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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January 22, 2026
❄️ Winter Weather Update for Saturday 1/31/2026 ❄️ The office will be closed on Saturday morning for in-office sick visits to protect the safety of our patients and staff from the impending winter storm. Please call 919-967-0771 and press 1 to reach our nursing advice line. You can request a telehealth appointment through our portal; however, please note that it will not be continuously monitored. Please call the nurse advice line above for immediate assistance. If we receive the large amount of snow accumulation expected, we will not be able to open for Sunday morning sick clinic. We'll continue to update this webpage and social media regularly. Stay safe and warm!
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