Gloss & Floss Answers · Emergency Dentistry

What should I do if a tooth is knocked out?

Author: Gloss & Floss Dental Care · Clinically reviewed by a dentist at Gloss & Floss Dental Care

Short answer

If a permanent tooth is knocked out, seek emergency dental care immediately. Hold the tooth by the crown, not the root. If it is dirty, gently rinse it with milk or saline if available, do not scrub it, and keep it moist. Time is critical: the sooner a dentist assesses the tooth, the better the chance of saving it.

Why time matters

A knocked-out permanent tooth is one of the clearest dental emergencies. The cells on the root surface are delicate and can be damaged if the tooth dries out or is handled incorrectly.

Fast action gives the dentist a better chance of replanting or stabilising the tooth, although success depends on age, injury type, storage, time outside the mouth and root development.

Immediate steps

  • Find the tooth quickly
  • Hold it by the crown, not the root
  • Do not scrub or scrape the root
  • If dirty, gently rinse with milk or saline if available
  • Keep the tooth moist
  • Seek emergency dental care immediately
  • Bring the tooth with you
  • If there are serious injuries, seek medical emergency care

What not to do

  • Do not let the tooth dry out
  • Do not wrap it dry in tissue
  • Do not clean the root with soap or chemicals
  • Do not scrape the root surface
  • Do not delay care because the pain feels manageable
  • Do not try to reinsert a baby tooth without professional advice

What happens at Gloss & Floss?

At Gloss & Floss Dental Care in Stockholm, dental trauma is assessed urgently when appointments are available. The dentist checks the tooth, socket, surrounding teeth, gum, bite and need for X-rays.

The immediate goal is to assess whether the tooth can be repositioned, stabilised or monitored. Follow-up is important because trauma can later affect the nerve, root, bone or neighbouring teeth.

Baby tooth or permanent tooth?

A knocked-out baby tooth is handled differently from a permanent tooth. A baby tooth is usually not replanted because it may affect the developing adult tooth. A permanent tooth needs urgent assessment as quickly as possible.

Frequently asked questions

How fast should I see a dentist?

Immediately. A knocked-out permanent tooth is time-sensitive and should be assessed as soon as possible.

Can a knocked-out tooth be saved?

Sometimes, especially when action is fast and the tooth has been kept moist. Prognosis depends on several clinical factors.

Should I put the tooth in water?

Water is not ideal for root cells. Milk, saline or appropriate tooth-preservation medium is usually better if available.

What if other injuries happened too?

If there is head injury, heavy bleeding, facial trauma, loss of consciousness or breathing problems, seek urgent medical help first.

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Disclaimer

This article provides general information from Gloss & Floss Dental Care in Stockholm. Dental trauma can be urgent and individual. The text does not replace emergency dental or medical assessment, diagnosis or treatment.