Dental Trauma

                                           Dental Injury

Dental trauma refers to trauma(injury) to the teeth and/or periodontium (gums, periodontal ligament, alveolar bone), and nearby soft tissues such as the lips, tongue, etc.

At Bright Blue Dental Practice we deal with the following injuries:

Tooth fractures

  • Enamel fracture
  • Enamel infraction
  • Enamel-dentine fracture
  • Complex fracture of tooth
  • Root fracture of tooth

Injuries of the periodontal apparatus

  • Subluxation of the tooth(tooth knocked loose)
  • Luxation of the tooth
  • Intrusion of the tooth(tooth jammed into tooth socket)
  • Avulsion of the tooth(tooth knocked out)

Soft tissue laceration, most commonly the lips and the gingiva

Management and future treatment options

The management depends on the type of injury involved and whether it is a baby or an adult tooth. If teeth are completely knocked out baby front teeth should not be replaced. The area should be cleaned gently and the child brought to see a dentist. Adult front teeth (which usually erupt at around 6 years of age) can be replaced immediately if clean. If a tooth is avulsed, make sure it is a permanent tooth (primary teeth should not be replanted, and instead the injury site should be cleaned to allow the adult tooth to begin to erupt).


  • Reassure the patient and keep them calm.
  • If the tooth can be found, pick it up by the crown (the white part). Avoid touching the root part.
  • If the tooth is dirty, wash it briefly (10 seconds) under cold running water but do not scrub the tooth.
  • Place the tooth back in the socket where it was lost from, taking care to place it the correct way (matching the other tooth)
  • Encourage the patient to bite on a handkerchief to hold the tooth in position.
  • If it is not possible to replace the tooth immediately, place it in a glass of milk or a container with the patient’s saliva or in the patient’s cheek (keeping it between the teeth and the inside of the cheek – note this is not suitable for young children who may swallow the tooth). Transporting the tooth in water is not recommended, as this will damage the delicate cells that make up the tooth’s interior.
  • Seek emergency dental treatment immediately

Bright Blue Dental Practice’s phone line 01202 528949 will guide you through to a Dentist.


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8 am – 1 pm; 2 pm – 5 pm

8 am – 1 pm; 2 pm – 7 pm


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8 am – 2 pm

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