Tooth Knocked Out

It happens. You are playing baseball or your kid is playing soccer. There is a collision. a front tooth is knocked out of the mouth instantly. Sometimes it is not fully avulsed, but just loosened. This is a true emergency. You need to get to the office as soon as possible. Call the office and page Dr. Dwivedi. He will give you instructions as to what to do.

A permanent tooth that is knocked out can sometimes be reimplanted. In most cases, only permanent, adult teeth are reimplanted into the mouth.

Baby teeth are usually left out.

Save any tooth that has been knocked out. Bring it to Dr. Dwivedi as soon as possible. The longer you wait, the less chance there is to fix it. Hold the tooth only by the crown (chewing edge).

Transport it as follows:

1.Try to place the tooth back in the mouth where it fell out, so it is level with other teeth. Bite down gently on gauze or a wet tea bag to help keep it in place. Be careful not to swallow the tooth.
If the above step cannot be done, place the tooth in a container and cover with a small amount of whole milk or saliva.
2.The tooth can also be carried between lower lip and lower gum or under the tongue.
3.A tooth-saving storage device (Save-a-Tooth, EMT Tooth Saver) may be available at the pharmacy. Such a kit contains a travel case and fluid solution. Consider buying one for your home first aid kit.

Apply a cold compress to the mouth and gums for pain.
Apply direct pressure using gauze to control bleeding.
If your tooth is badly broken, your nerve endings may be exposed. You will need immediate dental help to avoid infection and pain.

You may not need an emergency visit for a simple chip or broken tooth. You should still have it fixed to avoid sharp edges that can cut the lips or tongue.

Do NOT handle the roots of the tooth. Handle only the chewing edge -- the crown portion of the tooth.
Do NOT scrape the root of the tooth to remove dirt.
Do NOT brush or clean the tooth with alcohol or peroxide.
When to Contact a Medical Professional
Immediately contact Dr. Dwivedi when a tooth is broken or knocked out. If you can find the tooth, bring it with you to your appointment.
If you cannot close your upper and lower teeth together, your jaw may be broken.

© Copyright 2009-2012 Anil Dwivedi, D.M.D., P.C. All rights reserved worldwide. Disclaimer:The information presented within is intended to help you better understand dental conditions and procedures. It is not intended to serve as delivery of medical or dental care or advice. If you have specific questions or concerns, contact your health care provider.