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Knocked-out tooth: what to do in the first hour

Knocked-out tooth: what to do in the first hour

A knocked-out tooth is a dental emergency. If an adult tooth is put back quickly, it can sometimes be saved. The first 30 to 60 minutes matter most.

If an adult tooth is knocked out

  • Find the tooth and pick it up by the crown (the white part), not the root.
  • If it’s dirty, rinse it briefly in milk or saline. Don’t scrub it or wrap it in tissue.
  • If possible, gently push it back into the socket and bite on a clean cloth to hold it.
  • If you can’t replant it, keep it in milk, in saline, or inside the cheek (only for adults who won’t swallow it).
  • See a dentist immediately.

If a baby tooth is knocked out

Don’t put a baby tooth back, as this can damage the adult tooth developing underneath. See your dentist to check for other injuries.

Broken or chipped teeth

  • Rinse the mouth with warm water.
  • Save any pieces in milk.
  • Use a cold compress for swelling.
  • See a dentist promptly, especially if there is pain or the tooth looks pink in the centre, which may mean the nerve is exposed.

Loosened or pushed-in teeth

Don’t try to move the tooth. See a dentist as soon as possible.

Prevention

Wear a mouthguard for contact sports such as rugby, hockey and boxing. A custom-made mouthguard fits better and offers more protection than a shop-bought one.

Need urgent help?

Call Dr H.B Mohamed’s practice in Lenasia on 011 852 7866. If there is a head injury, loss of consciousness or heavy bleeding, go to an emergency department first.