Is this your symptom?
- Injury to a tooth (or teeth)
Symptoms
- The main symptom is pain.
- Minor bleeding from the gums may occur.
Types of Tooth Injuries
- Loosened Tooth. May bleed a little from the gums. Usually tightens up on its own.
- Displaced Tooth. Usually pushed inward. Needs to be seen.
- Chipped Tooth. Minor fracture in a small corner of tooth. The fracture goes to the dentin (yellow color), not the pulp (red color). Not painful. See dentist during office hours.
- Fractured Tooth. The fracture goes down to the pulp. The pulp is where the blood supply and nerves to the tooth are. The main finding is a red dot or bleeding in the center of the tooth. Very painful. Needs a root canal to save the tooth.
- Knocked-Out Tooth. A dental emergency. Needs to be re-implanted within 2 hours. Hold the tooth by the crown (the white part that sticks out from the gum) and clean it by rinsing under running water. You can try pushing the tooth back in place yourself and then bite on a clean piece of cloth to hold it in place until you see the dentist. Or, you can keep it in some milk or in the space between your lip and your gum until you can see the dentist. Take care not to swallow it.
- Lost tooth. If you have had an injury and a tooth has been knocked out and you can't find the tooth, there is a possibility that you could have swallowed or inhaled the tooth into the lung.
- If you know you have swallowed it, there is nothing that can be done to get it back. It will pass through your bowel without any problem.
- If there is a possibility that you could have inhaled it, you should get a chest X-ray to see if it can be seen in the airway. This is more common in children, elderly patients, mentally challenged patients, and those suffering from neurological disorders. If the tooth is in the airway, it will need to be removed to prevent you from getting a serious lung infection.
When to Call for
Go to ER Now
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Call Your Dentist or Doctor Now
Contact Your Dentist Within 24 Hours
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Contact Your Dentist During Office Hours
Self Care at Home
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Go to ER Now
- Bleeding that won't stop after 10 minutes of direct pressure
- You may have inhaled a tooth that has been knocked out and can't be found
Call Your Dentist or Doctor Now
- Tooth is knocked out. Note: needs to be put back within 2 hours to survive.
- Tooth is almost falling out
- Tooth is pushed far out of its normal place
- Tooth that's pushed out of its normal place makes it hard to chew
- Severe pain
- You think you have a serious injury
- You think you need to be seen, and the problem is urgent
Contact Your Dentist Within 24 Hours
- Tooth is slightly pushed out of its normal place
- Chip or crack in the tooth
- Tooth feels very loose when you try to move it
- You think you need to be seen, but the problem is not urgent
Contact Your Dentist During Office Hours
- Cold fluids cause tooth pain
- Tooth turns a darker color
- Crown or cap comes off. Note: save the crown for the dentist.
- You have other questions or concerns
Self Care at Home
- Minor tooth injury
Care Advice for Minor Tooth Injuries
Cold for Pain:
- For pain, put a piece of ice on the injured gum.
- You can also use a cold pack on the cheek.
- Apply for 20 minutes.
Pain Medicine:
- To help with the pain, take an acetaminophen product (such as Tylenol).
- Another choice is an ibuprofen product (such as Advil). Ibuprofen works well for this type of pain.
- Use as needed but do not take more than the maximum recommended dosage as stated on the packet.
- If you are not sure what to take, ask a pharmacist.
Soft Diet:
- For any slightly loose teeth, eat a soft diet.
- Avoid foods that need much chewing.
- You can go back to a normal diet after 3 days. By then, the tooth should be tightened up.
What to Expect:
- Tooth pain most often goes away in 2 or 3 days.
Call Your Dentist If:
- Pain becomes severe
- Cold fluids cause tooth pain
- Tooth turns a darker color
- You think you need to be seen
- Your symptoms get worse
