It is rare, but it does happen! When a tooth is completely avulsed from the tooth socket. Completely – all in one piece!
Like most emergencies, its important to know what to do to increase the likelihood of the best outcome.
Important: Make sure its a permanent tooth, not a baby tooth. We would only be concerned with replanting permanent teeth.
Keep the patient calm. Easier said than done!
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 (10 seconds) under cool running water. Try to encourage the patient or parent to replant the tooth back in the socket. Bite on a something soft to hold it in place. Tissue/paper towel/handkerchief.
If this is not possible, place the tooth in a suitable storage container, e.g.. a glass of milk, saline solution or have patient spit into container. Avoid water as a storage medium. The tooth can also be transported in the mouth of the patient – inside the cheek if possible. BE CAREFUL, if the patient is too young or doesn’t understand that they cannot swallow the tooth it is much better to use a container.
Seek emergency dental treatment immediately.