Dental Emergencies

Here are a few of the most common pediatric dental accidents and the steps you should take when it happens to your child.

If your child has an accident, call us at (919) 489-1543. The first 30 minutes after an accident are the most critical in treating dental trauma.

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 Knocked Out PERMANENT Tooth

  • Find the tooth
  • Clean gently
  • Place back in the socket or place in milk
  • Call immediately (919) 489-1543

Find the tooth! Handle the tooth by the top or crown and not the root portion. You may rinse the tooth but DO NOT clean or scrub the tooth unnecessarily. Try to reinsert the tooth in its socket. Have the child hold the tooth in place by biting on a clean gauze or cloth. If you cannot replace the tooth, place the tooth in a glass of milk, some contact lens solution, or wrap it in a clean, wet cloth and call our office immediately. If the tooth is broken, bring any pieces you can find.

As a rule, baby teeth are not replaced in the socket. Even so, prompt care by the dentist is recommended.

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Broken Tooth

Rinse dirt and debris from the injured area with warm water.  Place a cold compress over the injured area.  Locate and save any broken pieces you can find.  Call the office at (919) 489-1543 .

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Toothache

Clean the area around the sore tooth and rinse with warm saltwater. This will help dislodge any trapped food or debris. Take acetaminophen or ibuprofen for pain relief.  Do not place aspirin on the gum or on the aching tooth. If there is swelling, place a cold compress.  Call the office at (919) 489-1543.

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Cut or Bitten Tongue, Lip, or Cheek

First, apply ice. To stop the bleeding, apply firm but gentle pressure using a clean gauze or cloth. If the bleeding has not stopped after 15 minutes, call the office at (919) 489-1543 or go to an emergency room.

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Orthodontic Complications:

 

Loose Brackets and Broken Wires

Occasionally, orthodontic appliances can break.  This is not an emergency but we want you to call us at (919) 489-1543 and alert us as soon as possible. We can help you with the problem and schedule an appointment to have the appliance repaired.

In general, if you can easily remove the broken appliance, do so (please remember to bring it to your appointment).  If you cannot remove the broken piece, cover the protruding portion with your orthodontic wax. (Chewing gum works, too, if you can’t find your wax.) If the wire is lodged in the gums, cheek, or tongue, call us immediately and we will help you remove it.

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Please review the videos below for additional help and information:

 

parts of braces  1. Identifying Parts of Braces 

 

 

  2. Dealing with Broken and Poking Wires at Home

 

wax

3. Using Wax For Discomfort

 

 

broken brackets  4. The Problem with Broken Brackets

 

 

Foods to Avoid  5. Foods to Avoid to Prevent Loose Brackets & Broken Wires

 

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For other videos on how to take care of your braces, please click here.