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Dr. Spieler | Kids and Dental Injuries | Getting Kids to Brush

Dr. Eric Spieler, D.M.D.

Dr. Spieler

Kids and Dental Injuries - Prevention and Treatment

For a parent, seeing a child lose a tooth in an accident can be gut wrenching. Such injuries are often bloody and anxiety provoking for the child as well. Knowing how to prevent dental injury and what to do in case your child's teeth are damaged in an accident, can save your child's teeth and ensure a beautiful life-long smile.

All teeth, even baby teeth, are important. Many parents, are under the misimpression that baby teeth are less important because they will eventually be replaced.

This is absolutely not true. Baby teeth serve several important functions including, acting as spacers creating enough room in the jaw so that permanent teeth can come in, aiding in proper speech development, and serving to help build self-esteem in the newly independent child.

What to do in Case of an Emergency:

One of the most important things you can do as a parent to protect these precious baby teeth is to make sure that you are prepared before an accident even occurs.

Before an emergency ever occurs:
Make sure that your dentist has after hours coverage meaning that he or a partner is available to take care of dental emergencies.

Keep your dentist's emergency number readily available. (Carry it in your wallet or organizer for example.)
In our dental practice, the most common dental emergencies we encounter are teeth which have been knocked due to trauma and teeth which have been chipped as a result of an accident. In either case, it is important to know what to do.

Time is the enemy when a tooth is knocked out. If a dentist is seen within one hour after an accident, chances are good that the tooth can be re-implanted and saved.

With chipped teeth the situation is slightly more complicated. If the your child is experiencing pain or sensitivity in the remaining tooth, see a dentist immediately as this indicates the tooth nerve may have been injured. The dentist can perform a root canal or other necessary procedures to save the tooth. Afterwards, a porcelain crown or bonding material can be sculpted onto the tooth to replace the lost portion.

If no pain or sensitivity is experienced the situation is not as critical. You should call your dentist to double check, but in most cases, you can simply schedule a future appointment to replace the lost portion of the tooth with a porcelain veneer or with bonding material.

In summary:
If your child's tooth is knocked out:
  1. Careful rinse the tooth in water. Make sure that you do not touch the root of the tooth with your hands. The root is the portion of the tooth which is usually embedded in the gum and not normally seen.
  2. Attempt to place the tooth back in its socket and secure with a wet wrap. If this is not possible or if you are afraid that your child might swallow the tooth, place it in a glass containing either saliva or milk.
  3. See your dentist immediately.
If your child's tooth is chipped:
  1. Check to see if your child is experiencing pain or sensitivity in the tooth. If so call your dentist and seek dental treatment immediately.
  2. If your child is not experiencing pain or sensitivity, contact your dentist to see whether or not your child should be seen. In most cases, this will not require immediate attention and your dentist will schedule your child for an appointment to be seen.

Preventing Dental Injuries

The best way to prevent a dental emergency is to properly protect your child. Increasingly dentists are recommending that children engaged in sports activities wear mouth guards. Normally, used in football and ice hockey, mouth guards are being recommended for other sports as well including: rollerblading, basketball, and soccer. Most mouth guards are made of plastic and cover the lower teeth.

Not only do mouth guards protect teeth but they also protect lips, gums, and cheeks as well. Commonly there are two ways to buy mouth guards:
Semi-formable mouth guards are available in sporting good stores and in many drug stores. Often these mouth guards can be boiled to fit allowing them to sit snugly against the teeth.

Dentist made mouth guards are custom made. The dentist creates a mold of the mouth which is used to create the mouth guard. Consequently, these mouth guards fit more securely against the teeth affording the best protection.
Another way to reduce the risk of dental injury is to watch out for situations that commonly can lead to dental injury. In our practice these are some of the more common:

Trips and Falls - Falling into furniture and down stairs often causes dental injury. This is most likely to occur when children are first learning to stand and often use furniture to maintain balance.

Children who are just learning to walk also have a tendency to fall down often onto household furniture or other items. If you have an infant make sure to child-proof your home before they become mobile usually around 12 - 16 months.

Water Fountains - Often kids injure teeth by ramming them into the spout of water fountains as they are taking a drink. Sometimes kids behind them accidentally bump into them causing them to injure their teeth.

Forks and Spoons - Believe it or not some injuries are self-inflicted when people do not pay attention cracking or chipping their teeth with spoons or forks as they eat.

Bottle Caps - Tell you child never attempt to open a bottle cap by using their teeth.

Brought to you by:
The Dental Zone
228 South 40th Street Box 31829 Philadelphia, PA 19104
Telephone: 215-417-8480 E-mail:

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