Anatomy
The milk teeth are replaced in infancy, after which the permanent teeth emerge. Incisors are usually replaced around 6-12 years of age. Traumatic dental injuries are seen at all ages, but most commonly between the ages of 8-12 and most commonly affect milk teeth.
Cause
Direct blows to the teeth can cause damage to the hard tooth tissue (enamel, dentin, cementum), the tooth’s nerve (pulp) or the tooth’s supporting tissue (periodontium). Teeth can become so damaged that they fracture, fall out or damage the blood supply to the tooth, causing permanent damage.
Symptoms
Looseness of the tooth, bleeding from the gums, pain in the tooth, altered bite, feeling new sharp edges on the teeth with the tongue.
Examination
If, after a trauma, the athlete reports a sensation of changes in the bite, looseness of one or more teeth, bleeding from the gums or tooth pain, an assessment should be made by a specialist (possibly the dental emergency service). The outcome of the treatment depends on how quickly you get to the appropriate examination.
Treatment
Dental damage to baby teeth is often not treated, but may be indicated in cases such as fractured baby teeth. Tooth damage to permanent teeth usually requires treatment. If permanent teeth are knocked out (or larger pieces of the tooth are knocked off), the tooth is cleaned with running water only. The knocked out tooth can then be tried to be put back into the bone or stored in clean water or milk and taken to the dentist (dental emergency). Treatment should be initiated as soon as possible.
At the slightest doubt, the athlete should therefore consult a dentist for an assessment. The dentist will then assess the number of teeth involved in the trauma, the colour, location and vitality of the teeth, assess the need for observation, possible tooth replacement, indication for tooth reconstruction with plastic or tooth fragment or tooth removal and appropriate control (Mordini L, et al. 2021).
Rehabilitation, specific:
You can usually resume normal sports activity shortly afterwards.
Complications
The tooth may fall out or become discoloured.
Especially
Mouthguards significantly and well-documented reduce the risk of tooth damage. It is advisable to increase the use of mouthguards in many contact sports (Grillo R, et al. 2023). Ved behandlingskrævende tandskader, må man overveje at vente med at påbegynde kontaktidræt indtil tanden er fastvokset, for at undgå fornyet slag mod tanden, mens den forsøger at vokse fast.
Dental injuries should be reported to your insurance company as there may be sequelae that require further treatment.
