Magic Views Bot Cracked Tooth
When a child falls or generally is rough-housing, sometimes, they fracture a tooth. Ugh, why does it have to the be the front teeth, the ones everyone sees? Almost every Monday, we receive a call from a parent with a child or teenager that fell over the weekend and chipped, broke, or otherwise fractured a tooth. Teeth can sustain a lot of force, but a sharp hard force concentrated in one spot can cause a fracture or 'broken tooth'. Now, baby teeth often have multiple small chips on the edges or facets from 'normal' wear and tear. Of course, a fracture in a permanent tooth can be cause for concern.
Well, sometimes baby teeth are handled differently than permanent teeth. In general, the principles are the same:Class 1-Well, they may look bad, but are usually not sensitive. If it is very small, we often just smooth off the edge. It is very difficult to do a very thin filling on the edge of a tooth. You can, but it will chip off again in a heartbeat. If the chip is larger, you often have to do a composite filling (bonding). It's the same material we use for white fillings.
It is 'bonded' onto the tooth -sort of like gluing something onto a flat wall. Class 2-Larger fractures.
Very common and sometimes sensitive to cold water/air, -at least for a while. A composite restoration is indicated to cover the sensitive dentin and for looks. A very large fracture may eventually need a crown or porcelain facing, but in growing children a more conservative approach is often indicated till growth and orthodontic treatment is completed.
Although it often looks pretty good, a composite can be difficult to match existing tooth structure with all the minor enamel inclusions and shadings. So, if you are looking at the photographs below and think, 'wow, that's not too bad', you are correct, but most results are not this good. With most repairs, if you look really close, you can see where the tooth ends and the filling begins. That's why porcelain work is often indicated later on. Once teeth are restored, there still may be problems later on due to the initial trauma. The tooth may abscess or have other problems.Treatment is sometimes different for a baby tooth. Often parents want whatever it takes to 'save' a baby tooth that is not of any real consequence other than appearance.
We are much more likely to just remove a severely damaged baby tooth rather than do a 'baby tooth root canal'. The main objective is protecting the developing permanent tooth. Small fillings in front baby teeth are more difficult to retain without doing a crown. Having said this, we still try and 'fix' fractured baby teeth if we can. The age of the patient can dictate what you are able to do (or not).
A chip in the tooth of a two year old may be handled differently than that of a 5 year old. Behavioral considerations, the need for sedation, and how much root is left on the baby tooth will influence the ultimate decision.There is more on the blog on trauma (and I know you want more info on this one). Alexsaid.Hello Dean,I am Alex from WorlDental.org. We launched Dental Health is Important contest for bloggers (And I thought it would be great if you can share it with your readers and take a part in contest as well, to help spread awareness about importance of dental health.We would be also glad to feature your blog as a friend on contest page.Please kindly tell me your thoughts.Best Regards,Alex Stacanovalex@worldental.orgWorlDental.org Dental Health MagazineFollow us on twitter: https://twitter.com/worldental. Said.If the child has lost a piece of the tooth (permanent tooth!) and has brought it with her/him to the dental office, it is possible to bond it to the tooth again. Obviously it depends on whether the pulp is involved or not.
Sometimes one can bond the piece to the rest of the tooth with a small drop of Ca(OH)2+ facing the axial wall towards the pulp, and reinforce the bonding by using an extra amount of resin on the palatinal side of the tooth (if it's not troublesome for the occlusion). This should not be done with baby teeth, due to the risk of breakage of this little part, which can lead to aspiration.
Anonymoussaid.My 4 year old broke a lower incisor in a collision with her sister last week. We went to our pediatric dentist within 24 hours and he said that part of the break (it broke at an angle) may have gone into the 'living tooth.' My daughter is not what you would call a cooperative patient so the compromise was to bond the tooth. He said that in a different patient he might have done more to prevent bacteria, but it truly is not possible with my daughter. He also mentioned that we need to watch the tooth for any signs of abcess.My questions are:1.
What are early signs of abcess and how likely is it in this kind of injury.2. What is the best way to care for this bonded tooth? What to eat, not eat, brushing etc.
Said.Ha, I'm on call tonight for our office, I didn't know I'd be on call on the internet too. Ha!Sorry that happened. I see it often. Ask your dentist for options. If you read my posts on the blog (please do as there is a lot of stuff here), you will see it is complicated.
Teeth can be restored, but behavior in very young children is complex. Sometimes we just smooth it off and other times you can place a filling or something.
Most kids do fine whatever the diagnosis. It's us parents that have all the stress. Said.As you can read in this post and others, there is not much that can be 'easily' done.
What we often do thought is smooth off the rough edges of a chipped baby tooth, that's not to hard to do on a little one and it helps it look and feel better. If the damage is severe, removal is sometimes indicated. Most of the time that is not needed. Fillings don't work so good in these cases.
Little children chip their teeth all the time and mostly do not have any big problems with it other than us parents fretting over appearance. Talk to your dentist about alternatives.
Also, watch for it turning dark in color 2 to 3 weeks after the accident. (See my post on that).
Said.I'm not really sure what a 'film' is. For a 21 month old, it could just be a fluoride varnish to protect the teeth. More likely though, it is etching and placing some flowable composite (white filling material), not so much to restore the area back to the way it was for looks, but to protect, smooth the area off and perhaps restore a little bit of the original form. Just be aware, anything you put on a very young child's tooth is likely to eventually chip off. Also, just etching and placing a flowable composite is fairly easy and does not involve preparation of the tooth (drilling). I am so glad that I found your blog!
My 4 year old daughter fell at preschool and knocked in her 4 front lower teeth. They weren't knocked out but they are really, really loose. We took her to the dentist and he said to watch them and if they don't tighten up then they will need to pull them. How long would it take for them to tighten back up if they are going to? We have her on a liquid diet & very soft food. She really wants to eat normally since her teeth don't hurt but I don't want her to lose the teeth.
If she loses the teeth, will her permanent teeth come in earlier than normal? I am not worried about how it will look if she loses them.she will think it is cool. I am more worried about speech & eating. Should I be concerned about this? Anonymoussaid.I'm so glad that I found your blog. My 17 month old daughter fell on about 6 days ago and hit her mouth.
She chipped her front top tooth. I took her to the dentist.
He just smoothed the tooth and took an xray to make sure everything was ok. Well today myself and her were at the store and she fell and hit the same area. Only this time the tooth next to the chipped one has cracks. She has an appt for tomorrow.
What can the dentist do for the crack running straight across? I'm terrified that she might hit this and it fall out.
Can he put something on her teeth to make them stronger or prevent it from breaking? Anonymoussaid.I guess why I'm worrying so much is because the first tooth that chipped off had a crack in it and that's where it broke off at. These cracks are the same but higher up on her other tooth. I'm concerned because I don't want this one to break off like the first. It's always her mouth everytime she falls.
I never had this issue with my first. Is this common with toddlers? So there is no type of treatment that he can put on the outer part of her tooth to make it stronger or prevent it from breaking? Anonymoussaid.My daughter fell off the stairs at school and hit he teeth on the wall.Her front tooth was severly chipped and I took her to the dental hospital.As it was a adult tooth and we had saved the fragment by putting it in milk the dentist was able to glue the piee back on.The dentist said that the nerve was completly damaged however thought there was a chance of it repairing itself.My daughter is very upset and wants to know if the root (which is still alive) could join on to the fragment? Said.hi, was wondering if you thought a tooth could be bonded if only about 1/4 was left showing. My son broke his tooth yesterday with a small spot of the pulp visible, thankfully he found the piece and the dentist bonded back on today but didn't think it a permanent fix and recommended a root canal as well.
After that we could just wait until he was older to do anything permanent. But my question is couldn't it be bonded with composite if the piece falls off, at least until he's done growing. The dentist didn't think composite would work and I am not sure I totally understand why.
Magic Views Bot Cracked Tooth Removal
Anonymoussaid.Hi Dr.,I'm so glad I found your blog as there is limited information on pediatric dentistry in the country where I live. My 17 month old just lost her two upper front teeth last week due to really bad decay (the decayed part fell off by itself when she ate) and I couldn't sleep for three nights thinking how ugly she'll look in the next four to five years.
She has about may be only 1/4 of the teeth left. I know you said it wouldn't impair her speech or permanent teeth but if I really want to have them restored, what should be the earliest age to have it done? Can the teeth be crowned with only 1/4 of the teeth left or they have to be removed completely and put partial on? Some people say the remaining parts will grow a bit longer, is it true?
Grateful for your advice. Said.I don't see broken back baby molars that much unless there is decay there. An infection can result from the decay. There a lots of kids with a chip in their tooth (usually a front tooth, but sometimes a back molar) that have no problems with infection or decay. We just monitor the chipped area if it's small and of no consequence otherwise.Its' a good idea to get it checked out by your pediatric dentist to catch problems before they get worse. Sometimes things aren't even a chip but part of the normal anatomy. Chadsaid.Hey DR Brandon,I have a tough question about my 2 yr olds split tooth.
His front tooth has cracked in half and we have seen a dentist that told us to have the tooth removed. I really don't want to do that because he does not cooperate in the chair and I am fearful to put him to sleep to have extraction done.It is split pretty much in half and 1 piece does move back and forth some.
It doesn't seem like it bothers him too much so I don't know if the nerve or pulp is exposed. The tooth did not bleed either when it happened.Is there a way to clean out and fill the crack with something and hold it there for a few more years to help with his adult teeth coming in or is my only option to have it removed?I would be greatful for any advise. Said.Thanks for this information. My 10yo son was eating dinner and said a tooth 'broke off'.
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The fragment looks like the whole bottom of a molar, no root. Looking at the spot that was bleeding (not much), it's a premolar position and I can't see or feel any tooth at all in that spot - no edges at all. There seems to be a molar coming in next door, with only part of it down, but that's not the space that's bleeding. My son says there's no pain. I'm wondering whether this is part of him losing a baby tooth, or whether it's an actual break. We'll try to get him to his pediatric dentist tomorrow.
Anonymoussaid.My 17 month old fell on the ceramic tile this morning and chipped his front tooth. Didn't bleed and doesn't seem to bother him. My concern is that the same thing happened to my nephew in the bathtub when he was this age and my sis didn't take him to get it looked at. A week later his face swelled and pus developed and he ended up having to have it pulled because of an abcess. She said his didn't bleed either and didn't seem to bother him at first.
Is abcess common with this type of injury? We will be having him checked out this week but i just don't want him to have to have his tooth pulled! Anonymoussaid.My 3 and a half year old was dairy intolerant for the first two years of her life but has in the past year or so has been introduced again to dairy products and enjoys them so much her daily intake is probably double of her requirements. My query is her top four teeth are awful. We brush in the morning and at night plus she brushes them at nursery during the day too.
We all go for regular check-ups at the family dentist also. Her teeth have been 'varnished' twice now but obviously wears off through time. I noticed whilst brushing the other day the tooth to the left of her front one was half missing and subsequently it has all but broken off today and i can see the slight beginnings of her front tooth next to it going the same way. The brownish/yellow discolouration and chipping on her teeth is at the gum 'end' and not crumbling from the bottom up. I have been advised there is not a lot I can do.
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My son who has very healthy straight white teeth has only very recently lost his first baby tooth at the age of almost 8 so I am thinking she will have another 5 years of what I can only imagine brown 'stubs. Is there ANYTHING you can recommend I go to my dentist and ask about? Anonymoussaid.Hello,My 2 year old had very decayed front teeth. He fell on his face and both the teeth broke and fell off.
Magic Views Bot Cracked Tooth Treatment
HE has stumps remaining with the pulp exposed. It has been 2 days now and we have not been able to find a dentist. I live in Yemen (3rd world)He is in occasional pain. Today he bumped his mouth on my shoulder and the stumps started to bleed again.I was about to wean him but I have decided to continue breastfeeding until we deal with his teeth because he is not able to eat much and also because I was told it would help prevent infection.Please advise.
I am originally from Australia and would you recommend leaving and getting his mouth seen to there?Regards. Anonymoussaid.Hi,My 3 1/2 year old fell down and broke one of her upper front tooth. The tooth fell off completely in one form. I have it in ziplock. Since it is Sunday, we took her to ER and the doctor said my daughter will grow her permanent teeth when she is 6 or 7 yrs old and they can do nothing now to fix it.
My daughter is yet to start with her preschool, she keeps crying to get back her tooth. I am wondering is there anything can be done or she need to wait another 3 years to get permanent tooth. Said.I've been out of the country for a few days. Sorry for the delay posting, but I bet after a few days she was less upset than at first.
If a baby tooth is totally knocked out-root and all, it's best to leave it out. If the tooth was fractured, that is, broken off at the gumline, I'd get a pediatric dentist to see of there is some root or tooth structure still in there. Might need treatment. If there is some tooth left, in other words enough to put on a crown, that is sometimes possible, but from shat you said, not much there to work with.