Dental emergencies can happen when you least expect them. Whether it’s from a sports accident, fall, or sudden impact, when a tooth gets knocked out, quick thinking and fast action can mean the difference between saving or losing it. In this blog, we’ll learn about what to do when a tooth gets knocked out, and everything in between.

 

Understanding the Urgency

 

Why Immediate Action Matters

When a tooth gets knocked out, time is critical. The periodontal ligament, the tissue that connects the tooth to the bone, can begin to die within minutes. Reimplantation is most successful if the tooth is returned to the socket within 30 to 60 minutes. Delays reduce the chances of saving the natural tooth.

Even if the tooth appears intact, it can’t survive long outside the mouth without proper care. That’s why knowing what to do in those first few minutes is so important. Resources such as MedlinePlus provide clear emergency guidance that can help families feel more prepared when dental accidents happen, especially if they don’t have much idea on what to do when a tooth gets knocked out.

 

Step-by-Step: What to Do When a Tooth Gets Knocked Out

 

Step 1: Locate the Tooth Quickly

Find the tooth immediately. Handle it only by the crown—the white part you see in your mouth. Avoid touching the root, as this area contains fragile tissues that are critical for reattachment.

 

Step 2: Rinse Gently If Needed

If the tooth gets dirty, rinse it with clean water or saline solution for no more than ten seconds. Do not scrub the tooth or remove any attached tissue fragments. Avoid soap, chemicals, or alcohol-based rinses, as these can damage the root surface.

 

Step 3: Try to Reinsert the Tooth

If possible, gently place the tooth back into its socket, root first. Have the person bite down on a piece of gauze or cloth to hold it in place. This is the best way to preserve the tooth until you can get professional help.

 

Step 4: Keep the Tooth Moist

If reinserting the tooth isn’t possible, keep it moist at all times. The best storage options include:

• Placing it in a glass of milk
• Storing it in a tooth preservation kit (available in some first aid kits or pharmacies)
• Holding it in the cheek (only if the person is alert and conscious)

 

Avoid letting the tooth dry out, as dry time significantly lowers the chances of a successful reimplantation.

 

Step 5: See a Dentist Immediately

Call your dentist and get to the office as quickly as possible. Let the staff know you’re coming in with a dental avulsion so they can prepare for urgent care. At James A. Penney, DDS, we prioritize cases where a tooth gets knocked out and can usually see patients the same day.

 

What to Expect at the Dentist

Your dentist will assess the tooth and the socket. If reimplantation is possible, the tooth will be cleaned, repositioned, and stabilized with a splint. A follow-up root canal may be required to prevent infection and ensure long-term success.

X-rays may be taken to assess bone damage, and antibiotics or a tetanus booster may be prescribed depending on the situation.

 

When a Tooth Can’t Be Saved

Sometimes, even with immediate care, a knocked-out tooth can’t be reinserted due to damage, contamination, or delay. In those cases, replacement options like dental implants or bridges will be discussed to restore your smile and function.

 

Preventing Future Incidents

 

Custom Mouthguards for Sports

Wearing a custom-fitted mouthguard during contact sports is one of the best ways to prevent a tooth from getting knocked out. Over-the-counter guards offer some protection, but custom options provide better fit and coverage.

 

Regular Dental Checkups

Regular exams can catch and correct minor issues, like loose teeth or gum disease, that could make a tooth more vulnerable to being knocked out. Your dentist can also provide tailored advice based on your lifestyle and risk factors.

 

Final Thoughts

Knowing what to do when a tooth gets knocked out can make all the difference. Acting quickly, handling the tooth properly, and getting to the dentist within the golden hour gives you the best chance to save your natural tooth.

At James A. Penney, DDS, we’re here to help when dental emergencies strike. If you or a loved one ever experiences a situation where a tooth gets knocked out, call our office right away. We’ll guide you every step of the way and work to restore your smile with expert care and compassion.

Call 501-227-ROOT (7668) for immediate assistance or to schedule a follow-up. We serve patients across Little Rock and Central Arkansas.