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Palm Beach Children's Dentistry Services

Pediatric Dental Emergencies:



This is only a reference for your convenience, not to be a replacement for a proper dental consult. Please be advised that you should always follow-up with our office during business hours at 561-798-4998

Baby Tooth is Knocked Out

Over-the-counter children’s pain medication, dosed according to your child’s weight and age, will ease the symptoms of pain. Control the bleeding by applying pressure (either by having the child bite down on a gauze or wash cloth or if they refuse to bite down, hold gauze or wash cloth in place for them) until the bleeding subsides.

If lip or any area is swollen due to the trauma, apply a cold compress.

Keep your child on a soft diet for 2-3 days and avoid any spitting or sucking.

Call our office the next business day so we may schedule an appointment to follow-up with your child.

**The baby tooth should not be replanted because of the potential for subsequent damage to the developing permanent tooth.

**If a baby tooth has been injured and is extremely loose, it is best to try to remove the tooth to avoid the child aspirating it.
This can be performed by using a washcloth or paper towel to grasp the tooth and removing it in a swift twisting motion.

Permanent tooth is Knocked Out

Find the tooth and rinse it gently (Do not scrub or clean it with soap-use only water!)

If possible, replace the tooth in the socket immediately and hold it with a gauze or wash cloth. The best chance for the tooth is for it to be replanted within 5 minutes of being knocked out.

If you are unable to put the tooth back in the socket, place the tooth in a clean container with cold milk, saliva or water.

CALL OUR OFFICE OR, IF IT IS AFTER BUSINESS HOURS, CALL OUR EMERGENCY LINE AT (561)-398-2748.

IF YOU HAVE NOT RECEIVED A RETURNED CALL WITHIN 20 MINUTES, SEEK EMERGENCY CARE AT YOUR NEAREST EMERGENCY ROOM.

Fractured or “Chipped” Tooth

If your child is experiencing discomfort, over-the-counter children’s pain medication, dosed according to your child’s weight and age, will ease the symptoms of pain.
Control the bleeding (if any) by applying pressure (either by having the child bite down on a gauze or wash cloth or if they refuse to bite down, hold gauze or wash cloth in place for them) until the bleeding subsides.

If lip or any area is swollen due to the trauma, apply a cold compress. Check the lip to see if any tooth fragments are embedded. If so, try to remove fragments from the lip gently.

Keep your child on a soft diet 2-3 days and with room temperature food and water.

Call our office the next business day so we may schedule an appointment to follow-up with your child and possibly restore the tooth.

**If it is a permanent tooth and a significant part of the tooth is missing, try to save the fractured portion in a ziplock bag with milk or water and bring it with you to your appointment.

Toothache

Over-the-counter children’s pain medication, dosed according to your child’s weight and age, will ease the symptoms of pain. Brushing, flossing, and a mild salt water rinse in the area will help relieve any discomfort resulting from food and debris trapped in the area.

IF SWELLING OF THE FACE HAS OCCURRED, apply a cold compress or ice wrapped in a cloth to the face in the location of the swelling. PLEASE CALL OUR EMERGENCY LINE AT (561)-398-2748.

IF YOU HAVE NOT RECEIVED A RETURNED CALL, SEEK EMERGENCY CARE AT YOUR NEAREST EMERGENCY ROOM.

**IF YOUR CHILD’S FACE IS SWOLLEN AND IS HAVING DIFFICULTY BREATHING OR THE SWELLING HAS CHANGED THE APPEARANCE OF THE FACE, SEEK EMERGENCY CARE AT YOUR NEAREST ER IMMEDIATELY.

Otherwise, please call our office the next business day so we may schedule an appointment to follow-up with your child.

Numbness and Tissue Biting (Cheek, Lip or Tongue)

THE SIGNS OF TRAUMA FROM BITING ARE:

  • A swollen lip, cheek or tongue (as much as three-times as normal)
  • A raw lip surface, often bite marks or abrasions can be seen on the inside of the lip or cheek
  • The affected area will be tender and sensitive
  • The following day the surface will be covered by a yellowish-white membranous “scab”
WHAT TO DO:
  • Keep your child well fed and hydrated
  • Popsicles and other frozen items will be comforting
  • Cold liquids are best- Milkshakes are a good, fun option for this
  • Avoid acidic and spicy juices or foods
**Normal healing will require 10-14 days & antibiotics are not usually necessary
Please call our office the next business day so we may schedule an appointment to follow-up with your child.

Cold/Canker Sores

Many children occasionally suffer from these sores. Since these sores usually take 10-14 days to resolve, over-the-counter preparations can give temporary relief. Avoid acidic, crunchy or spicy foods. If these sores persist, call our office the next business day to set-up an evaluation

Discomfort from Tooth Eruption

Babies can begin teething around 6 months. Rarely, babies have been known to get a couple of teeth within a few weeks of birth. A child usually has all his/her teeth by the third birthday.

Following this, children begin to lose their baby or primary teeth, and the adult teeth start to erupt. This again is a cause of teething pain in older children. Permanent or adult teeth begin to erupt from the age of around 6 years, and go on anywhere until 21 years of age or beyond, when the wisdom teeth come in.

FOR INFANTS/TODDLERS:
Giving the child something hard to chew, like teething biscuits, rubber teething rings and cool teething rings, can be helpful. The teething device should be large enough to not pose a choking hazard. Avoid using teething rings filled with liquid, since these can break or leak. Do not freeze the rings to rock hard, since this can cause even more tender gums when the child bites on them. Wet washcloths that have either been placed in the fridge or freezer are helpful to babies with teething pain. Use the washcloth to swab and massage the gums.

* Make sure to wipe away any drool on the face, since prolonged contact of saliva with skin can cause rashes in some children.

FOR OLDER TEETHING CHILDREN:
Over-the-counter children’s pain medication, dosed according to your child’s weight and age, will ease the symptoms of pain, but use on an as-only needed basis.

Sometimes a purplish “bubble-like” appearance can form around the area where the tooth is erupting. Keep your child on a soft diet and call our office the next business day to schedule an evaluation.