How to Handle a Knocked-Out Tooth | Emergency Steps

A knocked-out tooth is a dental emergency that requires immediate action to increase the chances of saving the tooth.

Whether due to a sports injury, accident, or sudden impact, knowing the right steps to take can make all the difference in preserving your smile.

In this guide, we’ll walk you through what to do if a tooth gets knocked out and how to handle the situation effectively.

Why Acting Quickly Matters

When a tooth is knocked out, the tissues, nerves, and blood vessels connected to it are damaged.

However, if the tooth is properly handled and reinserted within 30 to 60 minutes, there is a higher chance of successfully saving it.

The key to increasing the chances of reattachment is to keep the tooth moist and seek professional dental care immediately.

Pick up the tooth by the crown (the white part you normally see in the mouth).

Avoid touching the root (the part that was inside the gum) to prevent further damage to the delicate fibers that help with reattachment.

If the tooth is dirty, rinse it gently with water for a few seconds.

Do not scrub or use soap, toothpaste, or any chemicals.

Do not dry the tooth or wrap it in tissue or cloth, as this can damage the root cells needed for reattachment.

If possible, carefully push the tooth back into the socket in its correct position.

Hold it in place by gently biting down on a clean cloth or gauze.

If you are unable to reinsert it, move on to the next step.

If reinserting the tooth isn’t possible, it is crucial to keep it moist until you reach the dentist. Here’s how:

Place it in milk – This is the best option for preserving the tooth’s root cells.
Use a tooth preservation kit – If available, use an emergency tooth preservation solution (such as Save-A-Tooth®).
Hold it inside your mouth – If no other options are available, keep the tooth in your cheek to keep it hydrated (only for older children and adults, as younger children may swallow it).

Do NOT store the tooth in water – Water can damage the root cells, making reattachment less likely.

Time is critical! Try to see a dentist within 30 to 60 minutes for the best chance of saving the tooth.

If a dentist is not available, visit an emergency room or urgent care center.

When you arrive at the dentist’s office, they will:

Examine the tooth and socket for any additional damage.
Clean the tooth and socket before attempting reinsertion.
Secure the tooth with a splint (a small wire or plastic device) to hold it in place for a few weeks.
Monitor healing to ensure the tooth properly reattaches to the bone.

If the tooth cannot be saved, the dentist will discuss replacement options, such as dental implants, bridges, or dentures.

While accidents happen, there are steps you can take to minimize the risk of tooth loss:

Wear a mouthguard when playing sports, especially contact sports like football, basketball, or hockey.
Avoid using teeth as tools (e.g., opening packages or biting hard objects).
Maintain good oral health to keep your teeth and gums strong.
Be cautious with children – Teach them how to protect their teeth during play and avoid falls.