What
To Do:
During
the course of a season, a
student-athlete may suffer
an injury to the mouth
and tooth. How a coach
treats the injured tooth can
make a significant
difference in the recovery
and health of the athlete's
injuried tooth.
AVULSION
(The entire tooth is knocked
out)
1) Avoid
additional trauma to the
tooth while handling. DO NOT
handle the tooth by the
root. DO NOT brush or
scrub the tooth. DO NOT
sterilize the tooth.
2) If debris is
on the tooth, gently rinse
it with cold water.
3)
If possible, replace the
tooth in its socket and
stabilize it by gently
biting down on a towel or
handkerchief for 10 minutes.
Do this only if the athlete
is alert and conscious.
4) If
you are unable to replace
the tooth in its socket:
Best: Place the tooth
in Hank's Balanced Saline
Solution (Save-A-Tooth
container, EMT Toothsaver or
similar solution).
2nd Best: Place the tooth in
cold milk.
3rd Best: Wrap the
tooth in saline soaked
gauze.
4th Best: Place the tooth
under the athlete's tongue.
Do this ONLY if the athlete
is conscious and alert.
5th Best: Place the
tooth in a cup of water.
5)
Time is very important.
Replacement of the tooth
within 30 minutes has the
highest degree of success
rate. TRANSPORT THE ATHLETE TO
A DENTIST IMMEDIATELY.
LUXATION (The tooth is in
the socket, but in the wrong
position)
EXTRUDED TOOTH
- Upper tooth hangs down
and/or lower tooth raised up.
1)
Reposition the tooth in the
socket using firm finger
pressure.
2)
Stabilize the tooth by
gently biting on a towel or
handkerchief.
3)
TRANSPORT TO THE
DENTIST IMMEDIATELY.
LATERAL DISPLACEMENT (The
tooth is pushed back or
pulled forward)
1)
Try to reposition the
tooth using finger pressure.
2)
Athlete may require local
anesthetic to reposition the
tooth. If so, stabilize the
tooth by gently biting on a
towel or handkerchief.
3)
TRANSPORT TO THE
DENTIST IMMEDIATELY.
INTRUDED TOOTH
- The tooth is pushed into
the gum. It looks short.
1)
Do nothing. Avoid any
repositioning of the tooth.
2)
TRANSPORT TO THE
DENTIST IMMEDIATELY.
FRACTURED (The tooth is
broken)
1) If the
tooth is totally broken in
half, save the broken
portion and bring it to the
dental office as described
under Avulsion, Item 4.
Stabilize the portion of the
tooth left in the mouth by
gently biting on a towel or
handkerchief to control any
bleeding.
2)
Should extreme pain occur,
limit contact with other
teeth, air or tongue. The
pulp nerve may be exposed,
which is extremely painful
to the athlete.
3)
TRANSPORT THE ATHLETE AND
THE TOOTH FRAGMENTS TO THE
DENTIST IMMEDIATELY.