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Pediatric Dental Emergencies


Traumatic Dental Emergencies

Trauma to the teeth can have significant consequences.  With immediate treatment, careful monitoring and follow-up many of these complications can be avoided.  
If your child experienced a dental emergency, give us a call immediately 385-210-1000. If your child experiences injury to their tooth/teeth after hours, you can call 385.210.1000 and press 1 to be connected directly with Dr. Bart.  We will triage the urgency over the phone and if necessary will attend your child in-office any hour of the day or night.

We are ALWAYS here to assist when your child’s dental health is at risk. Some injuries are urgent and should be treated immediately.  Others are not urgent but should be evaluated within a couple days of the injury.  When in doubt call our office.  It's better to be cautious.  

Below are some common dental injuries categorized by Urgent & Non-urgent with recommendations.


Avulsed Tooth (Knocked Out Tooth)

A knocked out tooth is one of very few TRUE dental emergencies.  The longer the tooth is out of the mouth the more likely it is that the vital cells of the ligament will die.  

  1. Determine if the tooth is a baby tooth or a permanent tooth (We don't reimplant baby teeth).
  2. Only hold the tooth by the white part (Avoid touching the root)
  3. If dirty, rinse for 10 seconds under tap water
  4. Replant the tooth (stabilize the tooth by biting gently on a cloth) OR Place the tooth in a glass of milk
  5. Call our office IMMEDIATELY 385.210.1000

The quicker this protocol is followed the better chance that the tooth can be retained throughout life.  


Bitten Lip or Tongue

If your child has bitten a lip or tongue severely enough to cause bleeding, clean the bite gently with water and use a cold compress (a cold, wet towel or washcloth pressed firmly against the area) to reduce or avoid swelling. Give us a call to help determine how serious the bite is.

Object Caught In Teeth

If your child has something caught between his or her teeth, use dental floss to remove it gently. Never use a metal, plastic, or sharp tool to remove a stuck object. If you are unable to remove the item with dental floss, give us a call.

Broken, Chipped, or Fractured Tooth

If your child has chipped or broken a piece off of a tooth, have him or her rinse the mouth with warm water, then use a cold compress to reduce swelling. Try to locate and save the tooth fragment that broke off. Call us immediately.

Loose Tooth

If your child has a very loose tooth, it should be removed to avoid being swallowed or inhaled.

Broken Jaw

If you know or suspect your child has sustained a broken jaw, use a cold compress to reduce swelling. Call our emergency number and/or head to the hospital immediately. In many cases a broken jaw is the result of a blow to the head. Severe blows to the head can be dangerous and even life-threatening.

Avoiding Injury

You can help your child avoid dental emergencies. Child-proof your house to avoid falls. Don’t let your little one chew on ice, popcorn kernels, or other hard foods. Always use car seats for young children and require seatbelts for older children.

If your child plays contact sports, have him or her wear a mouthguard. Ask us about creating a custom-fitted mouthguard for your child. Finally, prevent toothaches with regular brushing, flossing, and visits to our office.

Acute Dental Pain


If your child complains of a toothache, rinse his or her mouth with warm water and inspect the teeth to make sure there is nothing caught between them. If pain continues, use a cold compress to ease the pain. Do not apply heat or any kind of aspirin or topical pain reliever directly to the affected area, because this can cause damage to the gums. Children’s pain relievers may be taken orally. Schedule an appointment immediately.

American Academy of Pediatric Dentistry American Dental Association
American Association of Orthodontists Invisalign Preferred Provider
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