Tooth trauma " Tooth broken, what to do?

If teeth are injured or loosened by external influences, we speak of a dental trauma. Children are particularly often affected by dental trauma because they learn to walk, play and romp, often fall and injure themselves. Sports injuries and traffic accidents play a role in adolescents and adults. A dental trauma or dental accident occurs most frequently in the front teeth.

Fence trauma is not always detected immediately after a fall or accident because other injuries may be more obvious and teeth are therefore less noticed. In children, it is also the case that the fall is forgotten as soon as the pain subsides.

That is why we advise the parents of our young patients to always consult a dentist in the event of a serious fall.

Why does dental trauma have to be treated?

The faster a dental trauma is treated, the greater the chance of preserving the affected teeth. If a dental trauma or front tooth trauma is not treated in time, in the worst case permanent tooth loss can occur. Especially for children who lose a final tooth, the psychological strain is often very high. In this context, it is of course important to react quickly after a dental accident or to treat the dental trauma in good time.

How do you recognize a dental trauma?

The term “dental trauma” is broad. In concrete terms, this means that a tooth / incisor has been broken off, knocked out, loose or lost. For this reason, we have summarized the most important signs of dental trauma in the following table.

Signs of dental trauma according to the WHO classification

WHO Kl.TraumaAnzeichen1Schmelzfraktur (aborted tooth parts)The tooth does not hurt and has no color change. The edges are roughened.2Tooth crown fracture without participation of the tooth root.The fracture affects the enamel and dentin layer. The tooth is sensitive to contact and drafts. Increased hot and cold sensation.3Crown fracture with root involvementAs 2. The tooth nerve is already exposed – recognizable by the pink or red (in bleeding) shimmering through color. The tooth is extremely sensitive.4Root fracture (root fracture)The tooth appears relatively undamaged from the outside and may be somewhat loose. A root fracture can usually only be diagnosed by X-ray.5Crown-root fractureCrown may have a fracture line.6unspecified tooth fractureno information7tooth luxations (tooth loosening)Affected tooth is loose / wobbly.8Tooth intrusion or extrusionThe tooth was pressed into the tooth cavity from the outside and appears shortened (intrusion) or protrudes from the row of teeth and appears extended (extrusion). High tooth mobility.9AvulsionTooth is located completely outside the alveolus.10 Other injuries associated with lacerations of the oral soft details

The treatment concept for dental trauma depends on the type of trauma and the age of the patient.

Dental trauma treatment

The treatment essentially consists of putting knocked out or loosened teeth back into the tooth socket and splinting them until they have grown back into place again. However, this method cannot be used on milk teeth (see below).

The chance that the loose or knocked out tooth will grow back is very high with children. Under ideal conditions, the tooth not only grows back, but also continues its root growth and remains vital. The prerequisite for this is that the treatment takes place immediately after the dental trauma.

What is a tooth rescue box good for, and where do you get tooth boxes from?

Many schools have tooth rescue boxes where teeth that have been knocked out can be kept until they visit the dentist. These are filled with a 0.9% saline solution. If there is no tooth box available, you can take a clean container and keep the tooth in cold milk. Basically, the environment for a tooth in the oral cavity is the best. However, people affected by dental trauma should not keep it in their mouth. The risk of swallowing the tooth is too great, especially for children and adolescents. There is also a risk of root injury if the teeth are still bitten.

Do loose or lost milk teeth grow firmly again?

Different criteria apply to milk teeth than to final teeth. They must not be placed in the tooth cavity, neither by the parents nor by the dentist.

Sometimes the affected milk tooth of the child does not fall out during the traumatological effect and gets lost, but is pressed deep into the jawbone. From there it sometimes makes its way out by itself. Here an x-ray provides clarity.

Loose milk teeth often die off, but can also remain vital if the connecting blood vessels have been preserved.

A gradual gray coloration of the tooth speaks for a degeneration of the tooth root, for which fast trade is announced. The decay process often leads to pain and purulent inflammations that need to be treated. A loss of teeth is probable here. A brown coloration of the tooth, however, is usually harmless, and if the tooth “plays along”, it can fulfill its function until it falls out anyway.

Did you or your child injure your teeth in a fall or did the tooth fall out? Then make an appointment with us today.

How do you treat a tooth fracture?

The treatment concept for teeth with fractures depends on whether only the hard tooth substance or also the tooth root (pulp) is affected.

If the enamel fractures or chipping are very small, in some cases it is sufficient to smooth the rough edges by grinding. If the tooth is more than 70% damaged or if the fracture extends into the root canal, tooth reconstruction is the method of choice.

The restoration of your tooth is done with modern ceramic fillings, crowns or non-prep veneers or lumineers ™. Non-Prep-Veneers and Lumineers ™ are small veneers made of high-performance ceramics with which we can restore teeth without having to sacrifice healthy tooth substance.

In cases where the fracture is located around the neck of the tooth or where the fracture in the tooth extends into the root canal, a root canal treatment is necessary prior to tooth restoration. The tooth can then be built up with a post crown, for example.

Have you or your child suffered dental trauma?

Then don’t hesitate and call us right away so that we can preserve the tooth or teeth. The team of dentists at the Herne Dental Clinic will be happy to help you.

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Christina Cherry
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