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11 month old knocked tooth totally forward-- UPDATE

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 Okay full story:

My 11 month old son decided to bite down on a wood table and fell backwards yanking the right front tooth straight forward. I immediately took him to the hospital where we waited. For hours. Then finally an on call dental trauma chick came in, wiggled it, and said to come in in the morning and she would pull it. She wants to strap him down, give him a shot, then yank it out with the medical equivalent of pliers. I've done a lot of research on this tonight (notice it's 4am) and I am not sure that pulling it out is the right thing to do with him being so young. In most cases it seems to be okay around 2 or so, but he's not even a year. And I'm REALLY not comfortable with a papoose board. My biggest problem here is that it needs to be taken care of immediately- it hurts him and it's severely out of place. It hardened into the straight forward position. Can they not just put it back into place and see if it will heal? Has anyone been through this with a child this young?

 

UPDATE:  We just got back from the dentist. They did have to pull it, they took an x-ray but could tell it was only barely hanging on. They let us hold him instead of strapping him down, thank God... and instead of a shot she used a topical anesthetic. He cried but he didn't fight us which I think he might havce if he had been held down tightly (hands or board either way he doesn't like being held tight.. he's a soft snuggle kind of kid). My husband says the tooth just popped right out. I didn't watch. He's home and cruisin around again. A little cranky but not much. He barfed all over me a few minutes ago -I think it was just a reaction to the pain, meds, and a bottle and a half all too close together because he's happy as can be at the moment. He keeps playing with the hole, lol.

by on Oct. 4, 2012 at 4:10 AM
Replies (21-30):
sadeyez11
by Silver Member on Oct. 4, 2012 at 4:39 AM
he will be 7 next week. he hasnt had any speech problems except for a lisp. he has perfectly.straight teeth. they are baby teeth so no crowding. they dont shift. it still hasnt come back in but the dentist said it will when it would originally have fallen out so im not worried.


Quoting MajorsMom8215:

 


Quoting sadeyez11:

a few weeks. when.he fell it bled and i took him to his pedi. they sent him to the dentist. the dentist said there is no way of knowing if the nerves were dead and it looked okay. if the tooth turned grey it was dead and to take him back in.

a few weeks later his gums started swelling. he stopped eating and was in alot of pain. i was the one crying not him



Quoting MajorsMom8215:


 



Quoting sadeyez11:

take him to a pediatric dentist. my son fell when he was 1 1/2 and the nerve in his tooth died. his tooth got infected and grey and he couldnt eat. the dr sent him to the dentist immediately. the dentist got some plier things and pulled it out. he didnt.numb him or hold him down. ds was in so much pain so he wanted to feel better. tons of pus came out and then he was fine. goodluck and hope your baby feels better soon.


 So far his is still attached and seems to be in "working" order... but it's in a really grotesque position. How long did it take from when he hurt it to when you knew there was something wrong with it?



 Thanks for the info.. I have a feeling it will likely end up having to be pulled... and your story makes me think maybe it should be.. but I'm concerned about the issues later on with speech and crowding.. everything I see has to do with older kids.. 2-6 .. can't find anything about infants. How old is your son now? Has he had any resulting issues?


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AnnaNonamus
by Platinum Member on Oct. 4, 2012 at 4:40 AM

My friend's little guy was about 18 months old when he fell and knocked a tooth backwards. They wound up having it pulled out. He just turned 3 a few months ago, and it's a front tooth, so people remark on how he's already lost a tooth so early (in regards to natural tooth loss, since most people don't realize how he lost it).

Anonymous
by Anonymous on Oct. 4, 2012 at 4:41 AM


Quoting MajorsMom8215:

 

Quoting Anonymous:

Take him to a pediatric dentist. They may still want to pull it though. As for those papoose boards, I was put in one at age 3 to get stitches in my head (baby sitter dropped me in a parking lot) and it was one of the most traumatizing things I have ever experienced. I'd opt for sedation. 

That's what I'm afraid of. I know he's only 11 months, and therefore, likely to forget quickly... but just the idea of putting him through being forcibly held down while put through pain.. I just don't like it. I might be okay with it if they planned to use nitrous oxide first.. because then I know he wouldn't give a shit.. but .. from how it was explained to me tonight I don't think they even have it as an option. =/

Yeah, for me the stitches didn't bother me. I don't even remember the pain from that. But I will never forget what it felt like to be trapped down in that thing. I know it sounds dramatic but I got like claustrophobic in it and couldn't breathe - it felt like I was dying. 

Now I know tons of children use these things and do perfectly fine!  So my experience probably isn't the norm. Talk to whomever you need to about your options. Just because they insist on one method doesn't mean you have no other options.  

MajorsMom8215
by on Oct. 4, 2012 at 4:43 AM

 

Quoting AnnaNonamus:

My friend's little guy was about 18 months old when he fell and knocked a tooth backwards. They wound up having it pulled out. He just turned 3 a few months ago, and it's a front tooth, so people remark on how he's already lost a tooth so early (in regards to natural tooth loss, since most people don't realize how he lost it).

 I figure if they pull it at this point people will just assume it hasn't come in yet since he's so young. Do you know what your friend did? As in having him completely under, or nitrous, or a papoose and a local? or something different? (those were the only options I came across)

MajorsMom8215
by on Oct. 4, 2012 at 4:46 AM

 Glad to hear a success story... Thank you! Gives me a little relief at least

Quoting sadeyez11:

he will be 7 next week. he hasnt had any speech problems except for a lisp. he has perfectly.straight teeth. they are baby teeth so no crowding. they dont shift. it still hasnt come back in but the dentist said it will when it would originally have fallen out so im not worried.


Quoting MajorsMom8215:

 


Quoting sadeyez11:

a few weeks. when.he fell it bled and i took him to his pedi. they sent him to the dentist. the dentist said there is no way of knowing if the nerves were dead and it looked okay. if the tooth turned grey it was dead and to take him back in.

a few weeks later his gums started swelling. he stopped eating and was in alot of pain. i was the one crying not him



Quoting MajorsMom8215:


 



Quoting sadeyez11:

take him to a pediatric dentist. my son fell when he was 1 1/2 and the nerve in his tooth died. his tooth got infected and grey and he couldnt eat. the dr sent him to the dentist immediately. the dentist got some plier things and pulled it out. he didnt.numb him or hold him down. ds was in so much pain so he wanted to feel better. tons of pus came out and then he was fine. goodluck and hope your baby feels better soon.


 So far his is still attached and seems to be in "working" order... but it's in a really grotesque position. How long did it take from when he hurt it to when you knew there was something wrong with it?



 Thanks for the info.. I have a feeling it will likely end up having to be pulled... and your story makes me think maybe it should be.. but I'm concerned about the issues later on with speech and crowding.. everything I see has to do with older kids.. 2-6 .. can't find anything about infants. How old is your son now? Has he had any resulting issues?


 

AnnaNonamus
by Platinum Member on Oct. 4, 2012 at 4:47 AM

No, I'm sorry, I don't.

Quoting MajorsMom8215:

 

Quoting AnnaNonamus:

My friend's little guy was about 18 months old when he fell and knocked a tooth backwards. They wound up having it pulled out. He just turned 3 a few months ago, and it's a front tooth, so people remark on how he's already lost a tooth so early (in regards to natural tooth loss, since most people don't realize how he lost it).

 I figure if they pull it at this point people will just assume it hasn't come in yet since he's so young. Do you know what your friend did? As in having him completely under, or nitrous, or a papoose and a local? or something different? (those were the only options I came across)


DestinyHLewis
by Silver Member on Oct. 4, 2012 at 4:48 AM
No. The roots have been severed. He needs it pulled. I know the papoose seems barbaric, but it is necessary. He will be fine, and will be out of pain almost immediately. I am surprised they didn't do it tonight? If it happend to a permanent tooth, they'd have to pull it and then replace it with a false. Your baby will eventually grow another. My dd knocked out 3 of her teeth doing gymnastics in the house. Her adult teeth grew in just fine. 2 had to be pulled and she was strapped down. It is hard to watch, but you will both get through it. Stay calm for him. (((Hugs))) poor baby.
MajorsMom8215
by on Oct. 4, 2012 at 4:48 AM

 Yeah I think if they insist then I'll have to take him elsewhere for another opinion. I hate to spend the time while he's stuck like this (erm.. no pun intended) but it will be well worth it if someone else is willing to do it differently. Thanks for your input!

Quoting Anonymous:

 

Quoting MajorsMom8215:

 

Quoting Anonymous:

Take him to a pediatric dentist. They may still want to pull it though. As for those papoose boards, I was put in one at age 3 to get stitches in my head (baby sitter dropped me in a parking lot) and it was one of the most traumatizing things I have ever experienced. I'd opt for sedation. 

That's what I'm afraid of. I know he's only 11 months, and therefore, likely to forget quickly... but just the idea of putting him through being forcibly held down while put through pain.. I just don't like it. I might be okay with it if they planned to use nitrous oxide first.. because then I know he wouldn't give a shit.. but .. from how it was explained to me tonight I don't think they even have it as an option. =/

Yeah, for me the stitches didn't bother me. I don't even remember the pain from that. But I will never forget what it felt like to be trapped down in that thing. I know it sounds dramatic but I got like claustrophobic in it and couldn't breathe - it felt like I was dying. 

Now I know tons of children use these things and do perfectly fine!  So my experience probably isn't the norm. Talk to whomever you need to about your options. Just because they insist on one method doesn't mean you have no other options.  

 

krunchykorn
by on Oct. 4, 2012 at 4:53 AM
1 mom liked this
yes pull it lol


Quoting MajorsMom8215:

 okay.. so you're saying.. pull it... right? I'm tired.. let's keep it simple =P


Quoting krunchykorn:

i have no idea... if its not annoying him i would just leave it until hes older and it starts to rot, which it will my sister is 5 and had her 4 front teeth pulled in May because they rotted to the gum and became infected causing alot of pain. my mum didny want hers pull at 8months but wished she had



Quoting MajorsMom8215:


 lol I don't think I'll be pulling it out myself... it's in there pretty solidly.. strangely enough, even though it pulled straight up and out.. it's not much wigglier than a 7 year old's loose tooth. What if I try to push it back and end up breaking it, though? could that even happen? oi I shoulda gone to bed hours ago.. I'm just weird now...



Quoting krunchykorn:

i would try as far as i can and if he reacts stop. otherwise rip it out :( i wouldnt want a tooth sticking outta my mouth




Quoting MajorsMom8215:



 




Quoting krunchykorn:

umm push it back if you can and let it die off itself. thats what my mum did with my sister at 8months



 I'm tempted to but I'm worried about the pain it would cause him since it's already hardened into this position since I waited so freakin long for the trauma dentist to show up.




 



 


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MajorsMom8215
by on Oct. 4, 2012 at 4:53 AM

 

Quoting DestinyHLewis:

No. The roots have been severed. He needs it pulled. I know the papoose seems barbaric, but it is necessary. He will be fine, and will be out of pain almost immediately. I am surprised they didn't do it tonight? If it happend to a permanent tooth, they'd have to pull it and then replace it with a false. Your baby will eventually grow another. My dd knocked out 3 of her teeth doing gymnastics in the house. Her adult teeth grew in just fine. 2 had to be pulled and she was strapped down. It is hard to watch, but you will both get through it. Stay calm for him. (((Hugs))) poor baby.

 They didn't do it tonight because it was hardened into position by the time she came and they didn't have the right equipment to do it. I realize now she meant the papoose. She said the staff offered to hold him down but the idea horrified me... and I'm not sure being strapped to a board would be any better. Did they use any kind of sedation for your daughter or just a local?

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