After the heavy snowfall season, mid winter officially begins, with a significant decrease in temperature and an increase in precipitation. Therefore, it is important to pay attention to keeping warm and protected from the cold. At the same time, when heavy snowfall occurs and the road surface freezes, walking becomes difficult. Therefore, walking should be cautious, slow, and slip resistant, especially for children.

Young children have insufficient coordination skills in sports and are unaware of the potential risks associated with their movements, which can easily lead to falls and tripping. During this process, the front teeth are the first to suffer.

Clinical data shows that primary tooth trauma is very common in early childhood, often occurring in children aged 1-3 years, with an incidence rate of 4% to 33%.

Primary tooth trauma most commonly occurs in the maxillary incisors.

The main manifestations of primary tooth trauma are as follows:

Dental oscillation, no tooth defects or displacement

Crown fracture

Root fracture

Tooth displacement

Tooth embedding

Complete extraction of teeth
Many parents may think that their baby teeth need to be replaced anyway, and if they fall, they don’t need to seek treatment. However, this idea is actually incorrect.
Deciduous teeth and permanent teeth are not completely unrelated.
There is a developing permanent tooth germ beneath the root of deciduous teeth, and trauma to deciduous teeth may damage the permanent tooth germ.
Trauma to deciduous teeth may cause the following hazards:

Dental oscillation
Possible occurrences include blackening of dental crowns, necrosis of dental pulp, and infection of periapical tissues.
If a child falls and is suspected of having a primary tooth injury, it is recommended that parents take the child for regular check ups to observe changes in the teeth and promptly address any adverse conditions.

Crown fracture
Broken dental crowns are generally easy to detect, and if treated as soon as possible, the broken teeth may be well preserved.
But if not treated in a timely manner, adverse conditions such as pulp infection and necrosis, and periapical infection of the tooth root will soon occur.

Primary tooth impaction
Primary tooth impaction refers to the insertion of primary teeth into the gums.
When the baby teeth are less impacted, the teeth may be shorter than the adjacent teeth, and when they are deeply embedded, the teeth may not be visible, leading people to mistakenly believe that the teeth have fallen. Therefore, if necessary, a video should be taken to assist in the examination.

The impaction and displacement of deciduous teeth may directly damage the permanent tooth germ, leading to developmental disorders such as enamel hypoplasia and yellow or white changes on the tooth surface.

This situation should be treated promptly to check whether the embedding of deciduous teeth affects the permanent tooth germ. If compression of the permanent tooth germ is found, it needs to be treated as soon as possible to relieve the compression.

Loose deciduous teeth
Severely loose baby teeth can cause children to suddenly lose their teeth while eating or speaking, leading to aspiration and swallowing.

Complete extraction of teeth
The tooth fell directly, which needs to be distinguished from the above-mentioned primary tooth impaction. It is recommended to take an X-ray to confirm whether it was lost or impacted, or embedded in other soft tissue areas.

Tooth displacement
Similar to images, tooth displacement is also common, which means that the teeth that we can see with our eyes are misaligned.
Some teeth shift outward, while others shift inward.
At this time, the roots of deciduous teeth may compress the permanent tooth germ, and it is necessary to treat and relieve the compression as soon as possible to minimize the impact on inheriting the permanent tooth germ.
Avoid biting with injured teeth and seek medical attention promptly.
Observe whether the child has dizziness and vomiting, whether the shape of the mouth and the arrangement of teeth are different from usual, and inform the doctor in detail.
The principle of treatment is to not bring any risks to inheriting permanent teeth.
After examination, the condition is not serious and relatively conservative treatment is usually adopted.
The specific treatment plan needs to be determined based on the severity of the baby tooth collision and the child’s level of cooperation. When seeking medical treatment, the dentist will comprehensively consider various factors such as the child’s ability to cooperate, aesthetics, function, growth and development, and parental demands.
If the dental trauma is severe and the impact of the primary tooth collision on the permanent tooth germ is affected, it is necessary to remove the primary tooth to relieve the influence of the trauma on the development of permanent teeth.
When dental pulp infection or periodontal tissue infection occurs due to trauma of deciduous teeth, root canal treatment or tooth extraction is also needed to relieve the impact of infection on the development of permanent tooth germ.
Afterwards, regular check ups should be conducted, usually every 1, 3, and 6 months.