Emergency care
Dental Trauma Treatment
Same-day care for knocked-out teeth, root fractures, and dental injuries. We work fast because every minute matters, especially for avulsed teeth.
Find Your Nearest Office →Dental trauma is any injury to a tooth from a fall, sports, or an accident, from a small chip to a tooth that's knocked out. Quick evaluation gives the best chance to save the tooth. An endodontist checks the pulp (the living tissue inside the tooth) and treats the root so the tooth can heal.
Dental emergency? Knocked-out or broken tooth? Call us now, same-day appointments available.
It covers any injury to a tooth, from a chip or crack to a tooth that’s been loosened (luxation) or knocked out completely (avulsion). Because the inside of a tooth can be affected even when the outside looks fine, an endodontist checks the pulp (the living tissue inside the tooth) and the root, not just the visible damage. Mid-Florida Endodontics offers same-day trauma evaluation at locations across Central Florida, so an injured tooth can be seen quickly.
Types of Dental Trauma. What Each Means
Avulsed Tooth (Completely Knocked Out)
A tooth that has been completely displaced from its socket. Time is critical, reimplantation within 30 minutes gives the best chance of saving the tooth. Keep the tooth moist (in milk, saline, or held between the cheek and gum) and call us immediately. Do not scrub the root or let it dry out.
Luxated Tooth (Displaced but Still in Socket)
The tooth has been pushed sideways, deeper into, or partially out of the socket but remains attached. Requires same-day repositioning and splinting (temporarily bonding an injured tooth to neighboring teeth to hold it stable while it heals). Root canal treatment is often needed in the weeks following, depending on pulp response.
Crown Fracture Involving the pulp (the soft living tissue inside the tooth, containing nerves and blood vessels)
A break in the tooth that exposes the pink pulp tissue. The exposed pulp is at immediate risk of infection. Treatment is time-sensitive, the sooner the pulp is treated or protected, the better the prognosis for the tooth.
Crown Fracture, enamel (the hard outer shell of the tooth, the hardest substance in the human body) and dentin (the layer of tooth beneath the hard enamel, softer and more sensitive, containing microscopic channels that connect to the nerve) Only
A chip or break that does not expose the pulp. Less urgent than pulp exposure but still needs prompt evaluation to assess crack depth, protect the tooth, and rule out internal damage not visible on the surface.
Root Fracture
A fracture within the root itself, usually from a direct blow. Often invisible on 2D X-rays and requires CBCT (cone-beam CT, a low-dose 3D X-ray that lets us see the tooth and bone from every angle) imaging to diagnose. Treatment depends on the location of the fracture, coronal third fractures have a less favorable prognosis than apical third fractures.
Concussion and subluxation (an injury where the tooth is loosened in its socket but not displaced, the ligament fibers are partially torn)
The tooth is tender or slightly mobile but has not been displaced. The periodontal ligament (the thin layer of fibers connecting the tooth root to the jawbone, acts as a shock absorber and contains pressure-sensitive nerve fibers) has been injured but the tooth remains in position. Requires monitoring over time for pulp vitality (whether the living tissue inside the tooth is still healthy and functioning), some concussed teeth develop pulp necrosis (death of the living tissue inside the tooth) weeks to months after the injury without any obvious symptoms.
🦷 Knocked-Out Tooth: What to Do Right Now
A knocked-out permanent tooth is a dental emergency. Every minute matters. Follow these steps immediately:
- Pick up the tooth by the crown (the white part), never touch the root
- If dirty, rinse gently with water, do not scrub, use soap, or wrap in tissue
- Keep it moist, place in a glass of whole milk, saline solution, or hold it between your cheek and gum
- Do not let it dry out, a dry tooth loses viability within minutes
- Call us immediately and come in within 30 minutes if possible
- If a child’s primary (baby) tooth is knocked out, do not attempt to reimplant, call us for guidance
What Happens at Your Trauma Appointment?
When you arrive with a dental injury, our first priority is assessment and stabilization. Here is what to expect:
Clinical Examination and History
We assess the injury, ask when and how it occurred (time elapsed is critical for avulsed teeth), check for associated injuries, and document your symptoms and medical history.
3D CBCT Imaging
A CBCT scan gives us a full three-dimensional picture of the injured tooth and surrounding structures, revealing root fractures, bone damage, and the extent of displacement that conventional X-rays frequently miss.
Immediate Treatment
Depending on the injury: reimplantation and splinting for avulsed teeth, repositioning and splinting for luxated teeth, pulp treatment or protective coverage for crown fractures, and stabilization for root fractures. Treatment is performed under local anesthesia for your comfort.
Follow-Up Monitoring
Traumatized teeth require follow-up monitoring over weeks, months, and sometimes years. Pulp necrosis can develop long after a trauma injury, even in teeth that initially responded normally. We schedule follow-up appointments to monitor pulp vitality and bone healing, and to intervene with root canal treatment if and when it becomes necessary.
When Does Dental Trauma Require a Root Canal?
Not every traumatic dental injury requires immediate root canal treatment, but many eventually do. Root canal treatment after trauma is indicated when:
- The pulp is directly exposed by a crown fracture
- A luxated or avulsed tooth (a tooth that has been completely knocked out of its socket) is reimplanted and pulp necrosis subsequently develops
- Follow-up testing shows the pulp has lost vitality weeks or months after the injury
- A periapical (relating to the area surrounding the very tip of a tooth’s root) lesion (an area of infection and bone damage at the tip of a tooth’s root, visible on X-rays) develops on imaging after the trauma
- A tooth develops spontaneous pain or sensitivity after a period of apparent stability
This is why follow-up appointments after dental trauma are not optional. A tooth that feels fine initially can develop silent pulp necrosis over the following months, and catching this early, before a periapical abscess (a pocket of infection at the root tip of a tooth, caused by bacteria spreading from inside the tooth) forms, produces significantly better outcomes.
Preventing Dental Trauma
- Wear a custom mouthguard during contact sports, over-the-counter guards provide far less protection than custom-fitted athletic mouthguards made by your dentist
- Wear a night guard if you grind, bruxism weakens tooth structure over time, making teeth more susceptible to fracture
- Do not use teeth as tools, opening packages, biting nails, or holding objects with teeth is a common source of avoidable dental fractures
- Address crowding or bite problems, teeth in poor alignment are more vulnerable to trauma impact
Frequently asked questions
What should I do if my tooth gets knocked out?
Pick the tooth up by the crown, not the root, and rinse it gently with milk or saline if it is dirty. If you can, place it back in the socket. If not, store it in milk or in your cheek and call your nearest MFE location right away. Quick treatment gives a knocked-out adult tooth its best chance of being saved, and Mid-Florida Endodontics offers same-day evaluation for dental trauma.
What counts as a dental emergency?
A dental emergency includes a knocked-out tooth, a tooth that has been pushed out of position, a fractured tooth with visible pulp, sudden severe pain, or facial swelling that is spreading. Mid-Florida Endodontics offers same-day appointments for dental trauma at multiple MFE locations across Central Florida. When in doubt, call your nearest MFE location and our team will help you decide what to do next.
Can a knocked-out adult tooth be saved?
A knocked-out adult tooth can often be saved when treatment starts quickly, especially within the first hour after the injury. Your endodontist at Mid-Florida Endodontics will assess the tooth, the socket, and the surrounding bone with a CBCT 3D scan and walk you through the plan. Even if more than an hour has passed, an endodontic specialist may still be able to help, so calling your nearest MFE location right away is always the right move.
How is a cracked tooth treated?
Treatment for a cracked tooth depends entirely on how deep the crack runs. Surface cracks may only need monitoring, deeper cracks that reach the pulp (the soft living tissue inside your tooth) are usually treated with root canal therapy, and cracks that extend below the gumline require a more complex plan. Your endodontist uses CBCT 3D imaging and a surgical microscope to map exactly where the crack is and recommend the most conservative path forward.
Will I need a root canal after dental trauma?
Some traumatic injuries need a root canal right away, others need only monitoring, and many fall somewhere in between. The decision depends on the injury type, the tooth's response to vitality testing, and what the CBCT 3D imaging shows. Your endodontist's goal is always to use the least invasive treatment that still gives your tooth the best long-term outlook.
How long does treatment for dental trauma take?
Initial trauma treatment usually takes 30 to 90 minutes, depending on whether splinting, repositioning, or root canal therapy is needed at the same visit. Some injuries are treated entirely in one appointment; others involve a short series of visits over the following weeks to monitor healing. Your endodontist will lay out the timeline at your first visit so you know what to expect.
What follow-up is needed after a tooth injury?
Mid-Florida Endodontics typically follows trauma cases at 1 month, 3 months, 6 months, and 1 year after the initial visit. Vitality testing and follow-up imaging at each of those checkpoints catches any late-emerging issues early, when they are easiest to treat. Each visit is usually quick, and your endodontist will explain anything that comes up so you are never unsure of next steps.
Are sports mouthguards effective at preventing dental trauma?
A properly fitted mouthguard substantially reduces the risk of dental trauma in contact sports, and the American Dental Association recommends them for football, basketball, hockey, lacrosse, and similar activities. Custom-fitted guards from your general dentist offer the best protection and comfort, and an over-the-counter boil-and-bite guard is a worthwhile starting point. Mid-Florida Endodontics treats sports-related injuries regularly and is here when you need us.
Hit your tooth? Same-day care available.
Quick treatment gives a knocked-out tooth its best chance: reach your nearest MFE location and we’ll see you today.
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