Dental Injuries in Children
One of the main concerns of parents is the incidents of neglect for children. Research shows that approximately 25% of children develop some kind of dental injury at primary school and 35% at later age. Dental injuries in children may occur as a result of accidents due to falls during play, while performing sports activities. In many cases, the damage to the baby’s head can lead to serious fracture or damage to the tooth. The treatment of dental injuries depends on the type of damage to the tooth and whether the tooth is a permanent or milk tooth. However, in these cases it is recommended to see a dentist not later than 24 hours after injury. Here are some of the most common dental injuries in children and their treatment.
Tooth dislocation: If the damage to the baby’s tooth is not serious and to the extent of the beating, the tooth should not be pushed. Baby food should be soft and avoid stiff foods as it can cause pain in the affected area and put pressure on the affected tooth. In these situations, dental hygiene needs to be monitored more frequently, as the infection is likely. Antimicrobial mouthwashes must be used for at least a week and a day to prevent infection. If you see any swelling, abscess or pain, you should see a pediatric dentist.
Tooth fracture: Fracture may occur permanently in the teeth of the baby and in some cases the child may not feel any pain. But if a large tooth is broken, the pain is more likely to occur and the remaining part can damage the lips and tongue because of the sharpness of the tooth. If you find remnants of a broken tooth, place it in a glass of normal saline if possible. In some cases, the dentist may be able to re-adhere the tooth residue. Repairing a broken tooth or fixing a fractured part with root canal treatment is the only cure for these injuries at this age and more definitive treatments such as veneering or laminating will be postponed to an older age.
Tooth discoloration: It can change color whenever a tooth is damaged. When the blood vessels break due to damage to the tooth, compounds in the blood, such as iron, enter the ducts in the dentin and can change the color of the teeth to gray, blue-purple, brown or even black. The discoloration usually occurs two weeks after the tooth is damaged and may also occur after the teeth have become red. Although this process may be somewhat reversible, the damaged tooth crown may retain some of this discoloration for an indefinite period. If your child’s tooth becomes dark, the best thing you can do is to see a pediatric dentist. If signs of swelling and infection appear on the radiographic image along with discoloration of the tooth, the specialist will then take root canal treatment depending on the circumstances. If there are no signs of infection in the dark tooth and the dentist determines that the tooth will not damage the adjacent teeth and their gums, it may allow the affected tooth to remain in the mouth without any action. Infants in infants do not need to receive pulp treatment (central cavity under the dentin containing vessels and nerves) or tooth extraction until they are infected with infection, and in most cases discolored primary teeth are protected until permanent tooth eruption.
Tooth extraction: Most parents are confused when they are exposed to bleeding and tooth extraction. However, if they know what to do, there is a chance of a tooth preservation.
Injury to the prognosis of the tooth is critical after tooth extraction. Immediate placement is the best course of action when an accident occurs. If this is not possible for any reason, another option is to use an appropriate solution for dental preservation and transfer to the nearest dental center. The sooner the treatment, the more likely it is to produce positive results. According to research, if the tooth returns within an hour of injury, the chances of tooth decay will be much higher. Parents can increase their chances of maintaining their child’s teeth by:
Keep yourself and your baby calm.
Find the tooth. You need to make sure that the extracted tooth does not enter the child’s respiratory tract. If a tooth is not found, see a pediatrician for a child examination.
Immediately remove the tooth from the crown (white part of the tooth). Avoid touching the root of the tooth. If the tooth is infected, rinse it slightly under cold water (max. 10 Seconds) and then return to place. Ask the child to gently bite a handkerchief to hold the tooth in place.
If it is not possible to place a tooth without pressure, the safest way is to keep the teeth in a salt solution (Hank’s Balanced Salt Solution). This is because the best way to keep the external cells of the tooth alive. In case you do not have access to these solutions, you can use as a milk substitute. If milk was also unavailable, the tooth could be kept in a container containing baby saliva. It is best not to use water to preserve and transfer teeth as far as possible.
If the extracted tooth is one of the baby’s primary teeth, no tooth replacement is required. Restoring the tooth back into place will cause damage to the permanent tooth bud.
Take these recommendations seriously: It is important to take care of your children against injuries due to the prevention of dental injuries. During martial arts, it is recommended to use a Mouth guard to prevent head and mouth injuries.
Be careful with young children that they do not have a hard glass of milk when playing and walking, as they may cause damage to their teeth when not properly balanced at this age.
Children’s playgrounds must have a soft, spongy or carpet flooring to prevent any damage to them, especially in the head and face.
Never overlook dental injuries, though very minor, and see a pediatric dentist in a timely manner.