SAVE A DISLODGED TOOTH WITH QUICK ACTION

Whether you are enjoying sports or get caught in the crossfire of a neighborhood pumpkin chucking, you could lose a tooth. To avoid looking like a jack-o-lantern, the Division of Public Health's Oral Health program advises taking prompt, proper action to save your smile.

"Having a tooth knocked out of the mouth is not uncommon," said Dr. Greg McClure, DPH dental director. "Preventing this from happening is best, of course, which can be done easily by wearing a mouth guard when participating in sports. However, accidents do happen, and knowing what to do and how much time you have to act can help to save a tooth."

Our teeth are connected to our gums by ligaments. When a permanent front tooth is lost due to an accident or other trauma, these ligaments are broken and will eventually die if not connected to nourishment from our blood supply. If we act quickly, it is often possible to save the ligaments and replant the tooth so that it can continue to be functional.

Follow these steps:

• Find the dislodged tooth immediately. Be careful to grasp the tooth by the crown, avoiding the root. Timing is essential for a successful outcome. Immediate replantation is best, but this can be very difficult for a non-dentist, especially if there are associated injuries. If attempted and the patient is cooperative, the tooth should be clean. If it is dirty, rinse lightly with milk or salty water such as contact lens solution. If it can't be found on the ground, make sure to check the person's clothing.
• Gently place the tooth in a container of milk or salty water. Be careful not to agitate the tooth against the walls of the container. A commercial kit called Save-A-Tooth is available. Athletic programs may have this product, which is the preferred transport medium.
• Seek immediate dental treatment. The faster the tooth can be replanted, the better the prognosis for long-term success retaining the tooth. The tooth will require endodontic treatment following replacement in the socket.
• Work with your sports team or event to obtain a tooth preservation kit such as Save-A-Tooth for these emergencies.

Knowing these tips means having some control over the situation. Fast action can reduce damage, be easier and less expensive to correct, and can make a lifetime of difference. A natural smile is worth saving.

For more information about dental health in Delaware, go to dhss.delaware.gov/dhss/dph/hsm/ohphome.html

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware's citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations.