Injuries to the mouth can cause teeth to be pushed back into their sockets. Your endodontist or general dentist may reposition and stabilize your tooth. Root canal treatment is usually started within a few weeks of the injury and a medication, such as calcium hydroxide, will be placed inside the tooth. Eventually, a permanent root canal filling will be implanted.
Sometimes a tooth may be pushed partially out of the socket. Again, your endodontist or general dentist may reposition and stabilize your tooth. If the pulp remains healthy, then no other treatment is necessary. Yet, if the pulp becomes damaged or infected, root canal treatment will be required. If left untreated, many different complications can arise. These complications can include but are not limited to: Infection of the tooth, root system or surrounding tissue, inadequate hygiene due to an inability to properly clean the dislodged tooth and the gums, and loss of the tooth.
If an injury causes a tooth to be completely knocked out of your mouth, it is important that you are treated immediately!
Keep the patient calm. Find the tooth and pick it up by the crown (the white part). Avoid touching the root. If the tooth is dirty, wash it briefly (10 seconds) under cold running water and reposition it. Try to encourage the patient / parent to replant the tooth. Bite on a handkerchief to hold it in position. If this is not possible, place the tooth in a suitable storage medium (a glass of milk or saliva). Avoid storage in water! A tooth can be saved if it remains moist. The length of time the tooth was out of your mouth and the way the tooth was stored, may influence the type of treatment you receive.
Injuries in children
An injured child’s tooth may not be fully developed. There are special procedures that can be done to help the immature tooth to develop. Seek dental treatment immediately for any dental emergency.