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First aid for avulsed teeth

First aid for avulsed teeth at the place of the accident

(This is an emergency so ACT QUICKLY! You have 20 minutes post-accident to save the tooth)

  • Most importantly STAY CALM, and keep the child Calm.
  • If a tooth is avulsed, make sure it is a permanent tooth (primary teeth should not be replanted)
  • Find the tooth and pick it up by the crown (the white part). Avoid touching the root.
  • If the tooth is dirty, wash it briefly (max 10 sec) under cold running water and reposition it.
  • Try to encourage the patient\ guardian to replant the tooth. Once the tooth is back in place, bite on a handkerchief to hold it in position.
  • If this is not possible, (e.g. an unconscious patient), place the tooth in a glass of milk or another suitable storage medium IMMEDIATELY and bring it with the patient to the emergency clinic.
  • The tooth can also be transported in the mouth, keeping it inside the lip or cheek if the patient is conscious.
  • If the patient is very young, he\she could swallow the tooth- therefore it is advisable to get the patient to spit in a container and place the tooth in it. Avoid storage in water! 
  • If there is access at the place of accident to special storage or transport media (e.g. tissue culture\transport medium, Hanks balanced storage medium (HBSS or saline) such media can preferably be used. 
  • Seek emergency dental treatment immediately.



Written By: Dr. Ngo