An injury to your mouth can be a traumatic experience and can damage your teeth in a number of ways. These situations happen unexpectedly and often need immediate assistance. Our team at Higson Dental Group is trained and prepared to deal with these injuries so you can go back to having a healthy and functioning mouth as quickly as possible.
If an injury has caused the teeth to be pushed back into their sockets, our first course of action is to reposition and stabilize your tooth. A few weeks later, we do root canal therapy, and prescribe a medication like calcium hydroxide, to be inserted inside the tooth. Once healing begins and swelling has subsided, a permanent root canal filling is completed.
In some cases, a tooth may have been pushed partly out of its socket. We will reposition and stabilize the tooth, then assess its health. If the pulp has not been compromised, then no further action is needed. However, if the pulp is damaged or infected, we will perform a root canal as needed.
If an injury leads to tooth loss, and teeth have been knocked completely, then you need to act fast and will require immediate care. We won’t sugar coat it, you’ll be in a lot of pain, but try to keep the tooth moist, and if possible place it back into its socket. The good news is that keeping the tooth moist can mean saving it. Placing the tooth in a glass of milk or water and adding a pinch of salt can be an effective alternative.
The restoration of your teeth depends on the nature of the injury, how long your tooth was out of your mouth and the state of your root development. Once we assess all these factors we can begin appropriate treatment.
Injuries in Children
Immature or baby teeth play an important role in the healthy development of your child’s mouth. If an injury causes damage, we may need to do one of the following procedures to try an save the natural tooth:
Apexogenesis is a procedure where soft tissue is covered with a medication that encourages the root to keep growing. The apex (root) continues to close and the walls of the root will thicken as the child grows. If the pulp heals, this is great news, as it will also allow the root to mature naturally and increase the chance of the tooth’s survival.
With apexification, we remove the unhealthy pulp and place medication into the root. This medication helps to form a hard tissue near the root tip, which will create a barrier for the root canal filling. In this case, the root walls will no longer develop and the child’s tooth will be prone to cracks and fractures. We recommend having the tooth restored properly to help save the natural tooth from further damage.