Knocking out a tooth can be a frightening experience, whether it happens during a sports game, a fall, or an accident. However, acting quickly and correctly can significantly increase the chances of saving the tooth. A knocked-out permanent tooth is considered a dental emergency, and the steps you take in the first few minutes matter.
If you or a loved one experiences a knocked-out tooth, follow these important steps.
Step 1: Stay Calm and Find the Tooth
The first thing to do is locate the tooth as quickly as possible. Handle it carefully and try to remain calm. While the situation may feel overwhelming, prompt action can make a big difference in the outcome.
Once you find the tooth, pick it up by the crown—the part that is normally visible above the gums. Avoid touching the root, as delicate cells attached to the root surface are important for successful reattachment.
Step 2: Gently Rinse the Tooth
If the tooth is dirty, gently rinse it with milk or clean water for a few seconds. Do not scrub the tooth, use soap, or remove any tissue fragments attached to the root.
The goal is to remove debris without damaging the living cells on the root surface. Excessive handling or cleaning can reduce the chances of saving the tooth.
Step 3: Try to Reinsert the Tooth
If the knocked-out tooth is a permanent tooth and the person is conscious and cooperative, try to gently place the tooth back into its socket.
Once it is positioned correctly, have the person bite down gently on a clean piece of gauze or cloth to help hold it in place.
Do not attempt to reinsert a baby tooth, as doing so could damage the developing permanent tooth beneath the gums.
Step 4: Keep the Tooth Moist
If reinserting the tooth isn’t possible, keeping it moist is critical.
Place the tooth in:
- A container of milk.
- Saline solution.
- A tooth preservation kit, if available.
Some adults may be able to hold the tooth between their cheek and gums, but this is generally not recommended for young children because of the risk of swallowing the tooth.
Never store a knocked-out tooth in plain water for an extended period, as this can damage the root cells needed for successful reattachment.
Step 5: Contact an Emergency Dentist Immediately
Time is one of the most important factors when a tooth is knocked out. Ideally, a dentist should evaluate and treat the injury within 30 to 60 minutes for the best chance of saving the tooth.
Even if you’re unsure whether the tooth can be saved, seek emergency dental care as soon as possible. The dentist can assess the injury, check for damage to surrounding teeth and tissues, and recommend the most appropriate treatment.
A knocked-out tooth is a true dental emergency, but quick thinking can improve the chances of a successful outcome. By handling the tooth carefully, keeping it moist, and seeking immediate dental care, you can give your dentist the best opportunity to save your natural tooth and restore your smile.
About the Practice
Have you knocked out a tooth or experienced some other kind of dental emergency? At Creekview Family Dentistry, we offer same-day appointments for emergency patients and we’re open early, late, and on Saturdays for your convenience. Our compassionate and skilled team will care for you as if you’re family. Don’t delay if you’re in pain; book online or call our Lewisville office at (972) 459-1100.