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FAQ:  Pediatric - Children's Dentistry



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Question:
About 2 weeks ago my 8 year old daughter lost a permanent front tooth and loosened the other when she collided into another child during recess at school. Her tooth came completely out and tore her gums. The school health aide had put the lost tooth in milk to keep it moist and my daughter was taken to her dentist.

Her dentist reinserted the tooth and bonded it after a half hour of it being out. I was told by her dentist that she would need a root canal and a false tooth in the future due to the lost tooth being "dead". I'm curious to know if this is our only option or if there are other alternatives or procedures that could be done. ... Cristine in HI

Answer:
Cristine, whenever a permanent tooth is avulsed (knocked out/lost), the time it takes to re-insert and stabilize this is very important. The fact that you had the tooth re-implanted within the first hour is a very good thing. All texts say that after the first hour the likelihood of the tooth surviving decreases.

Anyway, it is not certain at this time if the tooth will definitely need a root canal; but the chances are that you will need one. I do not think that you will lose the tooth and need a false tooth/implant.(this would be the worst case scenerio) The tooth that was re-implanted and stabilized needs to have the wire/splint removed within 10-14 days. This then needs to be followed and radiographed every couple of months. I hope this has helped.

Editorial Staff

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