Tooth Injury

Is this your child's symptom?

  • Injury to a tooth

Types of Tooth Injuries

  • Loosened Tooth. May bleed a little from the gums. Usually tightens up on its own.
  • Displaced Tooth. Usually pushed inward. Needs to be seen.
  • Chipped Tooth. Minor fracture with small corner of tooth missing tooth. The fracture goes to the dentin (yellow color), not the pulp (red color). Not painful. See dentist during office hours.
  • Fractured Tooth. The fracture goes down to the pulp. The pulp is where the blood supply and nerves to the tooth are located. The main finding is a red dot or bleeding in the center of the tooth. Very painful. Needs a root canal to save the tooth.
  • Knocked-Out Permanent Tooth. Also called an avulsed tooth. A dental emergency. Needs to be re-implanted within 2 hours.
  • Knocked-Out Baby Tooth. It cannot be re-implanted. See during dental office hours.

Symptoms

  • The main symptom is pain.
  • Minor bleeding from the gums may occur.

When to Call for Tooth Injury

When to Call for Tooth Injury

Go to ER Now

  • Bleeding that won't stop after 10 minutes of direct pressure

Call Your Dentist or Doctor Now

  • Permanent (adult) tooth knocked out. Reason: needs to be put back within 2 hours to survive.
  • Permanent (adult) tooth is almost falling out
  • Baby tooth is almost falling out
  • Tooth is pushed far out of its normal place
  • Tooth that's pushed out of its normal place makes it hard to chew
  • Severe pain and not better 2 hours after taking pain medicine
  • Age less than 1 year old
  • You think your child has a serious injury
  • You think your child needs to be seen, and the problem is urgent

Contact Your Dentist Within 24 Hours

  • You think your child needs to be seen, but the problem is not urgent
  • Baby tooth knocked out by injury. Reason: can't be put back. But, dentist needs to check for damage to permanent tooth inside the gum.
  • Tooth is slightly pushed out of its normal place
  • Chip or crack in the tooth
  • Tooth feels very loose when you try to move it

Contact Your Dentist During Office Hours

  • Cold fluids cause tooth pain
  • Tooth turns a darker color
  • Crown or cap comes off. Note: save the crown for the dentist.
  • You have other questions or concerns

Self Care at Home

  • Minor tooth injury

Go to ER Now

  • Bleeding that won't stop after 10 minutes of direct pressure

Call Your Dentist or Doctor Now

  • Permanent (adult) tooth knocked out. Reason: needs to be put back within 2 hours to survive.
  • Permanent (adult) tooth is almost falling out
  • Baby tooth is almost falling out
  • Tooth is pushed far out of its normal place
  • Tooth that's pushed out of its normal place makes it hard to chew
  • Severe pain and not better 2 hours after taking pain medicine
  • Age less than 1 year old
  • You think your child has a serious injury
  • You think your child needs to be seen, and the problem is urgent

Contact Your Dentist Within 24 Hours

  • You think your child needs to be seen, but the problem is not urgent
  • Baby tooth knocked out by injury. Reason: can't be put back. But, dentist needs to check for damage to permanent tooth inside the gum.
  • Tooth is slightly pushed out of its normal place
  • Chip or crack in the tooth
  • Tooth feels very loose when you try to move it

Contact Your Dentist During Office Hours

  • Cold fluids cause tooth pain
  • Tooth turns a darker color
  • Crown or cap comes off. Note: save the crown for the dentist.
  • You have other questions or concerns

Self Care at Home

  • Minor tooth injury

Care Advice for Minor Dental Injuries

Cold for Pain:

  • For pain, put a piece of ice or a popsicle on the injured gum.
  • You can also use a cold pack on the cheek.
  • Apply for 20 minutes.

Pain Medicine:

  • To help with the pain, give an acetaminophen product (such as Tylenol).
  • Another choice is an ibuprofen product (such as Advil).
  • Use as needed.

Soft Diet:

  • For any loose teeth, offer a soft diet.
  • Avoid foods that need much chewing.
  • You can go back to a normal diet after 3 days. By then, the tooth should be tightened up.

What to Expect:

  • Tooth pain most often goes away in 2 or 3 days.

Call Your Dentist If:

  • Pain becomes severe
  • Cold fluids cause tooth pain
  • Tooth turns a darker color
  • You think your child needs to be seen
  • Your child becomes worse

Copyright 2000-2025 Schmitt Pediatric Guidelines LLC. Date Updated: Mar 31 2025 13:43 Version 0.1

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February 12, 2026
There are cases of measles in NC, and we are aware of exposures in Chapel Hill, Durham, and Wake County. We can give the MMR dose early to families who want it. This applies to infants 6-12 months who have not gotten a dose yet or kids under 4-5 years who have not gotten their second MMR dose. At this time, the NC DHHS and health departments are not recommending this unless traveling or living in an area with sustained transmission. 2 doses of the MMR vaccine are highly effective (97%) at preventing measles infections. At CHCAC, children receive their first dose at 12 months of age and a second dose at 4 years of age, ensuring they are fully protected as soon as possible, in accordance with the most up-to-date AAP recommendations. Some infants aged 6 months to 11 months who travel internationally or in high-prevalence areas may need a dose to protect them; however, they still require the 1-year and 4-year-old doses as well. If you are ever concerned about a possible exposure to measles, please CALL before entering our office. DO NOT ENTER the office. NC DHHS keeps a list of areas with measles exposures here . This is a highly contagious illness, and special precautions must be taken to prevent spread. The virus can be present in the air for 2 hours after an infected person is in the room, and 90% of susceptible patients can be infected. As always, if you have questions, we are here to help make sense of it all!
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