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Hi Everyone!

Dr Shervin here from Artistic Dental Studio.

My topic for today is dental trauma. It is something relatively common and after reading this blog, you will have a good idea how you need to manage these cases before getting to a dentist.

There are many forms of trauma involved in the head and neck region and one of the most common ones is the one when a tooth has been knocked out. So, what shall we do before getting to a dentist? It may take a while before we can get there and it is very important that we take appropriate measures just to make sure we can save the tooth and minimise the adverse effects of such an incident.


To begin with, first of all, for any trauma directing to the head and neck region you have to be careful and check for other injuries like concussion or anything like that that could be even more important than a knocked out tooth. Serious bleeding is another thing to consider before paying attention to the tooth.

Then, we need to clarify if the tooth was a primary or permanent one. Children older than five years of age may have a mixture of primary and secondary teeth and it is a little bit hard to distinguish between them. As a rule of thumb, primary teeth are much smaller and lighter in colour than permanent teeth. It is important to know the type of the tooth because the way we treat them is totally different. You should not put back the primary teeth, but permanent ones have to be replaced as quickly as possible.

In some cases, the tooth could not be found. In these cases, the tooth might have been pushed into the bone, or the child may have swallowed or even inhaled it, so you need to consider different possibilities.

If you can find the tooth, what you need to do is to just grab the tooth by the crown. Never touch the root, because cells that are remaining on the root are very important to re-create that lost connection again.

The next thing you need to pay attention to is that most probably the tooth is not clean now because it has been out of mouth. So, you need to rinse it. Either use dairy milk or saline (diluted salt solution). Never use water.

Now try to replant the tooth as quickly as possible. Don’t worry about the pain, because the child is already excited, so you can just put the tooth in there and push it in. If it doesn’t go in, there could be another cause like fracture of the bone or something like that and you definitely have to go to a dentist anyway, so just keep the tooth in a safe place. The best material is dairy milk. You can keep the tooth for six hours this way. If milk is not available, store in saline or saliva in a plastic wrap. Never allow the tooth to dry out and never use water. The sooner you put the tooth back, the more the chance you can save it.

Once the tooth is in place, you need to use a kind of temporary splint to hold the replanted tooth in place. A temporary splint could be as easy as a piece of tin foil. Just fold it around the tooth and the neighbouring teeth, so it could hold the tooth in place until you get to a dentist. Make sure Tetanus immunisation is up to date.

Upon your arrival to the dentist, they evaluate the situation and put the tooth back if not already done, prescribe some antibiotics, and do proper splinting of this tooth to the neighbouring ones. The key is that you need to replant the tooth as quickly as possible and if you want to store it, never put it in water.

Hope you like it! Check the next blog, it is the continuation of trauma, focusing on tooth fractures.

See you around!


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