Dental Trauma: Managing a Knocked-Out Tooth

Emergency Care Guide for Tooth Avulsion

General Dentistry

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Last updated: Mar 24, 2025

Overview

A knocked-out tooth (dental avulsion) is a serious dental emergency that requires immediate attention. Quick action can save the tooth and prevent long-term complications.

Immediate Steps

  1. Find the tooth immediately
  2. Handle with care:
    • Touch only the crown (white part)
    • Avoid touching the root
    • Don't scrub or clean the tooth

Emergency Care Instructions

If the Tooth Is Clean

  1. Attempt to reinsert the tooth into its socket
  2. Bite down gently on gauze or soft fabric
  3. Seek immediate dental care

If You Cannot Reinsert the Tooth

Store the tooth in one of these (in order of preference):

  • Milk
  • Saline solution
  • Save-A-Tooth solution
  • Saliva (by keeping it in your mouth if adult)

NEVER store in plain water!

Time Factors

  • Critical window: 30 minutes
  • Maximum survival time: 1-2 hours

Professional Treatment

Your dentist will:

  1. Clean the affected area
  2. Reposition the tooth
  3. Stabilize with splints
  4. Monitor healing

Follow-up Care

  • Soft diet for 2 weeks
  • Gentle oral hygiene
  • Regular dental check-ups
  • Watch for complications:
    • Discoloration
    • Sensitivity
    • Infection signs

Prevention

  • Wear mouthguards during sports
  • Avoid using teeth as tools
  • Regular dental check-ups

When to Seek Emergency Care

Get immediate help if:

  • Severe pain persists
  • Fever develops
  • Swelling increases
  • Tooth becomes loose after reinsertion

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