My son is now fourteen years old, almost fifteen, and in ninth grade. Back in fourth grade, his class was doing a “square dance.” My son fell down, face-down on the floor. Another kid fell on top of his head, smashing his teeth into the floor. He was in braces at the time, and his two central incisors were significantly intruded. He was rushed to the pediatric dentist, who happened to be across the street from his school. She repositioned the teeth and the orthodontist (next door) fixated them using the brackets still attached. I was upset, and my wife wondered why. I knew what was to come.
Endodontic treatment was later done on one of the central incisors. Not long after that, we noticed external root resorption occurring in the cervical region. My endodontist conferred with a respected professor where he did his residency. The conclusion was that nothing could be done about the resorption, and that we’d likely lose the teeth at some point. I hoped we’d have some time… a lot of time.
Over time, it was also apparent that the teeth had ankylosed. As the rest of him grew, the central incisors did not go with the rest of the crowd. For cosmetic reasons, I did some bonding to lengthen the centrals.
Time.. ticking away with my sanity, hard to believe such a calamity
Time’s up! We got almost five years. My son came to me late Saturday night, “I was biting into a cheese stick and my tooth broke.” The entire crown of tooth #8 (the one that was RCT’ed) was mobile and still attached at the gingiva. I broke into a cold sweat. Continue reading