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A Child’s Injured Teeth Gary S. Rafal, D.D.S. If a youngster has an accident and one or more primary teeth are injured and become discolored, the teeth may be able to be saved and returned to their natural color. Through a technique called labial pulpectomy, a hole is made in the front of the tooth and the dead tissue causing the discoloration is removed. The tooth is then filled with a white paste similar to that used in root canal therapy. The hole in the tooth is covered with calcium hydroxide which hardens and forms a seal over the opening. Then the entire front surface of the tooth is covered with a bonding agent and matched in color to the other teeth.
It is important to the child’s proper tooth development that the primary teeth stay in place until his permanent teeth are ready to erupt and replace them. Usually all of a child’s 20 primary teeth have emerged by three years of age. These teeth come out between the ages of six and thirteen and are replaced by permanent teeth.
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