What Parents Should Do If Their Child’s Tooth Is Knocked Out

In this article, you will learn:

• How to respond calmly and confidently when a tooth is knocked out

• The differences between baby teeth and permanent teeth when knocked out

• Step-by-step actions that can improve the chances of saving your child’s tooth

A knocked-out tooth can be alarming for any parent. Whether it happens during sports, at recess, or from a fall at home, dental injuries often come with a rush of panic. The good news is that knowing what to do and acting quickly can make a difference. Dentists are trained for situations like this, and with the right steps, many dental emergencies can be successfully managed.

Step 1: Stay Calm and Comfort Your Child

Remember, your reaction sets the tone. Children often mirror their parents’ emotions, so staying calm helps reduce their fear. Reassure your child, let them know they’re safe, and focus on slowing things down. If there is bleeding, apply gentle pressure with clean gauze or a cloth. Avoid alarming language and keep your voice steady and supportive.

Step 2: Identify Whether the Tooth Is Baby or Permanent

Whether a tooth is a baby tooth or a permanent tooth is an important distinction. Baby teeth are usually not replaced in the socket, as reinserting them can damage the developing permanent tooth beneath the gums.

If the tooth is permanent, however, time becomes critical. Acting quickly gives the dentist the best chance to save and stabilize the tooth. A knocked-out tooth has a 90 percent chance of being saved if action is taken quickly.

If you’re unsure whether the tooth is permanent, your dentist can help guide you over the phone.

Step 3: Locate the Tooth and Handle It Carefully

If you can find the tooth, pick it up by the crown only. The crown is the part that’s normally visible in the mouth. Avoid touching the root at all costs, as it contains delicate cells essential to successful healing.

If the tooth is dirty, gently rinse it with water for a few seconds. Do not scrub it, use soap, or dry it off, as this can damage the tooth.

Step 4: Keep the Tooth Moist

Keeping the tooth moist is one of the most important steps. A dry tooth is much harder to save. The best options include:

• Gently place the tooth back into the socket, if possible

• Place the tooth in a glass of cold milk

• Hold the tooth in your mouth next to your cheek

Avoid storing the tooth in water or wrapping it in a tissue, as dryness can reduce the chances of successful reattachment.

Step 5: Contact Your Child’s Dentist Immediately

Call your child’s dentist right away and explain what happened. Let them know if the tooth is permanent and that you’re on your way. Dental teams are equipped to handle emergencies and will help you take the next steps quickly and efficiently.

Ideally, treatment should begin within an hour for the best possible outcome. Your dentist will assess the injury, address pain or infection risk, and determine the best course of treatment to protect your child’s oral health.

A Reassuring Reminder for Parents When a Child's Tooth is Knocked Out

Dental emergencies can feel overwhelming, but preparation makes all the difference. Staying calm, protecting the tooth, and contacting your child’s dentist promptly can help preserve your child’s smile and comfort.

When in doubt, always call your pediatric dental office first; they’re there to help when accidents happen.