• What to do if you knock out a tooth - Emergency Dentistry

    by Dr. Lee A. Ecker
    on Sep 12th, 2018

At Dr. Lee A. Ecker DDS, we know that an accidentally avulsed (knocked out) tooth is a frightening experience for any child or parent. Your quick action may permit such teeth to be replaced and saved for a lifetime. The key to successful replantation of the avulsed permanent tooth is the preservation of the periodontal ligament cells, the attachment apparatus of the tooth. With every minute that passes, more of these cells will perish. After locating the tooth and picking it up, do not attempt to wash off any dirt, or clean the tooth, as one may remove much of this necessary tissue attached to the tooth. Whenever possible, the injured person or someone present at the scene of the accident should immediately replant the avulsed tooth! The tooth's own socket is the very best way to transport this tooth to the dentist. However, many times the victim is in pain, uncooperative, perhaps hysterical. Parents, coaches or friends may be reluctant to attempt to replant this tooth. In that case, handle this injured toothed gently and place it in a balanced Salt Solution, which may be obtained beforehand at your local pharmacy. If this solution is not available, the next best medium is milk. And if neither is available, place the tooth is the child's mouth as long as you feel that the person is old enough not to swallow the tooth before getting to your dentist.

The tooth should be kept moist at all times and handled only by the crown, or biting surface of the tooth, and not the root. If it has been less than two hours in getting the tooth and the patient to care, the tooth can be replanted immediately. If it is longer than two hours, Dr. Ecker may soak the tooth in a fluoride solution for 10-20 minutes and then replant the tooth. Before attempting to replant the tooth, Dr. Ecker will first assess the extent of the injury by taking an x-ray to see if the tooth could possibly be fractured or any other injury has occurred to the oral cavity. He will stabilize the tooth by splinting it temporarily to adjacent teeth. Endodontic (root canal) treatment may still be necessary if the tooth has been traumatized to the extent that the nerve or vitality of the tooth may not recover. We are proud to provide emergency dental services to Denville, NJ and the surrounding areas. Call our office at 973-284-7813

Author Dr. Lee A. Ecker Cosmetic & General Dentistry

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