Implants For Teeth The Solution If You Have Permanent Tooth Loss
Implications of Losing Adult Tooth as a Child
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My daughter is not even 1 year old yet, and she recently started walking. She fell, hitting her mouth on a table, and a decorative knob on the table wedged in her mouth and sliced her gum above her front left tooth. After the bleeding stopped, I noticed that the tooth was definitely not in the same place as before the accident. It also seems to be more exposed, and my pediatrician said to expect it to fall out. What are the implications of an accident like this?
— Jennifer, Missouri
First of all, I suggest you see a very competent dentist immediately. You could also see an oral surgeon or pedodontist (child's dentist). An X ray should be taken to evaluate whether the tooth has been chipped or fractured.
It is possible that the trauma was minor — that the soft tissue only was split and opened, revealing the tooth that was sitting underneath. If this occurred, and the tooth has not been harmed in any way, then it should continue to grow with the jaw and be okay. Sometimes such a tooth actually needs root canal treatment; other times, if the tooth has been dislodged, it might need to be moved into a better position.
There is no reason to panic — children are very resilient, and their bones are also softer. This is good because there is less of a chance that the bone fractured during the fall. Good healing will probably occur, and your daughter will be fine. But it's critical that you see a dentist to have the situation evaluated, with X rays, to make sure that no harm has come to the actual tooth structure. Then seek the professional advice of either an orthodontist or a pedodontist on the best way to proceed. My educated guess is that these professionals will suggest you watch and wait, observing the area over the next several months.
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