the mouth of the parent
We call directly at the Pediatric Dentist and visit him as soon as possible. Surely within the day, the ideal is within an hour of the trauma
The Pediatric Dentist will reposition the tooth in place, immobilize it, treat the child’s wounds, and provide you with the appropriate instructions for monitoring, treatment, and course of the tooth as appropriate
If a toothed tooth is jammed we can not intervene. We just wait to see the following permanent tooth in the area. Of course, it is important that parents who come to the clinic after an injury to teenage teeth know that there is a possibility of permanent teeth being damaged. This probability is not great and we can not know precisely the complications that may happen, nor can we intervene to avoid them. Usually we will detect them when they emit the corresponding permanent teeth. At the same time, however, we must emphasize that modern techniques allow us to solve the majority of functional and aesthetic problems that may arise.




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