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20 mo's teeth completely broken down upto the gum line

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Hello, I would like to ask a question regarding my daughter.

She is 20 months old, and has fallen many times, and has broken down the upper 4 tooth (incisors), and is not able to chew her food. The tooth has completely broken down upto the gum line. any advice ?

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replied June 24th, 2014
Gallbladder Disease Answer A47961

Welcome to the ehealthforum and I am glad to help you out. Your concern is regarding your daughter's fractured baby incisor teeth.

Treatment for the broken teeth depends on the class of fracture. Class 1 involves chips or fractures in the outer enamel layer and class 2 involves fractures into the dentin layer. Class 3 and 4 are into the pulp and root.

For class 1, smoothening and composite filling (bonding) may be done. Class 2 large fracture may eventually need a crown or porcelain facing and class 3 may need a root canal. However treatment depends on the age, condition of tooth etc. Most of the incisor teeth fall off by the age of seven. So my sincere suggestion is to get her evaluated from a dentist to discuss the best treatment option.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

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