The first teeth begin to fall naturally around age 6, in the same order of appearance. Therefore, it is common for the first teeth to fall out are the front teeth, as they are the first teeth to appear in most children.
However, each child develops differently and that is why in some cases another tooth can be lost first, without indicating any kind of problem. But in any case, in doubt, it is always better to consult a pediatrician or dentist, especially if the tooth falls out before age 5 or if the dental fall is related to a fall or a blow, for example.
This is what you should do when a tooth falls or breaks due to a blow or fall.
The order of fall of the first baby teeth can be seen in the following image:
After the fall of the baby tooth, it is most common for the permanent tooth to be born within 3 months. However, in some children, this time may be longer, so it’s important to follow your dentist or pediatrician. The panoramic x-ray exam may indicate whether your child’s teeth are within the expected range for your age, but your dentist should only perform this test before age 6 if extremely necessary.
Know what to do when the baby’s tooth falls, but the other one takes time to be born.
After an injury to a tooth, it can break, become very malleable and fall, or stain or even with a small pus ball in the gum. Depending on the situation, you should:
If the tooth breaks, you can store the tooth piece in a glass of water, physiological serum or milk so that the dentist can see if it is possible to restore the tooth by sticking the broken part itself or with composite resin, thus improving the appearance. of the child’s smile.
However, if the tooth breaks only at the end, there is usually no need for a more specific treatment and the application of fluoride may be sufficient. However, when the tooth breaks in half or there is almost nothing left of the tooth, the dentist may choose to restore or remove the tooth with minor surgery, especially if the tooth root is affected.
After a direct blow to the mouth, the tooth may become malleable and the gum may be red, swollen or pused, which may indicate that the root has been affected and may even be infected. In these cases it is advisable to go to the dentist, as it may be necessary to remove the tooth by dental surgery.
If the tooth is crooked, outside its normal position, the child should be taken to the dentist so that he can assess why the tooth returns to its normal position the sooner, the more likely it is to be fully restored.
The dentist can place a clamping wire for the tooth to recover, but if the tooth hurts and has some mobility, there is a possibility of fracture and the tooth must be removed.
If after trauma the tooth enters the gum, it is necessary to go immediately to the dentist as it may be necessary to perform an x-ray to assess whether the bone, root of the tooth or even the germ of the permanent tooth have been affected. The dentist can remove the tooth or wait for it to return to its normal position on its own, depending on the amount of tooth that has entered the gum.
If the lying tooth falls off prematurely, an X-ray may be needed to see if the germ of the permanent tooth is in the gum, indicating that the tooth will be born soon. Normally, no specific treatment is needed and just wait for the permanent tooth to grow. But if the permanent tooth takes too long to be born, here’s what to do: when the baby’s tooth falls off and no other is born.
If the dentist deems it necessary, you can suture the site by giving 1 or 2 stitches to facilitate gum recovery and in case of fall of the baby tooth after trauma, an implant should not be placed, as this may interfere. with the development of the permanent tooth. The implant would only be an option if the child does not have a permanent tooth.
If the tooth changes color and becomes darker than the others, this may indicate that the pulp has been affected and a color change that occurs days or weeks after dental trauma may indicate that the tooth root is dead and that it is necessary. do your surgical withdrawal.
Occasionally, a dental injury should be evaluated immediately after its onset, at 3 months and always at 6 months and once a year, so that the dentist can personally assess whether the permanent tooth is being born and whether it is healthy or needs it. Treatment.
The main warning sign to return to the dentist is toothache, so if parents notice that the child complains of pain at the birth of the permanent tooth, it’s important to make an appointment. You should also return to the dentist if the area is inflamed, very red or pus.