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

Answered by
Dr. Rakshana Devi
and medically reviewed by Dr. Preetha J
This is a premium question & answer published on Nov 01, 2021

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?



Welcome to

Good morning. I hope you are well. Thank you for approaching icliniq. 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.

Thank you. Have a nice day.

The Probable causes:


Investigations to be done:

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

Differential diagnosis:

Vitamin deficiency.

Probable diagnosis:


Treatment plan:

Extraction and space maintainer appliance.

Preventive measures:

Proper soft diet.
Proper soft brushing.

Regarding follow up:

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

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Shall I opt flap surgery and bone graft for my loose tooth?

Hi doctor, I am having severe toothache and loose teeth ... My upper sixth tooth got loose and was removed three years ago ... I am getting severe ...   Read full

I noticed a clear bubble under my tongue.It is not painful.Is this due to an infected tooth?

Before going to the ENT doctor, I also visited a dentist and got to know that I have a tooth on each side that is infected ... An infected tooth also can cause swollen glands in the neck ...   Read full

My 5 year old son is losing his front teeth. Is it good or bad?

.. primary teeth is not bad at five years of age. Mostly, the primary teeth fall due to the clear eruption of the permanent teeth. There will be a formation of roots of the permanent teeth to erupt. The roots of the primary teeth get resorbed by the ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Dentist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.