damaged front baby tooth
Category: Health > Children
Asked by: dhtchk-ga
List Price: $50.00
10 May 2005 22:04 PDT
Expires: 11 May 2005 08:27 PDT
Question ID: 520273
4 weeks ago our 3 1/2 year old boy took a tumble that resulted in damage to his upper central incisors...his two front teeth. He has been seen by a dentist several times. Both teeth are discoloring. Today when we went to the dentist, the dentist concluded that the blood supply had been cut off on one of the teeth. In addition the gum around this tooth had some puss and redness. He told us that we should proceed with an extraction on the one tooth but wait and see on the other. The question: Is extraction the recommended route for this situation or is it better to try to "save" the tooth and go with a root canal? What does the research say on this subject? In this pediatric situation what are the upsides and downsides of extraction vs root canal?
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Re: damaged front baby tooth
From: owain-ga on 11 May 2005 08:07 PDT
(I am not a dentist.) I would go for extraction as (1) the deciduous teeth will be lost anyway (2) extraction of deciduous teeth should be fairly quick and easy. Root canal work is traumatic enough for adults, but for a small child could be extremely distressing and possibly give rise to long-term 'dentophobia' AFAIK the main caveat against extraction of deciduous teeth is whether the root cavity is sufficiently well formed to prevent the permanent teeth being misaligned as they form. Extraction may increase the likelihood of some orthodontic work later. Owain
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