A 5-year-old boy is brought in by his parent for a dental injury. The patient was walking his dog when it ran after a squirrel. The patient was pulled forward, causing him to hit his tooth on the asphalt. His parent noticed a dental problem and immediately brought the patient to the ED. The physical exam is shown below. Which of the following is the best next recommendation?
Follow up with the dentist in the morning
Reinsert the tooth and avoid solid food
Reinsert the tooth and stabilize it with a bridge
Remove the tooth and repair the gingival laceration
Remove the tooth and wrap it in saline-soaked gauze
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References
Day PF, Flores MT, O’Connell AC, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol. 2020;36(4):343–359.https://www.aapd.org/media/policies_guidelines/e_injuries.pdf
Goswami M, Aggarwal T. Prevalence of traumatic dental injuries among 1- to 14-year-old children: a retrospective study. Int J Clin Pediatr Dent. 2021;14(4):467–470.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8585904
Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)
