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How to manage a loose tooth due to trauma in a 4-year-old?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My 4-year-old kid's front upper teeth got hit by the edge of a door. The gum and the upper lip had swelling. But it is almost gone. There is little pain when touching the teeth and the gum. Today when I saw it, the teeth were slightly loose. My question is, if the teeth is slightly loose will it tighten back on its own, or will the teeth fall? What should I do?

Hello,

Welcome to icliniq.com.

I saw your query. I will help you solve the issue.

If the teeth become loose, then the teeth have to be extracted. There is no need to worry about it because the front teeth are the primary teeth, and the permanent teeth will be in good condition.

For pain and swelling, I advise you to give your son a painkiller and an antibiotic syrup. I will suggest the name of the painkiller and the antibiotic after knowing the medical history. After three days of medications, the pain and swelling will subside, and then the teeth can be extracted.

But one thing you have to remember is after the extraction site is healed, your son is advised to use a space maintainer appliance in that region.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.

The Probable causes

The probable cause includes trauma.

Investigations to be done

Intraoral periapical radiograph of that teeth to check the condition of permanent teeth.

Probable diagnosis

Probable diagnoses include mobility.

Treatment plan

The treatment plan includes extraction and the use of a space maintainer appliance.

Preventive measures

Preventive measures include following a proper soft diet and practicing gentle brushing techniques.

Regarding follow up

Follow-up after extraction to know about space maintainer appliance.

Medically reviewed byDr. Preetha. J

Published At November 1, 2021
Reviewed AtOctober 23, 2024

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