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A Brief Guide to Tooth Avulsions (Knocked Out Teeth)

Regardless of whether a tooth is knocked out (avulsed) as a result of playing sports, or for some other reason, your dentist may be able to put the tooth back in place. As long as you get to your dentist within an hour of the avulsion, it is possible that the blood vessels and tissues supporting the tooth will grow back in and perform their usual roles. Before you go to the dentist, there are few things you can do increase the chances that your tooth can be saved.

Avulsions: Why is Procedure Performed?

There are any number of reasons why you may suddenly wind up with a tooth knocked out. Typically, dentists consider avulsion to be one of the most serious emergencies when it comes to permanent teeth. Unfortunately, if you do not act quickly, you will lose the tooth.

Avulsions: Patient Concerns to be Addressed

In order to have the best chance of saving an avulsed tooth, you should pick it up by the crown. If possible, try not to touch the roots. Even if the tooth is dirty, you should not clean it, as this may cause further damage. Your dentist will do this when you arrive at the office.

If possible, you should immediately insert the tooth back into its socket. If this is not possible, then at least hold it between your cheek and gum. You can also try putting the tooth in a container filled with milk. Depending on where you live, you may also be able to obtain a tooth avulsion kit at a local pharmacy. These kits contain a solution that mimics human saliva. When you are dealing with an avulsed tooth, it is absolutely necessary to keep the tooth moist.

Avulsions: How is Procedure Performed?

To begin, the dentist will flush away any debris that needs to be removed from the tooth, as well as the socket. As long as the bone is not broken, your dentist may not have any problems putting the tooth back in its socket. Once the tooth is back in place, your dentist will use wires and resin to attach it to neighbouring teeth. This will help keep the tooth stable until it connective tissue and bone grow back to support it again.

Avulsions: Post-Operative Concerns

In some cases, the tooth may fuse to the jawbone. When this happens, the root may be reabsorbed by the body, or erode. Depending on the situation, this can take a few months, or several years. Your dentist may need to do a root canal at some later date, or suggest some other type of therapy.

Avulsions: Perils of Disease

Unfortunately, once a tooth is knocked out, the surrounding nerves and blood vessels do not always heal. Therefore, at some point, you may need a root canal in order to prevent abscesses. A root canal will also help reduce the chances of the tooth changing colour.