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76   COMMON CONDITIONS: MOUTH, NOSE, AND THROAT PROBLEMS

         Knocked-out tooth





              Teeth are often knocked out during accidents, particularly during contact sports such as football. The front
              teeth are the most vulnerable. If you lose one of your permanent teeth, you may be able to save it by
              replacing it quickly and getting emergency help. If a tooth is replaced in the socket within about 30 minutes
              of being knocked out, there is a 90 percent chance it will be saved, and the chances are still good for up to
              2 hours. A broken tooth, however, cannot be saved. Children sometimes lose baby teeth in a fall, but these
              will be replaced eventually by permanent teeth so there is no need to replace them.


              Seek immediate
                                                                PRACTICAL TECHNIQUE
              medical advice
              If your tooth has been knocked out or loosened  Replacing a tooth Whenever possible,
              by an injury, see your dentist or go to an    you should try to save a permanent tooth by
              emergency room as soon as possible. If a      replacing it quickly in the socket. Don’t attempt to
              child loses a baby tooth, it is important to   do this, however, if you are concerned that the victim
              see a dentist to check for possible damage    may swallow or choke on the loose tooth.
              to the mouth or gums.                             Wash your hands
                                                                thoroughly or put on
                                                            1 disposable gloves, if
                                                                available. Pick up the
         What you can do yourself                               tooth by the crown
              Immediately after the accident, take the following  and hold it firmly.
              steps to maximize the chances of saving your tooth.  Check that it is the
                                                                right way around
              Replacing the tooth is the best option, but if you  before pushing it
              can’t do this, you must make sure that the tooth  firmly into the socket.
              does not dry out while you seek medical help.     Do this even if the
                                                                socket is bleeding.
              ● Find the missing tooth and pick it up by the top
              (the crown), not the root. Do not rub or scrape it                Hold the tooth in place
              to remove dirt or any tissue fragments attached to                with your fingers, or
              it. Rinse it gently in a glass of tap water, but don’t        2 put a piece of gauze
              hold it under running water.                                      on the tooth and bite
                                                                                down gently on it.
              ● Put the tooth back in its socket (see PRACTICAL                 Go to a hospital
              TECHNIQUE, right).                                                emergency room or to
                                                                                an emergency dentist
              ● If you can’t replace a permanent tooth in its
                                                                                for immediate
              socket, tuck it under your tongue or inside your                  treatment.
              cheek. Alternatively, place the tooth in a glass
              of milk or some of your own saliva.
              ● If a child has lost a baby tooth and the socket is
              bleeding, rinse out his or her mouth with water and
              place a wad of tissue or gauze in the socket. Your
              child should bite down on it to stop the bleeding.
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