Find the tooth. Handle the tooth by the crown, not the root. You may rinse the tooth but DO NOT clean or handle the tooth unnecessarily. Inspect the tooth for fractures. If it is sound, try to reinsert it in its socket. Have the patient hold the tooth in place by biting on a gauze. If you cannot reinsert the tooth, transport the tooth in a cup containing the patient’s saliva or water. The tooth also may be carried in the patient’s mouth. The patient must see a dentist IMMEDIATELY


Apply ice to bruised areas. If there is bleeding, apply firm but gentle pressure with a gauze or cloth. If bleeding does not stop after 15 minutes or it cannot be controlled by simple pressure, take to hospital emergency room.


Clean the area of the affected tooth thoroughly. Rinse the mouth vigorously with warm water or use dental floss to dislodge impacted food or debris. DO NOT place aspirin on the gum or on the achingtooth. If face is swollen, apply cold compresses. Take the child to a dentist.


If it cannot be removed easily, snip end with heavy duty nail clippers, cover sharp or protruding end with silicone ear plugs (purchase at local pharmacy), wax, sugarless gum, or cotton ball. Call your orthodontic office for further instructions.

Possible Fractured Jaw?

If a fractured jaw is suspected, try to immobilize the jaws by using a towel, tie, or handkerchief, and take the patient to the nearest hospital emergency room.

Bleeding after Baby Tooth Falls Out?

Fold and pack a clean gauze over the bleeding area and have the child bite on the gauze with pressure for 15 minutes. This may be repeated once. If bleeding persists see your dentist.

Cold/Canker Sores?

Many children occasionally suffer from cold or canker sores. Usually over-the-counter preparations give symptomatic relief. Because many serious systemic and oral diseases mimic or begin as sores, it is important to have a dental evaluation if these sores persist.

Always remember to smile! If you smile at the world, the world SMILES back!