Oral Trauma

Primary (baby) Teeth

If the tooth is displaced to the side, pushed back or pushed up, the tooth should not be re-positioned. Trying to move a baby tooth may cause damage to the developing permanent tooth. Baby teeth will often migrate back into their original position without intervention. A bumped tooth may be slightly wiggly, and will likely tighten up with time. A soft diet is recommended for 1-2 weeks.

Permanent Teeth

Displaced/dislodged: Call the dentist immediately if a tooth appears to be pushed out of the socket, to the side, up, back or down. The tooth may need to be repositioned at a later time.

Knocked out: Call the dentist immediately, if you are unable to reach the dentist care should be sought at the nearest Emergency Room. Place the tooth in Tooth-Saver (if available), place the tooth otherwise in room-temperature milk.

Fractured/Cracked: A fractured tooth may be sensitive, and should be protected by a restoration until it can be fully restored. Depending on the severity of the fracture, the tooth may not be able to be restored to its final shape immediately, and can be covered with a temporary restoration. A soft diet should be followed for 1-2 weeks.

Soft Tissue Lesions

Frenum: The tissue which connects the upper lip to the gums (Maxillary Frenum) is often pronounced in young children (0-5 years). When a fall or trauma occurs to the face, the tissue can be torn or disconnected. It is a common trauma and the bleeding traditionally ceases within 10 minutes. Rinse the area with room temperature water and apply ice/cool compress as needed. A soft diet should be followed for 5-7 days.

Ulcerated lesions: An Aphthous Ulcer is a common oral lesion that can be seen after a trauma occurs or spontaneously. They mimic a “canker sore” and are yellow/white in color with a vibrant red border. Pain/discomfort to the touch, as well as citric or acidic foods can exacerbate the lesion. Lesions heal naturally in 5-14 days.