IMMEDIATE CARE

FAILING, MISSING, OR KNOCKED OUT TEETH

UNDERSTANDING FAILING, MISSING, AND KNOCKED-OUT TEETH

A failing, missing, or knocked-out tooth refers to a dental condition where a tooth becomes dislodged, either partially or completely, from its socket.



  • Failing Tooth: A tooth that is deteriorating due to decay, infection, or structural damage. It may not be completely dislodged but is severely compromised.
  • Missing Tooth: A tooth that is entirely absent from its socket due to trauma, extraction, congenital absence, or failure to replace a lost tooth.
  • Knocked-Out Tooth: Also known as an avulsed tooth, this occurs when a tooth is completely displaced from its socket due to trauma or injury.

WHAT TO DO IF YOU HAVE A FAILING, MISSING, OR KNOCKED-OUT TOOTH

Failing Tooth: A failing tooth can worsen quickly, so seek dental care as soon as possible to prevent further damage or infection. Until you are able to see a dentist, practice careful oral hygiene by brushing gently around the area and rinsing with warm salt water to reduce irritation. Avoid chewing on the affected side to prevent fractures or increased pain. Over-the-counter pain relievers may help with discomfort, but they are not a substitute for professional care. Follow your dentist’s recommendations closely to protect the tooth and preserve your oral health.


Knocked-Out Tooth: A knocked-out tooth is a true dental emergency, and acting quickly gives you the best chance of saving the tooth. Locate the tooth and handle it only by the crown, not the root, to avoid damaging delicate tissue. Rinse it gently with clean water if dirty, but do not scrub or remove any attached tissue. If possible, reinsert the tooth into the socket and hold it in place using gentle pressure. If reinsertion is not possible, place the tooth in a container of milk, saline solution, or your own saliva to keep the root moist. Seek emergency dental care immediately, ideally within thirty minutes, for the highest chance of successful reattachment.

FAILING DENTAL IMPLANTS

Dental implant failure can occur either during the initial healing phase or years later.


  • Early Implant Failure: Occurs within months of placement due to improper bone integration, infection, or implant mobility.
  • Late Implant Failure: Happens months or years later due to peri-implantitis (inflammation), bone loss, mechanical complications, or systemic health conditions.


Symptoms of implant failure include pain, swelling, implant mobility, gum recession, or infection. Treatment may involve non-surgical interventions like antibiotics and professional cleaning or more invasive procedures like implant removal and bone grafting. Preventive measures, including good oral hygiene and regular dental check-ups, can help minimize the risk of failure and ensure long-term implant success.