Son Fell on Face and Pushed Back His Front Teeth-Mom Freaking Out!

Updated on September 02, 2008
J.B. asks from Pueblo, CO
9 answers

On Saturday, my 18 month old son fell on his face/mouth. His gums and upper lip started bleeding and continued to do so for about 45 mins-an hour. It hurt so naturally he wouldn't let anyone put their finger in his mouth to see if he had knocked out any teeth or knocked any loose. I called the pedi's nurses on call line and after I went through everything that happened, they instructed me to go to the ER to have him checked out there. There was like a 3 hour wait to just get into the room to be seen. After sitting there for an hour and a half and noticing that my son wasn't bleeding anymore and was eating Fruit Loops, we elected to leave. I gave him some Motrin before putting him to bed and he slept throught the night and into the next day.

When he woke up he had dried blood on his lips and teeth was was extremely swollen. His underneath of his upper lip and gums were severely bruised to where they were almost black. His front right tooth and the one next to it were pushed back in him mouth. I was finally able to get my finger in there to discover that his front tooth wasn't loose, just "relocated" as my husband calls it.

So I guess after this rambling I'm just wanting to know other than call my pedi tomorrow to let her know what happened, is there anything that I can do? Has anyone gone through this with their kids and will his mouth ever look the same before he gets his permanent teeth in? Or should I just bypass my pedi and take him directly to a pedi dentist? I'm freaking out!!! TIA!!!

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So What Happened?

I took him to the dentist yesterday and they told me what I figured that they would. Right now there is nothing that they can do for him, that only time will tell if it did any damage. He did say that they would probably turn a little gray like a bruising, but hopefully the teeth would return to normal. If they didn't return to normal, then the fall did permanent nerve damage and the teeth could have to be pulled. He highly doubts that they will return to normal alignment, but it's possible. He also said that with one of his teeth having been pushed back up into the gums, it could have done permanent damage to the adult tooth. Once again, he told me that time would tell.

Thank you all for your wonderful responses, I really appreciate them!

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A.K.

answers from Dallas on

This must be a boy thing, because this has happened to BOTH of my boys. Bypass the pedi and head to the pedi dentist. Both of my boys teeth descended without changing colors, however there is a possibilty that they may need to be pulled and there is also a possibilty that it could effect his permanent teeth - but you won't know until they come in. Both times we headed to the pedi dentist. There isn't a whole lot that they can do. The teeth will descend on their own, but he will caution you about watching for changes in color. Good luck and have a great day!

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D.C.

answers from Dallas on

Had the same thing happen. Doctor just put his finger behind them and pulled them back into place. Have him eat soft foods for awhile and watch the teeth. My daughter's didn't even turn gray and they were pushed straight back!! Looked like they were broken off at the gum. Perm. teeth were fine.

My son landed on his face one time but didn't push the teeth back. They did turn dark, but lightened up again. Children are amazing!

Don't stress. It will be OK.
D.

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K.M.

answers from Dallas on

Yes - go to a pediatric dentist. If you can I'd suggest calling today (if you have one) because they can either see you immediately if needed or tell their office staff to get you in quickly (if needed). So sorry your little guy got hurt!

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A.K.

answers from Dallas on

I say go straight to a pediatric dentist. I've known a child who damaged a front tooth and I believe it was extracted. I don't think it would have bearing on the permanent teeth. You just might have a little one with a missing front tooth until he's 6 or so.

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L.S.

answers from Dallas on

There is nothing the pediatrician can do. The ER can't do anything either unless they have a pediatric dentist on staff that has hospital priveldges. I would suggest that you go to your dentist. If he is to young and hasn't seen your family dentist then at least call him for an appointment or referral. If you don't have a family dentist then call a pediatric dientist and get him an appointment to have him evaluated.
Story: My sons, all 3 of them, were playing in the front yard with the neighborhood kids--eg: all neighborhood kids are in my yard which totaled about 8-9 boys in my yard playing. I wasn't out front as these kids are all 9-13 years old, but knew who was over and generally that they were playing, no fighting when I had last checked on them etc. Well, they were playing chicken in wagons a little later. One was a plastic little tykes wagon, the other a metal red radio flyer. Neither wagon was mine, but brought over by other kids. Well long story short. A handle of the plastic wagon hit a kid (13yr old) in the mouth, hung on his braces and extracted two front teeth...well one front tooth and the immediate tooth to the left, but not the canine. I am sure you get the picture. Well, the only reason the teeth weren't in the dirt in my frontyard was becasue his braces wire and brackets weren't torn or broken but were still attached to the teeth, dangling them in his mouth. But make no mistake they were extracted completely with the roots all the way out. There was alot of blood. I took him home, then we all went to the ER. After waiting for about an hour with an icepack, we were told that no dentist in town had priveldges at our local hospital. That his parents needed to call his family dentist. They did. The dentist met them at the clinic at 7:30 at night, for emergency root canals to place the teeth back in. The orthodontist saw him two days later after the swelling went down to check the wires and brackets. I am happy to say that his teeth are back in his head, braces are fine, teeth are fine. His parents tell me that he may still lose those teeth some time spontaneously or if he has anymore trauma to them. But for now, they are doing fine. With no side effects, other than being a little more careful playing stupid games.
Now, please know that we live in Stephenville. We have a rural hospital. Not Cooks Childrens or Dallas Childrens Hospital. One orthodontist, but about 6 dentists. 4 pediatricians. No pediatric dental specialists, that you may have access to in Ft. Worth. I would think that since he has also done it and it has been a day or two for the swelling to go down, that you won't need to go to the ER, but I would think you would still want to have them checked out anyway. Definately checked out by a dentist of some sort, pediatric or otherwise, specialist or not. I would if he were mine.
Anyways, keeping it sane in Stephenville,
L.

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H.D.

answers from Dallas on

I am a dental hygienist and more than likely your pedi will tell you to see a pedi dentist. The doctor may say to just monitor them or they may need treatment. They may darken to a grayish color if the nerve in the tooth was damaged. Sometimes it will warrant root canals and other times just time. Good luck. I wish I had more answers for you but it all depends on the doctor and what is actually wrong with the teeth.

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D.S.

answers from Dallas on

Go to pediatric dentist for sure- My dgt fell and b/c I kept an eye on it we were able to catch the real beginning of an abcess adn worked with orthodonitcs early on to have the 2nd tooth come in right-
Def ck with ped dentist-can make a real difference in adult tooth that comes in

D.

G.W.

answers from Dallas on

J.,

I so know exactly how you're feeling right now because we are in the process of "watching" a tooth in my daughter's mouth, she is ten and it is permanent. About three weeks ago, we were in GA finishing up a visit with my sister's family when my almost six year old mentally retarded niece (who has no concept of danger or consequences) jumped up to tell my daughter goodbye and slammed the top of her head into my daughter's chin causing one of her front bottom teeth to slam into the top of her teeth or braces (which, we don't know, it happened so fast). Anyway, it bled a lot and the tooth came forward about 1/3 of the way when I put my finger on it. The back wasn't even attatched anymore. Anyway, since it was Sunday evening, I frantically left a voice mail for Monarch Dental and her dentist called back within 10 minutes. She said we had to leave it alone completely, no biting with it, brush very very lightly and just wait to see what happened. She had a visit this past Monday to check it out and though still a bit loose, it appears to be trying to heal itself. She has to follow up in another week to see how it has progressed. I know you probably don't care about this long story but I just wanted to give you an idea of what the process will probably be (they did take an x-ray to check for root damage and all that, too). As everyone else said, this is definitely a dental issue, not a pediactrician thing. Try not to panic (even though I did- LOL). The worst thing that can happen is the tooth is damaged beyond natural healing and he'll have to wait for his grownup one. We teased my daughter and told her if her's fell out, she'd have to get a shiny new gold one to replace it. She's so gullible she nearly started crying when we first told her that! LOL

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T.L.

answers from Dallas on

Immediately go to the pedi dentist. Something similar happened to a friend of mine's son. His tooth turned black. They had to get pulled out and he was about 2 yrs old.

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