Knocked Out Tooth and Dental Trauma - Here Is What You Should Do

Posted on : 22nd Feb 2020

You are vulnerable to dental trauma at any time, anywhere. Usually, it hits you when you expect it the least. Blows, trips and falls are some of the most common causes behind a knocked-out tooth. A Sunday dentist in Holborn, London, who also provides emergency services, shares the following information related to dental trauma.

Different dental trauma conditions

  • – the condition of a completely knocked out tooth and it is the most severe condition when it comes to dental trauma cases.
  • –a knocked tooth.
  • – it is the condition of minor loosening of a tooth.
  • Lateral luxation – the tooth has been pushed forward or backwards by the impact but it is still in the socket.
  • – in this condition, the tooth moves out of the socket and looks taller.
  • – the tooth has been pushed into the socket as a result of which, it looks shorter.

What to do in the condition of a knocked-out tooth?

An emergency dentist says that there are few options for you in such unfortunate circumstances to maximise the chances of retaining the tooth. Replanting the tooth back in its place is the most assured way to minimise the chances of complications down the timeline.

Further medical attention to assess the scope of injury or injuries

The person sustaining the trauma should be further medically diagnosed to assess the extent of the injury or injuries. Meanwhile, the affected tooth can be mildly cleaned with liquid like water or milk. Avoid vigorous scrubbing to get rid of dirt or debris. It is crucial to keep the roots of the tooth alive.

Importance of keeping the tooth moist

The patient should keep the tooth inserted into the socket or leave it under the tongue or folds of the cheek if it is cleaned. This keeps the tooth moist and its roots alive. You can also keep it in a cup of cold milk or contact lens solution. When a qualified dentist gets to replant the tooth into the socket within the maximum span of 2 hours after the trauma, the chances of successful replanting is significantly higher.

Tooth replanting treatment inside the clinic

The emergency dentist first conducts a thorough diagnosis. He or she may take x-rays and other clinical photographs to assess the extent of the damage. If you can’t spare time throughout the week, you can use search interest like “Sunday dentist near me” to make an appointment on the weekend.  The adjacent teeth and soft tissues are also examined at this stage. The patient’s jaw will be checked to ensure that it is nor broken or fractured. The chances of successful replanting of the affected tooth are also higher if done as soon as possible. The factors that affect this include the following:

  • How long it has been since the trauma.
  • How badly the tooth root has been damaged.
  • Age of the patient.
  • Currently what the condition of the tooth root is (whether the tooth was kept in a cold, moist medium).
  • The patient’s stage of root development.
  • Whether the injury has spread to the supporting bones and tissues in the jaw.

Re-plantation treatment for a knocked-out tooth

  • Local anaesthesia is administered to the patient to numb the senses.
  • The socket is gently flushed with saline solution to clear away all foreign debris.
  • The tooth may be soaked in a specially formulated medicated solution for about 20 minutes to maximise the chance of successful re-plantation.
  • The tooth is replanted gently with utmost care.
  • An x-ray is taken to confirm it is correctly placed in the right position.
  • A flexible splint is placed, which looks like a brace. This is kept for about 4 weeks to facilitate for the re-plantation of the tooth with the neighbouring bones for the natural tooth-retention treatment to be successful.
  • Usually, anti-biotic medicines are prescribed.

Reassessment of the treatment has to be done repeatedly to make sure that there is no complication. Complications related to tooth replanting treatment may surface years after. Thus, these routine visits to the dentist are crucial, suggests our friendly emergency dentist who’s associated with Emergency Dentist London. This private dental clinic offers emergency dental services and has an impressive success rate in handling knocked out tooth re-plantation cases.

In order to ensure the treatment yields the desired results, you should stay away from contact sports and live on a soft diet for about 2 to 3 weeks. It is also important to brush the teeth carefully during this period. You may use chlorhexidine (0.1%) mouthwash to rinse the mouth twice daily to facilitate for the faster healing of the wound.


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