The upper left primary incisor has fractured and needs to be extracted. Recommendations for subsequent treatment?
Hello, my child is 1 year and 8 months old and has fractured the upper left front tooth due to a fall, which has already been extracted.
I would like to know how to treat this, and if there are options like a space maintainer or other methods to address the gap (such as a prosthetic that looks natural).
It will be a long time before the permanent teeth come in.
Thank you.
Ms. Chen, 30~39 year old female. Ask Date: 2010/02/23
Dr. Qiu Qiongyao reply Dentistry
It is recommended to wait until the primary teeth are fully erupted, around 2 and a half years old, before placing fixed dental prostheses.
Reply Date: 2010/02/23
More Info
When it comes to treating a broken baby tooth in a young child, there are several options to consider, especially since your child is only 1 year and 8 months old. Given the age and the fact that the tooth has already been extracted, it’s important to focus on maintaining proper oral health and ensuring that the child’s dental development proceeds normally.
Treatment Options
1. Space Maintainers: Since your child has lost a primary tooth, a space maintainer may be a suitable option. This device helps to hold the space open for the permanent tooth that will eventually erupt. It prevents adjacent teeth from shifting into the empty space, which can lead to misalignment and bite issues later on. Space maintainers can be fixed or removable, and your dentist will determine the best type based on your child's specific situation.
2. Dental Crowns for Baby Teeth: If there are any remaining parts of the broken tooth, or if other baby teeth are at risk of damage, your dentist may recommend placing a crown. Pediatric dental crowns are designed to fit over the existing tooth structure and can help protect it from further damage. However, since the tooth has already been extracted, this option may not be applicable in your case.
3. Partial Dentures: In some cases, a partial denture can be made for young children. However, this is less common for very young children and may not be necessary unless there are multiple missing teeth. Partial dentures can be removable and are typically used when a child has lost several teeth.
4. Aesthetic Options: If aesthetics are a concern, especially for a front tooth, there are options like dental flippers or temporary prosthetics that can be used until the permanent tooth erupts. These are not permanent solutions but can help improve the appearance of your child's smile in the interim.
5. Monitoring and Regular Check-Ups: Regular dental check-ups are crucial for monitoring your child's dental development. Your dentist will keep an eye on the eruption of the permanent teeth and ensure that everything is progressing as it should.
Importance of Dental Care
Maintaining good oral hygiene is essential, especially after a tooth has been lost. Encourage your child to brush their teeth twice a day with fluoride toothpaste and to floss regularly. Limiting sugary snacks and drinks can also help prevent further dental issues.
When to Seek Further Treatment
If you notice any signs of infection, such as swelling, pain, or discharge from the gums, it’s important to seek immediate dental care. Additionally, if your child is experiencing difficulty with chewing or if the surrounding teeth seem to be shifting, consult your dentist for further evaluation.
Conclusion
In summary, while the loss of a baby tooth can be concerning, there are several treatment options available to ensure that your child's dental health remains intact. Space maintainers are often the best choice to prevent future alignment issues, while regular dental visits will help monitor your child's oral health as they grow. Always consult with a pediatric dentist who can provide tailored advice based on your child's specific needs and circumstances.
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