By the time a child has reached the age of 2 years old, all of the baby teeth, 20 in all, should be present. When a 2 year old child has learned to walk and run, a whole new world is exposed to them. They don’t know the many household dangers that await them. Consequently, baby front teeth trauma, is quite common. Children are continuously falling and bumping into things that my break or injure their front teeth.

For some reason boys seem to have more injuries than girls. When a baby front tooth is damaged, it may become loose initially and turn dark in color. If a tooth is fractured and the nerve is exposed, it may have to extracted and/or treated to alleviate pain for the child. Losing a baby front tooth is not the end of the world. Treatment is rarely necessary in such cases since the front teeth do not have the critical space and maintenance  functions of the deciduous molars.

Yes, I  know the appearance of a missing tooth or teeth is not ideal but usually there is no trauma to the permanent tooth buds forming above the missing teeth. It really depends on the severity of the injury. If a damaged tooth becomes darker and unsightly, there is no need to have it treated because it will eventually be lost around 5 or 6 years of age.

The most serious consequences regarding the baby dentition results from the premature loss of deciduous molars. Trauma is rarely the cause of molar loss. Decay and neglected treatment is the culprit here. If a molar is lost pematurely , a space maintainer will be necessary  to prevent space loss that will take place and cause other teeth to drift and interfere with the subsequent eruption of the permanant dentition. When this happens, crowding will result in the permanent dentition and expensive orthodontic treatments will be required to correct the problems.

It is absolutely imperative that teeth care begins as soon as possible.  Tooth brushing should start as soon as there are a few teeth visible. Remember, prevention cost nothing but time and effort,but it can save thousands of dollars of unecessary dental treatments. It is  possible for children to grow and develope and not have to be subjected to  sometimes , traumatic experiences  one can encounter when receiving dental treatment. 

Fear is a widespread cause of  dental neglect. I recall on many occasions a child coming into my office already fearful of a needle. Where did they hear about that? This was their first visit to dentist.They should not know anything abouts needles at this point in time. Parents who express their dislike and fear of dentists because they had a bad experience, in front of their children are unkowingly instilling fear in the child. DON’T DO THIS ! A good dentist who likes childen, will know how to deal with a child especially on the first visit.  Let him or her allay your childs fears if they do exist.

A first visit to the dental office can be quite special ,especially if the child is not in need of some urgent care situation. Like a severe toothache resulting from an abcessed tooth or a fractured tooth resulting from a fall. Some dentists will be better than others when treating children. If a dentists choses not to treat your child under a stressful situation, he or she should refer your child to someone else who will treat your child in a professional and competent manner.

There are probably many dentists who prefer not to treat children under adverse conditions. Children who have a toothache can be very challenging to treat at the best of times. A co-operative child can be a pleasure to treat while an unco-operative child can be extremely difficult and stressful. Sometimes the services of specialists are required to deal with this type of situation. Child dental specialists ae called PEDODONTISTS. There offices are usually specifically designed to treat children. Especially, problematic, unco-operative children.

If your child is  genuinely problematic and requires a condiderable amount of dental work, the  specialist may suggest the use of a general anesthetic . This way, they can do a considerable amount of work in a short period of time. Dentistry performed under such conditions certainly has its place when dealing with children who have special needs, like cerebral palsy or mentally challenged. But a general anesthetic is not an experience we want a child to go through and associate with dentistry. UNCONSCIOUSNESS in a dental procedure is not to understand  what is happening. To not understand is to be afraid.

When children are placed under a general anesthetic, there is always a higher risk factor of something going wrong. Consequently , general anesthetics should be avoided wherever possible.  Only seek this way of treating your child’s dental needs if it is absolutely the only solution.The Best solution is PREVENTION. Set the example and give your child  the guidance they need and deserve to have healthy teeth and gums.

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