Occasional teeth-grinding or clenching that isn't causing your child any problems doesn't need treatment. But if the grinding keeps going, you might want to talk to a dentist - it could lead to your child experiencing headaches, tooth pain or jaw pain, or wearing down her teeth.
Devices to protect teeth from grinding can help. You can get them from dentists.
Injuries to teeth
Injuries to your child's face and teeth can happen when he's running, climbing, riding scooters and bikes and so on.
It's a good idea to see a doctor or dentist if your child damages her teeth or face, especially if a tooth is bumped, broken or moved out of its usual position.
Knocking out a baby tooth
If your child knocks out a baby tooth, don't try to put it back in. This can cause problems later on when the adult tooth starts to come through.
Losing a baby tooth before it's ready to come out usually isn't a serious dental problem, but it's important that you take your child to the dentist immediately. Take the knocked-out tooth too.
Seeing the dentist and knowing that an adult tooth will eventually fill the space, and that pain or tenderness in the area will soon go, might help you and your child to feel better.
Knocking out an adult tooth
Losing an adult tooth is more serious, but there are a few things you and your child can do that might stop him from losing his tooth permanently:
- Find the tooth.
- Hold the tooth by the top ('crown'), not the roots.
- If the tooth is dirty, rinse it in milk or saline (salt and water) solution for a few seconds. Don't rinse the tooth with water.
- Don't let the tooth dry out.
- Put the tooth back in its socket immediately.
- Hold the tooth in place with aluminium foil. If you don't have any aluminium foil handy, your child can bite down gently on a clean cloth - for example, a handkerchief or cotton flannel.
- Take your child to the dentist or a hospital emergency department immediately. Time is critical.
If for some reason you can't replace the tooth in its socket - for example, if your child is unconscious or distressed - put the tooth in milk or saline solution, or wrap it in plastic cling film and see your dentist or go to a hospital emergency department immediately.
If your child chips or fractures a tooth, keep the piece of tooth and store it in milk. See your dentist immediately.
If your child plays sport, check the sport's rules and recommendations about mouth guards. In many junior sports with a high risk of face contact or head injury, wearing a mouth guard or other protective equipment is compulsory.
There are three types of mouth guards:
- 'boil and bite', which mould around your child's teeth and jawbone
- customised, which are made by a dental professional.
Customised mouth guards are the most comfortable and provide the best protection because they're made specially to fit your child's teeth and jaws.
Mouth guards should:
- be thick enough (4 mm) to provide protection against impact
- fit snugly and be comfortable
- be odourless and tasteless
- allow normal breathing and swallowing
- allow normal speech.
To keep her mouth guard clean and in good shape, your child can:
- rinse it before each use, and brush it with a non-abrasive toothpaste afterwards
- clean it every now and then in soapy water, making sure to rinse it thoroughly
- carry it in a container that has vents
- avoid leaving it in the sun or in hot water.
Your child should take the mouth guard along to dental visits to make sure it still fits correctly. Your child might need a new mouth guard when changes happen in his mouth - for example, when adult teeth come through.
Your child should wear the mouth guard during training sessions and match play if there's a risk of knocks or falls.