### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My 4 year old has hit the edge of timber table and pushed her gum right up, leaving a semi circular 20c size shaped cut on her gum just above her teeth. The gum has come down and I have been giving her ice to help with the healing process. I was advised this afternoon when it happened that the mouth will heal this problem and not to worry taking her to get it stictched. The bleeding stopped and she was fine all afternoon, although when she smiled at me I could see a slightly brown cut line, and at the bottom of the gash it was a bit swollen. I am concerned that it may not heal properly and will distroy her gorgeous little smile for the period of her life, or perhaps she might have nerve damage and her teeth might die......... I need some advice, please, what should I do? should I take her to the jospital, should this be stitched, or have I left thie wound to long already? Thankyou.... Linda

### output:

Hi Linda, I can understand your concern. As far as the bleeding is stopped, there is no need of stitches. Slight rash and swelling will heal in a week by itself without any treatment. Smile will also not be distorted. I would advise ice application over the wound to reduce the swelling and have relief in pain. Regarding injury to the tooth, it is possible that the tooth might have hurt, and it may die internally. For that, I would recommend that you visit a dentist after about a month and go for electric pulp vitality test for that tooth which will ascertain if the tooth is dead or living. If the tooth changes its color to brownish or black, then the tooth is definitely dead, and you should go for lumpectomy treatment for that tooth. You do not need to rush to the hospital and the wound is also not left for too long already. If she is in pain, toucan give her 100 mg Acetaminophen or 162.5 mg of Ibuprofen. I hope this information solves your concern. Thank you for choosing Chat Doctor. I wish the wound heals soon. Best,