By 14 years of age, 30% of children have experienced a dental injury. Many of these children will present to their medical home, nearest urgent care facility or emergency department for initial assessment.
In many instances, the injured tooth’s survival is time-dependent. Therefore, it is important for the pediatrician to manage the acute dental injury properly to afford the child’s dentition the best possible outcome.
Part of the initial triage of a dental injury is the recognition of whether the injured tooth is a primary tooth or a permanent one, as the recommendations for management can vary based on dentition type. Primary incisor teeth are considerably smaller than permanent incisors. The incisal edges of primary teeth usually are flat, whereas the incisal edges of the permanent teeth are scalloped.
After determining dentition type, pediatricians can follow the guidelines outlined in a new AAP clinical report, Management of Dental Trauma in...