What Should Be Done When A Tooth Is Knocked Out

The other day we had a patient (who happens to be a teacher) running late for her dental appointment. When she arrived at the office she informed us that one of her students had their tooth knocked out during gym class. She was busy writing up an incident report and that was why she was late. When Dr. Shulman asked what protocol was taken to ensure the life of the tooth, the teacher informed her that no protocol was taken; they were not told what to do when an event like this took place.

So, here it is…

What should be done when a tooth is knocked out (permanent/adult teeth only)?

  • Make sure to handle the tooth carefully. Try to hold the tooth by the crown (the white part), the root (pointy part) of the tooth is soft and can be easily damaged. Try not to touch the root if possible.
  • If the tooth is dirty, try to rinse it with milk (if available) if not, you can use lukewarm water. Do not scrub.
  • Gently rinse mouth and, if possible, try to position the tooth back into the socket (this should be done within 5 minutes) and then bite down on a clean towel/paper towel to put pressure on the tooth and keep in place.
  • If you are unable to get the tooth back in, the tooth should be kept moist. Your best bet is to place the tooth in a cup of milk (if readily available). If there is no access to milk, spit into a cup and let the tooth sit in saliva, or you can place the tooth in your mouth beside your cheek.
  • Go see your dentist immediately (this should be done within an hour of the incident). The tooth can be saved, but time is of the essence. When a tooth is knocked out, the nerves and blood vessels are damaged as well. Because of this, the tooth will require root canal treatment.

What will be done once you have arrived at the dental office?

  • Your dentist will assess the state of your tooth, gums and bone and take an x-ray. Depending on the impact, there is a possibility of bone fracture in your mouth.
  • They will then try to reposition the tooth in the correct place.
  • A root canal may be done immediately, or your dentist may choose to wait depending on what they see.
  • For best result, your dentist will splint your tooth to the neighbouring teeth using a wire and some composite (filling material). This acts like a cast. It holds the tooth in place and prevents unwanted movement so that your bone can start to reattach to the tooth. You will be placed on antibiotics to prevent infection.
  • You dentist will want to monitor the health and progression of this tooth weekly for about 6-8 weeks and then at your regular 6 month check-up.
  • If the tooth is not salvageable your dentist will discuss options to properly replace your missing tooth and get your beautiful smile back ☺

For Your BEAUTIFUL Natural-Looking Smile

Believe it or not, teeth are constantly on the move – they’re not fixed solidly into your jawbone.  Movement stimulates your bone to stay strong and healthy.

Without a root to stimulate your jawbone, bone loss always occurs.  That’s why when your root is damaged or put at risk by a decayed or broken tooth, we try to save as much of the tooth as we can.

One of the most multipurpose restorative options is the dental crown.  Crowns protect and secure cracked or broken teeth, strengthen decayed teeth, restore teeth after root canal treatment, and cover severe stains.


What does this mean for you?

Dental crowns are tooth-colored and natural-looking and they function just like real teeth.  Your jawbone stays strong and healthy.  You can smile and laugh with confidence and eat all the crunchy healthy food you like.

The best part?

Take care of your crowns the same way you take care of your natural teeth….. by brushing twice a day and flossing daily.

Call our office to schedule an appointment!

Tuesday Giggles

Singing Dentist-Return of the Plaque

Could There Be An End To Root Canals?

Scientists from the University of Nottingham and the Wyss Institute at Harvard University hope to find a way to end the dreaded root canal. At the moment they are developing a treatment strategy that may be able to repair the damaged tooth using the patient’s own stem cells.

Root canal treatment consists of the removal of damaged or infected gum tissue and then sealing the canals and tooth with dental material. These scientists are hoping to create a material that will aid in the regeneration of the pulp tissue.

At the moment, the procedure is in the earliest stages and they do not expect that they will be able to test it on humans in the near future.

For more information, you can see the article at: http://www.cbsnews.com/news/stem-cell-dental-research-regenerate-tooth-root-canals

Dental Work That Makes You Dance

Check out this man dancing down the hallway at his dental office after he had his wisdom teeth removed 🙂 🙂 🙂


How To Floss


The proper flossing technique, according to the Canadian Dental Association, begins with a piece of floss the length of a person’s hand to their shoulder. The floss should be wound around the index and middle finger with about two inches of space between. Each tooth should be cleaned by wrapping the floss in a C-shape around the base of the tooth and sliding the floss from base to tip two or three times. If you have braces, follow the same guideline but use a floss threader to get the floss through your braces 🙂

Teeth should be brushed after flossing, according to the guidelines.

Bleeding is a common side effect when a person begins flossing, but it should stop after a few days. If it does not stop, the Canadian Dental Association recommends visiting a dentist.

Sharise’s Mommy Dinner

group shot

Celebrating our “mommy to be” Sharise at the Avenue in Kleinburg

All The Juicy Details


In “Your Oral Healthy.ca” magazine, the article “All The Juicy Details” talks about how good juicing your fruits and vegetables really is, and what the benefits are of drinking lemon water. Dietitian, Julia Stanislavskaia, says that consuming fresh juice with an at-home juicer, or buying cold-pressed juices do provide people with most of the nutrients they need, however, to get the most vitamins and nutrients, it’s best to consume them whole. When it comes to replacing a meal with a juiced drink, essentially, you are only consuming liquid sugar by the body. This can also be an issue for your oral health. When consuming liquid fruits and veggies, Dr. Stephen Abrams says “this creates a very acidic oral environment, and if it is the only nutrient at a meal, it takes a long time for the saliva to return to its neutral pH.”

                Many people drink lemon water first thing in the morning, claiming that it boosts their metabolism, clears skin, and helps with their overall health. Both Dr. Abrams and Stanislavskaia say they have not found any studies that states this information is true. However what studies do tell us is that drinking a lot of water in general can increase the feeling of satiety, which does help with weight management. Just like juicing, lemon water should be drank in moderation. It makes your mouth very acidic and lower’s the pH level and softens the enamel. It is recommended that when drinking lemon water, it should be drank through a straw. After that, you should rinse your mouth with water, to bring the pH level of your mouth back to normal.

                So at the end of the day, juicing and drinking lemon water is beneficial for you in many ways, but it’s always best to consult with your Doctor, Dentist, or registered Dietitian first to learn the pro’s and con’s.  And everything is always done best in moderation!

April is National Oral Health Month

Although the mouth is part of the body, we often think of it as something separate. We often ignore bleeding or tender gums, while an irritation or pain elsewhere in the body would mean a trip to the doctor.

Poor oral health can affect a person’s quality of life. Oral pain, missing teeth or oral infections can influence the way a person speaks, eats and socializes. These oral health problems can reduce a person’s quality of life by affecting their physical, mental and social well-being.

The reality is that oral health problems could be a sign of something serious such as oral cancer. Every year approximately 3,200 Canadians are diagnosed with oral cancer and 1,050 deaths from oral cancer occur. This devastating disease has a low survival rate because it is often diagnosed very late. With early detection the survival rate of oral cancer can be greatly improved. This means going to your dentist for regular dental exams. Your dentist has the training and experience to detect oral cancer early.

Everything that happens in your mouth affects your whole body, which is why it is so important to visit your dentist regularly. Only your dentist has the training, skills and expertise to properly address all your oral health care needs. Regular dental exams help prevent small problems from getting worse.

Go to http://www.cda-adc.ca/en/oral_health/cfyt/good_for_life/default.asp for the Canadian Dental Associations 5 steps for good oral health!