Your child has suffered an injury to one (or more) of the primary incisors. This sheet is
intended to help you understand what you can expect to happen, plus what may occur that
will indicate that the tooth is taking a less favorable course.

YOU CAN EXPECT THE FOLLOWING REACTIONS:

1. Change in color of the tooth
    The tooth (teeth) will probably darken over a period of time, eventually turning quite
    dark. Usually the color will be a charcoal gray, although it may be brown, yellow or a
    lighter color. This will begin to lighten again, returning to a color similar to how the
    tooth appeared before the injury, but not quite as snow white.
2. Looseness
    The bone that supports the tooth has been expanded by the injury, which will make the
    tooth looser than normal. As the bone returns to a normal position, the tooth will also
    tighten up again.
3. Bleeding and swelling
    As with any injury, the normal reaction of the injured tissues (in this case, the gums
    and/or lips) will bleed and/or swell. A warm pack (a washcloth is good) will help de-
    crease that swelling and a warm salt water rinse will promote healing of any cuts.
4. Pain
    Fortunately, children do not usually suffer much pain from injuries to teeth. Occa-
    sionally there will be pain if the child tries to chew with the injured tooth. As with any
    injury, the area should be "babied" to avoid aggravating the injury

YOU SHOULD WATCH FOR ANY OF THE FOLLOWING:

1. Change in eating or sleeping habits
    If your child's normal eating patterns change (in particular, if he/she complains when
    chewing  or drinking something cold) or if your child is not sleeping, another checkup
    is appropriate
2. Gum boils
    This will appear on the gums in the area where the gums and lips meet. Gum boils
    look like a small blister or pimple on the gums.
3. Increased swelling, looseness or pain
    If any of the "expected reactions" become worse, the area should be re-examined.

IF IN DOUBT, DON'T HESITATE TO CALL THE OFFICE ABOUT YOUR CHILD


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