If your child has an accident, please call our office as soon as possible. If it is an after-hours emergency, cell phone number will be given on the answering machine.

The first 30 minutes after an accident are the most critical to treatment of dental trauma. If a permanent tooth is knocked out, gently rinse, but do not scrub the tooth under water. Replace the tooth in the socket if possible. If this is impossible, place the tooth in a glass of milk or a clean wet cloth and come to the office immediately. If the tooth is fractured, please bring in any pieces you can find.

Our schedule may be delayed in order to accommodate an injured child. Please accept our apologies in advance should an emergency occur during your child’s appointment. We will provide you the same care should your child ever need emergency treatment.

Care of the Mouth after Trauma

Please keep the traumatized area as-clean-as possible.  A soft wash cloth often works well during healing to aid the process.

Watch for darkening of traumatized teeth.  This is a common result following trauma and could be an indication of a dying nerve (pulp). If the swelling should re-occur, our office needs to see the patient as-soon-as possible.  Ice should be administered during the first 24 hours to keep the swelling to a minimum.

Watch for infection (gum boils) in the area of trauma.  If infection is noticed – call the office so the patient can be seen as-soon-as possible.

Maintain a soft diet for two to three days, or until the child feels comfortable eating normally again.

Avoid sweets or foods that are extremely hot or cold.

If antibiotics or pain medicines are prescribed, be sure to follow the prescription as directed.


Please do not hesitate to call the office at (413)442-0122 if there are any questions.


Toothache Clean the area around the tooth thoroughly. Rinse the mouth vigorously with warm salt water or use dental floss to dislodge trapped food or debris. DO NOT place aspirin on the gum or on the aching tooth. Children should not receive any aspirin by mouth either. Give Tylenol (acetaminophen) or children’s Motrin (ibuprofen) for pain and see a dentist as soon as possible.
Cut or Bitten Tongue, Lip or Cheek Apply ice to bruised areas. If there is bleeding, apply firm but gentle pressure with a clean gauze or cloth. If bleeding does not stop after 15 minutes or it cannot be controlled by simple pressure, take the child to a hospital emergency room.
Knocked-Out Permanent Tooth Find the tooth. Handle the tooth by the top (crown), not the root portion. You may rinse the tooth, but DO NOT clean or handle the tooth unnecessarily. Try to reinsert the tooth in its socket. Have the child hold the tooth in place by biting on a clean gauze or cloth. If you cannot reinsert the tooth, transport the tooth in a cup containing milk. See a dentist IMMEDIATELY! Time is a critical factor in saving the tooth! Permanent teeth can be saved; do not try to reimplant baby teeth.
Broken Tooth Rinse dirt from injured areas with warm water. Place cold compresses over the face in the area of the injury. Locate and save any broken tooth fragments. Immediate dental attention is necessary.
Bleeding After Baby Tooth Falls Out Fold and pack a clean gauze or cloth over the bleeding area. Have the child bite on the gauze with pressure for 15 minutes. This may be repeated once, if bleeding persists, see a dentist.
Cold/Canker Sores Many children occasionally suffer from “cold” or “canker” sores. Usually over-the-counter preparations give relief. Because some serious diseases may begin as sores, it is important to have a dental evaluation if these sores persist.
Possible Broken Jaw If a fractured jaw is suspected, try to keep the jaws from moving by using a towel, tie or handkerchief, then take the child to the nearest emergency room.
Broken Braces and Wires If a broken appliance can be removed easily, take it out. If it cannot, cover the sharp or protruding wires with dental wax, cotton balls, gauze, or chewing gum. If a wire is stuck in the gums, cheek or tongue: DO NOT remove it. Take the child to a dentist immediately. Loose or broken appliances which do not bother the child don’t usually require emergency attention.