Monitored 3 times. No damage seen on x ray. Failed cold test recommended root canal. She has no pain or discolouration. Can this heal on own as no infection? Should I ask for specialist opinion?
My 9 Year Old Daughter Fell Front Top Tooth Loose Wired No Fractures Failed Cold Test? Does She Need Root Canal?
Doctor Answers 3
9 year old fell.
If there is no sign of infection on X-ray, and if there is no sensitivity to HOT, then there is still a chance the nerve will heal itself. It would be. good idea to have it checked by an endodontist. I would probably hold off on the root canal if it was my child.
Trauma on fron teeth on a 9 year old. Root canal or not?
9 year olds front teeth have excellent healing capacity. They have large pulp chambers and good circulation. I would not jump into root canal therapy unless there are signs and/or symptoms that warrant it. (for example: pain, swelling, changes on an x-ray, color changes)
Once you do root canals on such a young tooth you doom it to long term problems, especially if a post or crown is done as well.
I would highly recommend to keep following it up and take an X-ray every 6 mo for 2 years. Then, once a year after that. The cold test by itself is only a clue and not a definitive diagnosis in trauma cases.
The trauma may be too soon for the nerve endings to regenerate to the point of sensing cold again. If in doubt, go get a consultation from a Board Certified Endodontis.
9 year old fell on front tooth
If there is no sign of infection on X-ray, and if there is no sensitivity to HOT, then there is still a chance the nerve will heal itself. It would be. good idea to have it checked by an endodontist (root canal specialist).
You might also like...
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.