Categories Oral Health

Knocked Out Permanent Tooth: What You Need to Do

A knocked-out permanent tooth is a dental emergency that requires quick and careful action. Whether it happens during sports, an accident, or a fall, knowing what to do can make the difference between saving the tooth and losing it. Losing a front tooth can lead to lifelong complications. Though artificial tooth replacements like implants or fixed dentures offer solutions, but they may not always provide the same long-term stability or natural feel as a preserved tooth. These replacements can also be costly and may require future maintenance or replacement. Prioritizing the preservation of your natural tooth whenever possible helps avoid potential lifelong issues and the need for artificial interventions.

When a permanent tooth knocks out, the blood vessels and nerves in the root break. They are  irreparable but the bone and tissues around the tooth heal if someone replants the tooth quickly and properly. The ” someone” may be the injured person himself or the dentist.

First Aid Steps

Find the Tooth
Locate the tooth immediately. Pick it up by its crown not the root. Crown is part of teeth which visible in one’s mouth while roots are invisible as bone and gums cover them.

Clean the Tooth Gently
If the tooth is dirty, rinse it with milk or saline solution. If neither is available, use water but don’t scrub or use soap.

Reposition the Tooth if Possible
Try to gently place the tooth back into its socket. Hold it in place by biting down softly on a clean cloth or gauze.

If You Can’t Reposition It, Keep It Moist

Place the tooth in a cup of milk or saline solution. If milk or saline isn’t available, keep the tooth in the injured person’s mouth next to their cheek. Avoid storing it in water or antiseptic solutions.

Reach out to a dentist: Time is critical:
Within 30 minutes is ideal.
Within an hour still offers a good chance of success.

A dentist will check if the tooth can be re-implanted and stabilized. Sometimes, dentits use splint to secure the tooth while the bone and tissue heal.

Long-Term Outlook

If handled properly, a knocked-out permanent tooth can be saved and last for many years. However, in some cases, additional treatment like a root canal or further dental work might be needed to keep the tooth healthy.

 

About The Author

Dean at Faculty of Dentistry, Baqai Medical University

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