Child's Front Tooth Turned Black After Injury: Should We Consider Root Canal?

If a child's front tooth has been bumped and has turned black two weeks later, it is important to take the following steps: 1. Consult a Dentist: Schedule an appointment with a pediatric dentist as soon as possible. They will be able to assess the tooth and determine the extent of the injury. 2. Monitor Symptoms: Keep an eye on any additional symptoms such as pain, swelling, or changes in the surrounding gums. These could indicate further

Hello, Dr.
Huang.
My child is 2 years and 5 months old and accidentally hit the floor on March 13.
The gap in his front teeth has widened.
We visited the dentist on March 15, and the doctor examined the X-rays, which showed no abnormalities, just the enlarged gap.
However, today I noticed that one of his front teeth has turned black both inside and outside.
I searched online and found that it might indicate necrosis of the pulp, requiring a root canal.
Should we really proceed with this treatment, or can we wait until my child grows up and loses the tooth?
You mentioned that the discoloration of the tooth indicates pulp necrosis.
After the initial impact, the tooth may have been displaced, and I recommend visiting a pediatric dentist for further treatment and stabilization.
Typically, children start losing their primary teeth around age 7, so I do not advise waiting until then to address this tooth.

Yesterday, we went to a pediatric dentist for a check-up, and the doctor said that a root canal treatment is necessary.
However, after the root canal, we need to maintain good oral hygiene; otherwise, it could lead to inflammation of the gums again.
If we do not perform the root canal, will it affect my child's front tooth, or is it merely an aesthetic issue? If we maintain good oral hygiene until the tooth is replaced, is it possible that a root canal is not needed?

LO, 30~39 year old female. Ask Date: 2016/04/01

Dr. Huang Zhicheng reply Dentistry

Hello, it is still necessary to perform root canal treatment to disinfect and properly fill the root canal.
This will prevent inflammation at the apex of the tooth root and the formation of a dental abscess.
If inflammation occurs, it may affect the development and calcification of the underlying permanent incisors.
Wishing you peace and good health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/01

More Info

When a child's front tooth turns black after an injury, it often indicates that the pulp of the tooth has died, a condition known as pulp necrosis. This situation can arise from trauma, such as the fall your child experienced. Initially, the X-ray may not show any abnormalities, but the discoloration suggests that the tooth is no longer healthy.
In children, primary teeth (baby teeth) typically begin to fall out around the age of 6 or 7, making way for permanent teeth. However, waiting for the natural process of losing the tooth to resolve the issue is not advisable in this case. If the tooth's pulp is necrotic, it can lead to further complications, including infection, which may affect the surrounding teeth and gums.
Root canal treatment (RCT) is often recommended in cases of pulp necrosis, even in primary teeth. The procedure involves removing the dead pulp tissue, cleaning the root canals, and sealing them to prevent future infection. While some parents may be concerned about the invasiveness of the procedure, it is essential to understand that leaving a necrotic tooth untreated can lead to more severe issues, such as abscess formation, pain, and potential damage to the developing permanent teeth beneath.

If the root canal is performed, it is crucial to maintain good oral hygiene to prevent reinfection. This includes regular brushing, flossing, and dental check-ups. If the tooth is kept clean and healthy, it may remain functional until it naturally falls out, minimizing the risk of complications.

If root canal treatment is not pursued, there is a significant risk that the necrotic tooth could lead to further dental issues. The blackened appearance of the tooth is not merely a cosmetic concern; it indicates underlying health problems that could affect your child's overall dental health. Additionally, untreated necrotic teeth can lead to systemic infections, which can be serious.

In summary, it is advisable to proceed with root canal treatment for your child's blackened front tooth. While it may seem daunting, addressing the issue now can prevent more severe complications in the future. If you have concerns about the procedure or its necessity, discussing them with a pediatric dentist can provide clarity and reassurance. They can explain the benefits of the treatment and the potential risks of delaying it. Ultimately, ensuring your child's dental health is paramount, and timely intervention is key to achieving that goal.

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Hello^^ This question needs to be consulted with a pediatric dentist! Thank you!!