Tooth knocked out or
If tooth is traumatized and not loose, just watch it. If
the corner is chipped, watch it.
If the tooth is loose but in socket and not chipped, then
give liquids only and see the dentist the next day to “splint” it.
If the tooth is chipped badly (more than 1/4 of the
tooth.), see the dentist the next
If the tooth is knocked out, rinse it but do not scrub.
Best is to put it into the socket and push in till it is in position.
The next best thing is to put it into solution
"save a tooth" that you can order and have at home.
the next best is to put it into milk and see the Dentist in the next 2
the last thing is to
keep it in saliva in the mouth and see the Dentist in 2
· Injuries to the teeth
Types of Teeth Injuries
· Loosened Tooth: If mild, it usually tightens up on its own (may
bleed a little from the gums).
· Displaced Tooth: Any tooth that has been pushed out of normal
position (displaced) needs to be seen by a dentist to assess the damage.
Displaced teeth that interfere with biting, chewing, or closing of the mouth
need to be repositioned within 4 hours for reasons of comfort and function.
Mild displacement can wait for 24 hours for assessment.
· Knocked-out Tooth: This is a dental emergency. The knocked-out tooth
needs to be placed back in its socket at soon as possible, ideally within one
· Chipped or Fractured Tooth: All need to seen by a dentist. A
fracture that enters into the pulp (center) of a tooth is referred to as
complicated; the tooth is usually painful or sensitive to hot and cold. You
may be able to identify a complicated tooth fracture by noticing a small red
dot or pink blush (the pulp) in the fractured area. To prevent permanent tooth
damage, fractures into the pulp need to be treated within 3-4 hours.
FIRST AID for Knocked-out Tooth
· To save the tooth, it must be put back in its socket as soon as
possible (2 hours is the outer limit for survival). Use the following
- Rinse off the tooth with saliva or water. Do not scrub the tooth.
- Replace it in the socket facing the correct way.
- Press down on the tooth with your thumb until the crown is level with
the adjacent tooth.
- Lastly, bite down on a wad of cloth to stabilize the tooth until you
can be seen by a dentist.
Transporting a Knocked-out Tooth
· Follow these instructions if you are not able to put the tooth back
in its socket.
- It is very important to keep the tooth moist. Do not let it dry out.
- Transport the tooth in saliva or milk.
Better yet.. have a "save a tooth" kit at home. Order now and have it
in case of knocked out tooth.
WHEN TO CALL YOUR DOCTOR FOR TOOTH INJURY
Call 911 Now (your child may need an ambulance) If
· Knocked out (unconscious)
· Major bleeding that can't be stopped
Call Your Dentist Now (night or day) If
· You think you have a serious injury
· Knocked-out tooth (see First Aid and Transport information)
· Tooth is almost falling out
· Tooth is greatly pushed out of its normal position
· Tooth that's pushed out of its normal position interferes with
· Chipped tooth is missing a large piece, or a red dot is visible
inside the chipped area
· Bleeding won't stop after 10 minutes of direct pressure
· Severe pain
Call Your Dentist Within 24 Hours (between 9 am and 4 pm) If
· You think you need to be seen
· Tooth is slightly pushed out of its normal position
· Can see a chip or fracture line in the tooth
· Tooth sensitive to cold fluids
· Tooth feels very loose when you try to move it
Call Your Dentist During Weekday Office Hours If
· You have other questions or concerns
Self Care at Home If
· Minor tooth injury and you don't think you need to be seen
HOME CARE ADVICE FOR MINOR DENTAL INJURIES
Taken from: David Thompson, MD, FACEP
1. Local Cold: For pain, apply a piece of ice or a Popsicle to the
injured gum area for 20 minutes.
2. Pain Medication: For pain relief, take acetaminophen every 4-6 hours
(e.g. Tylenol; adult dosage 650 mg) OR ibuprofen every 6-8 hours (e.g. Advil,
Motrin; adult dosage 400 mg).
· Do not take ibuprofen if you have stomach problems, kidney disease,
or other contraindications to using this type of anti-inflammatory drug. Do
not use if pregnant. Do not use ibuprofen for longer than 7 days without
consulting your PCP.
· Do not take acetaminophen if you have liver disease.
· Read the package instructions thoroughly on all medications that you
3. Soft Diet: If you have any loose teeth, eat a soft diet for 3 days.
After 3 days, they should be tightening up.
4. Call Your Dentist If:
· Pain becomes severe
· Tooth becomes sensitive to hot or cold fluids
· Tooth becomes a darker color
· You become worse or develop any of the "Call Your Doctor"
5. Save tooth in "save a tooth" solution. (see: