Gila C. Dorostkar, DDS, PC: Pediatric Dentistry

emergencies: Patient Information: Pediatric Dentist Marin, CA Child Dental Care: Dr Gila C. Dorostkar

emergencies

First, assess whether or not your child's injury involved hitting the head causing them to lose consciousness even for a brief moment, or if there are any medical concerns.  If this is the case, call your pediatrician first or go to a hospital emergency room.  Worry about the teeth later.

When is a tooth falling out not an emergency?

When is a tooth falling out not an emergency?

When the tooth is exfoliating (being pushed out by the permanent tooth).  Teeth naturally fall out as their roots are resorbed or dissolved away by an erupting permanent tooth.  This process can cause the baby tooth to change color and get extremely loose.  Loose teeth are often uncomfortable to brush or eat with.  Though not an emergency, if your child is uncomfortable with a loose tooth, you can make an appointment and bring them in to be checked.

Can dental injuries be prevented?

Can dental injuries be prevented?

Yes.  First, reduce oral injury in sports and recreation activities by having your child wear a helmet and/or mouth guard when warranted.  Second, always use a car seat for young children.  Require seat belts for everyone else in the car.  Third, childproof your home to prevent falls, electrical injuries, and choking on small objects.  Fourth, protect your child from unnecessary toothaches with regular dental visits and preventive care.

What should I do if my child's baby tooth is knocked out?

What should I do if my child's baby tooth is knocked out?

Contact your dentist as soon as possible.  We do not re-implant baby teeth but it is important to examine your child to be sure no fragments of tooth are embedded in the gums, lip or tongue, as well as determine the extent of trauma to other teeth in the area.  Bring along the knocked out tooth.

What should I do if my child's permanent tooth is knocked out?

What should I do if my child's permanent tooth is knocked out?

Find the tooth! Hold the tooth by the crown (top) an rinse it gently using only cool water.  Do NOT scrub it or clean with soap - JUST WATER!  If possible, replace the tooth back in the socket and hold it there with clean gauze or a washcloth.  If you can't put the tooth back in the socket, place the tooth in a clean container with milk or water.  Milk is the best choice.  Call your dentist immediately.  Teeth that have been knocked out will almost always require a root canal, but they can often survive for years if treated promptly.  The faster you act, the better your chances of saving the tooth.

What if a tooth is chipped or fractured?

What if a tooth is chipped or fractured?

Contact your dentist immediately to determine if the fracture requires immediate attention.  Rinse your child's mouth with room temperature water and apply cold compresses to reduce any swelling.  If you can find the broken tooth fragment, bring it with you to the dentist.  A fragment can often be bonded back onto the tooth.  Even without the broken piece, a dentist can restore the tooth to its natural appearance with bonding.

What if my child has a toothache?

What if my child has a toothache?

Clean the area around the sore tooth thoroughly by rinsing your child's mouth with water and flossing & brushing away any trapped food.  Give your child an over-the-counter pain reliever approved by your pediatrician.  Visit your dentist promptly.  If there is any swelling in your child's gums or face, call your dentist immediately.

Our phone number is (415) 461-0414.

Our voicemail will give you a direct phone number for the pediatric dentist on-call.  on weekends and holidays, Dr. Dorostkar and Dr. Golinveaux share emergency coverage with three other pediatric dental practices in Marin.

First Aid For Dental Emergencies Handout