What would cause your teeth to break
Around every third child loses a baby tooth or a piece of it at some point while playing or exercising. If a milk tooth breaks off or loosens severely, the horror is often immense - for young and old. How to properly deal with the situation:
Do not move the milk tooth and, in any case, see a dentist as soon as possible. It can prevent further damage to the tooth and the surrounding teeth. In addition, milk tooth lesions are often associated with injuries to the jawbones or soft tissue, which must also be treated by an expert. If the bleeding is very heavy, you should have your child bite a tissue handkerchief. It is also helpful to cool the mouth or cheek from the outside with compresses or similar aids.
Do milk teeth need to be replaced?
Deciduous teeth in the front area are most frequently affected by "dental accidents". But since they are not put back into the jaw anyway, the drama is not as great as with a permanent tooth. Aesthetic considerations usually do not play a role here, since no milk tooth set can do without gaps anyway. However, if several incisors are damaged, this can affect the child's speech development. In such cases, a child prosthesis can be made.
Unlike the front teeth, milk teeth in the posterior area have an important placeholder function. If they are missing or damaged, permanent teeth can grow crooked, exert pressure and displace the entire set of teeth.
Abnormalities in milk teeth
Often the parents are there when a tooth breaks off. It often happens, however, that the consequences are only noticed when you brush your teeth. If you notice that a milk tooth is suddenly darker, you should go to the dentist as a precaution. In most cases, the dark discolorations that are a possible consequence of milk tooth trauma do not need treatment. The gray discoloration is comparable to a bruise and can change again over time.
Permanent teeth: pain and discoloration
Do you have pain or notice black discoloration on your teeth? This can be the cause:
Severe pain indicates that the tooth's nerve may also have been damaged. If the dentist suspects this, he will check how sensitive the tooth in question is. It gently irritates the nerve: if you flinch, the nerve is alive. If you don't feel anything, it may mean that the nerve has been destroyed and the tooth needs to be extracted. It is also possible that the nerve was only damaged by the accident and will recover after a few days or weeks. Have the dental nerve checked at regular intervals.
If a tooth turns dark after an accident, it does not have to mean that it will die. However, it does mean that the marrow inside the tooth is damaged and is giving off decay products. As long as the tooth continues to be supplied with nutrients via the vascular bundle and this is not severed, the tooth can recover itself.
Saving a broken tooth: first aid
The person concerned has the most important task himself. He has to collect the tooth parts and bring them to the doctor. If the broken piece is part of the tooth crown, these can usually be glued on again relatively easily. It is also possible to replace them with knocked out teeth. It is important that you do not lose any time and treat the tooth or the tooth parts professionally.
If the tooth loss is accompanied by bleeding, you should stop it by biting on a cloth handkerchief or gauze bandage. Also cool the area from the outside to avoid swelling.
Do not clean the fragments with water or alcohol - even if there is blood, mud or other substances on the tooth. Otherwise they would discolor and also not hold up well. The periodontal membrane in particular is sensitive: If too much time passes before the tooth is reinserted, the cells die. So every minute counts.
Many of those affected do not notice the termination until later because the area feels rough or sharp-edged or because food remains get stuck. If you notice such abnormalities, contact your dentist as soon as possible. Describe the situation to him and have the position assessed. If you wait too long, you risk inflammation. In addition, there is an increased risk of bacteria settling at the fracture points and damaging the tooth.
When transporting broken tooth parts or teeth, make sure that they do not dry out. So-called tooth rescue boxes from the pharmacy are ideal (approx. 20 euros, can be kept for around three years at room temperature). It is best to create one or more boxes as a precaution - especially if you have children in the household or do a lot of sport yourself. The small boxes contain a nutrient solution that keeps the cells on the root surface alive for 24 to 48 hours. If tissue is preserved, teeth can grow back. In a pinch, you can also use two boxes one after the other to extend the survival time of the cells.
But a tooth usually breaks off when you don't have an emergency box close at hand. Do not keep the parts of the tooth or the tooth in the mouth. There is a risk of accidentally inhaling or swallowing the pieces. Experts recommend wrapping them in cling film or a plastic bag (storage time: 15 to 30 minutes) or transporting them in chilled, low-fat UHT milk (storage time: one to two hours).
The cells survive for up to 30 minutes in isotonic saline solution from the pharmacy. If you collect saliva in a container, the parts can be kept there for 15 to 30 minutes, according to the National Association of Statutory Health Insurance Dentists. Paper handkerchiefs and cloth are not suitable.
Do not try to insert the broken piece or the tooth itself. This can destroy the fine root fibers, which would make reinsertion (reimplantation) impossible.
Has the root also broken out? Only grasp the tooth by the crown. Because sensitive cells are located on the root surface that would die in three to five minutes in dry air. In children, the bone is still quite soft. This is why it often happens that the entire tooth, including the root, erupts.
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