Having a tooth knocked out (avulsed) is a scary situation and is a serious dental emergency. This is especially true if a permanent adult tooth is involved. If action is taken quickly, it may be possible to save the tooth. A dental professional should quickly be located near Cupertino. Some experts have found that a tooth that has been re-implanted within 30 minutes to 1 hour of avulsion has a higher probability of success. A longer wait time may result in a lower probability of successful re-implantation. Cupertino residents may contact Dr. Antonious for an avulsed tooth or any dental emergency.
An emergency room visit may be necessary for night or weekend accidents if an open dental office near Cupertino cannot be located.
Tooth avulsion may be caused by:
- Accidental Falls
- Automobile Accidents
- Participation in Sports
Avoid touching the root of an avulsed tooth. The tooth should be held by the crown. If the tooth has visible debris on it, gently wipe it with a clean cloth. The tooth should not be allowed to dry out. Milk, saline, water or saliva may be used to maintain moisture. The avulsed tooth may be put in a clean container with saline, milk, or water. Some dental professionals recommend holding the tooth under the tongue, or between the gums and cheek to keep it moist. Caution must be used to avoid swallowing the tooth or inhaling it.
Some dentists recommend that patients try to place the tooth back into the socket immediately, while others recommend waiting until the dental emergency appointment. Hands should be cleaned prior to touching the wound to prevent the transfer of additional bacteria. Even if you are able to re-insert the tooth yourself, it will still be necessary to contact a Cupertino area dentist for a dental emergency visit. Feel free to call us immediately.
If the tooth is not broken, and the surrounding bone is undamaged, the dentist will clean the area and attempt to re-insert a tooth. A splint that connects the avulsed tooth with the adjacent teeth is needed in all cases. This will provide support and stability while the tooth re-integrates into the surrounding bone. Common splint materials are composite resin and wire. Biting and chewing directly on a tooth that has been avulsed, re-implanted, and splinted should be avoided during the healing process.
Root canal therapy is often necessary for re-inserted teeth. Once anesthetic is administered and you are fully numb, the blood vessels and nerve will be removed from the inside of the tooth. The inside of the tooth will be gently yet thoroughly cleaned. The canal of the tooth will be filled with a rubbery material called Gutta Percha. A strong filling will be used to seal up the excess opening made by the dentist to do the root canal. A crown may be needed as a final restoration. Follow up x-rays and examinations will be necessary to look for signs of infection and to monitor the progress of the attachment to the bone.
Athletic mouth guards may help protect the teeth against fractures and avulsion when worn while playing sports. Wearing a seatbelt while driving or riding in a car may help to prevent accident trauma related avulsion.