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| Tooth Avulsion: Knocked Out Tooth |
A Guide for Parents
An avulsion tooth is one that has been completely knocked out of the socket.
This is a time dependant injury: the best outcomes requires replantation within minutes.
- Find the tooth
- Pick it up by the crown (White portion) and NOT the root. Look through clothes, in the mouth or on the ground. An X-Ray in the emergency room can be used to locate a swallowed tooth if required.
- Gently rinse under running tap water if it is dirty.
- Baby teeth (a primary tooth) should not be replanted as it could damage the permanent tooth bud formation.
A permanent tooth should be immediately placed back into its socket whenever possible. Hold the tooth by the crown and put it back firmly into the socket, root first. The root will usually CLICK into place. Then, ask the child to bite down on gauze, cloth or a tea bag until seen by the dentist. No local anesthesia is required for the replantation.
- Bring all the pieces of the tooth to the dentist for esthetic purposes.
- If the tooth cannot be replaced in its socket, it should be stored in a moist environment for transfer to the dentist.
Use cold milk packed in ice , or in the child's saliva. It can be put in a SAVE A TOOTH kit. (Hank balanced salt solution) if available. TAP WATER SHOULD BE AVOID.
The child should see a dentist as soon as possible. It is advise that if the accident victim shows any signs of head injury, unconsciousness, nausea or headache, medical personnel should first evaluate him\her for head injury.
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