Any Advice for a 17 Month Old with a Tooth Intrusion?

Updated on August 04, 2010
L.C. asks from Charlotte, NC
6 answers

My 17 month old baby girl fell on her front tooth which resulted in her tooth getting intruded. I went to the pediatric dentist the very next day thinking that the intrusion would be better than the tooth getting knocked out (since it could come back down) but the dentist told me it HAD to be removed. She said to give it a week to see if it will drop on its own and if not it would need to be surgically removed. She did xrays and told me that the tooth was dead. I wonder if I should get a second opinion since I keep reading online that most people wait and let it drop back down (she only cut the tooth 3 months ago). Any experience with this? I just can't stand the fact that she will go without a tooth for 6-8 years. Any advice will be appreciated.

Edit: They are only numbing and not putting her
'under".

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S.F.

answers from Wilmington on

Most definitely get a second and even third opinion if you can. I wouldn't allow them to pull a tooth with just numbing for a 17 month old. That's way too traumatic for a child. Think of how they act with shots into their leg that last seconds. Oral injections to completely numb her in that area are PAINFUL and are more than just a quick stick like vaccinations are. To fully numb in the front like that, they have to reach the facial nerve, up near the nose, so it is a long needle. When i had to have that done, I was 25 years old and it was all I could do to sit still while they did those injections.

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D.W.

answers from Gainesville on

Here is some info for you (scroll down to intrusion) about the parameters the doctor looks at when determining if a primary tooth needs to be extracted when there is an intrusion:

http://dentalresource.org/topic50trauma.html

And I agree with Acadia-if you weren't seen by a pediatric dentist that's who you need to see. They have 2 years specialized training beyond the 4 years of dental school.

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M.T.

answers from Memphis on

I agree with the other posters that a second opinion is a good idea especially since the pediatric dentist you saw only wants to numb her. That being said I can't imagine that she will be toothless for the next 6 years. I knocked out my front tooth when I 2-3 years old. The dentist put in a spacer (fake tooth) until I was ~5-6 years old. This did mean I had a few eating restrictions which as a mom are nice - no gum, gummy bears, etc.

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K.H.

answers from Huntington on

I am always in favor of second opinions. With that said, if the tooth is dead, it is my understanding that it needs to be removed. It has something to do with the rotting of the root. You wouldn't want a dead and decaying root to be inside her mouth damaging healthy tissue and causing infection.

This happened to my neice when she was about the same age. She is 7 and just got her 'new tooth' last month!!! Of course, we'd rathered her be able to keep the tooth, but time flew and we have some adorable toothless pictures!!

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J.K.

answers from Chicago on

I have no experience with this, but anytime surgery is brought up, get a second opinion. If you haven't already, try to find a pediatric dentist.

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L.

answers from Charlotte on

I don't have any experience with an intrusion, but I do have a small child that had to have a few fillings and her dentist put her under for those (she was 3 when this happened). I can't imagine why they wouldn't do that with a 17 month old. I would absolutely get a second opinion.

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