Сhildren's dentistry

Why children's dental injuries can be dangerous

Children are very active and curious by nature. They passionately discover the world and often they cannot assess the danger of a particular situation, therefore they often hurt themselves. Experts say that all teeth injuries should be taken very seriously, even if they are baby teeth or temporary teeth. The complexity of the injury, if neglected, in many cases, can lead to the destruction of the germs of permanent teeth as soft and fragile as egg shell. And the sharp roots of the injured baby teeth can totally destroy them or lead to abnormalities. If a child has hit their teeth, only a specialist can assess the complexity of the injury, often resorting to X-ray or computer X-ray systems for examination. Within 24 hours after the injury it is necessary that a pediatric dentist should examine it before the complications have developed as they can mostly be prevented.

Anna Kundenko, a dentist-therapist, tells us what to do immediately after the injury and how to save the injured teeth:

– Parents bring their children with the widest possible range of injuries of both baby and permanent teeth. But, unfortunately, some injuries of the children's dentition often remain neglected by adults. Not many parents immediately ask for urgent treatment of children’s injured teeth. But even such minor injuries as chipped enamel or a damaged tooth do not go by without any consequence. That is why it is very important to visit a dentist on time. Injuries most often occur in children aged 3 and 8-10 years old. It has to do with the periods of active development and changes in occlusion. In most cases small children injure their teeth when they fall down, while older children hurt them doing sports, playing active games, fighting with peers. Boys are injured twice as often as girls. In most cases, the front teeth are damaged, with the upper jaw teeth injured three times as often as lower jaw teeth.

A tooth injury is often caused by a hit. Injuries can be of different nature: a tooth contusion, tooth dislocation, tooth fracture, tooth root fracture, complete tooth loss. We can immediately identify the simplest types of the above-mentioned injuries by a number of symptoms. If this is a tooth contusion, the child may experience soreness, especially in the first hours of the injury, which increases when biting. If this is a tooth dislocation, a significant pain of one tooth or even a group of teeth can appear, which increases when biting; there may be a slight looseness or gum bleeding around the injured tooth. Such diagnoses as a tooth fracture and tooth root fracture can only be made by a dentist after an X-ray.

A standard complex of diagnostic studies is a periapical or panoramic dental X-ray, a computerized tomography. When a tooth is dislocated, it is important to visit a dentist as soon as possible, preferably within an hour. Thus, you will have a chance to save the child’s tooth.

There are cases when well-informed parents bring the child’s tooth that was lost during an injury. If the bone tissue at the tooth root allows that, after an X-ray and oral cavity preparation an experienced dentist can put the tooth back into the hole and splint it, otherworldly, attach it to the adjacent teeth. A successfully performed manipulation, with all the doctor’s recommendations followed, can save the injured tooth for many years. In case of a complete dislocation, you should come to the doctor within one hour. As the tooth should be transported in a moist environment, put it into the inside of the child’s cheek or in milk and take it to the clinic where you will receive emergency assistance. After this tooth injury the child should be regularly examined for preventive reasons.

Baby teeth injuries require a separate talk. Young children are very active. When they fall or hit a hard object, they can injure their baby teeth. Many parents do not pay attention to these injuries believing that the baby teeth will eventually be replaced by permanent teeth. Notable is the fact that when baby teeth are injured, not only the baby tooth root can suffer, but also the germ of a permanent tooth. Damaged germs of permanent teeth can consequently lead to the development of such complications as underdevelopment of the permanent tooth enamel (enamel hypoplasia), permanent tooth defects and even the death of permanent tooth germ. It is important to remember that even in the case of a minor tooth injury you must visit a dentist for full professional advice.