glossary-tooth-injury
Tooth Injury
Definition: Any damage to a child's tooth from a fall, sports impact, bite injury, or other trauma. Tooth injuries range from a small chip to a tooth being knocked completely out, and what you do in the first 30 minutes often determines whether the tooth can be saved.
Parent Tip: If a permanent tooth is knocked out, time matters more than almost anything else. Pick the tooth up by the crown (the white part), not the root. If it is dirty, gently rinse it with milk or saline, not tap water. If you can, place the tooth back into the socket and hold it there with gentle pressure or a clean cloth. If that is not possible, place the tooth in a cup of milk or plastic wrap to keep it alive until you can get to a dentist. Get to a dentist or emergency room within 30 to 60 minutes. The faster you get there, the better the chance the tooth survives. The best chance for reimplantation is within one hour.
What to Do by Injury Type
- Chipped or cracked tooth: Rinse the mouth with water, save any tooth fragments in milk, and call your dentist within 24 hours
- Loose permanent tooth: Have your child gently bite down on a clean cloth to stabilize it, and call your dentist right away
- Permanent tooth knocked out: Follow the tooth saving steps above and get to a dentist within 30 to 60 minutes
- Baby tooth knocked out: Do not try to put it back in. Control bleeding with gentle pressure and call your dentist
- Bleeding from the mouth: Apply gentle pressure with clean gauze for 10 minutes. If bleeding does not stop, call your dentist or pediatrician
- Tooth pushed into the gum: Do not try to pull it out. Get to a dentist as soon as possible, control any bleeding.
Why It Matters: Most parents do not realize that a knocked out permanent tooth can often be saved if you act fast. The window is short, usually 30 to 60 minutes, and the key is keeping the tooth alive until a dentist can reattach it. Milk is one of the best storage fluids because its salt and sugar content keeps the tooth's root cells alive. Water actually damages those cells, which is why you never store a knocked out tooth in water. Knowing these few steps can mean the difference between a saved tooth and a lifetime of dental work.
Related Terms: Bleeding Control, Fall Injuries, Mouth Injury, Sports Injuries, Wound Care
Written and reviewed by Jeremy Manke, Firefighter / Paramedic (22 years of emergency service)
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