Broken adult teeth in a child

Broken adult teeth in a child. The root of these teeth were not yet fully formed.

1) Confirm there is no neurologic injury requiring immediate transfer to a hospital emergency room, 2) Then an Oral Surgeon should examine the patient and the facial x-rays to confirm that no facial bones are broken, 3) A Pedodontist should be consulted to discuss possible damage to surrounding baby and adult teeth and the effect on further teeth development, 4) An Endodontist should then determine the best method to complete apexification of these teeth. This is very important because the roots of these two adult teeth were not yet completely formed. Incorrect dentistry at this time may lead to the need to extract these teeth later. A partial pulpotomy using MTA was performed on this patient, 5) Then consider how to restore these teeth with crowns because there isn’t enough tooth structure on #7 to retain a porcelain veneer.

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This post was written by Dr. Jeffrey Dorfman