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John R. Christensen, D.D.S., M.S., M.S., P.A.
121 Woodcroft Parkway * Durham, NC 27713 * Phone (919) 489-1543 * Fax (919) 489-2892
Dental Emergencies
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Dr. John Christensen
Pediatric Dentistry & Orthodontics
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Toothache

Clean the area around the sore tooth thoroughly. Rinse the mouth vigorously with warm saltwater to dislodge trapped food or debris. DO NOT place aspirin on the gum or on the aching tooth. If face is swollen, apply a cold compress. Take acetiminophen for pain and see a dentist as soon as possible.
Cut Lip or Bitten Toungue, Lip or Cheek

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

If a broken appliance can be removed easily, take it out. If it cannot, cover the sharp or protruding portion with cotton balls, gauze or chewing gum. If a wire is stuck in the gums, cheek or tongue, DO NOT remove it. Take the child to a dentist immediately. Loose or broken appliances which do not bother the child do not usually require emergency attention..
Broken Tooth

Rinse dirt from injured area with warm water. Place a cold compress over the face in the area of the injury. Locate and save any broken tooth fragments. Immediate dental attention is necessary.
Knocked Out Permanent Tooth

Find the tooth. Handle the tooth by the top (crown), not the root portion. You may rinse the tooth but DO NOT clean or handle the tooth unnecessarily. Try to reinsert the tooth in its socket. Have the child hold the tooth in place by biting on a clean gauze or cloth. If you cannot reinsert the tooth, transport the tooth in a cup containing milk or water. See a dentist IMMEDIATELY! Time is a critical factor in saving the tooth.

Primary or baby teeth are not generally replaced into the socket, however prompt care by the dentist is recommended.