Pediatric Emergencies

Toothache

Remove causative factor if visible by flossing and rinsing with warm salt water. Apply a cold compress on and off if the face has become swollen. Take over the counter acetaminophen/Tylenol as needed. See a dentist as soon as possible for more definitive treatment.

Knocked Out Adult Tooth

Locate the tooth. Handle by the crown/white portion leaving the root untouched. Rinse the tooth but DO NOT clean or handle the tooth unnecessarily. If possible, re-insert it into the socket and have the child stabilize it by biting on a clean gauze or cloth. If reinsertion is not possible, transport the tooth in a cup of milk or salt water. See a dentist immediately as time is critical in saving the tooth.

Broken Braces and Wires

If possible, remove loosely attached sharp portions. If removal is not possible cover the protruding portion with wax, cotton balls, gauze, or chewing gum. If the wire is stuck in the gums, cheek, or tongue, DO NOT attempt to remove it. Seek professional dental assistance immediately.

Broken Tooth

Clean injured area by rinsing with warm salt water. Manage swelling with a cold compress on and off. See your dentist as soon as possible. Bring in any located tooth fragments.

Bleeding After a Baby Tooth Falls Out

Have the child bite on the gauze with pressure for 15 minutes. This may be repeated once. If the bleeding persists, see a dentist.

Cold/Canker Sores

These sores are common and not an emergency, however they may be painful. Acetaminophen/Tylenol relief may be helpful. Some sores are indicators of other underlying diseases and therefore a dental appointment should be scheduled for evaluation. Consider taking a photo for documentation and comparison.

Tooth Discoloration

Discoloration may be an indication of underlying trauma or trauma. While discoloration alone is not an emergency, an appointment should be made with your dentist as soon as possible to evaluate the tooth and remedy the issue.

Cut or Bitten Tongue, Lip, or Cheek

Control bleeding with continuous pressure using a clean gauze or cloth. If bleeding persists past 15 minutes, seek emergency medical attention. Apply ice to the area on and off to decrease swelling.