If a tooth has been knocked-out of the childs mouth completely, it is important to contact the
pediatric dentist immediately. In general, pediatric dentists do not attempt to reimplant avulsed
primary (baby) teeth, because the reimplantation procedure itself can cause damage to the tooth
bud, and thereby damage the emerging permanent tooth.
Pediatric dentists always attempt to reimplant avulsed permanent teeth, unless the trauma has
caused irreparable damage. The reimplantation procedure is almost always more successful if it is
performed within one hour of the avulsion, so time is of the essence!
How you can help:
- Recover the tooth. Do not touch the tooth roots! Handle the crown only.
- Rinse off dirt and debris with water without scrubbing or scraping the tooth.
- For older children, insert the tooth into its original socket using gentle pressure, or
encourage the child to place the tooth in the cheek pouch. For younger children, submerge
the tooth in a glass of milk or saliva (do not attempt to reinsert the tooth in case the child
- Do not allow the tooth to dry during transportation. Moisture is critically important for
- Painful chewing.
- Visit the pediatric dentist (where possible) or take the child to the Emergency Room
immediately time is critical in saving the tooth
If the childs cheek, lip or tongue is bleeding due to an accidental cut or bite, apply firm direct
pressure to the area using a clean cloth or gauze. To reduce swelling, apply ice to the affected areas.
If the bleeding becomes uncontrollable, proceed to the Emergency Room or call a medical