Traumatic Injuries

Endodontist, Dr. Andrew Stubbs, can help you evaluate and treat your injured tooth. It is important to see your dentist immediately following an injury so that we can stabilize the tooth and safeguard your health.

How Do You Treat Injured Teeth?

Our endodontist will carefully assess the status of your root and pulp. It is his job to rule out any potential threats of tooth loss or internal damage. If he finds that the trauma risks your oral health and comfort, he may recommend root canal treatment over a simple restoration.

First Aid For an Injured Tooth

A knocked out permanent tooth has the best chance of success if reinserted within 30 minutes.

1. Assess the Situatuation

Call 911 if the person has serious injuries or is unconscious. Tooth damage may not be the most significant concern.

2. Collect Tooth or Tooth Fragments

Carefully handle the tooth by the crown or top part of the tooth and avoid handling the root. Touching the root of the tooth may prevent successful reimplantation. Rinse the tooth gently for no more than a few seconds. The goal is only to remove dirt or foreign material from the tooth surface. DO NOT scrub, scrape, or use cleaner to remove dirt.

3. Reinsert or Store Tooth

Vigorously rinse your mouth with warm water to remove debris. If possible, reinsert the tooth into the socket and bite on a gauze or small towel to hold the tooth in place. Before reinserting the tooth, compare it to the tooth beside it to insure the correct orientation.
If you are uncomfortable reinserting the tooth yourself, store the tooth in milk or a saline solution.

4. Treat Symptoms

Control bleeding with guaze or a clean towel. Apply a cold compress to the affected area. Ibuprofen and acetaminophen can be taken to control the pain. Be sure to follow the label instructions.

5. Seek Professional Help

After first aid for your broken tooth, your endodontist will work with your general dentist to restore your tooth for the long term.

Broken Tooth

If a larger segment of your tooth breaks, the pulp may be exposed, and will require endodontic treatment. Dr. Stubbs can help treat this injury and provide meaningful and experienced care.

Dislodged Teeth

Traumatic dental injuries can cause teeth to shift out of their normal positions. If your tooth appears to be pushed to the side, down into the socket, or partially out of the socket, see your dentist right away. Root canal evaluation is important here to make sure the inside of the tooth was not damaged in the accident.

How do you Treat a Knocked Out Tooth?

If a dental emergency completely knocked your tooth out of your mouth, seek dental care right away. Rinse the tooth gently, and store it in the socket, or in a bag of saline or milk. It is optimal to replant the tooth within an hour of losing it.

In a developing tooth, root canals may not be necessary following avulsion, but root canal treatment is key after an avulsion injury to an adult tooth.

When a serious dental injury occurs, we must treat it from the inside out. The inner nerves and soft tissues of each tooth need to remain in a state of total health in order to prevent severe pain and tooth loss. Dr. Stubbs can help you by checking the status of your inner tooth, and treating it if necessary.

What Happens if You Lose a Crown?

If you have dislodged a dental crown(cap) or bridge, there is no need to store it in milk or saline. If your dental crown has come off, treatment may be as simple as simply recementing it in place. If your crown or bridge has a post, it is important to inspect the tooth for a possible fracture. Using a dental microscope, Dr. Stubbs can evaluate if your bridge can be recemented or if a replacement needs to be remade. He can also evaluate if your root canal treatments needs to be redone.