treatment for fractured incisors for a 7 yr old boy involving the pulp?

Question

treatment plan from a pedodontist

Answer 1

If the nerve is dead he will have to get a root canal done and have a crown put on it. If it is a baby tooth he can just pull it out.

Answer 2

Im going to assume since the child is 7 that these are baby teeth, the best thing you can do is to have these treated (pulpotomy and restoration) He will not get his permanent incisors for a few more years and he needs to keep those spaces open for when his permanent teeth do come in, if they cannot be restored talk to you dentist about space maintainers, these are attached to the tooth behind the insicors and have a wire attached that will keep the other teeth from moving into the space.

Treating the pulp of a baby tooth is called a Pulpotmy, it's a root canal for the primary teeth, it involves removing the nerve and any bacteria in the nerve chamber of the tooth so an infection will not damage the permanent tooth underneath. After the canal is cleaned out the tooth is medicated then restored with either a filing or a preform crown.

Answer 3

Once the pulp has been exposed from the injury site to the dentist, pulp cap will not be successful in the long term. The treatment of choice therefore will be a root canal treatment, dressing with nonsetting calcium hydroxide and build up with composite until the apex is closed. Then the canal can be obturated and the tooth crowned. If it is a primary tooth, then perform pulpotomy observe the permanent tooth to see if it will erupt normally or whether orthodontic intervention is needed. Good luck

Answer 4

If this patient were in front of me NOW, I would consider placing a pulp cap over the fresh exposure and then bonding the piece of tooth back in place or replacing it with composite, if it was just an incisal angle fracture, which is typical.

If I saw the patient 15 hours later - which is how much time has elapsed since you asked the question - I would remove the pulp and evaluate the tooth for apexification as Dr. Nadeem has suggested. If apexification is required, then proceed with apexification. If not, then proceed with the root canal. In either instance, I would replace the corner by bonding the fragment back or by using composite, leaving access for the endo procedure and closing that access with Cavit.

Answer 5

Hi u'r ques is incomplete,1st of all v should know whther its a permanent teeth or decidous teeth as the age suggest's the kid might be in his early permanent eruption stage cos u have not mentioned whether its upper or lower teeth.most likely it should be upper teeth cos these r the teeth prone to fracture usually the lower ones are protected slightly by the lips and gives more a cushioning effect.
If the kid is in early permanent eruption stage def APEXIFICATION is the treatment cos root formation has not taken place and later on followed by RCT cos root formation is induced(9-9/1/2yrs).
If its a milk tooth dont worry just EXTRACT the tooth to make way for the permanent one
P.S-check for the permanent tootth within cos any trauma would cos change in tooth position.

CHECK WITH U'R NEAREST DENTIST OR PEDODONTIST.

Take care.

Answer 6

putting the stairs on hearth: no longer wide-spread mendacity continually : no longer wide-spread mendacity each and every so often: very wide-spread cheating on occasion: wide-spread Sneaking at the back of father and mom backs: very wide-spread Taking the image: wide-spread young little ones do strange issues each and every so often, you incredibly would desire to difficulty whilst they're harming themselves or others. the hearth element is somewhat very alarming! He needless to say has self-nicely worth and self assurance themes, and doubtless even ADHD. i might initiate along with his wide-spread well being practitioner first then bypass from there. i does no longer depart the kinfolk,even inspite of the shown fact that this does sound annoying. the youngster is so youthful, so I somewhat have self assurance he's not a lost reason. Counseling, and doubtless some medicine could make his existence and yours a lot extra effective.

Answer 7

go to a skilled dental surgeon.