For a larger fracture, the pulp may be directly involved and immediate treatment is required to maintain to vitality of the tooth.
The tooth must be sealed to keep the bacteria away. With a chip or a small fracture, the protective hard enamel of the tooth has been compromised, and it is possible for bacteria to enter the pulp and nerve of the tooth and cause infection. If a tooth has been chipped or fractured, it is important to bring your child to the dentist as quickly as possible to evaluate the trauma, regardless if the tooth is primary or permanent. We recommend that you take your child to the dentist as soon as possible to make sure that no additional damage has been done to other teeth or the jaw from the impact that knocked out the tooth. Trying to re-implant a primary tooth creates too great a risk to the forming permanent teeth. If a primary or baby tooth has been knocked out, we do not recommend saving it. If, for any reason, you cannot make contact with our office within 30 minutes, or you are out of town, follow the instructions above and go to your nearest emergency room. While having a permanent tooth re-implanted within 30 minutes is the best course of treatment, there are many documented cases of successful re-implantations after the tooth has been out for a longer period of time. If the child is old enough, he can keep the tooth in his mouth to transport it. If the tooth is dirty, fractured, or if you can’t get it in the socket, put it in cup with milk or the child’s saliva, and take the child and the tooth to the dentist as quickly and safely as possible. Do not worry if you do not place it exactly right, because it is better to be in the socket than not. If the tooth is not dirty or fractured, put it back in the socket and have the child keep it there by biting on gauze or a clean cloth. Do not try to clean the tooth or handle it unnecessarily. Hold the tooth by the crown, not the root. If a permanent tooth has been knocked out, it is optimal to get the tooth re-implanted within 30 minutes if possible. OUR PEDIATRIC DENTAL OFFICE WELCOMES CHILDREN’S EMERGENCY DENTAL APPOINTMENTS Knocked-out tooth
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