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Permanent Tooth has been knocked out:
Locate the tooth. Try not to touch the root of the tooth if
possible. If you try to handle the tooth, the best way is by the crown
(the part of the tooth you see in the mouth). Rinse the tooth gently
with saline solution (or salt water made from distilled water, if
possible) or milk. If the tooth is not broken in any way, try to place
it back into the socket (sometimes the tissues swell too much and you
can no longer see the socket). Have the patient hold the tooth in place
without placing a lot of pressure on the tooth. If you cannot put the
tooth back into the socket, store it in milk and seek medical or dental
attention. When a permanent tooth is evulsed (lost) from the mouth,
time is of the essence. The sooner the tooth is placed back into the
socket, the greater the likelihood of the tooth healing properly.
Primary Tooth has been knocked out:
We usually do not replace primary teeth into the oral cavity
once they have been lost because damage to the developing permanent
tooth can occur. However, you should seek out dental care for your
child as soon as possible to have a dentist evaluate the oral situation
and make recommendations.
Permanent Tooth is broken:
If you have a broken permanent tooth, find the pieces (the
dentist may want to see the fracture lines) if possible, and seek dental
attention as soon as possible. To decrease the chances of swelling,
cold compresses may help.
Broken Brackets and/or Wires during Orthodontic Treatment:
If there are any small or removable pieces, remove them and
bring them with you to the dentist. If there is anything sharp causing
the patient discomfort, you can bend it or cut it off using wire cutter
or pliers that have been properly cleaned before using them in the
mouth. Call Dr. Gonzales as soon as possible, so he can assess what to
do next in order to ensure continuity of care. If the patient has been
injured in anyway by the appliances in his/her mouth, seek dental
attention immediately (e.g., a wire is stuck in the patientís gum or
Cut, Bruised, or Bitten Lip, Tongue or Cheek:
Apply a cold compress to the area to decrease the chances of
swelling. Bleeding can best be stopped with firm pressure to the area
for some amount of time using gauze or a clean towel. If the bleeding
does not stop, seek dental or medical attention.
Keep the area clean and see your childís dentist right away. If
there is any swelling, that is a sign of a very serious dental
infection and the child should be seen right away. A cold compress can
help with swelling, but the sensation of cold may cause the child some
pain as well. Do not place anything on the gum next to the tooth (e.g.
aspirin, ointment) as some of these remedies may actually cause a
chemical burn to the gums.