Case 22: Tooth knocked out
Thursday, June 23rd, 2011Author: Dr Ian Stell
A three year old has been brought in. She fell onto her face at home and has knocked out an upper incisor. Her mother has placed this in a cup of milk and brought it with her. She asks you about reimplantation.
1. What would you advise?
Click to see the answerThe general recommendation is not to re-implant milk teeth.
2. Give a basis for your answer
Click to see the answerPrimary teeth may ankylose to the underlying bone if reimplanted. This may lead to problems with the primary tooth separating later when the underlying permanent tooth needs to erupt. Furthermore there is no long-term cosmetic harm if primary incisors are lost – the permanent teeth will grow normally. Hence reimplantation is not recommended.
3. What should be the next action with the avulsed tooth?
Click to see the answerPlace it under the child’s pillow for the tooth-fairy to collect. (should be worth £2 at least!)