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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Baby Tooth Struck And Darkened. Premature Fall? Try Antibiotics?

My daughter s baby tooth was struck when she was 2 and it darkened ever so slightly. Her pediatric dentist said not to worry about it, and it might fall out prematurely. Our pediatric dentist is no longer practicing, and our new dentist wanted to extract the tooth. She has since developed a small painless lump above the tooth - not complaining of any soreness or other signs of infection, like a fever. What do you suggest - could we try antibiotics in case there is infection, or does the tooth have to come out?
posted on Tue, 7 Aug 2012
Twitter Wed, 8 Aug 2012 Answered on
Twitter Wed, 8 Aug 2012 Last reviewed on
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Dentist, Endodontics ,  's  Response
Hi cory,
You haven't mentioned the age of the child. Milk tooth will fall eventually but if it retains for a longer time it creates problem in the eruption of permanent tooth of that region. The small painless lump may be the gingival overgrowth or pulp polyp. The best thing you can do is take opinion of one more dentist and go for extraction of that tooth or the required procedure as suggested by your dentist. Your dentist might suggest you for the dental radiography of the tooth also which helps a lot in the diagnosis of the problem. Don't ignore the problem as it may get infected and become worse. Antibiotics and other medication will be prescribed by your dentist depending on the condition.
Hope this will be helpful.

May the joy be with you.
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Dentist, Prosthodontics,  Dr. Shivangi Gajwani Jain's  Response
Hi,
Your baby's tooth changed colour because the nerves inside were injured. The tooth is dead for a while and the lump means that it is infected as well. I would strongly recommend you to extract that tooth so that infection from the lump can be drained. Antibiotics should not be administered solely to reduce the infection as the lump will recur and may cause pain in the future. But they maybe given prior to extraction to limit the discomfort and infection during pulling out the tooth. Please do not delay the treatment.
Regards
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Dentist, Implantology,  Dr. Gaurav Goel's  Response
hi, i am a dentist , and we practice speciality pediatric dentistry as well. the tooth with a lump above the tooth needs to undergo root canal treatment or extarction as deemed suitable by the pediatric dentist. you should not delay consulting a pediatric dentist in this case.
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Baby Tooth Struck And Darkened. Premature Fall? Try Antibiotics?

Hi cory, You haven t mentioned the age of the child. Milk tooth will fall eventually but if it retains for a longer time it creates problem in the eruption of permanent tooth of that region. The small painless lump may be the gingival overgrowth or pulp polyp. The best thing you can do is take opinion of one more dentist and go for extraction of that tooth or the required procedure as suggested by your dentist. Your dentist might suggest you for the dental radiography of the tooth also which helps a lot in the diagnosis of the problem. Don t ignore the problem as it may get infected and become worse. Antibiotics and other medication will be prescribed by your dentist depending on the condition. Hope this will be helpful. May the joy be with you.