Patient: The baby is now just two weeks old, the upper front two incisors, due to a fall were dropped a small part, now the teeth are black, one of the incisors is recently broken, not two days just above the broken incisor gums swollen a large abscess, peanut bean size, after treatment of anti-inflammatory healed, this two days gums swollen again, now as big as a soybean, took two children’s anti-inflammatory drugs (Zalin), but did not see good The child’s gums are now as big as a soybean and have been treated twice with anti-inflammatory drugs.
Yang Jie, Pediatric Dentistry, Peking University Stomatology Hospital: First of all, it must be treated. As you said, the child’s front teeth have developed into apical inflammation, that is, the “dental nerve” has been necrotic, the root of the tooth has been inflamed, and the bone around the root has been inflamed, belonging to the advanced stage of dental disease. In this case, it is best to take x-rays (the child may not cooperate) to observe the extent of the lesion of the tooth, and if the lesion is mild, perform conventional endodontic treatment and try to preserve it; however, if the lesion is too large and even affects the inherited permanent tooth, then extract it as soon as possible (this is also a treatment) to avoid the permanent tooth being affected.