Emergencies and Traumatic Dental Injuries in Children

Chipped primary (baby) teeth can be aesthetically restored. Dislodged primary teeth can, in rare cases, be repositioned. However, primary teeth that have been knocked out typically should not be replanted. This is because the replantation of a primary tooth may cause further and permanent damage to the underlying permanent tooth that is growing inside the bone.

Children's permanent teeth that are not fully developed at the time of the injury need special attention and careful follow-up, but not all of them will need root canal treatment. In an immature permanent tooth, the blood supply to the tooth and the presence of stem cells in the region may enable your dentist to stimulate continued root growth.

If your child faces a dental emergency, give us a call immediately. If you need urgent treatment after hours, you can call us as well. We are always here to assist when your child's dental health is at risk. Below are tips on dealing with urgent dental situations. You may want to display this list on your refrigerator or store it near your emergency phone numbers for easy reference.

Bitten Lip or Tongue

If your child has a bitten lip or tongue severe enough to cause bleeding, clean the bite gently with water and use a cold compress (a cold, wet towel or washcloth pressed firmly against the area) to reduce or avoid swelling. Give us a call to help determine how serious the bite is.

Object Caught in Teeth

If your child has something caught between his or her teeth, use dental floss to gently remove it. Never use a metal, plastic, or sharp tool to remove a stuck object. If you are unable to remove the item with dental floss, give us a call.

Broken, Chipped, or Fractured Tooth

If your child has chipped or broken a piece off a tooth, rinse his or her mouth with warm water, then use a cold compress to reduce swelling. Call us immediately.

Knocked-Out Tooth

If your child's permanent tooth has been knocked out, find the tooth and rinse it with water (no soap), taking care to only touch the crown of the tooth (the part you can see when it's in place). Place the tooth in a clean container with milk. Call us immediately. If you act quickly it is possible to save the tooth. If the tooth lost is a baby tooth, call us and we can determine the next steps.

Loose Tooth

If your child has a very loose tooth, it should be removed to avoid being swallowed or inhaled. Most can be removed in the comfort of your home with a tissue or paper towel using a quick twist. 

Toothache

If your child complains of a toothache, rinse his or her mouth with warm water and inspect the teeth to be sure there is nothing caught between them. If pain continues, use a cold compress to ease the pain. Do not apply heat or any kind of aspirin or topical pain reliever directly to the affected area, as this can cause damage to the gums. Children's pain relievers may be taken orally. Schedule an appointment immediately.

Avoiding Injury

You can help your child avoid dental emergencies. Child-proof your house to avoid falls. Do not let your child chew on ice, popcorn kernels, or other hard foods. Always use car seats for young children and require seatbelts for older children. And if your child plays contact sports, have him or her wear a mouthguard. Ask us about creating a custom-fitted mouthguard for your child. Finally, prevent toothaches with regular brushing, flossing, and visits to our office.