Dealing with Dental Trauma After a Car Accident: What to Expect - Dentistry

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Two front teeth broken in a car accident, jaw injury?


Doctor: I was in a car accident yesterday, and I broke two of my front teeth.
My jaw was impacted, and the four lower teeth feel numb.
They also feel a bit loose, and it's the entire group of four.
Is this due to the injury from the impact? Will they heal on their own? As for the two front teeth, I went to a major hospital, but they said I won't be able to get root canal treatment and have crowns and dentures done until mid-next month.
Please, doctor, use your expertise to advise me.
I'm still young, and I've been feeling very down these past few days because of this.
Please help me, doctor.

Mr. Zhang, 20~29 year old female. Ask Date: 2015/11/16

Dr. Zhang Xiangyuan reply Dentistry


Dear netizen,
(1) Based on your description, it seems that your lower teeth are experiencing numbness and slight mobility due to the impact from the car accident.
Initially, the teeth may have been more painful.
I recommend monitoring the numbness and mobility to see if they gradually improve.
Please avoid excessively hard foods in your diet.
If you experience abnormal pain, swelling, or if there are abscesses on your gums, it is advisable to consult a dentist for further examination and treatment.
(2) If you experience abnormal pain or other symptoms in your upper front teeth before your scheduled appointment, I suggest visiting a dental clinic for immediate evaluation and treatment by a dentist.
Thank you for your inquiry.

Reply Date: 2015/11/16

More Info


Dealing with dental trauma after a car accident can be a challenging experience, both physically and emotionally. It’s understandable to feel anxious about your recovery, especially when it involves your smile and overall dental health. Based on your description, it seems you have sustained significant dental injuries, including two broken front teeth and some trauma to your lower teeth, which are feeling numb and slightly loose.
Firstly, the numbness and looseness you are experiencing in your lower teeth could be due to trauma to the periodontal ligament, which is the tissue that helps anchor your teeth to the jawbone. This type of injury can cause temporary nerve damage, leading to sensations of numbness or tingling. In many cases, if the teeth are not severely damaged, they can heal over time. However, it is crucial to monitor these symptoms closely. If the numbness persists or worsens, or if you experience increased mobility of the teeth, you should seek immediate dental care.

Regarding your broken front teeth, it’s good that you have already consulted with a dental professional. Root canal treatment is often necessary when the pulp of the tooth is damaged or infected, which can happen after a fracture. The fact that you have to wait until next month for treatment can be frustrating, but it’s important to follow your dentist's advice and not rush into any procedures that might not be ready. In the meantime, here are some steps you can take to care for your dental injuries:
1. Maintain Oral Hygiene: Keep your mouth clean to prevent infection. Gently brush your teeth, avoiding the injured areas if they are painful. Rinsing with warm salt water can help soothe the gums and reduce the risk of infection.

2. Dietary Adjustments: Stick to soft foods that won’t put pressure on your injured teeth. Avoid hard, crunchy, or sticky foods that could exacerbate the damage.

3. Pain Management: If you are experiencing pain, over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort. Always follow the dosage instructions on the package.

4. Avoid Stress on the Teeth: Try not to chew on the side of your mouth where the injuries are located. If your teeth feel loose, avoid putting pressure on them.

5. Follow-Up Care: Keep your scheduled appointments with your dentist. They will monitor the healing process and determine the best course of action for your root canal and any necessary restorations.

6. Emotional Support: It’s normal to feel down after such an incident. Consider talking to friends, family, or even a mental health professional about your feelings. Engaging in activities you enjoy can also help lift your spirits.

7. Future Dental Care: Once your immediate injuries are treated, you may want to discuss long-term dental care options with your dentist, including any necessary orthodontic treatment if your bite is affected.

In summary, while the healing process can be slow and may require patience, many dental injuries can improve with proper care. It’s essential to stay in close communication with your dental provider and follow their recommendations. Remember, you are not alone in this, and many people have successfully navigated similar situations. Focus on your recovery, and don’t hesitate to reach out for support when needed.

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