Dental Emergencies

By: J. Shahangian, DDS, MS- San Diego Board Certified Pediatric Dentist

Emergency Care
It is important to keep calm in emergency situations such as having your child knocking out a tooth or biting his/her tongue.  It is imperative to maintain calm in these dental emergencies and to also learn preventive measures for unnecessary dental restoration and damage.  You can apply cold compresses to bring down the swelling, and of course, I recommend that you call our office immediately.

Temporary or Permanent Crown Came Off/Knocked Off
If your child’s crown falls out, the best thing to do is to try and place it back in the tooth cavity, and if you are not able to place it back in the cavity, bring it with your appointment with me.

Broken, Knocked Out, Fractured, or Displaced Tooth
There is no big alarm for a displaced or fractured tooth as long as a quick decision is taken.

While waiting to see me in the office, the best thing to do if your child’s tooth has been knocked out is to try to place the tooth back into the socket.

If your child’s tooth has been knocked out, the first thing you must do is to help your child rinse his/her mouth to remove any debris and blood.  Next, place a cold cloth on the cheek that is closest to the injury to minimize any swelling.

If you are not able to place the tooth back into the socket, then hold the tooth by the crown (make sure you do not hold it by the root).  Next, place the tooth in saline, milk, or your child’s saliva until you arrive at my office, or if necessary, the emergency room.

In case of a fractured tooth, I recommend also helping your child rinse his/her mouth, and doing cold compresses to minimize the swelling.

In case of a minor tooth fracture, I can sand down the tooth, or if necessary, I can restore the tooth if the pulp has been severely damaged.

There are several ways in which your child’s teeth can become loose.   For example, emerging permanent teeth, or even your child biting down on a piece of hard candy can make the teeth loosen.[1]


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