Clean the area around the sore tooth thoroughly. Rinse with warm salt water and/or use dental floss to dislodge trapped food or debris. If the face is swollen, apply a cold compress. Children's Tylenol can be taken for pain, but DO NOT place an aspirin or any other tablet on the gum or around the aching tooth. Take your child to see a pediatric dentist as soon as possible.
Knocked Out Permanent Tooth
Locate the knocked out tooth. Always hold the tooth by the top (crown portion), and not by the root portion. If necessary, you may rinse the tooth gently to remove any dirt, but DO NOT clean excessively or rub the tooth at the root portion. Try to reinsert the tooth into its socket as soon as possible. Stabilize the reinserted tooth by having the child hold the tooth in place by biting on some gauze or a cloth. If you are unable to reinsert the tooth, place the tooth in a cup of milk or water, and call your pediatric dentist immediately. The length of time the tooth is avulsed (knocked out) is critical to saving the tooth.
Cut or Bitten Tongue, Lip, or Cheek
Apply ice to any bruised or swollen areas. If there is bleeding, apply pressure with a clean gauze or cloth. If bleeding does not stop after 15 minutes, or it cannot be controlled with firm pressure, take the child to a hospital emergency room.
Rinse dirt from injured area or tooth with warm water. Place cold compress over the face in the area of the injury. Locate any broken tooth fragments. Call your pediatric dentist immediately.
Broken Braces and Wires
If a broken dental appliance can be easily removed, take it out of the mouth. If it cannot, cover the sharp or protruding portion with cotton balls, gauze, or chewing gum. If a wire is stuck in the gums, cheek, or tongue, DO NOT try to remove it. Take the child to the pediatric dentist immediately. Loose or broken appliances that do not bother the child, however, do not usually require emergency attention.
Possible Broken Jaw
If a fractured jaw is suspected, try to keep the jaws closed together and stabilized by using a towel, tie, or handkerchief. Take the child to the nearest hospital emergency room.
Bleeding After Baby Tooth Falls Out
Fold and pack a clean gauze or cloth over the bleeding area. Have the child bite on gauze with pressure for 15 minutes. This may be repeated once; if bleeding persists, see your pediatric dentist.
Many children suffer from “cold” or “canker” sores. Usually over-the-counter ointments or gels can give some relief. However, some serious diseases may begin as sores, so it is important to have a dental evaluation if these sores persist.