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Showing posts with label knocked out tooth. Show all posts
Showing posts with label knocked out tooth. Show all posts

Tuesday, September 29, 2009

Accidents Happen: Knocked Out Tooth


Baby teeth. We anxiously await their arrival. We document the milestone of when our babies get their "first tooth." We dread the sleepless nights, the drooling, the biting (especially if still nursing). We hate to see our babies in pain. We marvel at that little pearly white as it pokes through the gum.

But what happens when one of those cherished baby teeth gets knocked right out of your precious toddler's mouth? Well, that's exactly what happened to Owen, NHV's good buddy and son of my friend Tammy.


It happened when O was about 21 months old. He was running on the sidewalk in front of Safeco Field when he tripped and fell on his face. Now, O has been walking since he was 10 months old, so he's had plenty of practice bracing his falls. This time, however, he was not so successful. When he came up for air, his face was cut, his lips all bloody, and little white bits of teeth were floating around in his mouth.


Needless to say, we peeled out so fast our stroller left dust clouds in our wake! We set up an emergency visit with Owen's pediatric dentist, who, bless her heart, had to come in on a beautiful Saturday morning when she was just getting ready to spend the day at the park with her husband. After a lot of screaming and prying, we were able to take an x-ray of O's mouth. Both front teeth were badly chipped. The one on the left had chipped in half horizontally, in a crescent shape. The one on the right was not so lucky. Not only did it have a huge triangle chunk cut out of it, but it had a vertical fracture into the root.

Diagnosis? Extraction of the doomed tooth.

There was no other choice. I wanted to cry. What does this mean?? O will have one, albeit compromised, front tooth until his permanent ones come in. For the next 8 or 9 YEARS, he'll be known as the kid with one tooth! "Isn't there anything you can do?", I asked the dentist. "Baby dentures? Implants?" Unfortunately, no. They don't want to disturb or disrupt the growth of the permanent tooth. On top of that, Owen had to be sedated for the extraction process, unless we want him to be traumatized for the rest of his life, not to mention the fact that it'd probably take 2-3 large adults to hold him down for the removal if we choose to forgo the anesthesia ...


Click here to read the details of O's surgery.

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As you saw in the photo above, ultimately, the decision was made to extract one of Owen's front teeth ... and clearly, having one less tooth hasn't slowed him down or made him any less adorable! But what a tough experience for parents to go through and clearly this is an accident that could happen to any toddler at any time! And any teenager, as my mom can attest to ... my 17 year old brother got his braces off and had his front tooth knocked out - playing tackle football without pads or a helmet - all within the same month! Talk about an expensive set of chompers!

As kiddos get older, this becomes an even more serious injury. According to kidshealth.org, A dislodged baby tooth can't be replaced and does not need to be put back in. On the other hand, a permanent tooth, which is more sharply defined than a baby tooth, can often be saved if prompt action is taken and the tooth is handled carefully. A permanent tooth has the best chance of survival if replaced within 30 minutes.

In this case, prevention is a tough one. With toddlers the advice is to make sure the child is supervised ... which is a no-brainer. But an exuberant runner and unbraced falls, well, those things just happen - whether you're watching or not! For older kids, it's extremely important that proper protection is worn while playing sports.


Read more about Tooth Injuries here.

Click here for a Knocked-out Tooth Instruction Sheet.

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Disclaimer: Clearly the Accidents Happen series is meant to be informative but also from a mother's point-of-view. The information provided in these posts are medically accurate - to the best of our knowledge - but we are not licensed physicians. We are mothers sharing an experience.
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You may also want to read my other Accidents Happen posts:
Nursemaid's Elbow
Object in Nose