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Children's dental emergencies

Q: What should I do if my child's baby tooth is knocked out?

A: Contact your pediatric dentist as soon as possible. The baby tooth should not be replanted because of the potential for subsequent damage to the developing permanent tooth.

Q: What should I do if my child's permanent tooth is knocked out?

A: Find the tooth and rinse it gently in cool water. (Do not scrub or clean it with soap -- use only water!) If possible, replace the tooth in the socket immediately and hold it there with clean gauze or a wash cloth. If you canít put the tooth back in the socket, place the tooth in a clean container with cold milk, saliva or water. Get to the pediatric dental office immediately. (Call the emergency number if itís after hours.) The faster you act, the better your chances of saving the tooth.

Q: What if a tooth is chipped or fractured?

A: Contact your pediatric dentist immediately. Quick action can save the tooth, prevent infection and reduce the need for extensive dental treatment. Rinse the mouth with water and apply cold compresses to reduce swelling if the lip also was injured. If you can find the broken tooth fragment, place it in cold milk or water and bring it with you to the dental office.

Q: What about a severe blow to the head or jaw fracture?

A: You need immediate medical attention. A severe head injury can be life-threatening. Keep in mind that an emergency medical team might be able to reach you faster than you can get to the hospital.

Q: What if my child has a toothache?

A: Call your pediatric dentist and visit the office promptly. To comfort your child, rinse the mouth with water. Over-the-counter childrenís pain medication, dosed according to your childís weight and age, might ease the symptoms. You may apply a cold compress or ice wrapped in a cloth to the face in the area of the pain, but do not put heat or aspirin on the sore area.

Q: Can dental injuries be prevented?

A: Your childís risk for dental injuries can be reduced greatly by following a few simple suggestions. First, reduce risk for severe oral injury in sports by wearing protective gear, including a mouthguard. Second, always use a car seat for young children and require seat belts for everyone else in the car. Third, child-proof your home to prevent falls and electrical injuries. Regular dental check-ups provide your dentist an opportunity to discuss additional age-appropriate preventive strategies with your child.


Copyright © 2002-2010 American Academy of Pediatric Dentistry

Some fun children's dental books:

Anaheim pediatric dentistToothache
Anaheim pediatric dentistLip or tongue trauma
Anaheim pediatric dentistBroken or chipped tooth
Anaheim pediatric dentistknocked out or avulsed tooth

Toothache
If you child has a toothache clean their mouth by rinsing with warm salt water. Then gently use dental floss or an interdental cleaner to floss between their teeth to remove any food or debris. DO NOT put any medication like asprin or other pain killers directly on the tooth. This may cause the gum tissue to slough or die off. Contact your pediatric dentist immediately.
Lip and toungue trauma
If your child suffered a lip or tongue trauma try to gently clean the affected area with a clean soft moist cloth. If the lip or tongue is swollen you may apply cold compresses to reduce the swelling. If the traumatized area bleeds uncontrollably and cannot be stopped with pressure then take your child to a hospital emergency room immediately.
Broken or chipped tooth
If your child suffered a broken or chipped tooth that is not the result of a recent trauma then it is important to have the tooth evaluated right away. Try to save the broken tooth and keep it in a container of milk or water so it may be used to restore the fracture or used as a guide. Contact your pediatric dentist immediately.
Knocked or avulsed tooth
IF your child's tooth was knocked out try to hold the tooth by the crown (white part of the tooth) and rinse off the root of the tooth in water if it is dirty. Do not scrub or touch any part of the root it may still have health cells or tissue fragments that will be necessary for reattachment of tooth in the socket. If possible, try to gently insert and hold the tooth in its orginal socket position. If that is not possible, then put the tooth in a cup of milk or water and bring it to your pediatric dentist ASAP.
 

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408 South Beach Blvd
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Anaheim, CA 92804
(714) 229-8100

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