Handling a Traumatic Dental Injury: Immediate Steps to Take
July 23, 2025

Dental emergencies can happen without warning, whether from a fall, a sports accident, or a sudden impact to the face. In those moments, knowing how to respond can make all the difference between saving and losing a tooth. At James A. Penney, DDS, we frequently treat patients who have experienced a traumatic dental injury. Fast action is essential, but so is the right kind of care.

If you or someone you love suffers a dental injury, this guide will walk you through the critical steps to take before you arrive at the dentist’s office.

What Is a Traumatic Dental Injury?

A traumatic dental injury refers to any sudden, forceful impact to the teeth, mouth, or jaw that results in damage. This can include:

  • Chipped or fractured teeth
  • Tooth displacement (loose, pushed in, or pushed out)
  • Tooth avulsion (complete loss of the tooth)
  • Injuries to the soft tissue (gums, lips, cheeks)
  • Jaw fractures or bone damage

These injuries are especially common among children, athletes, and individuals involved in accidents. While some injuries might seem minor at first, even a small crack can expose the tooth’s inner layers and lead to serious infection or permanent damage if not treated promptly. Read the importance of dealing with cracked teeth as soon as possible in a blog we wrote here.

Step-by-Step: What to Do After a Traumatic Dental Injury

 

Step 1: Stay Calm and Assess the Situation

It’s natural to panic when a dental injury occurs, but staying calm is the first step toward making sound decisions. Check the mouth for bleeding, swelling, loose teeth, or broken pieces. If a tooth is missing, find it immediately.

 

Step 2: Handle a Knocked-Out Tooth Carefully

If a permanent tooth has been completely knocked out:

  • Pick it up by the crown (top), not the root
  • Gently rinse with clean water if dirty—do not scrub
  • Try to place the tooth back into its socket if possible
  • If reinsertion isn’t an option, place the tooth in a container of milk or saline
  • See your dentist within 30–60 minutes for the best chance of saving the tooth

This type of traumatic dental injury requires urgent care. The sooner you act, the better the odds of successful reattachment.

 

Step 3: Control Bleeding

Use clean gauze or a cloth to apply pressure to any bleeding areas. If the injury involves the lips or gums, gentle pressure and a cold compress can help reduce swelling and slow the bleeding.

 

Step 4: Minimize Pain and Swelling

Apply an ice pack to the outside of the mouth in 10-minute intervals. Over-the-counter pain relievers such as ibuprofen can also be taken, but avoid aspirin in children or those with bleeding concerns.

 

Step 5: Call Your Dentist Immediately

At James A. Penney, DDS, we prioritize emergency care for patients experiencing a traumatic dental injury. Call our office at (501) 227-7668 to alert us of your situation. We’ll guide you through next steps and prepare for your arrival.

 

Why Prompt Care Matters

With any traumatic dental injury, time is a critical factor. Delaying treatment can lead to:

  • Permanent tooth loss
  • Infection or abscess
  • Damage to surrounding teeth and tissue
  • Long-term jaw or bite complications

Even if pain is minimal or the damage seems small, it’s essential to have a dentist evaluate the injury. In some cases, issues like root fractures or nerve exposure may not be visible without imaging.

Common Treatments for Dental Trauma

Depending on the severity of the traumatic dental injury, treatment may involve:

  • Repositioning and stabilizing a displaced tooth
  • Root canal therapy to address pulp damage
  • Splinting loose teeth for support while healing
  • Sutures for soft tissue lacerations
  • Restorative work such as crowns or bonding for broken teeth

In more serious cases, such as a non-restorable tooth, extraction and future replacement options may be discussed.

 

Children and Dental Injuries

Kids are particularly prone to dental trauma—especially during play, sports, or when learning to walk. If a baby tooth is knocked out, do not try to reinsert it, as this could damage the developing adult tooth beneath it.

Always contact a pediatric or general dentist for guidance. Dr. James A. Penney and his team are experienced in handling pediatric traumatic dental injury cases with a gentle and reassuring approach.

 

Preventing Future Injuries

While not every dental injury can be avoided, there are ways to lower your risk:

  • Wear mouthguards during contact sports
  • Avoid using your teeth as tools (opening bottles or packaging)
  • Be cautious with hard foods or ice
  • Maintain regular dental visits to catch weak teeth or existing damage
  • Childproof your home if you have toddlers learning to walk

By taking preventive measures, you reduce the likelihood of facing another traumatic dental injury in the future.

 

When to Call James A. Penney, DDS

Whether it’s a chipped tooth, a gum injury, or a completely knocked-out molar, our team is ready to help. We understand how stressful a traumatic dental injury can be, and our goal is to provide fast, effective, and compassionate care to preserve your smile.

We offer same-day emergency appointments and use advanced imaging tools to assess the full extent of dental injuries. Our focus is always on saving the tooth whenever possible and restoring your oral health with the least invasive methods.

Don’t Wait! Act Fast in a Dental Emergency

Knowing how to respond to a traumatic dental injury can make all the difference in the outcome. With quick thinking and professional care, many teeth can be saved, even ones that seem beyond repair.

If you or a loved one suffers a traumatic dental injury in the Little Rock area, call James A. Penney, DDS at (501) 227-7668. We’re here to help you take the right steps when it matters most.