my 4 year

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my 4 year old daughter fell on her front this evening and has fractured her top left front tooth, approx. 2mm below the gumline diagonally down from top right to bottom left of the tooth. I still have the piece of broken tooth and have put it into a cup of milk. She is asleep now (after her usual bedtime routine and gentle tooth brushing) and is not complaining of any pain. What should I do? Our dentist is open on Monday. can I wait until then? Will they have to extract the tooth or as it is a milk tooth can they do something to restore the tooth or even file the sharp edges? I can see the line of white dentine beneath the enamel but no ‘pink’ pulp. I can see dentine in the broken piece. Thanks

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Asked on 19/11/2011 12:00 am
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Private answer

I am sure you have resolved this situation already but for the future.

Spending any money on saving a root does have an argument when coming to saving the space for the tooth that follows it . If it cannot be saved then the space should be maintained to prevent the space filling in by surrounding teeth and so causing a "collapse in the arch "only rectified by orthodontics

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 23/06/2011 12:00 am
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At 4 years of age an incisor has often lost some of its root in preparation for the eruption of the 2nd teeth which usually happens age 6-7 but can be earlier
At this stage my advice would be to have the area (and lost tooth) checked by your dentist who will smooth any rough edges and monitor the situation.
It is possible that any retained root will need extraction if it does not exfoliate when the new tooth pushes through

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 23/06/2011 12:00 am