Dental Emergencies in Kids: What to Do When Accidents Happen

baby tooth on a child's palm close-up.

Children’s active lifestyles often lead to accidents that can affect their precious smiles. Whether it’s a playground tumble, a sports collision, or an unexpected fall at home, dental emergencies in kids require quick thinking and prompt action. Knowing how to respond in these situations can make the difference between saving or losing a tooth, as well as minimizing your child’s pain and anxiety during a stressful moment.

At Kool Koala Pediatric and Adolescent Dentistry, we understand that dental emergencies rarely happen at convenient times. Our team is prepared to provide specialized emergency care for children in a comforting, child-friendly environment that helps ease fears during these unexpected situations.

Knocked-Out Tooth

Few dental emergencies cause more panic than a completely knocked-out tooth. If your child’s tooth has been knocked out, remain calm and follow these steps:

  • Find the tooth and pick it up by the crown (the chewing surface), not the root
  • Gently rinse the tooth with water if it’s dirty, but don’t scrub, use soap, or dry it
  • For permanent teeth (not baby teeth), try to reinsert the tooth into its socket if possible, having the child hold it in place with gentle pressure
  • If reinsertion isn’t possible, place the tooth in a container of milk, the child’s saliva, or a special tooth preservation product
  • Contact your pediatric dentist immediately – time is crucial, and successful reimplantation is most likely within 30 minutes

For baby teeth that have been knocked out, don’t attempt to reinsert them, as this could damage the developing permanent tooth beneath. Instead, save the tooth in milk or saliva and call your pediatric dentist right away.

Chipped or Broken Tooth

Chipped or fractured teeth are common dental emergencies in active children. The severity can range from minor chips to serious fractures that expose the tooth’s inner layers. Here’s what to do:

  • Rinse your child’s mouth with warm water to clean the area
  • Apply a cold compress to reduce swelling if facial trauma occurred
  • If you can find the broken tooth fragment, save it in milk or saliva
  • For pain relief, give your child over-the-counter pain medication as appropriate for their age
  • Contact your pediatric dentist as soon as possible to evaluate the damage

Even small chips should be examined by a dentist, as rough edges can irritate soft tissues, and seemingly minor damage might extend below the surface. For larger breaks that expose the tooth’s pulp (the inner portion containing nerves and blood vessels), immediate attention is necessary to prevent infection and save the tooth.

Toothache or Dental Pain

Tooth pain in children shouldn’t be ignored, as it often signals an underlying problem. When your child complains of a toothache:

  • Gently clean the area with warm water
  • Check for food particles caught between teeth and carefully remove with dental floss
  • Apply a cold compress to the outside of the cheek if swelling is present
  • Never place aspirin directly on the aching tooth or gum tissue
  • Call your pediatric dentist to schedule an appointment as soon as possible

Tooth pain can indicate various issues from decay to infection or injury. While waiting for your appointment, children’s pain relievers can help manage discomfort, but they don’t address the underlying cause.

Object Caught Between Teeth

Children sometimes get food or objects stuck between their teeth, causing pain and potential damage to gum tissue. If this happens:

  • Try to gently remove the object using dental floss, working it carefully back and forth
  • Never use sharp instruments like pins or needles to remove objects, as these can damage gums or scratch tooth surfaces
  • If flossing doesn’t work, contact your pediatric dentist for assistance

What seems like a simple problem can sometimes cause significant discomfort and lead to infection if not properly addressed.

Bitten Lip or Tongue

Active play sometimes results in children biting their lip, tongue, or cheek. When this happens:

  • Clean the area gently with water
  • Apply pressure with a clean cloth to stop any bleeding
  • Use a cold compress on the affected area to reduce swelling
  • If bleeding doesn’t stop after 15 minutes or if the wound is large, seek immediate medical attention

While most minor bites heal on their own, severe lacerations may require stitches or professional treatment.

Prevention Is the Best Medicine

While we can’t prevent all accidents, taking precautionary measures can reduce their likelihood and severity:

  • Ensure children wear mouthguards during sports and recreational activities
  • Childproof your home to minimize fall hazards
  • Discourage children from chewing ice, popcorn kernels, or hard candy
  • Teach proper safety during active play and around pools

We’re Here When You Need Us

At Kool Koala Pediatric and Adolescent Dentistry, we prioritize emergency care for our young patients. Our offices represent the last line of treatment option in our area, with services including all levels of sedation and hospital dentistry for more serious emergencies.

We understand these situations are stressful for both children and parents. Our team is committed to maintaining a kind, fun, and safe environment even during emergencies, helping to transform a potentially traumatic experience into one where your child feels supported and comforted. For dental emergencies or to schedule a regular appointment for your child, contact us today at your nearest location: Collingswood (856) 538-3403, Deptford (856) 544-2435, Bear (856) 588-1565, Vineland (856) 249-4178, Pennsville (856) 548-8289, or Willingboro (856) 856-4683, or through our contact form.

Picture of Medically Reviewed by Dr. Frederick Ballard and the Kool Koala Team
Medically Reviewed by Dr. Frederick Ballard and the Kool Koala Team

This page was reviewed by Dr. Frederick Ballard, a leading pediatric dentist with over a decade of experience providing compassionate dental care to children and adolescents. As a group of highly skilled pediatric dentists, we combine years of clinical experience with a passion for creating positive dental experiences for kids.

Picture of Medically Reviewed by Dr. Frederick Ballard and the Kool Koala Team
Medically Reviewed by Dr. Frederick Ballard and the Kool Koala Team

This page was reviewed by Dr. Frederick Ballard, a leading pediatric dentist with over a decade of experience providing compassionate dental care to children and adolescents. As a group of highly skilled pediatric dentists, we combine years of clinical experience with a passion for creating positive dental experiences for kids.

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