Friday, November 6, 2009

My son has fractured his two front teeth and they say that they should be removed ne1know ne thing about this?

If there is a dentist out there that knows about baby teeth. I really don't want him to lose his teeth but they ae fractured all the way across under the gum. They say it could get infected and that they should be removed. If you know anything about this please write me back. I want to save his teeth if it is at all possible.

My son has fractured his two front teeth and they say that they should be removed ne1know ne thing about this?
I am in my last year of dental school. Since he is 4 (read the other post) and you want to save his teeth, there is hope. But go to a dentist, now! The longer you take the worse. He needs to take X-rays and keep an eye on how things are progressing. The dentin and the pulp (nerve) can help repair the fracture (is it vertical or horizontal?) so you want to aviod getting a root canal done, leave it as a last resort, you can get a prescription for antibiotics.





Are his teeth lined up exactly the way they first were? You will need to ask him, you might not be able to tell. Your dentist will put a splint on his teeth (they will look like braces, but tooth colored) to keep them from moving and help the reparation process.





They are baby teeth, his permanent front teeth will grow in on average at about age 7, so it's understandable that you want him to have his teeth. Besides that, if there ae no teeth there, other teeth will try to migrate to that spot and cause problems when he is older.





But go now!
Reply:I think you sh ould at leat get a second opinion
Reply:It is best to get the teeths removed %26amp; get the fixed teeths implanted.
Reply:take them out! you dont want to get into root canals and gum infections/diseases, they can be very painful and discourage eating. they are just baby teeth as well, before you know it they will be falling out.
Reply:I hate to tell you this but the teeth once broken won't heal they are baby teeth and will grow back in. You have to consider that an infection could develop and when not taken care of the reason for the infection it will continue. He will be just fine without those teeth but will not be if he takes so many antibiotics that his body gets immune.
Reply:If they are truly his deciduous teeth ,then extraction is the most practical option since root canals would not be practical.If they were permanent teeth then endodontics followed by post and crown would give a good result .
Reply:I am NOT a dentist, but my nephew fell when he was 3 and hit his two front teeth. My sister never took him to the dentist until both teeth had turned black. I would suggest that you take their advice, or have a second opinion. A couple of missing teeth is more appealing than black rotted ones!! I wish you well!! (and your baby)
Reply:First and foremost - GET A SECOND OPINION! My daughter fell when she was 2 and hit her teeth on the bleachers at a ball park. About two years later, we switched dentists and took her to a pediatric dentist who saw that there was trauma to the roots of her teeth, and they needed to be removed immediately and replaced with a partial. I was hysterical and took her to our family dentist that I saw when I was younger. He said they should not be removed....they will fall out when they are ready, She is now 6-1/2 and they are starting to get loose, right on schedule. While your circumstance may not be the same in the end, it is proof that a second opinion should always be sought!
Reply:You did not give your son's age, so it's a little hard to comment.





Your dentist is probably giving you good advice. If they are primary teeth, they need to be removed. A space maintainer can be placed to hold position until the permenant teeth come in.





An infection could result if the teeth are not treated. If you get a second opinion, do it soon. Also understand, your insurance may not pay for another exam and more x-rays, so be prepared to pay for the second visit.
Reply:I know this may seem scary, but I would recommend consulting a good pediatric dental surgeon. My daughter just finished with one. She had multiple things fixed at one time, when she was 4, by placing her under anesthesia. A good website to check is www.childrens-dentist.com, or if you are in PA, you could contact Dr. David Laughlin @ (717)741-0848. Good luck to you.
Reply:Get them taken out, his health is more important than his looks. He will start getting new teeth around the age of 5ish
Reply:My answer assumes that this is a 4 year old as stated in your other post.It is not clear what you mean by fractured all the way across under the gum. If you mean that the root is fractured it depends on the rest of the tooth. If the crown is displaced and the root is fractured it probably should be removed, but the dentist will probably not be able to remove the tip of the root. The root tip could become infected, but will probably resorb on it's own. If the crown is not displaced it might be best to leave it alone and "take a chance". The worst that could happen is that it will become infected and need to be removed. If the fracture is not in the root, a baby tooth root canal could be attempted to save the tooth. Finally, if the fracture is complicated the tooth might need to be removed regardless of where the fracture is. If you obtain a second opinion go to a pediatric dentist, they receive extra training regarding cases such as this.



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