Patient: Description of condition (time of onset, main symptoms, hospital visited, etc.): The patient was a male infant, 7 months old. Developing teeth. This condition: The infant’s two milk teeth were developing, biting the stroller to play, and suddenly the lower teeth got stuck in the gap and pulled out by themselves, crying and fussing, and I found that one of the lower teeth was somewhat turned outward and the gums were torn and bleeding. I hurriedly pressed the tooth back and immediately carried it to the hospital. In the evening went to the Liangxiang Hospital, the dentist on duty, just a glance, told that may fall out, may be okay, a whole lot of may also did not do treatment. I went home with nothing more than a slightly twisted tooth and a small crack in the gum, about 1mm. there was no crying when I ate. Do I need to go to a pediatric dentist for orthodontic treatment in this case? Will the teeth fall out or will it affect the development of permanent teeth? How do I need to make an appointment if I ask you to see me? We have a visit card for the Children’s Hospital. Wang Qilin, Department of Pediatric Dentistry, Peking University Stomatology Hospital
Wang Qilin, Department of Pediatric Dentistry, Peking University Hospital of Stomatology.
Parent.
Hello, for traumatically displaced milk teeth, we need to focus on two points: 1) whether it affects the permanent teeth; 2) whether it can form the function
The impact on the permanent tooth comes from three aspects: 1 the impact on the permanent embryo at the moment of trauma; 2 the pressure on the permanent embryo during repositioning; 3 the possible impact on the development of the permanent embryo once the root tip of the baby tooth becomes infected. Since the first two items have already occurred and are irreversible, what we need to do now is to observe and review the situation regularly, and to control the inflammation in time to avoid the impact on the permanent teeth in case of apical infection of the baby tooth.
For traumatized milk teeth, the prognosis is uncertain according to the degree of trauma, and since the child is relatively small, observation is usually the main concern; if the tooth can perform the function of cutting and biting, it can be left untreated for the time being, but if the loosening continues to affect eating, it needs to be extracted.