With milk teeth, there is predominantly loosening of the incisors and occasionally the tooth appears to be pressed "inward". Fractures of the tooth crowns are rare. The treatment measures are normally limited and essentially have the aim of preventing additional damage to the permanent teeth, which are still deep in the jawbone.
Because smaller children with milk teeth are frequently not amenable to difficult and time-consuming treatments, treatments aimed at retaining the milk teeth are rarely a reasonable course of action. After all, milk teeth only stay in the mouth for a limited period of time, so that a milk front tooth that has been damaged in an accident may even and sometimes must be prematurely removed by the dentist. This has no serious consequences for the development of dentition and the permanent teeth.
If milk incisors are to be retained despite misalignment due to an accident, they are carefully straightened up and if necessary splinted. Milk incisors that are knocked into the jawbone may under favourable circumstances break through again by themselves after several weeks. Regular follow-up checks are necessary to ensure that further progress is free of complications.
In the case of larger tooth fractures that extend below the gums, the tooth must sometimes be removed. Unlike permanent teeth, milk teeth that have been completely knocked out are not re-implanted.