Notes for Tooth Trauma: Milk Teeth

• Where the tooth is shaken, displaced or fractured,
  1. avoid chewing using the affected part and give priority to soft food;
  2. long-term, regular follow-up observations are required;
  3. there is a risk of abnormal eruption, permanent tooth discoloration or deformation because the permanent tooth germ may be affected; and
  4. the possibility of root canal treatment or tooth extraction will not be ruled out in case of any symptoms.
• Where the tooth cannot break through the gums,
  1. long-term, regular follow-up observations are required, waiting for the tooth to erupt itself;
  2. there is a risk of abnormal eruption, permanent tooth discoloration or deformation because the permanent tooth germ may be affected; and
  3. the possibility of tooth extraction will not be ruled out in case of any symptoms.
• In case of tooth loss, after the wound heals, the doctor will evaluate the need to install a space maintainer to facilitate the eruption of permanent teeth, and restore their appearance and function.

Notes for Tooth Trauma: Permanent Teeth

• Where the tooth is shaken, displaced or fractured,
  1. avoid chewing using the affected part and give priority to soft food;
  2. it is fixed with steel wire and resin for about 2 to 3 weeks and should be kept clean when they are examined for removal or not during the follow-up visit;
  3. regular follow-up observations are required;
  4. the nerve of the tooth may be damaged. If there is discoloration or any neurological symptoms, root canal treatment should be performed and dentures placed; and
  5. the possibility of tooth extraction will not be ruled out if the tooth continues to shake or has other abnormalities.

Focus on Oral Wound Care

• Avoid overheating food, do not spit, and avoid using a straw in the first 3 days.
• In the first 3 days, brushing is not required for the affected part and the parents should clean it with clean, wet gauze, while the other teeth should be cleaned normally.
• The sutures should be removed at the hospital or clinic as instructed by the doctor after about 1 week.
• Liquid antibiotic medications must be taken on time and should not be stopped at intervals.

Other

• Return to the hospital as soon as possible if there is a high fever, visible swelling of the face, pus in the affected area, or massive bleeding in the wound.
• As the child is still growing up, trauma and teeth need to be tracked over a long period. Please return to the hospital as appointed.