Dental Trauma

Dental Trauma

Loss of Permanent (Adult)Tooth

If a permanent tooth is knocked out and found immediately, re-implantation can be attempted. The tooth should be held by the crown (the part visible in the mouth) and not the root (the pointed end). Any dirt on the tooth can be removed by rinsing with milk or tap water. Do not attempt to brush or scrub or disinfect the tooth. The socket should be supported by biting on a clean folded handkerchief or tissue, until seen by the dentist.

  •   If re-implantation is not attempted the tooth should be placed in a sealed container of milk. (Do not let the tooth become dry). The patient should then be taken to the dentist as soon as possible
  •   Do not place the tooth in disinfectant
  •   Bleeding should be controlled by biting on a clean handkerchief or tissue, for 20 minutes
  •   Delay in seeking advice can result in the loss of the tooth, which could be saved.

Broken Jaw

If someone has a suspected broken jaw, do not move it. The jaw should be secured in place with a handkerchief, necktie or towel, held around the jaw and over the top of the head.

  •   Cold compresses should be used to reduce swelling
  •   Go immediately to the casualty unit at your local hospital.

Loose or broken wires from a brace

If a wire is loose, cover the wire end with a small cotton ball, beeswax or a piece of gauze, until you can get to the dentist.

Seek immediate help if a wire gets stuck in the cheek, tongue or gum, but don’t try to pull it out yourself.

Chipped Tooth

If a tooth is chipped, it should be repaired as soon as possible to prevent further damage.

Save the broken portion and take to the dentist. Avoid hot or cold drinks or foods.

It is advisable to always wear a gum shield, when taking part in contact sports, to avoid any injury to the teeth.

Ask your dentist or your sports coach for details.

Accidents involving the mouth

Clean up any blood following normal Cross Infection procedures, and check if a tooth is missing

  •   Stop any bleeding by getting the patient to bite with gentle pressure, on a gauze pad or a folded handkerchief
  •   Baby or first teeth should not be re-implanted. There is nothing to be done if a baby tooth is lost, but parents may wish to consult a dentist for reassurance.
  •   If the injury appears more severe it may be best for the patient to be taken to the local hospital
  •   If the patient has difficulty breathing, and there is a tooth unaccounted for, it could have been breathed into the lungs. Although rare it is a medical emergency, and 999 should be called
  •   If a tooth has suffered an injury but remains in the socket avoid chewing and ensure the patient visits their usual dentist