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Tooth Injury

Description

Injury to a tooth.

Types of Tooth Injuries:

  • Loosened tooth - may bleed a little from the gums
  • Displaced tooth (usually pushed inward)
  • Chipped or fractured tooth
  • Avulsed (knocked out) tooth — a dental emergency for permanent teeth

When to Call Your Doctor for Tooth Injury

Call Your Doctor or Dentist Now If:

  • You think your child has a serious injury
  • Permanent tooth knocked out (Reason: needs reimplantation ASAP; 2 hours is the deadline for tooth survival).
    First Aid Advice: Transport the tooth in some milk or saliva (milk is best). If over 30 minutes away, try to replace the tooth in the socket before coming in
  • Permanent tooth is almost falling out
  • Baby tooth is almost falling out
  • Bleeding won't stop after 10 minutes of direct pressure
  • Tooth is greatly pushed out of its normal position
  • Tooth that's pushed out of its normal position interferes with normal bite
  • Severe pain
  • Age < 1 year old

Call Your Doctor or Dentist Within 24 Hours If:

  • You think your child needs to be seen
  • Baby tooth knocked out by injury. (Reason: can't be reimplanted but dentist will check for damage to permanent tooth)
  • 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 Doctor During Weekday Hours If:

  • You have other questions or concerns

Home Care (Read "Call Your Doctor…" first):

Local Cold

For pain, apply a piece of ice or a Popsicle to the injured gum area for 20 minutes.

Pain Medicine

If it still hurts, give acetaminophen (e.g. Tylenol) or ibuprofen.

Soft Diet

For any loose teeth, offer a soft diet for 3 days. By then, it should be tightened up.

Call Your Doctor or Dentist If:

  • Pain become severe
  • Tooth becomes sensitive to hot or cold fluids
  • Tooth becomes a darker color
  • Your child becomes worse or develops any of the "Call Your Doctor or Dentist…" symptoms

Parent Care for Pediatric Symptoms. Copyright 2000-2006.