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FAQ:  Pediatric - Children's Dentistry



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Question:
My 4 year old daughter was hit by a swing and her two front teeth are very loose. X-rays were taken yesterday and reveal that both of the roots are fractured all the way across. We were told to come back in a month to see what happens (whether they fall out or start to hurt). What are the chances that the root/teeth will strenghten enough to remain in her mouth with extracting them?

Answer:
With any fall or blow to the teeth, they will become mobile/loose. Typically, the teeth will start to tighten after a week or so. The periodontal ligament will, hopefully, grab hold of the tooth and tighten it. Depending on where the fracture is, I, too, take a conservative approach on the front teeth. (not knowing where the fracture is and without an x-ray, this is more of an opinion, not a diagnosis)

I would have you return within a week or two to re-evaluate the blow. (another radiograph would be taken) I look for a couple of red flags to occur before I come to the conclusion of treatment. (these 2 are the major ones) First, if she has problems eating/drinking hot/cold foods or drinks and second, if you see that she has an abcess on the gums above the tooth. If either of these occur, then treatment should be performed.

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