Teething is­sues

Irish Examiner - Feelgood - - Feature -

En­dodon­tist Michael Hart­nett on ac­ci­den­tal tooth loss: Avul­sion of per­ma­nent teeth is a very se­ri­ous den­tal in­jury. This is where the tooth is com­pletely knocked out of the mouth in an ac­ci­dent. Typ­i­cal ex­am­ples of such ac­ci­dents would be where the child falls off their bike, hits their mouth on a tram­po­line, or bangs against an­other child’s head at school. The long-term fu­ture for the knocked-out tooth will de­pend on the ac­tions that are taken at the time of the ac­ci­dent. IM­ME­DI­ATE AF­TER­MATH Stay calm. Act as quickly as pos­si­ble. Hold the tooth by the crown only (try not to touch the root as there are fi­bres on the root that need to be pre­served).

Gen­tly push the root into the socket where it has come from us­ing the ad­ja­cent teeth as a guide.

Close the teeth to­gether or bite on some tis­sue and go to your den­tist im­me­di­ately.

If the tooth is dirty when knocked out you can clean with saliva (lick it) or wash the root gen­tly and quickly un­der wa­ter (with­out touch­ing the root if pos­si­ble)

If you are un­able to re­plant the tooth then place the tooth in milk and go to your den­tist im­me­di­ately. The best chance for long-term sur­vival of the tooth is to re­plant the tooth im­me­di­ately (ideally within five min­utes).

Never re­plant a baby tooth. DEN­TIST

Your den­tist will en­sure that the tooth is in the cor­rect po­si­tion.

The tooth will be splinted to the ad­ja­cent teeth to sta­bilise the tooth, which can last for up to two weeks.

Antibiotics and tetanus pro­tec­tion may be re­quired at this time.

Root canal treat­ment will be started on the tooth af­ter seven to ten days and will gen­er­ally be com­pleted within one month.

The pa­tient should avoid con­tact sport for three to four weeks af­ter­ward.

A soft diet is ad­vised for two weeks and the teeth should be brushed with a soft tooth­brush af­ter ev­ery meal. Com­pli­ca­tions can de­velop if the knocked out tooth is out of the mouth for more than 30 min­utes be­fore it is put back in. The tooth can be­come fixed in po­si­tion and as the child de­vel­ops the tooth will ap­pear to be shorter than the ad­ja­cent teeth. Man­age­ment of such sit­u­a­tions will re­quire dif­fer­ent den­tal spe­cial­ists. IN­SUR­ANCE In­sur­ance schemes are avail­able through the school which either cover only school ac­tiv­i­ties or a 24-hour cover (prefer­able). Af­ter an ac­ci­dent, the in­sur­ance com­pany will pay the in­sured ex­penses which are not re­cov­er­able from any other source un­til the need for care has ceased (this will be sub­ject to a pol­icy limit up to €50,000).

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