Prognosis of Injured Primary Incisor and Replacement Tooth for 2 Years Old

Updated on January 05, 2010
T.L. asks from Lyons, NJ
4 answers

My son fell on the bathroom tile 2 months ago. His left front incisor was pushed inward, and the right one was a little loose. Both were chipped. During the one month follow up visit, the dentist said the left one was turning grey and the right one yellow. But they could not take an x-ray because my son was rejecting pretty hard.

On new years day, we noticed there was a huge sore on the gum above his left tooth. I brought him in the day later, the dentist said it was an abscess and pulled the tooth. At two he was struggling fiercely and I was totally tramatized again. Now I'm worried sick about the other tooth. I read online that turning yellow is a good sign comparing to the grey color. He is due for the next checkup and X-ray in a week and I don't know how the x-ray can be taken with him struggling all the time (he's a strong boy).

My questions are: I heard they can put replacement tooth and saw a picure of it online. I'm wondering is fitting the replacement gonna be a painful procedure?? Is the replacement removable, I mean are you taking it off at night and wear it during the day as a denture?? And what is the prognosis of the yellow tooth? How much chance of its survival. I don't know if I can take it if it has to be extracted as well.

Please, please share your experience. Thank you!!

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So What Happened?

Thank you so much for your kind responses. I am searching the internet like crazy these days. This injury was my fault (he fell because I did not hold him with enough care), so it is extra hard for me to take than a simple play yard accident. All these could have been avoided if I paid a little bit more attention. I will be dealing with the consequences in the years to come.

I was told about the replacement by the pediatric dentist, but after I did some research, I might not go for it. It would be more to cover up the accident than for my son's benefit.

Through my searches I came across this wonderful blog by a pediatric dentist. I learned a lot through reading his posts. I hope some other moms in similar situation would find it useful.

http://cyberdentist.blogspot.com/2006/03/my-childs-tooth-...

More Answers

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L.D.

answers from Albany on

It's his baby tooth though, right? I guess I am wondering why the concern to put a replacement tooth in. My middle son lost his first tooth at around 3 I think it was because he banged his chin on his brother's head and knocked two teeth loose in the process. It took a long time for the grown up tooth to come in because it wasn't ready but we didn't do anything in the meantime nor did the dentist recommend anything. He just had a missing tooth for a year or whatever it was.

As for the trauma, oh boy do I feel bad for you AND him. I know what a nightmare it was to get my two older sons to the dentist in the beginning and you are right, it is traumatic to us as well!!

I wish you the best but I wouldn't do anything that doesn't have to be done.

Smallavatar-fefd015f3e6a23a79637b7ec8e9ddaa6

C.M.

answers from New York on

My son had to have his front tooth pulled b/c of a nasty fall that led to a chip that led to an abscess also. I as well thought about a false tooth, and they do have the kind they can remove at night. But think about it, he's 2... you think he'll really keep it in? I'm not sure they would do a perm one on a child that age, but seeing how he doesn't do so well w/dental procedures and most likely still has another tooth to pull, I personally don't think it'd be worth putting him through that any way.

Best of luck!

Smallavatar-fefd015f3e6a23a79637b7ec8e9ddaa6

C.R.

answers from Syracuse on

When my son was a month over two he fell and knocked out both of his top 2 front teeth. We elected not to replace it because it had nothing to do with the spacing of the rest of his teeth(and now he his 9 and one of his adult teeth was damaged my the fall even though when they xrayed him they thought he'd be fine...not a big deal it's discolored but when he's older we'll fix it). I was told then that you can remove the 4 front teeth top or bottom w/o complication, but that anything beyond those teeth should be replaced because your eyeteeth hold all the others in place and prevent shifting...as for the trauma...my son obviously didn't enjoy his xrays or checkups because it hurt, but once he healed there is no lasting fear of the dentist. We simply explained(just like when they get shots) the Dr is trying to help you, if he doesn't help you now it will hurt more....it may hurt a little now, but it will stop once it's all better....explain to his level...I swear my 5 boys have each said thank you to the nurse who gave them the shot on their own...they are capable of understanding.

Smallavatar-fefd015f3e6a23a79637b7ec8e9ddaa6

L.G.

answers from New York on

Is he seeing a pediatric dentist?

Your son may be ok without a replacement tooth. When my son was 9 months old, he fell and lost 4 bottom teeth. The upper two were damaged and fell out when he was 3 and reinjured them - one right after the initial injury, one a few months later.

He's 7 now. The bottom 4 adult teeth are in, the top ones aren't yet (the baby canine teeth on top may be blocking them and may need pulling) but he's fine. He had help with speech in prek due to the missing teeh.

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