Dental Trauma In Children

Author: Dr. Alison Vitelli, DMD, FAGD

My family and I love summertime as it brings a huge load of fun to the lives of our young ones! But what should we do as parents when the day does not go as planned and one of our kiddos suffered trauma to their teeth?

First of all, after any trauma, always evaluate consciousness and alertness status of the child. Make sure that there is no sign of a concussion. If any of these are present, please call 911 right away.  

After making sure your kid is alert, evaluate the mouth and clean it with either saline or clean water. Check for any missing or broken teeth. Sometimes, teeth can be avulsed (completely out of the mouth), intruded (pushed into the bone), or fractured (split edges). Of course, each one of these require different approaches ranging from a filling to a root canal or extraction. Each situation has to be carefully evaluated and treated for the best outcome possible.

If a tooth is avulsed, the best thing to do is to place it back in the mouth as soon as possible. But if you don’t feel comfortable doing this, place the tooth in a storing medium like sterile saline or milk then head to your family dentist to be examined. Sometimes antibiotics are recommended, but a relatively extensive follow up will be needed. Initially, we would like to see the patient every 1-2 weeks to be able to track and treat any pain or prevent infections. After the first month, we want to see the patient every 3 months during that first year, and take radiographs in order to evaluate the health status of the affected area.

We hope that you and your family always stay safe, but please know that at Spring Lake Dental Group, we are going to guide you a ease you in the event of a trauma.