Pediatric Dental Emergencies

Dental emergencies are not uncommon, especially among children. Approximately one-third of children have experienced some form of dental trauma, and dealing with such situations can be distressing for both parents and their little ones. There are two peak risk periods for dental trauma - the first being toddlerhood (18-40 months), when environmental exploration begins, and the second being the preadolescent/adolescent period, when sporting injuries become commonplace. At Gen Z Dentistry, we understand the importance of prompt and effective care during these critical moments. In this comprehensive guide, we'll explore common childhood dental emergencies, providing valuable insights and tips on handling them with care and confidence, especially for parents in Glendale, NY, seeking a reliable dentist.

Toothache

Toothache is common in children of all ages and rarely occurs without cause. Impacted food can cause discomfort in young children and can be dislodged using a toothbrush, a clean finger, or dental floss. If pain persists, contact the pediatric dentist. Some common causes of toothache include tooth fractures, tooth decay, tooth trauma, and wisdom teeth eruption (adolescence).

How you can help:

• Cleanse the area using warm water. Do not medicate or warm the affected tooth or adjacent gum area.
• Check for impacted food and remove it as necessary.
• Apply a cold compress to the affected area to reduce swelling.
• Contact the pediatric dentist to seek advice.

Dental avulsion (knocked-out tooth)

If a tooth has been knocked out of the child's mouth completely, contacting the pediatric dentist immediately is important. In general, pediatric dentists do not attempt to reimplant avulsed primary (baby) teeth because the reimplantation procedure itself can cause damage to the tooth bud and thereby damage the emerging permanent tooth.

Pediatric dentists always attempt to reimplant avulsed permanent teeth unless the trauma has caused irreparable damage. The reimplantation procedure is almost always more successful if performed within one hour of the avulsion, so time is of the essence!

How you can help:

• Recover the tooth. Do not touch the tooth roots! Handle the crown only.
• Rinse off dirt and debris with water without scrubbing or scraping the tooth.
• For older children, insert the tooth into its original socket using gentle pressure or encourage the child to place it in the cheek pouch. For younger children, submerge the tooth in a glass of milk or saliva (do not attempt to reinsert the tooth in case the child swallows it).
• Do not allow the tooth to dry during transportation. Moisture is critically important for reimplantation success.
• Visit the pediatric dentist (where possible) or take the child to the Emergency Room immediately –time is critical in saving the tooth.

Dental intrusion (tooth pushed into jawbone)

Sometimes, dental trauma forces a tooth (or several teeth) upwards into the jawbone. The prognosis is better for teeth that have been pushed up to a lesser extent (less than 3mm), but every situation is unique. Oftentimes, the force of the trauma is great enough to injure the tooth's ligament and fracture its socket.

If dental intrusion of either the primary or permanent teeth is suspected, it is important to contact the pediatric dentist immediately. Depending on the nature and depth of the intrusion, the pediatric dentist will either wait for the tooth to descend naturally or perform root canal therapy to preserve the structure of the tooth.

How you can help:

• Rinse the child's mouth with cold water.
• Place ice packs around affected areas to reduce swelling.
• Offer Tylenol for pain relief.
• Contact the pediatric dentist where possible, or proceed to the Emergency Room.

Tooth luxation/extrusion/lateral displacement (tooth displacement)

Tooth displacement is generally classified as "luxation," "extrusion," or "lateral displacement," depending on the orientation of the tooth following trauma. A luxated tooth remains in the socket – with the pulp intact about half of the time. However, the tooth protrudes at an unnatural angle, and the underlying jawbone is often fractured.

The term "extrusion" refers to a tooth that has become partly removed from its socket. In young children, primary tooth extrusions tend to heal themselves without medical treatment. However, dental treatment should be sought for permanent teeth that have been displaced in any manner in order to save the tooth and prevent infection. It is essential to contact the pediatric dentist if displacement is suspected.

How you can help:

• Place a cold, moist compress on the affected area.
• Offer pain relief (for example, Children's Tylenol).
• Contact the pediatric dentist immediately.

Crown fracture

The crown is the largest, most visible part of the tooth. In most cases, it sustains trauma. There are several classifications of crown fracture, ranging from minor enamel cracks (not an emergency) to pulp exposure (requiring immediate treatment).

The pediatric dentist can readily assess the severity of the fracture using dental X-rays. Still, any change in tooth color (for example, pinkish or yellowish tinges inside the tooth) is an emergency warning sign. Minor crown fractures often warrant the application of dental sealant, whereas more severe crown fractures sometimes require pulp treatments. In the case of a crown fracture, the pediatric dentist should be contacted. Jagged enamel can irritate and inflame soft oral tissues, causing infection.

How you can help:

• Rinse the child's mouth with warm water.
• Place a cold, moist compress on the affected area.
• Offer strong pain relief (for example, Children's Tylenol).
• Pack the tooth with a biocompatible material.
• Visit the pediatric dentist or Emergency Room depending on availability and the severity of the injury.

Root fracture

A root fracture is caused by direct trauma and isn't noticeable to the naked eye. If a root fracture is suspected, dental x-rays need to be taken. Depending on the exact positioning of the fracture and the child's level of discomfort, the tooth can be monitored, treated, or extracted as a worst-case scenario.

How you can help:

• Place a cold, moist compress on the affected area.
• Offer pain relief (for example, Children's Tylenol).
• Contact the pediatric dentist.

Dental concussion

A tooth that has not been dislodged from its socket or fractured but has received a bang or knock can be described as "concussed." Typically occurring in toddlers, dental concussion can cause the tooth to discolor permanently or temporarily. Dental concussion does not require emergency treatment unless the tooth turns black or dark (indicating that the tooth is dying and may require root canal therapy).

Injured cheek, lip, or tongue

If the child's cheek, lip, or tongue is bleeding due to an accidental cut or bite, apply firm, direct pressure to the area using a clean cloth or gauze. To reduce swelling, apply ice to the affected areas. If the bleeding becomes uncontrollable, immediately proceed to the Emergency Room or call a medical professional.

Fractured jaw

If a broken or fractured jaw is suspected, proceed immediately to the Emergency Room. In the meantime, encourage the child not to move the jaw. In the case of a very young child, gently tie a scarf lengthways around the head and jaw to prevent movement.

Head injury/head trauma

If the child has received trauma to the head, proceed immediately to the Emergency Room. Even if consciousness has not been lost, pediatric doctors need to rule out delayed concussion and internal bleeding.

Partnering with Gen Z Dentistry for Dental Emergencies

In dental emergencies, having a trusted dental partner like Gen Z Dentistry in Glendale, NY, can make all the difference. Our team of experienced professionals is dedicated to providing timely and effective care for your child's dental needs. Proactive communication and swift action are key to ensuring the best possible outcomes for your child's dental health. If you have any questions or concerns about dental emergencies, don't hesitate to contact us at Gen Z Dentistry. Your child's smile is our priority!