The child knocks his teeth, what should the parents do? Come to the dentist to find the answer

time:2022-12-02 14:18:17source:monlittlebaby.com author:Baby bones
The child knocks his teeth, what should the parents do? Come to the dentist to find the answer

#Children's Institute Pediatric Doctor said# Spring is blooming, and children's outdoor activities have increased significantly. On a good weekend, the dental emergency department often sees a large number of children with dental trauma. Today, Dr. Shao is here to talk to you about dental trauma.

1. The period of mixed teeth is the age group most prone to dental trauma.

The report of the International Dental Trauma Association pointed out that one out of every two children will have dental trauma. In the early 1-3 years of the deciduous tooth period, the probability of anterior teeth injury is also higher.

2. Timely and effective diagnosis and treatment are particularly important for the appearance of injured teeth.

After trauma, especially broken teeth, the younger the child, the more difficult it is to assess and restore. However, timely treatment, definite diagnosis and effective restoration after trauma are of great significance to the recovery of the appearance of the traumatized teeth, the relative stability of the pulp and the root, and the orderly arrangement of children's teeth in the future. Therefore, Dr. Shao emphasized again that no matter what kind of dental trauma, timely medical treatment is the top priority of dental trauma. If conditions permit, avoid eating for the first time after the injury to prevent irritation of the injured area, and see a dentist in time. In most cases of dental trauma, rapid and correct treatment can reduce occlusal and esthetic impact. After trauma to teeth, especially broken teeth, the younger the child, the more difficult it is to assess and restore. However, timely treatment, definite diagnosis and effective restoration after trauma are of great significance to the recovery of the appearance of the traumatized teeth, the relative stability of the pulp and the root, and the orderly arrangement of children's teeth in the future. At the same time, it is also very important to revise the treatment plan in time according to the uncertain recovery of the human body after trauma.

3. The prognosis of dental trauma in mixed dentition is related to the development of tooth roots.

Dental trauma in mixed dentition mostly occurs in the permanent anterior teeth of school-age children, and most of the anterior teeth have underdeveloped roots. In general, teeth without fully developed roots have a better prognosis than teeth with fully developed roots. If you fail to see a doctor in time at the time of injury, and see a doctor when there is obvious pulp necrosis or inflammation in the later stage, anti-inflammatory treatment is generally required first, followed by repair, and the long-term prognosis is often worse than that of those who get up and get timely treatment.

4. Tooth trauma should be remedied in time during the mixed dentition period.

Dental trauma during the mixed dentition period can be simply divided into the following categories according to whether the crown is damaged: 1) There is no obvious defect, loosening and movement of the teeth. This condition is the lightest dental trauma in which the viability of the pulp is not easily affected. Typically, the damaged tooth should be protected from cold or hot temperatures for 2 weeks, as well as pressure from chewing food. If there is no discomfort, regular review of pulp vitality and root development can be carried out according to the review cycle of 2 weeks, one month, 3 months, half a year, and one year. 2) The tooth has a crown defect and the pulp is not exposed. In this case, repairing the exposed fractured part of the crown in time, restoring the crown shape, maintaining the normal width and length of the teeth, is conducive to maintaining the normal upper and lower occlusal relationship and the length of the dental arch, and has positive significance for the subsequent growth and development of the dental arch. At the same time, regular review after repair is also important. 3) The tooth has a crown defect, and the pulp is exposed at the defect. At this time, the corresponding pulp treatment should be performed according to the exposed pulp situation in time, and the subsequent development of the root should be closely observed. When asymptomatic, regular dental radiographs are taken to check whether the condition of the root and pulp cavity is stable. The treatment of cases of dental trauma with exposed pulp is relatively complicated and difficult, and the time span for re-examination is usually large. If the above three situations are accompanied by tooth loosening in two or more directions, tooth fixation is generally required. 4) There is no defect in the crown, but there is a setback or prolapse of the tooth. In this case, you can watch and wait for it to emerge on its own. Orthodontic traction reduction is required if there are no signs of eruption after a few weeks. Most teeth may be treated with pulp in the follow-up, and the time will be determined according to the situation of the pulp in the review. The prolapsed tooth involves replantation, reduction and fixation, and the success is closely related to the time interval of tooth prolapse. In general, the sooner a tooth is implanted back into the socket after a total prolapse, the better the prognosis. 5) The entire tooth is completely knocked out. If there is dirt on the completely knocked out isolated tooth, you can gently rinse it with water to avoid scrubbing, and then soak it in normal saline or sterilized milk. Parents must pay attention here, the condition of the tooth itself also determines the success rate of replantation. The most taboo for broken teeth is to wrap them with cloth or tissue, because keeping the teeth moist can enhance the integrity and integrity of the periodontal ligament on the root surface of the teeth. Activity, while maintaining the integrity and activity of the periodontal ligament on the root surface of the tooth can increase the success rate of successful replantation. Studies have shown that within 30 minutes of tooth dislocation, the 2-year success rate of tooth replantation is nearly 90%, and after more than 2 hours, after 2-year re-examination, nearly 95% of tooth root resorption occurs. In addition to dental trauma, combined with severe trauma to the head and neck or other areas, usually in the absence of significant active bleeding in the oral cavity, other serious trauma should be evaluated and treated first, and then the internal and external trauma will be treated. If there is a combination of tooth and intraoral soft tissue trauma, disinfection and hemostasis of the intraoral soft tissue are usually performed first, and then the dental trauma is resolved.

5. Injury of deciduous teeth may affect the eruption of permanent teeth.

In infants and toddlers aged 1-3 years, trauma to the deciduous anterior teeth often occurs. Some parents think that it is necessary to replace the teeth sooner or later, and there is no need for treatment if there is trauma, and the inability of children to cooperate has also become an early examination and treatment. and the biggest obstacle to follow-up. What needs attention is the contusion of the maxillary deciduous anterior teeth, that is, the crown is submerged into the bone and soft tissue. The general treatment recommendation for this situation is to provide disinfection, debridement, and hemostasis in addition to immediate attention to soft tissue damage. If it is found that the crushed deciduous tooth is located on the lingual side of the permanent tooth germ or invades the permanent tooth germ, the deciduous tooth should be extracted in time. The determination of this positional relationship requires taking x-rays or ct of the anterior tooth segment. If the deciduous anterior teeth are on the labial side of the permanent tooth germ after traumatic contusion, it can be observed for 3-4 weeks. If teeth begin to erupt again in 3-4 weeks, they can generally be retained. Otherwise, the deciduous teeth still need to be extracted. Also, similar to permanent teeth, deciduous teeth with underdeveloped roots at the time of injury generally have a better prognosis than deciduous teeth with fully developed roots. Of course, the most important thing is that children must pay attention to safety when they go out to play. Dr. Shao is knocking on the blackboard again.

If deciduous teeth are injured, seek medical attention, and if permanent teeth are broken, you must look for them.

Keep moist and soaked in milk, without salt water. put it in your mouth.

Be careful not to shake or shake, do not irritate hot or sour,

Recheck according to the time, stop working and don’t be stressed.

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