Gently clean or rinse dirt from the area around the break. Place a cold compress on the face in the area of the broken took to minimize lip or facial swelling. If the fracture is more than one-half of the tooth, see the dentist immediately.
For permanent teeth
Find the tooth. Handle the tooth by the crown, not root. If the tooth is dirty, gently rinse it in cold water, but DO NOT scrub or handle the root unnecessarily. Try to replace the tooth into the socket. Have the child hold the tooth in place by closing on a gauze pad or washcloth. If it is not possible to replace the tooth, place the tooth in a cup of milk, or if this is not available, cool water. Go to the dentist immediately. Time is important for saving the tooth, less than 30 minutes is the best.
For primary (baby) teeth
Baby teeth should not be re-implanted, or damage to the permanent tooth follicle could occur. Control any bleeding by applying pressure with a gauze pad or clean wash cloth. Call your child’s dentist and schedule an exam as soon as possible. It is important to evaluate the health of the surrounding teeth and gums.
If your child’s permanent or primary tooth becomes loose as a result to trauma first check to see if there is any bleeding. Stop the bleeding by applying pressure using a gauze pad or clean washcloth. Dental trauma resulting in loose teeth requires immediate attention by the dentist. Call your child’s dentist for an emergency appointment.
Clean the area around the tooth. Rinse the mouth with warm salt water and use dental floss to remove any trapped food between the teeth. DO NOT place aspirin on the gums or tooth. This will cause a burn to the gum tissues. If there is swelling, apply cold to the outside of the face. Take acetaminophen or ibuprofen for pain, and schedule an appointment right away.
If there is bleeding apply gentle pressure with a clean cloth or gauze. Apply an ice compress to the injured area. If bleeding does not stop, go to a hospital emergency room.
Do not move the jaw. Stabilize the jaw by tying a towel, necktie, etc., over the top of the head. Apply cold compresses. Go to an oral surgeon or hospital emergency room immediately.
Try to remove the object with dental floss. If you cannot remove it, go to the dentist.
Fold a gauze pad or clean washcloth over the bleeding area. Keep it in place for 15 minutes, then repeat as necessary.
Some children will get these periodically. Placing vitamin E oil over the area, switching toothpastes, and incorporating Kefir into your child’s diet usually give relief. If they persist or are extreme, see the dentist.
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