How to Treat Blackened Teeth After a Dental Injury in Toddlers?

Tooth injury resulting in discoloration to black?

My son is currently two and a half years old.
About two months ago, he fell and hit his front tooth, causing it to bleed.
Since then, the tooth has turned dark.
Is there a way to treat this? Will it improve when he eventually loses his baby teeth?

Mr. Shi, 30~39 year old female. Ask Date: 2002/09/04

Dr. Liao Yifen reply Dentistry

Blackening of the teeth indicates that the dental pulp has necrotized and deteriorated.
It is recommended to seek root canal treatment for the primary teeth as soon as possible.

Reply Date: 2002/09/04

More Info

When a toddler experiences a dental injury, such as a fall that results in a blackened tooth, it can be concerning for both the child and the parents. The discoloration of the tooth, particularly in young children, often indicates that the dental pulp (the innermost part of the tooth containing nerves and blood vessels) has been damaged or has died due to trauma. This condition is known as pulp necrosis, and it can lead to the tooth turning dark or black over time.

In your son's case, since the injury occurred about two months ago and the tooth has turned black, it is crucial to seek dental care as soon as possible. A pediatric dentist will be able to assess the extent of the injury and determine the appropriate treatment. The recommended treatment for a blackened tooth in a toddler often involves root canal therapy, also known as pulpotomy, where the damaged pulp is removed, and the tooth is sealed to prevent further infection. This procedure can help preserve the tooth until it naturally falls out, which typically occurs between the ages of 6 to 12 years for primary teeth.

As for the concern about whether the tooth will improve on its own, it is essential to understand that while primary teeth will eventually be replaced by permanent teeth, the blackened tooth may not regain its natural color. The discoloration is usually permanent unless treated. However, the good news is that once the primary tooth is lost, the permanent tooth that erupts will not be affected by the previous injury.

In terms of future dental health, it is vital to monitor the blackened tooth for any signs of infection, such as swelling, pain, or pus. If these symptoms occur, immediate dental intervention is necessary. Additionally, maintaining good oral hygiene practices, such as regular brushing and dental check-ups, will help ensure that your child's overall dental health remains optimal.

In summary, it is advisable to consult a pediatric dentist for an evaluation and potential treatment of your son's blackened tooth. Early intervention can help prevent complications and ensure that the tooth remains functional until it is time for it to be replaced by a permanent tooth. While the blackened tooth may not improve in color, proper care and monitoring will help maintain your child's dental health as they grow.

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