Tooth Trauma


The tooth has sustained some type of injury, from sports, car accident or physical abuse. The blood flow and nerve to the tooth has been compromised. The nerve may or may not be exposed. The tooth may discolor over time. Always get a 3-D x-ray of the tooth!!

Point 1: Just because a nerve is exposed or traumatized, doesn’t mean you have to take the nerve out immediately. There are many variables that come into consideration when evaluating tooth trauma:

  1. The age of the tooth
  2. The type of trauma
  3. The time of treatment

Most dental injuries occur in the first two decades of life, with the ages of 8-12 being the most prone. Remember, kids are like magnets! Their mouths attract everything and anything from sporting objects to the floor.

When a tooth sustains any type of injury, you need to consult an expert! Even when it appears that there is no physical damage to the tooth, it can still be an issue. Have the specialist take a base line pulp test and x-ray. The tooth will need to be followed up with a few months later. Better safe than sorry. We see many parents that have guilt because they did not take the child.

Many times a tooth can get traumatized in an auto accident, but goes unnoticed or may have a delayed reaction. Get the teeth checked right away.

A tooth is knocked out. The key factor here is speed and cleanliness. The worst place to go is the hospital. Dentists are not typically on staff in the emergency room. If you have ever visited an emergency room, as hard as the staff tries, it is a wait. These emergencies always happen after hours. The best thing to do is immediately call your family dentist, endodontist, orthodontist, oral surgeon, pediatric dentist. The bottom line is that you need to get to someone ASAP.

Typically, injuries that happen at school, from car accidents, sporting events, fights, or even at home may need an accident report. Reports should be very detailed. The report should encompass a thorough history, and all possible complications and costs that the patient may incur in the future.