Broken - Baby Tooth
A broken baby tooth needs to be evaluated by a dentist to determine if the fracture extends to the nerve or is the result of a cavity – in which case the baby tooth would need treatment. A baby tooth that has a small fracture without nerve or cavity involvement can typically be left untreated unless there are cosmetic or sensitivity concerns.
Broken - Adult Tooth
If you are able to locate the broken part of the tooth, keep it damp. Our first goal will be to reattach the broken piece. If we are unable to reattach it, we will repair the tooth with resin. If the inside of the tooth is bleeding, your child should be seen as soon as possible, as there may be nerve damage. The longer the nerve is exposed to the bacteria in the mouth, the more likely your child will need a root canal.
Rinse the mouth with water or use a damp, cool washcloth to help find the source of the bleeding (usually this will be from the gums). Apply direct pressure at the source of the bleeding with a cold compress. If the bleeding doesn’t stop within 15-20 minutes of direct pressure, stitches may be required.
Dislocated - Baby Tooth
Unless the dislocation prevents your child from closing their mouth normally, we do not recommend repositioning the tooth. If the tooth is very loose, we may need to extract it, or we may need an X-ray to make sure there are no root fractures, depending on the age of the child.
Dislocated - Permanent Tooth
Treatment of a dislocated permanent tooth depends on how loose the tooth is. Please contact us immediately.
Pushed up Into the Gum
Baby teeth that get pushed upward into the gum line often drop down on their own. If a permanent tooth is pushed into the gum, contact us immediately.
Completely Knocked Out - Baby Tooth
Stop the bleeding with direct pressure, using a soft wash cloth or rolled up gauze. Depending on your child’s age, an X-ray can help to confirm that the tooth came out in its entirety.
Completely Knocked Out - Permanent Tooth
Teeth can sometimes be replanted if we can see the patient within the hour. Handle the tooth as minimally as possible, touching only the top part (crown) of the tooth. DO NOT TOUCH or SCRUB THE ROOT. The tooth can be stored and transported in milk or placed in the child's cheek to keep it moist for replantation. If your child cannot get to a dentist or emergency room within an hour, we will provide guidance via phone on how to replant the tooth. Once a permanent tooth is replanted, we will splint it in place and the tooth will need a root canal.