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.