Pediatric Dental Emergencies

Tooth Ache

As a cavity enlarges, it encompasses more of the dentinal area and encroaches on the pulp tissue, both of which are rich in nerve endings resulting in pain. Thoroughly brush and floss around the tooth to remove all food debris and plaque. Take age appropriate doses of Tylenol and/or ibuprofen just as you would for treating a fever. Avoid foods high in sugar, continue to keep the tooth clean, and see a dentist as soon as possible. If there is any facial swelling, the child must immediately be placed on antibiotics.

Broken Tooth

If possible, recover the broken piece and and place in a small amount of milk to keep the tooth fragment hydrated. Check for other injuries such as additional broken teeth, loose or displaced teeth and soft tissue injuries. See the child's dentist as soon as possible. If the tooth is displaced, seek immediate dental attention. Broken/fractured teeth are often sensitive to cold including cold air. If this is the case, try to avoid cold sensations. If the broken tooth exposes the pulpal tissue, further treatment may be indicated.

Knocked Out Permanent Tooth

Time is critical. Recover the tooth, making sure to hold it by the crown (top) and not the root end. Gently rinse the root portion of the tooth to remove debris. Do not scrub the root and do not rinse it in any type of disinfectant as this will damage the cells lining the root. If possible, reinsert the tooth into the socket and hold in place with a clean cloth. If reinserting is not an option, place the tooth in milk. See the child's dentist immediately. Avulsed teeth that are reinserted within one hour have a much better chance of success.

Orthodontic Emergencies



Loose Brackets or Bands

Call our office as soon as reasonable if you break or loosen any of your appliances. Calling will allow us to create a time to see you. Repairing broken brackets and appliances in a timely manner will minimize delays in treatment.

Wire Irritations

Unfortunately, wires may shift and ligatures sometimes work loose which can lead to discomfort. If you can identify the area, cover it with wax which we should have provided you. You may try pushing on the wire or sliding it right or left to reduce the irritation. Please call the office so that we may correct the problem. We apologize for these inconveniences.

Discomfort with Orthodontic Treatment

Following initial placement of your braces and following some adjustments, you should expect some discomfort. Typically, the period of greatest discomfort is the first few days following initial placement. We recommend taking ibuprofen or Tylenol to help reduce the discomfort. We are very aware of procedures that have increased potential of causing discomfort and make every effort to minimize these adverse feelings. At any time you feel that you need to call the office to be seen, please do so. We appreciate you choosing us and are trying to make your journey through braces as uneventful as possible. Thank you for your confidence.