BUMPED TOOTH...NOW WHAT?
There are several problems to watch for after your child has bumped his or her primary or permanent tooth. The nerve and blood vessels inside the tooth may have been damaged. Sometimes the nerve dies and becomes infected.
An infection may be evident by one or more of these signs:
1. Pain - especially sensitive to biting or pressure
2. General swelling of the gum tissue near the tooth
3. Pimple-like spot (gum boil or abscess)
4. A change in color of the tooth.
These signs can occur several weeks to several years after the teeth are injured.
If you notice any of the above, call our office to examine the child's tooth. Treat the problem promptly to prevent further irreversible damage to the tooth.
Our office is happy to answer any questions.
CARE OF A KNOCKED OUT TOOTH
If a tooth is completely knocked out, it should be quickly rinsed off with water, but never scrubbed. The tooth should be held by the crown (top), handling the root could damage the ligaments. It is important to call and bring the child to our office immediately.
For knocked out permanent teeth, the sooner the tooth is put back in the socket, the better its chances. The best chance for survival occurs if the tooth is re-implanted within 30 minutes. Once implanted, the dentist will stabilize the tooth with a splint.
Do not transport the tooth dry. This will cause damage within minutes. Transporting the tooth in water is not recommended. You may place the tooth between the cheek and gum or in the floor of the mouth. The mouth is the best place for the teeth because it protects the root by keeping it moist with saliva and provides protection against outside bacteria. Placing the tooth in saline, milk or saliva are effective substitutes.
If the socket is bleeding, rinse the mouth out with water. Place a wad of tissue or gauze on the socket and have your child bite down. The pressure exerted will usually stop the bleeding.
For loosened, pushed in, or broken teeth, avoid eating or drinking anything. If the tooth is broken in pieces, retrieve any remaining parts and transport them in one of the suggested methods.