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.

Knocked-Out Tooth

A knocked-out tooth is a dental emergency that requires urgent attention. If the appropriate emergency steps are followed immediately after the tooth has been knocked out, the chances are very good that the tooth can be reinserted and preserved by a dentist.

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  • Pick up the tooth by the top (crown) of the tooth. Do not touch the root(s) of the tooth.

  • Rinse the tooth off very gently to ensure that it’s clean. Do not scrub the tooth or remove any tissue attached to it. Be sure to place a towel or washcloth in the sink so that the tooth does not go down the drain.

  • If you can, gently place the tooth back into the socket. Hold it gently in place while trying to bite down.

  • If you can’t place the tooth back in the socket, put the tooth in a small container or in a cup of milk. Note that the latter is preferable.

  • Call your dentist immediately, since getting to the dentist quickly with your tooth – in addition to following the steps above – is critical for saving the knocked-out tooth. The longer you wait to re-implant the tooth in its socket, the less chance you have of the tooth “taking” and remaining viable.

Loose Tooth, Tooth Out of Alignment

If you have a tooth that is loose or out of alignment, you should call your dentist for an emergency appointment right away. In the meantime, you can try to put the tooth back in its original position using your finger with very light pressure. Do not try and force it. You can bite down to keep the tooth from moving. Your dentist may want to splint the tooth to the adjacent teeth (the teeth on each side) to keep it stabilized.


Chipped, Cracked or Fractured Teeth

cracked or fractured tooth is a serious issue constituting a dental emergency. Fractured or cracked teeth usually suggest that damage has occurred to the inside of the tooth as well as to the outside. Severe fractures are so extreme that the tooth cannot be saved. 

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Tissue Injury and Facial Pain

Any type of injury inside the mouth, such as puncture wounds, lacerations and tears to the lips, cheeks, mouth and tongue, are considered tissue injuries and a dental emergency.

Other Dental Emergencies

Basically, any dental problem that requires immediate treatment in order to save a tooth, stop ongoing tissue bleeding or alleviate severe pain is considered a dental emergency. A severe infection or abscess in the mouth can be life-threatening and should be dealt with immediately.

Oral health and pregnancy

Expectant mothers and women contemplating pregnancy have unique considerations when it comes to dental care. Failure to adequately care for your oral health during this sensitive time could have serious consequences for you and your child.
During pregnancy, your teeth and gums are more susceptible to bacterial accumulation due to an associated increase in hormone levels. It is important to properly care for your teeth before, during and after pregnancy to safeguard your oral health and that of your unborn child. By maintaining your oral health, you will reduce your risk of pregnancy complications that can result if dental conditions are left untreated.


Oral Health Conditions Associated with Pregnancy

Pregnancy Gingivitis: Pregnancy gingivitis is a common condition affecting women during pregnancy. It is caused as a result of bacteria becoming trapped in between your teeth. It can be managed if diagnosed early enough.
Pregnancy gingivitis can yield a variety of symptoms, including:

  • Red, swollen or tender gums

  • The sensation of loose teeth

  • Spaces between teeth

  • Receding gums

  • Bad breath

  • Pus along the gums

  • Change in bite

It is important to seek the advice of your dentist about gingivitis so that the condition does not progress into periodontal disease. The development of periodontal disease can be additionally problematic for pregnant women and their children.

Periodontal Disease: Periodontal disease can develop as a result of untreated gingivitis. Also called periodontitis, it leads to the deterioration of bone and surrounding gum tissue.
Periodontal disease may produce a variety of symptoms, including:

  • Bleeding gums

  • Inflamed gums

  • Tender gums

  • Chronic bad breath (halitosis)

  • Tooth loss

  • Infection

Pregnancy Tumors (Pyogenic Granulomas): Pregnant women with gingivitis or periodontal disease are more susceptible to the development of pregnancy tumors, also called pyogenic granulomas. These tumors make it difficult for you to eat or speak and can cause discomfort. Pregnancy tumors can be removed by your dentist during pregnancy.

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Dental Visits and Pregnancy

During your second trimester, it is important that you visit your dentist for an oral hygiene check up and professional dental cleaning. Dental care performed during pregnancy should be limited to that of a routine nature. If you have a toothache, bleeding of the gums or pus around your tooth, schedule a visit with your dentist for a checkup. These symptoms may be signs of an oral infection which, if untreated, could spread throughout your body during pregnancy. Infections of the mouth or teeth during pregnancy increase the risk for complication. Gum infections are the most common form of infection during pregnancy. Less common infections include abscesses inside or at the end of the root of a tooth. Such abscesses may require a root canal. So its always necessary to get a complete dental check up done during the pregnancy time and its always safe.