Avulsed Tooth

What is an avulsed tooth ?

An avulsed tooth is a tooth which has been knocked out

I’m bleeding - what can I do ?

Don’t panic. Get a clean handkerchief and fold it up , then hold it over the socket and bite down. Keep your jaws together to apply pressure. If you need something for the pain, don’t take anything containing aspirin as this can encourage further bleeding. Do not apply clove oil to the wound. Do not rinse.

I’ve still got the complete tooth, can it be replaced ?

Maybe. The complete tooth needs to be replaced in the socket a soon as possible, ideally in under 30 minutes. But teeth have been successfully replaced up to 60 minutes after being knocked out.

What should I do with the tooth ?

Avoid handling the root. If it is very dirty, rinse it with milk and wipe it clean very, very gently with a clean cloth. Do not clean it with disinfectant or water or let it dry out. Do not scrub it.

How do I put the tooth back in ?

Hold the tooth by the crown and put it back into the socket firmly, root first. Bite on a clean handkerchief for about 15-20 minutes.

What should I do if I can’t get the tooth back in ?

Your tooth has more chance of survival if you keep it in your cheek until you can get emergency dental treatment. This will keep the tooth in its most natural environment. If this is not possible, keep it in some milk.

What if I have only got part of the tooth that has been knocked out ?

It is not a good idea to try and put the tooth back in the socket if it not complete. Contact the practice as soon as possible and the dentists can advise you what options are available to restore the tooth. You may need dental X-rays to see if there is any root damage.

Is there anything I should do if I haven’t got the tooth ?

If you cannot find the tooth, you may have swallowed or inhaled it, you may need an X-ray to be sure of this.

What should I do if a baby tooth has been knocked out ?

Most dentist would not recommend re-implanting a baby tooth in case an infection damaged the adult tooth underneath. Contact us as soon as possible for advice. We may need to examine the child to check if any fragments of tooth are still in the gum. There is no way of temporarily replacing a baby tooth, so the treatment is to wait for the adult tooth to come through.

Where should I get emergency dental treatment if a tooth has been knocked out ?

It is important to get emergency dental treatment. Call our reception at once during our opening hours. When the practice is closed please call our of hours emergency number and a dentist will be paged. If you are on holiday and a long way from the practice phone NHS direct.

What might happen at my emergency visit ?

The dentist will assess the immediate situation and may treat any facial injury. However, treatment may be limited if there is any bruising or bleeding. They may take X-rays and will check if the tooth has re-implanted successfully. You will probably need more appointments for follow-up treatment.

What further treatment options will be available ?

If the tooth has re-implanted successfully you may not need any further treatment as long as you keep up your regular check-ups with the dentist. If the tooth becomes loose, it can be splinted to the teeth next to it. This means it will be temporarily attached to keep it firm until your dentist can tell whether it has re-implanted successfully. If the tooth is lost or doesn’t implant successfully, it can be replaced at first with a denture. Then, when the socket has healed fully, you can usually have a bridge or dental implant.

What can I do to avoid getting a tooth knocked out ?

You could wear a mouthguard ,a rubber-like cover that fits over your teeth and protects you against a blow to the mouth. Your dentist can have one made for you by taking an impression of your teeth and sending it to a laboratory. The laboratory then makes the mouthguard so that it fits your mouth exactly. Mouthguards can be clear or coloured- for example in the colours of the team kit if you want to wear one while playing sport.