Restoration of milk and permanent teeth after injuries

Dental restoration after injury involves diagnosis, treatment and subsequent rehabilitation. Depending on the nature and severity of the injury, treatment methods such as filling, installation of crowns, splinting, endodontics and others are used. In this article we will look at what injuries happen and what to do if a child hits a tooth.
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Injuries to children's teeth

Dental damage in children usually occurs due to external influences - blows or falls. Doctors distinguish the following types of damage:

  • Injuries of primary teeth in children aged 1-2 years. During this period, babies actively learn to walk. Due to the instability of their movements, falls often occur, which result in injury
  • Damage to teeth at the age of 7-10 years. Children of this age prefer active leisure activities - roller skating, skateboarding or playing football. Lack of protective equipment increases the risk of dental injury. A typical example is a child falls and loses a tooth
  • Chronic dental injuries. They occur as a result of constant contact of teeth with hard objects, such as toys or pens. Chewing them leads to chipped tooth enamel and microcracks

Such injuries may also be associated with neurological disorders. In this case, it is recommended to consult a neurologist. The K+31 clinic employs a qualified and experienced specialist from whom you can get professional advice.

Injuries to children's teeth

General information about dental injuries in children

Tooth bruises in children

Dental injuries are a common occurrence among preschool children. Signs of damage can range from barely increased mobility of the tooth due to inflamed gums to the tooth shifting. A damaged tooth usually causes pain when touched or when eating.

If you find that a child’s tooth has become loose after a blow, you need to take the following measures:

  • Use of cold. Apply a cold compress to the injured area to reduce inflammation and provide analgesia
  • Consultation with a doctor. Take your child to the dentist to have the tooth evaluated. If a simple bruise without serious damage is discovered, long-term and complex treatment may not be required
  • Diet. Do not give your child solid food for a month to provide the tooth with favorable conditions for healing

If the bruise is accompanied by partial dislocation, especially when a permanent tooth is injured, a more detailed examination and specialized treatment from a dentist will be required.

Tooth bruises in children

Knocked out molar

When a child's molar is knocked out, it is necessary to act immediately and consciously. The algorithm of actions is as follows:

  1. Find the lost tooth
  2. Gently grasp the tooth by the crown
  3. If the tooth is dirty, rinse it with clean water or saline solution, being careful not to touch the root
  4. Try to put the tooth back in its place, focusing on the neighboring teeth
  5. Secure the tooth by asking the child to bite on a soft object or napkin
  6. Go to the dentist immediately

Speed and precision are critical to saving the tooth. But even with perfect adherence to all recommendations, a final solution to the problem and complete recovery are possible only with the help of professional dental intervention.

Knocked out molar

Tooth fracture

Before choosing a method to restore a broken tooth, the doctor sends the child for an x-ray. The image allows you to assess the degree of destruction.

If a child breaks a front tooth, the following measures are taken:

  • Restoring a baby tooth using composites or installing a special crown for temporary teeth
  • Gluing a fragment of a permanent tooth, if it has been preserved
  • Root canal treatment, if the fracture has reached this area, followed by tooth restoration
  • Use of an inlay or onlay made of durable material to reconstruct significantly damaged permanent teeth
  • Prosthetics if it is impossible to save a dental unit

The treatment approach is selected based on the characteristics of the case and the severity of the injury. The key is to contact a specialist in a timely manner to prevent further complications.

Tooth fracture

Tooth root fracture

Such an injury is usually detected on an x-ray. The tooth itself may appear intact on the outside. A common cause of root fracture is blows to the upper or lower lip. They are most typical for children in the age group from 5 to 7 years.

Most often, after fractures, baby teeth are removed. An attempt is made to preserve permanent teeth using splinting to provide stability.

Tooth root fracture

First aid for a broken tooth in a child

First aid for a broken tooth in a child

If a child has a tooth fracture, a number of actions must be taken:

  1. Check the child for other injuries. Make sure there is no concussion or other serious injury
  2. Collect the tooth fragments. Try to find all the broken pieces
  3. Save tooth fragments correctly. Place them in saline, milk or purified water
  4. Avoid foods that are too hot or cold to avoid worsening the pain
  5. Give your child pain medication. If a child complains of pain, taking a painkiller will help cope with the unpleasant symptom
  6. Consult your pediatric dentist. The sooner you get to a specialist, the greater the chance of tooth restoration

These steps help reduce the child's discomfort and increase the chances of successful dental treatment.

Stages of treatment of dental injuries in children and prognosis

Prognosis for different types of dental injuries in children can vary greatly. With minor chips of the enamel or fracture of the crown, it is often possible to save the tooth. Tooth root fractures have a less favorable prognosis, so in some cases the tooth must be removed.

The treatment process consists of several stages and is determined by the characteristics of the injury:

  • First stage After receiving a dental injury, you must first contact a medical facility to exclude concomitant injuries (soft tissue injuries, skull injuries, concussions). After a general examination, doctors refer the child to a pediatric dentist
  • Consultation with a specialist The pediatric dentist conducts a thorough examination, collecting information about the child’s health and necessary diagnostic procedures, including x-rays. Based on these data, a treatment plan is developed
  • Constant surveillance It is important to regularly visit the dentist (every 3-4 months) to prevent complications and monitor the healing process. Observation continues until the tooth is completely restored or for a year after the injury to the molar

Prevention of dental injuries

The first step is to teach children proper dental care techniques. Parents should teach their children brushing techniques using a soft toothbrush and fluoride toothpaste.

Other recommendations:

  1. Check toys for sharp or hard elements that could cause injury
  2. Make sure your child wears a safety helmet during soccer, hockey, and other contact sports
  3. Purchase soft protective elbow and knee pads if your child is learning to ride a bicycle, skateboard or rollerblade
  4. Visit your dentist for regular checkups to identify potential problems and treat them early

Be careful to ensure that children do not play excessively on uneven or slippery surfaces, where they could lose their balance and suffer dental injury.

Prevention of dental injuries

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Thank you for your professionalism and patience! I had a wisdom tooth removed from a dentist, surgeon V. V. Krivosheev. Due to severe pain and difficulties with registration, I was very worried, I completely panicked and ruffled the doctor's nerves. The Doctor showed incredible calmness. I solved all the issues promptly, and the tooth itself was removed absolutely painlessly and efficiently! He answered all the questions and clearly outlined the healing plan. A wonderful specialist!
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He underwent endodontic treatment of tooth 13 at the dentist-therapist Gulyutkin Alexander Mikhailovich. The diagnosis is chronic apical periodontitis in the acute stage. The work was carried out under a microscope, the tooth with an anatomical feature is about 3 cm long. The treatment was performed at the highest level: clearly, efficiently, with jewelry precision. I felt complete trust and calmness at all stages. An excellent specialist, I highly recommend it!
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