23:02
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Today is a very sad day for me, not because it is a Labour Day!
Today my elder son beat himself until the front teeth come off.
What kind of force do we need to break this 2 front teeth?
This is not his milk teeth, this 2 are his permanent front teeth.
I cannot imagine a 9 years old boy without his permanent front teeth
Do you think he can wear denture?
I doubt if he can!
I am keeping the 2 front teeth, and hope it can be implanted back.
Can it be done? Please leave your comments and suggestion at the comment section below. I want to know if I can use the teeth for implantation?
Kindly share your experiences and solutions in the comment section, or email to me at shiokx@gmail.com
Sadly,
Shiok Guy
Father of WJ
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4 comments:
Dear friend,
Kindly share your experiences, suggestions and solutions here. I am looking for affordable implant specialist in Malaysia. If you could provide me a free service, I will be deep indebted to you!
I am not rich! Really tired and sickening by all this.. but then we cannot stop loving them..
Please read this after articles..
http://myautismresource.blogspot.com/2009/04/ten-things-every-child-with-autism.html
Regards
Shiok Guy
Hi. You may try contacting ASAP
Dr Jason Cheong
Jason Cheong Dental Surgery
Address 36 Jalan Telawi
Bangsar Baru
59100 Kuala Lumpur
Telephone 03-22879187
Fax 03-22879237
Email jcdentalsurgery@hotmail.com
Operation Hours Monday - Saturday, 10a.m.-6p.m.; Thursday, 10a.m.-2p.m.
Category Special Needs Dental Surgeons (Dentists for Special Children)
Dear Jason,
We met before a few year back, I am Yong from PR4A. My son who is suffering from autism beat himself until the front teeth (2) fall off. I think the two front teeth has been loosen due to long term beating by him. On 1 May 2009, they just drop off.
Please advise..
You may leave you reply via email or comment section of the above blog for the benefit of the other parents. I have leave you contact detail on the blog too.
I kept the two teeth in the fridge, but I don't think it is advisable and possible to implant back, right? I did try to call you at your clinic, but no one pick up just now (6pm)
Regards
Yong
*** Reply from Dr Jason via email ***
*** reproduce here with permission ***
I am sorry to hear about what happened to your son's two front teeth.
Unfortunately, many parents will discover that knocking out the two front teeth is actually quite easy to do and does not require much force to happen. In fact, up to 25% of 15-year-old children have had some form of injury to their front adult teeth. Personally I have seen teeth knocked out by things like basketballs, tennis racquets, table corners, even elbows! The younger the child, the easier it can happen as the teeth and bones are not fully developed yet.
Sadly, Yong, the bad news is that it is now much too late to put back your son’s two front teeth. Re-implanting can ONLY be done if the knocked-out tooth has been out less than 60 minutes AND if the tooth has been properly handled. This is because the fragile cells lining the root of the tooth are now dead and contaminated. If you attempt to re-implant it now, it will quickly become infected and rejected by the body. Furthermore, the hole will have closed by now and new bone would have started to fill up the hole.
So, what are your options now?
First of all – let the gums heal: softer food and careful brushing for a week.
Then think carefully … do you REALLY need to replace the missing teeth now? You’ll be surprised to find that kids can still eat their favourite foods despite missing front teeth (except maybe biting into a whole apple). Does the appearance bother him or you … and can you live with it? How much do you want to put him through or can you wait till he is much older to deal with it? It may affect his speech development to a certain extent but shouldn’t be a major problem (best to check with a speech therapist).
As to replacing the teeth here are the options in relation to special kids:
1) Dentures (false teeth) – Quick, easy and cheap but your son must be able to handle wearing a removable piece of plastic in his mouth without breaking it, swallowing it or losing it. Will need to be changed yearly as he grows. Usually suitable only for older teenage kids with mild disability.
2) Bridges – Made of ceramic-metal, comfortable and very strong. Attached to the surrounding teeth and cannot be removed by the child. Usually the best option for special kids but it is expensive as will probably need to be done under General Anaesthesia (for kids who cannot sit still for the hours it takes). Should last for more than 10 years but requires that the surrounding teeth be drilled into.
3) Implants – A ceramic tooth is attached by drilling a titanium screw directly into the bone. Most expensive but should last almost a lifetime. Will require multiple surgeries and best done in children who have stopped growing.
*** Advice for parents:
The very small window of opportunity for re-implanting a knocked-out tooth is the reason why countries like the United States and Australia have ongoing campaigns educating the public on what to do. Unfortunately, in Malaysia doesn’t so here’s some advice should a kid’s tooth gets knocked out:
If It’s A Baby (Milk) Tooth:
A) First check the child does not have any other injuries. If there are, see a doctor or call an ambulance.
B) The baby tooth will not be re-implanted as there is a risk of damaging the adult tooth developing underneath
If It’s An Adult (Permanent) Tooth:
A) First check the child does not have any other injuries. If there are, see a doctor or call an ambulance.
B) Find the tooth and hold it only by it’s crown/head. NEVER touch the root of the tooth.
C) If the tooth is dirty (eg. in sand) rinse it gently in milk or saline (NOT water). Do not rub, scrub or dry it.
D) Try to gently put the tooth back in it’s place in the mouth. Don’t worry about putting it back in a perfect position – having a slightly crooked tooth is better than none at all.
E) If you can’t put it back, then put it immediately in a container of (in order of preference):
1. The child’s own saliva,
2. Milk, or
3. Sterile Saline
Note: NEVER put it in water
F) Go to a dentist or hospital emergency room (even if you can’t find the tooth). If the tooth is not put back within 60 minutes the chances of successful re-implantation is slim.
I hope that helps you and the other parents. let me know if you need more information.
Thanks,
Dr. Jason
Jason Cheong Dental Surgery
36 Jalan Telawi, Bangsar Baru,
59100, Kuala Lumpur, MALAYSIA.
Tel: 6-03-2287 9187
Fax: 6-03-2287 9237
jcdentalsurgery@hotmail.com
Opening Hours :
Mondays to Saturdays 10:00am - 6:00pm
Thursdays 10:00am - 2:00pm
Closed Sundays and Public Holidays
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