Emergency Treatment

Broken Baby Tooth

As children grow, falls are bound to happen.  Children may hit their face or even break a tooth. A broken baby tooth may cause damage to the nerve and will need special care. Loose teeth may be extracted to ensure they do not choke on them. Undamaged nerves and teeth that are not loose can be left untreated unless the tooth is sensitive or unsightly.

Broken Permanent Tooth

A broken permanent tooth will likely need immediate treatment. If the tooth is not bleeding, the main concern should be finding the fractured fragment and keeping it moist for reattachment. In the event that the fragment cannot be found, resin can be used to restore the tooth’s original shape and function. If the tooth is bleeding, the nerve may be exposed. The longer a nerve is exposed to bacteria, the more likely the tooth will need a root canal treatment.


Bleeding most commonly occurs from the gums. Bleeding gums can signify a number of dental issue, most commonly gum disease. Don’t turn a blind eye if your gums bleed during brushing or flossing. Use a cool damp washcloth to help locate the source of the bleeding. If the bleeding doesn’t stop after 15 to 20 minutes of applying pressure. Contact our office to determine whether stitches will be required.

Pushed up into the gum

Sometimes, a fall or an accident will cause a child’s tooth to be pushed back up into the gum. Baby teeth will usually correct themselves is this occurs. However, if  a tooth has been pushed up into the gum far enough that you can’t see it, it may not erupt back out again. Broken permanent teeth should be treated immediately. Contact our office if a permanent tooth is pushed up into the gum.

Dislocated Baby Tooth

As baby teeth will be replaced by permanent teeth, except in the event that your child’s mouth cannot be closed properly, repositioning a dislocated baby tooth is not always advised.  A dislocated baby tooth may need to be evaluated to determine if there are any root fractures depending on the age of the child. Severely loosened baby teeth may be removed to prevent damage to remaining teeth.

Dislocated Permanent Tooth

Accidents or injuries may loosen permanent teeth. If this happens or if there is significant bleeding around the tooth, immediate professional care is advised. Please contact our office if you have any concerns about a dislocated permanent tooth.  A loosened tooth that is quickly stabilized is usually permanently retained.

Knocked out Baby Tooth

If you are concerned that fragments of the tooth may be embedded in the gum please contact our office to perform x-rays. Otherwise, you may only need to stop any bleeding by applying pressure.  Baby teeth are not typically re-implanted because they will eventually be replaced by permanent teeth.

Knocked out Permanent Tooth

Do not touch a knocked out tooth’s roots, hold it by the part you can usually see above the gums. Contact and visit our office as soon as possible. The tooth may be replanted if within an hour of being dislodged. For transport of the tooth, do not clean the tooth. Place it in milk or in it’s owner’s cheek to keep it moist.

Other Emergency Topics