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Children are naturally curious and active, which unfortunately makes them prone to injuries, including those affecting their teeth.
Tooth injuries can be distressing for both children and parents, but understanding the types of injuries, their treatment and how to prevent them, can help manage these situations effectively.
Types of tooth injuries
Tooth injuries in children can range from minor to severe, affecting both primary (baby) teeth and permanent teeth.
Here are some of the most common types:
This occurs when a tooth’s enamel or dentin is damaged, often due to a fall or blow to the mouth.
The severity can vary, from a small chip to a more significant fracture.
A tooth may become loose due to trauma, affecting the supporting structures.
This can happen to both primary and permanent teeth.
This occurs when a tooth is pushed out of its normal position, either partially (luxation) or completely (avulsion).
Avulsion, where the tooth is completely knocked out, is a dental emergency.
This happens when a tooth is pushed into the gum line, often appearing shorter than usual.
These involve injuries to the gums, lips or tongue, often occurring alongside tooth injuries.
Treatment and management
The treatment for a tooth injury depends on the type and severity of the injury, as well as the child’s age and the affected tooth (primary or permanent).
Here are some common approaches:
Minor chips may only require smoothing of the rough edges.
More significant fractures may need a filling or bonding to restore the tooth’s shape and function.
If a primary tooth is loose, the dentist may recommend monitoring it or extracting it if it’s very loose or interfering with eating.
For a loose permanent tooth, the dentist may try to stabilise it with a splint or wires.
For a partially dislodged (luxated) tooth, the dentist will reposition it and may use a splint to hold it in place.
In the case of a totally dislodged (avulsed) permanent tooth, prompt action is crucial.
If possible, rinse the tooth and try to place it back in the socket.
If not, store it in fresh milk or the child’s saliva, and get to a dentist immediately.
The sooner the tooth is replanted, the higher the chances of success.
Treatment for an intruded tooth depends on the severity and the type of tooth.
The tooth may be left to re-erupt on its own, or the dentist may need to reposition it surgically.
Minor cuts and bruises usually heal on their own.
More severe lacerations may require stitches.
Prevention of tooth injuries
While accidents can happen, many tooth injuries can be prevented with some precautions:
Make sure your home is safe for children, especially toddlers who are learning to walk.
Cover sharp corners, secure loose rugs and keep stairs clear.
Choose playgrounds that have a soft flooring, such as rubber mats or other durable materials, to absorb shock from falls.
Encourage your child to wear a mouthguard during sports activities, especially contact sports like football, hockey and basketball.
Always use appropriate car seats and seatbelts for children of all ages.
Maintaining good oral hygiene can help keep teeth strong and less prone to injury.
Encourage regular brushing and flossing.
Teach your child about the importance of being careful when playing and participating in activities that could lead to falls or blows to the mouth.
When to see a dentist
It’s important to see a dentist as soon as possible after any tooth injury, even if it seems minor.
Prompt treatment can prevent complications and improve the chances of a successful outcome.
Seek immediate dental attention if:
- A tooth is knocked out or significantly dislodged.
- There is significant bleeding or swelling in the mouth.
- The child is in severe pain.
- You suspect a tooth fracture or other serious injury.
Remember, a healthy smile is an important part of a child’s overall well-being.
By understanding the types of tooth injuries, their treatment and how to prevent them, you can help protect your child’s smile and ensure they have a healthy and happy childhood.
Dr Nabihah Dziaruddin is a paediatric dental specialist and Malaysian Association of Paediatric Dentistry secretary. This article is courtesy of the Malaysian Paediatric Association’s Positive Parenting programme in collaboration with expert partners. For further information, please email starhealth@thestar.com.my. The information provided is for educational and communication purposes only, and it should not be construed as personal medical advice. Information published in this article is not intended to replace, supplant or augment a consultation with a health professional regarding the reader’s own medical care. The Star does not give any warranty on accuracy, completeness, functionality, usefulness or other assurances as to the content appearing in this column. The Star disclaims all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.
