Knocked Out Permanent Tooth
Find the tooth. Handle the tooth by the crown, not the root portion. You may rinse the tooth but DO NOT clean or handle the tooth unnecessarily. Inspect the tooth for fractures. If it is sound, try to reinsert it in its socket. Have the patient hold the tooth in place by biting on a gauze. If you cannot reinsert the tooth, transport the tooth in a cup containing milk. Primary or baby tooth are not generally replaced into the socket, however prompt care by the dentist is recommended.
Rinse dirt from injured area with warm water. Place cold compresses over the face in the area of the injury. Locate and save any broken tooth fragments. Immediate dental attention is necessary.
Broken Braces and Wires
If a broken appliance can be removed EASILY take it out, if it cannot, cover the sharp or protruding portion with cotton balls, gauze or soft chewing gum. If a wire is stuck in the gum, cheek or tongue, DO NOT remove it. Take the patient to a dentist immediately. Asymptomatic loose or broken appliances do not usually require emergency attention.
Cut or Bitten Tongue, Lip or Cheek
Apply ice to bruised areas. If there is bleeding, apply firm but gentle pressure with a gauze or cloth. If bleeding does not stop after 15 minutes or it cannot be controlled by simple pressure, take the child to the hospital emergency room.
Clean the area of the affected tooth thoroughly. Rinse the mouth vigorously with warm water or use dental floss to dislodge impacted food or debris. DO NOT place aspirin on the gum or on aching tooth. If face is swollen, apply cold compresses. Take the child to a dentist!