Is it safe to give painkillers to a kid for a tooth injury in the absence of pain or swelling?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

If the tooth is not mobile then no need to worry for now. But it may become nonvital after a few months or a year and will get darker in color. If any swelling occurs later on, it may need a pulpectomy procedure. Still, it is better to go see a dentist and get an x-ray done to find out if there is any fracture of the root of the tooth. I suggest you can give Paracetamol twice a day for pain relief.

Hope this helps.

Thank you and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

As he is only three years, extraction should be avoided to allow the growth of bone properly. Repositioning is an easy procedure where the tooth is just pushed using a finger to its original position. Local anesthesia may be given using a small syringe to prevent pain. It is the best solution. Otherwise, you can leave it like that, and the tooth will reposition itself by tongue thrusting on it, or you can just massage the tooth daily whenever possible in a forward direction, and it will mostly come back into position gradually (this technique is only suggested so that the child is comfortable and not fearful).

Hope this helps.

Thank you and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

I saw the x-ray attached (attachment removed to protect the patient's identity). There is indeed a fracture of the root in half and requires extraction. This means there is a chance of severe pain and swelling in the future if the tooth is not extracted. Is your child having pain or swelling now? Please answer this query.

Hope this helps.

Thank you and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Seeing the x-ray and the image that you sent now (attachment removed to protect the patient's identity), I too would recommend extraction of the tooth as the tooth is very much tilted and will lead to infection and pain within a month. So it is better to go now itself and get it removed as the pain will go away soon. But if we delay the extraction then the child will have to bear the pain and swelling for many days.

Hope this helps.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

No, there will be no complications post-extraction. The permanent tooth is already growing inside as seen in the x-ray (you can see a big square tooth just above the broken milk tooth). So, mostly the new permanent tooth will grow faster and come out sooner than others. Still, if the permanent tooth does not come out easily, even after he turns seven, then a small cut will have to be given by a dentist at that point to allow it to come out (this happens sometimes when due to early extraction of the milk tooth the gums may become hard which prevents the eruption of the permanent tooth).

Hope you understood.

Thank you.

Hello,

Hope I helped.

Thank you and take care.