Primary (milky) teeth traumas
55% of children between 1.5 and 2 years had suffered any time from a dental trauma. These traumas could have been because of different causes: motor immaturity, domestic or school accidents, sports, traffic accidents, etc.
The most common result in primary teeth after a blow is a luxation or a shift, what it oppositely occurs in permanent dentition what normally is a dental fracture.
What the impact nature entails could be direct when, the object that hits the kid or the kid in movement hits an object, or indirect, due to the sudden closing of the mouth. When we suffer from a dental trauma, could be affected various teeth parts depending on the hit intensity: from the enamel (fissure or fracture) enamel and dentine (fracture) where they could be affected the nerve or not, to the crown or root fracture..
Depending on the severity of the, we could be talking about the different types of traumatisms:
- Concussion, the sensitivity appears on the affected zone
- Sub-luxation, it could be appreciated certain mobility and bleeding in the gingival zone
- Luxation, there is a visible shift
- Tooth intrusion, the tooth is inserted totally or partially inside the bone
- Ex-dental-articulation, the whole tooth comes put totally from the maxilla or mandible
Could we avoid these types of blows, accidents or falls? No, but we can follow some tips to reduce the possibilities of suffering from a trauma. At home we avoid the carpets, when we carry our children in the car always with the special chairs adapted for their age and security seat belt, when they practice any sport that involves risk in the face zone, we can use, besides a helmet, oral protectors.
But, as cannot avoid children from being children, here we named some recommendations of what we can do facing a dental trauma:
- Go to the dentist immediately
- Clean correctly the zone with physiological serum, or, in the case there is lack of this substance, we will use water instead.
- If the dental piece is lost partially or totally, we need to preserve it in milk, if we do not have milk, we can do it with saliva, but we need to avoid wasting time until visiting the dentist.
- If the tooth has been moved, we do not need to touch it in any of the cases because we can make the prognostic worst that it was.
Dr. Alberto Gómez
Pediatric Dentristy Specialist