My elementary-aged son seems to be getting ready to lose his first tooth. He recently had his dental check-up with her pediatric dentist and we were told everything appeared good and normal. However, lately he has been complaining that it feels like one of his front two teeth is getting bigger. Then, he recently bit down on a carrot and immediately started to cry. There was blood and the tooth appeared to be out of place. I thought this might all be due to the tooth preparing to fall out, but am starting to second-guess myself. Is this normal? Should I have her seen?

Thank you,
Bethany

Dear Bethany,

Each tooth that is lost fights of small battle in the process which leads to it falling out. First, the permanent, adult tooth pushes the baby tooth up. This may be what is causing him to feel like his tooth is increasing in size. Next, the ligaments, which help the tooth stay in place, start to expand and strain, like small rubber bands. At times, they tighten back to their original state, white other times, they stay stretched and snap. It is quite possible the tooth was in fact loose and the ligaments were already stretched. Then, when he bit into the carrot, the bite forced the tooth out of alignment and caused some of the ligaments to snap. In this situation, popsicles are great, as well as avoiding hard foods. The tissue around the tooth was likely traumatized, but it’s unlikely any long-term issues or serious damage were caused to the adult tooth coming in. If your son is not in any pain now, and the area seems to be healing on its own, it’s not crucial that he be seen. However, if you are not certain, or will feel better doing so, seeing a pediatric dentist would be a good idea. In a rare situation, additional damage could be causes, which could require dental intervention. But, it sounds like stocking up on soft foods and popsicles is a good idea…and prepare for a visit from the Tooth Fairy!

This post is sponsored by the office of Phoenix pediatric dentist, Dr. Hillary Peck.