Kids and Trauma

Author: Kimberly N. Powell, DDS, MS, FAGD

Kids fall. Kids hurt themselves. When these incidents happen, and it involves their teeth, it can be scary, more so for the parent. When your little one damages their tooth, there are actions that we take to promote continued health of the tooth. One example we will discuss is when the baby tooth is displaced (pushed towards the roof of the mouth, tongue or lip) and immobile. This is called lateral luxation. According to the American Academy of Pediatric Dentistry, if there is no interference with the opposing tooth, the tooth is allowed to reposition spontaneously. If there is minor interference, slight grinding of the tooth is needed. If severe interference is present, repositioning of the tooth is required. If there is severe displacement and the crown is towards the lip, removal of the tooth is recommended. Follow up appointments are required starting at one week post trauma up to one year. Parents are advised to watch for discoloration of the tooth and the appearance of a pimple on the gums in the area of the trauma. Kids will get their cuts and bruises. When these things happen and the tooth is involved, always contact your dental provider for appropriate care.