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• For all of these conditions give your child Ibuprofen, (Motrin or Advil) immediately; continue this every 6 hours for the next 48 hours.

Toothache

• Keep the painful tooth as clean as possible by flossing and brushing it.
• Warm salt water rinses can also aid in cleansing the area.

Knocked Out Permanent Tooth

• Find the tooth and handle the tooth by the top (crown), not the root portion.
• You may rinse the tooth, but DO NOT clean or handle the tooth unnecessarily.
• Try to reinsert it in its socket immediately.
• Have the child hold the tooth in place.
• If you cannot reinsert the tooth, transport it in a cup containing milk or water.
• Call our office IMMEDIATELY! Time is a critical factor in saving the tooth.
• Call our office to be evaluated by Dr. Jacobs.

Fracture Tooth

• It is not necessary to save the broken piece of the tooth.
• Call our office for the tooth to be evaluated and repaired by Dr. Jacobs as soon as possible.

Bleeding after baby tooth falls out

• Fold and pack a clean gauze or cloth over the bleeding area.
• Have the child bite on the gauze with pressure for 20 minutes.
• This may be repeated.
• If bleeding persists, call our office for the area to be evaluated by Dr. Jacobs.

Gum Abscess

• When a child develops a gum abscess, they may experience pain in the affected part of the gum tissue due to the pressure of the trapped pus.
  • This pain may extend to the ear, neck, and jaw and may get worse when lying down.
• The abscess may cause redness or swelling in the face.
  • The gums may look shiny, swollen, and red.
• Your child may complain of a bad taste in their mouth, or you may notice that their breath smells bad.
• If you think your child has a gum abscess, bring them to Dr. Jacobs right away.
• A GUM ABSCESS DOES NOT GO AWAY ON ITS OWN.
  • If it's not treated, an abscess may damage the surrounding teeth and bones.
  • The infection may even spread beyond the gums, which may lead to more serious problems.

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Cut or Bitten Tongue, Lip or Cheek

• Apply ice to affected areas.
• If there is bleeding, apply firm but gentle pressure with a clean gauze or cloth.
• If bleeding does not stop after 20 minutes or it cannot be controlled by simple pressure.
• Call our office to be evaluated by Dr. Jacobs.

Fractured Jaw/Possible Broken Jaw

• If a fractured jaw is suspected, call our office to be evaluated by Dr. Jacobs.

Torn Frenulum

• In most cases, a torn frenulum is no cause for concern and will repair on its own.
• If the wound is deep, it may require stitches from a doctor.
• Call our office to be evaluated by Dr. Jacobs.

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Non Emergency Conditions

Permanent Tooth Growing in Behind Baby Tooth

• It is common for a permanent tooth to come in behind a baby tooth.
• In some cases treatment is necessary.
• Call our office to be evaluated by Dr. Jacobs.

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Eruption Cyst

• Eruption Cysts are very common and usually resolve on their own with no treatment.

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Ulcers

• Ulcers can be from trauma.
• Can be viral.
• Lasts 7-14 days

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Treatment

• Advil or Motrin every 6 hours for pain.
• Mix 1/2 Benadryl and 1/2 Maalox/Dip Q-tip in mixture and coat over ulcer before meals.
• For large ulcers you can apply Canker Cover—a disc that covers the ulcer to form a barrier when eating.
• Avoid spicy foods such as spaghetti sauce, pizza, orange juice and any juice with citric acid.

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