Dental Emergencies

Although dental injuries and dental emergencies are often distressing for both children and parents, they are also extremely common.  Approximately one third of children have experienced some type of dental trauma, and more have experienced a dental emergency.

There are two peak risk periods for dental trauma - the first being toddlerhood (18-40 months) when environmental exploration begins, and the second being the preadolescent/adolescent period, when sporting injuries become commonplace.

Detailed below are some of the most common childhood dental emergencies, in addition to helpful advice on how to deal with them.

Toothache

Toothache is common in children of all ages and rarely occurs without cause.  Impacted food can cause discomfort in young children, and can be dislodged using a toothbrush, a clean finger, or dental floss.  If pain persists, contact the pediatric dentist.  Some common causes of toothache include: tooth fractures, tooth decay, tooth trauma, and wisdom teeth eruption (adolescence).

How you can help:

  1. Cleanse the area using warm water.  Do not medicate or warm the affected tooth or adjacent gum area.
  2. Check for impacted food and remove it as necessary.
  3. Apply a cold compress to the affected area to reduce swelling.
  4. Contact the pediatric dentist to seek advice.

Dental avulsion (knocked-out tooth)

If a tooth has been knocked-out of the child’s mouth completely, it is important to contact the pediatric dentist immediately.  In general, pediatric dentists do not attempt to reimplant avulsed primary (baby) teeth, because the reimplantation procedure itself can cause damage to the tooth bud, and thereby damage the emerging permanent tooth.

Pediatric dentists always attempt to reimplant avulsed permanent teeth, unless the trauma has caused irreparable damage.  The reimplantation procedure is almost always more successful if it is performed within one hour of the avulsion, so time is of the essence!

How you can help:

  1. Recover the tooth.  Do not touch the tooth roots! Handle the crown only.
  2. Rinse off dirt and debris with water without scrubbing or scraping the tooth.
  3. For older children, insert the tooth into its original socket using gentle pressure, or encourage the child to place the tooth in the cheek pouch.  For younger children, submerge the tooth in a glass of milk or saliva (do not attempt to reinsert the tooth in case the child swallows it).
  4. Do not allow the tooth to dry during transportation.  Moisture is critically important for reimplantation success.
  5. Visit the pediatric dentist (where possible) or take the child to the Emergency Room immediately –time is critical in saving the tooth.

Dental intrusion (tooth pushed into jawbone)

Sometimes, dental trauma forces a tooth (or several teeth) upwards into the jawbone.  The prognosis is better for teeth that have been pushed up to a lesser extent (less than 3mm), but every situation is unique.  Oftentimes, the force of the trauma is great enough to injure the tooth’s ligament and fracture its socket.

If dental intrusion of either the primary or permanent teeth is suspected, it is important to contact the pediatric dentist immediately.  Depending on the nature and depth of the intrusion, the pediatric dentist will either wait for the tooth to descend naturally, or perform root canal therapy to preserve the structure of the tooth.

How you can help:

  1. Rinse the child’s mouth with cold water.
  2. Place ice packs around affected areas to reduce swelling.
  3. Offer Tylenol for pain relief.
  4. Contact the pediatric dentist where possible, or proceed to the Emergency Room.

Tooth luxation/extrusion/lateral displacement (tooth displacement)

Tooth displacement is generally classified as “luxation,” “extrusion,” or “lateral displacement,” depending on the orientation of the tooth following trauma.  A luxated tooth remains in the socket – with the pulp intact about half of the time.  However, the tooth protrudes at an unnatural angle and the underlying jawbone is oftentimes fractured.

The term “extrusion” refers to a tooth that has become partly removed from its socket.  In young children, primary tooth extrusions tend to heal themselves without medical treatment.  However, dental treatment should be sought for permanent teeth that have been displaced in any manner in order to save the tooth and prevent infection.  It is important to contact the pediatric dentist if displacement is suspected.

How you can help:

  1. Place a cold, moist compress on the affected area.
  2. Offer pain relief (for example, Children’s Tylenol).
  3. Contact the pediatric dentist immediately.

Crown fracture

The crown is the largest, most visible part of the tooth.  In most cases, the crown is the part of the tooth that sustains trauma.  There are several classifications of crown fracture, ranging from minor enamel cracks (not an emergency) to pulp exposure (requiring immediate treatment).

The pediatric dentist can readily assess the severity of the fracture using dental X-rays, but any change in tooth color (for example, pinkish or yellowish tinges inside the tooth) is an emergency warning sign.  Minor crown fractures often warrant the application of dental sealant, whereas more severe crown fractures sometimes require pulp treatments.  In the case of crown fracture, the pediatric dentist should be contacted. Jagged enamel can irritate and inflame soft oral tissues, causing infection.

How you can help:

  1. Rinse the child’s mouth with warm water.
  2. Place a cold, moist compress on the affected area.
  3. Offer strong pain relief (for example, Children’s Tylenol).
  4. Pack the tooth with a biocompatible material.
  5. Visit the pediatric dentist or Emergency Room depending on availability and the severity of the injury.

Root fracture

A root fracture is caused by direct trauma, and isn’t noticeable to the naked eye.  If a root fracture is suspected, dental x-rays need to be taken.  Depending on the exact positioning of the fracture and the child’s level of discomfort, the tooth can be monitored, treated, or extracted as a worse case scenario.

How you can help:

  1. Place a cold, moist compress on the affected area.
  2. Offer pain relief (for example, Children’s Tylenol).
  3. Contact the pediatric dentist.

Dental concussion

A tooth that has not been dislodged from its socket or fractured, but has received a bang or knock, can be described as “concussed.”  Typically occurring in toddlers, dental concussion can cause the tooth to discolor permanently or temporarily.  Unless the tooth turns black or dark (indicating that the tooth is dying and may require root canal therapy), dental concussion does not require emergency treatment.

Injured cheek, lip or tongue

If the child’s cheek, lip or tongue is bleeding due to an accidental cut or bite, apply firm direct pressure to the area using a clean cloth or gauze.  To reduce swelling, apply ice to the affected areas.  If the bleeding becomes uncontrollable, proceed to the Emergency Room or call a medical professional immediately.

Fractured jaw

If a broken or fractured jaw is suspected, proceed immediately to the Emergency Room.  In the meantime, encourage the child not to move the jaw.  In the case of a very young child, gently tie a scarf lengthways around the head and jaw to prevent movement.

Head injury/head trauma

If the child has received trauma to the head, proceed immediately to the Emergency Room.  Even if consciousness has not been lost, it is important for pediatric doctors to rule out delayed concussion and internal bleeding.

If you have questions about dental emergencies, please ask your pediatric dentist.

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Testimonials

It had been almost 10 years since I my last visit to the dentist. I am one of those with "dental phobia", but thanks to Dr. Pardo and her employees I have overcome my fear!

The office is always clean, bright, and welcoming. Nelcy, is usually who you first encounter and she always makes you feel welcomed. Dr. Pardo and her employees have always made me feel comfortable while in the dental chair. They also offer you Bluetooth headphones when getting a procedure done!

I highly recommend Dr. Pardo's office when looking for a new dentist in the Glendora area.

Brynne V.

My wife and I have been having this debate on dentists for a number of years. When she moved to my town, she started seeing my dentist. And she would always tell me 'your dentist sucks, I've had better!' I would argue that I've been going to my dentist for years - through college and now as an adult and I thought my dentist was just fine. But I really had no other dentist, so I didn't know any better. Reluctantly, my wife decided to just stay with my dentist, because they were nearby and we only saw them twice a year for cleanings anyway. But then we moved and had kids and my wife said since we are now using her insurance, she gets to pick the dentist. I begrudgingly agreed. Let me just say, she was right (pause for wife's 'I-told-you-so-look'). I am so glad we changed!

Looking back, my old dentist wasn't as personable and as gentle as Dr. Pardo and her hygienists. For a long time, I just thought all the discomfort I went through was just a part of regular dentistry. I was so wrong. I was never asked so many times how I was doing or if I was feeling any discomfort. My old dentist and her hygienist often leaned on my shoulder or face during cleanings. And when they flossed me, they would cause my gums to bleed. I never really gave it much thought until it stopped happening. Dr. Pardo and her hygienist were very conscious about patient comfort and care. And after years with my old dentist, it was very refreshing. Dr. Pardo is also very knowledgeable in her practice- often giving tips, suggestions and great advice when it came to our oral care. She is also great with our kids. She is very patient and understanding and puts them at ease at every appointment, but will still go after them when it comes to brushing and flossing. I highly recommend Pardo Dentistry if you're looking for a dentist. You will not be disappointed!

Alvin D.

This was my first visit with my new dentist. I was very impressed with the office and staff.

The office is well kept and clean. I felt very relaxed in there. The dental equipment looked to be modern and well cared for. The music over the overhead speakers was relaxing and contemporary.

The office staff and dental assistants are personable and professional. They were friendly and easy to talk with.

Doctor Pardo is youthful and energetic. She seems to enjoy her profession. She listens well and provides easy to understand descriptions of her observations and thoughts. She's also open and eager to answering questions.

Even more important, she seems to have a steady hand and cool demeanor. Can't wait to experience her skills with a hypodermic needle. WAIT!! I can wait.

Chris C.

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Contact Us. We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.