After traumatic injury, a primary central incisor is now discolored but asymptomatic. What is the recommended treatment?

The recommendation to observe a primary central incisor that is discolored yet asymptomatic following a traumatic injury is based on several factors related to the nature of primary teeth. Discoloration in a primary tooth may indicate pulp necrosis or other internal changes due to trauma, but if there are no symptoms such as pain or swelling, it often suggests that the pulp is still vital or that the tooth may not require immediate intervention.

In children, primary teeth have a different prognosis compared to permanent teeth after trauma. The root canals of primary teeth are wider and shorter, and they typically have the capacity to undergo resorption and naturally exfoliate. Therefore, in cases where the tooth is asymptomatic, monitoring the discoloration over time allows for the possibility of spontaneous healing or resolution without invasive treatment.

Should a child begin to experience symptoms later, such as pain or swelling, further investigation might be warranted, and treatments such as endodontic therapy could be considered at that point. However, given the absence of symptoms, a conservative approach of observation is appropriate, allowing for the child's natural development and the eventual loss of the primary incisor in line with their dental growth.