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An avulsed tooth is one that has been knocked out.
A tooth can be knocked out for a number of reasons: often a blow to the mouth, or an accident involving the face. This can happen for example during contact sports. It is possible to replace the tooth in the socket successfully if the right action is taken as soon as possible.
Don't panic. Get a clean handkerchief and fold it up, then hold it over the socket and bite down. Keep your jaws together to apply pressure. If you need something for the pain, don't take any medication containing aspirin as this can encourage further bleeding. Do not apply clove oil to the wound.
Maybe. The complete tooth needs to be replaced in the socket as soon as possible, ideally in under 30 minutes. But teeth have been successfully replaced up to 60 minutes after being knocked out.
Avoid handling the root. If it is very dirty, rinse it with milk or tap water. Do not clean it with disinfectant or let it dry out.
Hold the tooth by the crown and put it back into the socket firmly, root first. Bite on a clean handkerchief for about 15-20 minutes.
Your tooth has more chance of survival if you keep it in your cheek until you can get emergency dental treatment. This will keep the tooth in its most natural environment. If this is not possible, keep it in some milk.
It is not a good idea to try and put the tooth back into the socket if it is not complete. Contact your dental surgery as soon as possible and your dentist will tell you what options are available to restore the tooth. You may need dental x-rays to see if there is any root damage.
If you cannot find the tooth, you may have swallowed it. If you think you may have swallowed or inhaled it, you may need an x-ray to be sure of this.
Most dentists would not recommend re-implanting a baby tooth in case an infection damaged the adult tooth underneath. Contact your dentist as soon as possible for advice. They may need to examine the child to check if any fragments of tooth are still in the gum. There is no way of temporarily replacing a baby tooth, so the treatment is to wait for the adult tooth to come through.
It is important to get emergency dental treatment. If you are registered with a dentist, contact the dental practice as soon as possible and explain what has happened.
If the incident has happened out of normal dental practice hours, you should still be able to contact your dentist for emergency treatment. Phone the practice number and you should be given information on when and where you will be treated. The dentist will then tell you what treatment will be needed.
If you are not registered with a dentist then phone NHS England (111) who will tell you about dentists in your area that are able to see you. Remember to say that you need emergency treatment as soon as possible.
Your dentist will assess the immediate situation and may treat any facial injury. However, treatment may be limited if there is any bruising or bleeding. They may take x-rays and will check if the tooth has re-implanted successfully. You will probably need more appointments for follow up treatment.
If the tooth has re-implanted successfully you may not need any further treatment as long as you keep up your regular check-ups with your dentist. If the tooth becomes loose, it can be splinted to the teeth next to it. This means it will be temporarily attached to keep it firm until your dentist can tell whether it has re-implanted successfully.
If the tooth is lost or doesn't implant successfully, it can be replaced at first with a denture. Then, when the socket has healed fully, you can have a bridge or dental implant. For more information please see our other ‘Tell me about' leaflets on these treatments.
You could wear a mouthguard - a rubber-like cover that fits over your teeth and protects you against a blow to the mouth. Your dentist can have one made for you by taking an impression of your teeth and sending it to a laboratory. The laboratory then makes the mouthguard so that it fits your mouth exactly. Mouthguards can be clear or coloured - for example in the colours of your team kit. For more information see our ‘Tell me about mouthguards' leaflet.