Hello.
This is Yonsei Dagam Dental Clinic at Guryo Station.
When a child is playing and falls or bumps into something,
one of the most upsetting moments
is when the face gets injured.
Usually, when a child falls forward,
the front teeth in the front
are often the ones that are traumatized.
In this kind of situation, the most important thing is
accurately understanding the condition.
Because it can affect the development
of the permanent teeth that come later,
a quick response and detailed examination are necessary.

Swelling was found in the gum above the front tooth,
but no tooth mobility was observed.


Fortunately, there is no special trauma
to the tooth either,
and if there are no findings on the X-ray
that are currently concerning,
no separate treatment is performed
and the tooth is first observed.
Because trauma can show various changes
over time,
at Guryo Station Dental Clinic,
the approach is to observe first and respond
if problems appear.

Front tooth trauma in children is mainly caused by
falls,
collisions,
and sports activities.
Children are more likely to fall because their sense of balance
is not yet fully developed,
and they also lack sufficient risk awareness.
In particular, boys need to be more careful because they tend to be
more active.
Why the explanation of the situation at the time of the accident matters
At Guryo Station Dental Clinic, when a child falls and
injures a tooth,
we often ask whether the child had something
in their mouth at the time.

To explain the structure of primary teeth
and permanent teeth in children,
the permanent tooth germ is located
toward the palate side of the primary teeth.
The permanent tooth germ refers to the structure around where
the tooth is located before the permanent tooth erupts,
and it is the space that prepares
for the permanent tooth to come in.

When a primary tooth is traumatized,
most upper front teeth are displaced inward,
and because the root tends to rotate outward,
cases in which the permanent tooth germ is damaged are relatively rare.
However, not every case is safe.
For example,
if a child falls while biting something in the mouth
and is injured,
the presence of something in the mouth may cause
a force that rotates the tooth root inward,
and the permanent tooth germ can also be damaged.
At Guryo Station Dental Clinic, because of this risk,
it is important to check whether the child had anything
in the mouth when they fell.
This information plays a key role in deciding the treatment direction.
It helps determine whether it is a simple trauma or a more complex injury
that could affect the permanent tooth germ.
What symptoms can appear when a trauma occurs?
- Tooth mobility may occur.
Mobility means the degree to which a tooth shakes.
- The tooth color may darken as the nerve inside the tooth
necroses.
This is a phenomenon that appears when the blood supply inside the tooth
is blocked due to trauma.
At Guryo Station Dental Clinic, in such cases,
root canal treatment becomes unavoidable.
- An intrusion phenomenon may occur,
where the tooth is driven into the gum.
- The tooth may be knocked out.
How to respond
Prevention is the most important thing in pediatric dental trauma,
but when it does happen, a quick and accurate response is needed.
If a traumatized tooth is loose or intruded,
and the symptoms are mild,
it should be observed and managed regularly.
This is because, due to the nature of trauma,
not all problems appear immediately.
If the situation is serious,
it may be fixed with a device,
or work may be done to restore an intruded tooth
to its original position.
When a tooth has necrosed,
root canal treatment is performed first
to prevent infection, and then a crown is placed.
When a tooth is knocked out,
if it was a primary tooth that was supposed to fall out anyway,
it may be okay,
but if a permanent tooth has been lost,
it should be found immediately and put back in its original place.
If there is a lot of debris on it,
place it in normal saline and get to the hospital as quickly as possible.
Because children are often injured in unexpected situations,
I hope you develop the habit of always observing them carefully.
Let’s stay by our children’s side and watch over them well so they can grow up healthy
without accidents!
This was Yonsei Dagam Dental Clinic at Guryo Station.
Thank you :)

Treatment period: 25.07.21
