Oh Yesss….its Summer time…and it brings all of our little cute patient’s favourite outdoor activities – cycling, swimming, cricket, basket ball, karate many more sports and frequent visits to the neighbouring playgrounds. As much fun as these activities are, they can also bring about a lot of unwanted dental emergencies. In the past few weeks we have seen numerous patients with chipped and/or injured teeth due to quite casual play around their own places. And so it’s important to have some basic knowledge about different types of dental trauma and what to do if your child bumps a tooth this summer!
The most common causes of dental trauma in children are falls, sports-related injuries, and fights. Mouth and tooth injury in children can also occur when a child falls with an object in the mouth. If your child faces a dental emergency, give us a call immediately at 0891-2746626 or 8985886906.
If your child falls with face-first, you see a lot of blood, don’t panic but first quickly check that the accident only affected their teeth and there aren’t any more serious injuries like loss of consciousness, or uncontrollable bleeding that may need a quick trip to emergency unit. If the injury does not appear to be serious but have affected the teeth badly, you can call our emergency kids dentist Dr. Chandra Rekha on her 24/7-hour emergency call system. To reach Dr. Chandra Rekha in an emergency situation, just call the office at 9381723239.
Dental injuries are the most common in as many as 92% of all patients seeking consultation for injuries to the oral region. Also, soft tissue injuries are seen in 28%, simultaneously with dental injuries.
Many children, especially young ones, will fall and bump their teeth without any obvious break in the enamel. Sometimes the teeth are pushed backwards, inwards into the gums, outwards down into the mouth, or they don’t move at all. This can happen with or without bleeding of the surrounding gum tissue as well. Many times the teeth will be slightly loose, or in the more serious instances, very loose. Depending on the severity of the bump, sometimes treatment is indicated and sometimes we simply monitor the teeth. We will usually take an x-ray to examine the underlying roots of the teeth and surrounding bone because even if the tooth doesn’t appear fractured, there could be damage underneath the gums.
If we choose to do nothing and simply monitor the tooth, it is hard to predict the prognosis based on the injury alone. Some teeth heal exceptionally well and will never cause a problem. If a tooth was bumped particularly hard, it could suffer a sort of “concussion” in that there was interior damage that is not visible visually or even on an x-ray. Sometimes you will notice a color change of the bumped tooth after a few weeks or months – usually a yellowish-grey color as the body lays down reparative tooth structure to help repair the tooth from the inside. This color can darker or lighten with time, but it is not usually indicative of any problem with the tooth. If the blood or nerve supply of the tooth was damaged in the injury, sometimes after months or even years the tooth can eventually die. Once the tooth dies, bacteria moves in and can cause an abscess or “pimple” on the gums above the tooth. Whenever a patient bumps a tooth, our office always makes a note and we will forever follow the tooth closely to check for any developing problems.
If a tooth is chipped, particularly if it’s a permanent tooth, do your best to find the fragment and store it in a plastic baggie until you’re able to come to the office. There is no need to store the fragment in milk, but sometimes the fragment can be reattached for the most natural appearing fix. If the chip was severe enough to expose the nerve of the tooth (usually seen as a red dot inside the crown of the tooth), treatment will need to be sooner rather than later. We’ll want to see your child to do an exam as well as take an x-ray to rule out any root fractures or other issues with the surrounding teeth and tissues.
Babies chip their front teeth frequently as they’re learning to walk and chewing on everything. Small chips are usually nothing to worry about especially if your child is completely asymptomatic, but it’s never a bad idea to call the office to have the teeth looked at if you’re concerned at all.
Knocked Out Tooth
If your child completely loses a permanent tooth, time is of the essence and it’s imperative to see a dentist ASAP. The sooner your child is seen, the better the chances of a full recovery for that tooth. Find the tooth and pick it up by the crown (the part that is usually visible in the mouth), being careful not to touch the root if you can avoid it. Rinse off the tooth, but resist the urge to scrape or scrub it clean. For an older child, place the tooth back into the socket the right way and have your child bite on gauze or some tissues to hold it in place until getting to the dentist. If you can’t get the tooth in properly, have your child hold the tooth in their cheek so the saliva will keep the root clean and moist. If your child is too young to handle keeping the tooth in their cheek without swallowing it, it’s important to still keep the tooth moist and milk is recommended. Next step – call our office immediately!
If the tooth that is lost is a baby tooth, do not try to place the tooth back into the socket. This can damage the permanent tooth underneath and re-implantation of baby teeth does not have high success rates. It is still important to call your dentist right away to rule out any other injuries to surrounding teeth or bone.
In general, injuries in the mouth bleed a lot, but heal quickly. Whenever there is an oral injury, there tends to be A LOT of blood because the mouth is a very vascular area and when saliva mixes with blood, it makes an even bigger mess. Sometimes, the damage might not be as bad as it appears too. Remember that Dr. Chandra Rekha is always just a phone call away to help guide you through managing any dental emergencies that happens this summer!