Should You See a Dentist After a Tooth Injury? What to Know - Dentistry

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Head trauma to the front teeth?


Hello, I would like to ask about a situation where someone was hit from below to their front tooth.
There was pain for a long time, but no looseness or bleeding.
After almost a day, I only feel slight swelling in one of the teeth, and talking feels somewhat strained.
However, the tooth only feels sore when pressure is applied or when biting down.
Does this require immediate medical attention, or will it heal on its own, or should I observe it for a few days?

siang, 20~29 year old female. Ask Date: 2016/04/25

Dr. Zeng Guanghui reply Dentistry


Although the front tooth was hit and did not become loose or bleed, the periodontal ligament may have been injured, leading to inflammation and swelling.
During this period, there may be soreness when applying pressure or biting down.
It is important to maintain oral hygiene by brushing well to prevent plaque infection.
If soreness persists after a few days, it is advisable to seek medical treatment promptly.

Reply Date: 2016/04/25

More Info


When it comes to dental injuries, especially those involving the front teeth, it is crucial to take them seriously. Even if you do not see any visible signs of damage, such as looseness or bleeding, underlying issues may still exist. Here’s what you should know about whether to see a dentist after a tooth injury.


Immediate Symptoms and Their Implications
In your case, experiencing pain and swelling after being struck in the mouth indicates that there may be some trauma to the tooth or surrounding tissues. The fact that you feel a pulling sensation when speaking and that the tooth is sensitive to pressure suggests that there could be inflammation or damage to the periodontal ligament, which supports the tooth. This is often a sign of trauma that may not be immediately visible but can lead to complications if left untreated.


Why You Should See a Dentist
1. Assessment of Damage: A dentist can perform a thorough examination, including X-rays, to assess any potential damage to the tooth's pulp (the innermost part of the tooth containing nerves and blood vessels) and surrounding bone. Even if the tooth appears stable, there could be microfractures or internal damage that could lead to more serious issues later.

2. Preventing Complications: Delaying treatment can lead to complications such as pulp necrosis (death of the tooth nerve), which may require root canal treatment. If the tooth's vitality is compromised, you may experience more severe pain, swelling, or even abscess formation.

3. Pain Management: A dentist can provide appropriate pain management strategies and may prescribe anti-inflammatory medications to help alleviate discomfort.

4. Monitoring Healing: If the dentist determines that the injury is minor, they can provide guidance on how to monitor the tooth for any changes over the next few days. They may recommend follow-up visits to ensure that the tooth is healing properly.


Observation vs. Immediate Action
While some minor injuries may heal on their own, it is generally advisable to err on the side of caution. If you notice any of the following symptoms, you should seek dental care immediately:
- Increased pain or swelling
- Development of a fever
- Discoloration of the tooth (darkening can indicate nerve damage)
- Persistent sensitivity to hot or cold
- Any signs of abscess (pus, swelling in the gums)

Conclusion
In summary, while you might be tempted to wait and see if the symptoms resolve on their own, it is best to consult with a dentist as soon as possible after a dental injury. They can provide a proper diagnosis and treatment plan to ensure that your tooth remains healthy and functional. Remember, timely intervention can save you from more extensive and costly procedures down the line. Always prioritize your dental health, especially after an injury.

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