Baby Teeth Knocked Out, Lips Lacerated
Please stay calm. Your attitude will definitely be conveyed to the youngster. For baby teeth first control the bleeding.
As for the tooth or teeth involved, if the child is three, four and even an early five year old, the teeth are almost certainly baby teeth. If they are knocked out completely, don’t even worry about looking for them. Forget them. Remember, they will be replaced by the adult teeth for baby teeth. Do see the dentist. Let him, if possible, take an x-ray of the area and baby teeth, to make certain that if a tooth was lost, it came out in its entirety. If a baby tooth has to be lost early, either knocked out or extracted, a front tooth or baby teeth is of the least importance. The front part of the mouth for baby teeth usually the upper, is where most accidents occur. Baby falls smack on his face and baby teeth and an upper front baby teeth tooth is loosened or knocked out.
If the teeth are just slightly loosened and not lost (this holds true for both baby and permanent teeth), they will, more often than not, tighten up on their own. The dentist may have to do a bit of repositioning along baby teeth with some splinting and bonding, but with minimal care those loosened teeth should ultimately be fine.
A lost front baby tooth does not have to be replaced. I don’t care what anyone says. It’s only a temporary appearance problem and all kids go through that stage. It will probably bother the parents more than it will the child’s baby teeth. Don’t even think about a replacement of baby teeth. The child has already been through enough, don’t you think?
There’s one potential problem with a front baby teeth being knocked out. When the dentist takes an x-ray (and he should
do so, if it’s feasible), if the picture shows that part of the root of the tooth is still in its socket, this obviously means that the tooth was not totally knocked out. It has fractured off under the level of the gums. Baby teeth dentist may then have to extract that remaining root tip. Unfortunately, your choices in this case are limited for baby teeth.
You might, however, consider this. If the root fragment is relatively solid, the dentist might suggest for baby teeth “watching and waiting.” If the area is allowed to heal for baby teeth and the root remnant remains quiet, you may be able to wait until the permanent tooth that is slated to erupt into that position pushes that root fragment out. This can eliminate the trauma of the dentist’s having to dig out that root part. If your dentist doesn’t suggest this, don’t hesitate to question him about the possibility. Your input is important on baby teeth.
The relative unimportance of the early loss of front baby teeth is not the case with premature loss of the back teeth. There can definitely be space closure. The baby teeth on either side of the lost tooth can tip and rotate into the void created. This tipping will partially close the space and may not allow the permanent tooth to erupt into its proper location. This
why, when there are cavities involved, the back baby teeth should be filled, rather than just pulled. If they must be pulled early, spacers can be easily and painlessly made to hold the space open in baby teeth until the permanent tooth comes in. The only pain involved will be to your bank account.
The necessity for a spacer is dependent on the child’s age and how close to the surface the new baby teeth is. One simple x-ray can determine this. It would be foolish to make spacer if the permanent baby teeth is due to erupt within a few months, so don’t spend money if not necessary. That would be centsless for baby teeth.
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