Dental Emergencies: What to Do When Accidents Happen

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Dr. Kasey and the team at Kids Tooth Team in Orion Township, Michigan love helping kids keep their smiles healthy and bright. But sometimes accidents happen. And that’s when it's important to know what to do in a dental emergency.

There are two main types of dental emergencies:

  1. Trauma: This is when a tooth gets knocked out, broken, or chipped.
  2. Infection: This is when a toothache is severe or accompanied by swelling, suggesting an infection.

In today's blog, we're going to focus on dental trauma. It's something we see a lot of, especially during summertime when kids are more active playing sports and spending time outdoors.

Staying Calm During a Dental Emergency

The most important thing to remember when a dental emergency strikes is to stay calm. Kids often get scared, and when they're scared, parents get scared too. But the faster you can act calmly, the better the chances of saving your child's tooth.

What to Do When a Tooth Gets Knocked Out

If your child loses a tooth, time is of the essence. Here's a step-by-step guide on what to do:

  1. Find the Tooth: The first step is to find the tooth. Sometimes it might be hiding under the tongue or in the back of the throat. If you’re having trouble finding it, ask your child to try to spit it out. If the tooth isn’t visible, you may want to reach out to your child’s pediatrician for assistance.
  2. Gently Rinse the Tooth: If you find the tooth, gently rinse it with water or saline solution. Avoid scrubbing it as this can damage the tooth.
  3. Re-implant the Tooth (If Possible): If you can, try to re-implant the tooth back into its socket. Hold the tooth by the crown (the top part) and gently guide it back into place. If the tooth is very dirty, rinse it with water first. Have your child gently bite down on a clean washcloth or gauze to help keep it in place.
  4. Store the Tooth: If you can't put the tooth back in the socket, you need to store it properly. The best way is in a container of milk, Hanks Balanced Salt Solution (if available), or saline solution.some text
    • Why Milk? Milk helps protect the tooth's root from drying out. It's a simple and effective solution you likely have on hand.
  5. Get to the Dentist ASAP: Once you've stored the tooth, bring your child to see us, or another dentist, right away. Time is crucial for saving a knocked-out tooth.
Dental Emergencies: What to Do When Accidents Happen
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Dealing with Tooth Fractures

Sometimes a tooth might not get knocked out but is broken instead. Here’s what to do:

  1. Find the Broken Piece: Carefully search for the broken fragment of the tooth.
  2. Store the Piece: Just like a knocked-out tooth, store the broken piece in milk or Hanks Balanced Salt Solution (if available).
  3. Get to the Dentist: You’ll want to come in as soon as possible to have the fractured tooth evaluated. The best-case scenario is that the broken piece can be reattached.

What if the Tooth Doesn’t Come Out?

If a tooth is damaged, but it’s still in place, it’s still a dental emergency. You should call our office or go to an emergency room immediately, especially if your child has:

  • Severe Pain: This could be a sign of a cracked tooth, a broken tooth, or a nerve injury.
  • Swelling: Swelling can be a sign of an infection.
  • Exposure of the Nerve: If you can see a pink or red spot on the tooth, that’s a sign of a nerve injury. This is particularly important for adult teeth.

Preventing Dental Emergencies in the First Place

The best way to prevent dental trauma is to wear mouth guards during contact sports.

  • Custom Mouth Guards: For kids who have all their adult teeth, we can make a custom mouth guard that fits perfectly. These are ideal for high school and late middle school athletes.
  • Boil-and-Bite Mouth Guards: For kids who are still losing teeth or have a mix of baby and adult teeth, boil-and-bite mouth guards are a good option. They’re readily available at sporting goods stores and pharmacies.

While these mouth guards can't prevent every injury, they offer a good level of protection.

Teeth Can Be Reattached If You Know What To Do:

For anyone wondering if reattachment is possible, Dr. Kasey has a dental trauma story to share.

It was a beautiful summer day and we had a patient, an 8-year-old boy, who came in after falling off his scooter and cracking a tooth in half. Now, this little guy was scared and in pain, but thankfully, his mom knew just what to do.

She came racing into our clinic with a ziplock bag filled with milk and a small fragment of tooth inside. She had been looking all over for it, knowing that you can actually re-attach pieces of teeth if you have the fragment.

We were able to quickly bond the piece of his tooth back on. It looked good as new, and he was so happy to have his smile back. It’s a great reminder of how important it is to be prepared for these situations, and to know how to handle them.

Importance of Follow-Up Care

Here at Kids Tooth Team, we recommend follow-up appointments for patients who have experienced dental trauma. This helps us ensure that the injury is healing properly and that the tooth stays healthy.

Tips for Keeping Your Child’s Smile Healthy

Beyond emergency situations, there are things you can do to keep your child's smile healthy and strong:

  • Schedule Regular Dental Checkups: We recommend bringing your child in for checkups every six months. This allows us to spot any potential problems early on and prevent them from becoming bigger issues.
  • Good Oral Hygiene: Make sure your child brushes twice a day with fluoride toothpaste and flosses at least once a day.

What to do if You’re in Orion Township, Michigan

At Kids Tooth Team, we’re here to help your family. We have years of experience in pediatric dentistry, and we’re committed to providing compassionate and high-quality care. If your child experiences a dental emergency, please call us at (248) 422-0555. We’re always here to help!

We hope you found this blog helpful. Stay safe out there, and remember that a healthy smile is a happy smile!

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