Simple toothaches can often be relieved by rinsing the mouth to clear it of debris and other matter. Sometimes, a toothache can be caused or aggravated by a piece of debris lodged between the tooth and another tooth. Avoid placing an aspirin between your tooth and gum to relieve pain, because the dissolving aspirin can actually harm your gum tissue.
Emergency Treatment of Dental Injuries
(Recommendations according to the International Academy for Sports Dentistry)
Avulsion (Entire Tooth Knocked Out)
Replantation within 5-10 minutes is critical for replantation. Minutes matter. If the root of the tooth has debris on it, rinse the root with water. If the root appears clean, grasp the crown between your thumb and first finger with the smooth flat surface forward. If it is an upper tooth, place the other hand on top of the person's head to stabilize it, then push firmly and hold the tooth in place. When the tooth is seated into its original position, it must be held there by hand or with a wad of wet paper tissue to keep it in place. Do not worry about getting the tooth in 'correctly', it can be adjusted by the dentist later during splinting. Bleeding can be controlled by uninterrupted direct pressure for 5 minutes. If no one is prepared to replant the tooth, if the injured patient is unwilling or unable to cooperate with immediate replantation, or if the damage to the socket and adjacent teeth is substantial; control bleeding with pressure, place the tooth in milk, saline, or the patient's own saliva to keep it from drying.
TRANSPORT THE PATIENT AND TOOTH TO A DENTIST IMMEDIATELY. (Call our emergency dentist on call at 715-502-4244).
Luxation (Tooth in socket, but wrong position)
If the tooth is an upper tooth that hangs down and/or a lower tooth that has been pushed up, reposition the tooth in the socket using firm finger pressure and stabilize by gently biting on a towel or wet paper tissue. TRANSPORT THE PATIENT IMMEDIATELY TO A DENTIST.
Fracture (Broken tooth)
If the tooth is in pieces, save the broken portion and bring to the dental office in water or milk. The nerve of the tooth may be exposed, causing pain from cold, heat and air passage. The patient may want to taken an over-the-counter pain reliever. To reduce possible pain while eating, stick with soft foods and liquids, and avoid anything too hot or cold. Do not wait to seek dental care, call to schedule an appointment as soon as possible.