How to Handle a Knocked-Out Tooth
Having a tooth knocked out is one of the most alarming dental emergencies you can experience, whether it’s from an accident, sports injury, or any sudden trauma. I’ve been in a similar situation myself, and I know how important it is to react quickly and correctly. The way you handle a knocked-out tooth can make a significant difference in whether the tooth can be saved and re-implanted. In this article, I’ll walk you through everything I learned about how to handle a knocked-out tooth, and what steps to take immediately after the incident.
1. Stay Calm and Assess the Situation
The first thing you need to do when a tooth gets knocked out is to stay calm. It’s easy to panic, but the sooner you get a grip on the situation, the better the outcome can be. Start by checking the mouth for any other injuries. If the knocked-out tooth was caused by a hard hit, you may have other injuries like cuts or bleeding that need immediate attention. After assessing any other damage, you’ll want to locate the tooth. In my case, I was fortunate enough to find my tooth almost immediately, but sometimes they can bounce or roll quite far, so keep looking!
1.1 Check the Tooth's Condition
If you’ve found the tooth, check to see if it’s in one piece. If the tooth is cracked or broken, it may still be salvageable, but you need to act fast. If the tooth is whole, it’s even more important to handle it carefully, as you don’t want to damage the root, which is key to getting the tooth re-implanted. Holding the tooth by the crown (the white part) and not by the root is the most crucial step to avoid damaging the sensitive root tissue.
2. How to Handle the Tooth
Now that you’ve found the tooth, you need to take steps to preserve it until you can get to a dentist. This is where things get tricky. If you’ve never had to deal with a knocked-out tooth before, you might not know exactly how to store it. When I faced this emergency, I learned quickly that there are a few do’s and don’ts to follow to help save your tooth.
2.1 Do Not Touch the Root
It’s critical that you never touch the root of the tooth. The root contains living tissue that is essential for re-implantation. I remember I made sure to only handle the tooth by the crown, which helped protect the root from any unnecessary damage. If you touch the root, you could harm the tooth’s ability to reattach and re-establish its connection with your jaw.
2.2 Keep the Tooth Moist
One of the most important things I learned was the need to keep the tooth moist. Without moisture, the cells on the root of the tooth can dry out, making it much more difficult for a dentist to re-implant it successfully. If you’re in a situation where you can’t get to a dentist immediately, you can place the tooth in a small container of milk, saline solution, or even your own saliva. I found milk to be the easiest option, as it's a readily available choice that helps preserve the tooth’s condition while you get to the dental office.
3. Get to a Dentist as Soon as Possible
Time is of the essence when it comes to a knocked-out tooth. Ideally, you should aim to get to a dentist within 30 minutes to an hour of the accident. If possible, call ahead to let the dental office know what happened. In my case, I rushed to the dentist right away, and fortunately, they were able to re-implant my tooth successfully. The quicker you act, the better the chances that the tooth will survive the re-implantation process.
3.1 What to Expect at the Dentist's Office
Once you arrive at the dentist’s office, the dental professional will evaluate the situation and determine the best course of action. In many cases, the dentist will clean the tooth, numb the area, and then reinsert the tooth back into its socket. Depending on the situation, the dentist may also secure the tooth with a splint to make sure it stays in place while the tissue heals. It’s not a painful process, and I was amazed at how quickly the tooth was able to be reattached. The dentist will also give you some aftercare instructions to ensure your tooth heals properly.
4. Aftercare for a Knocked-Out Tooth
After the dentist has re-implanted your tooth, you’ll need to follow specific aftercare instructions to make sure everything heals properly. For the first few days, you may need to avoid chewing on the side of the tooth and stick to soft foods to minimize pressure on the tooth. Additionally, your dentist may recommend a follow-up visit to ensure the tooth is healing properly and remains securely attached. I was instructed to be cautious with brushing around the re-implanted tooth, and I found it helpful to follow these recommendations to avoid complications.
4.1 Pain and Swelling
It’s common to experience some pain and swelling after a tooth is re-implanted. I used over-the-counter pain medication to manage the discomfort, but if the pain is severe or persistent, it’s important to contact your dentist for further guidance. Swelling around the area can also occur, but this should subside within a few days. If swelling continues or worsens, it’s best to get in touch with your dentist as soon as possible.
5. Preventing Future Dental Injuries
While I hope you never have to go through the experience of a knocked-out tooth, I learned that being prepared and educated about how to handle a dental emergency is crucial. After this incident, I made sure to wear a mouthguard when playing sports, as it can significantly reduce the risk of tooth injuries. I also encourage everyone to maintain regular dental checkups to ensure overall oral health, as a strong, healthy tooth is less likely to be knocked out in the first place.
5.1 Long-Term Care
After having a knocked-out tooth re-implanted, I followed up with my dentist regularly to ensure the tooth was healing properly. In some cases, the tooth may not reattach successfully, and the dentist may recommend other treatments, such as a root canal or a dental implant. By following my dentist's advice and practicing good oral hygiene, I was able to preserve my natural tooth for many years to come.