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A 4 year old child comes in 20 minutes after falling with avulsion of her left upper lateral incisor. The parents have brought the tooth in a tissue. The entire crown and root are present. There is no active bleeding from the socket. The remainder of her exam is normal; she is able to open her mouth widely without pain and has no bony tenderness over her facial bones or jaw.
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July 31, 2018 at 9:14 am
D) Discharge the patient on a soft foods diet to follow up with dentist in 1-2 days. Avulsed primary teeth are not reimplanted due to the potential for injuring the developing permanent tooth. There is no reason for an OMFS consult or CT scan if there are no clinical signs of facial fracture.