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5 Vale Parade, Kingston Vale, London SW15 3PS
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0208 547 9997
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A Guide to Avulsed Teeth

Many children and adults experience the loss of a tooth throughout their lives, with pearly whites being knocked out for a number of reasons. However, a high number of people are unaware of the appropriate course of action to take when a tooth is knocked out.

When a tooth becomes avulsed completely due to a sporting mishap or accidental injury, it is commonly as a result of a severe blow to the head. Therefore, it is vital to consider wider health issues that could emerge such as bleeding, disorientation or concussion.

 What is avulsion? 

Avulsion is the term used when a tooth has been knocked completely out of its setting, meaning it has either fallen out in its entirety or is hanging on by a nerve. It is important for patients not to confuse the issue with a tooth that has been dislodged but not completely knocked out. The treatment required for both of these ailments is slightly different and can provide individuals with an effective solution.

It is also important for parents to realise that adult teeth require different treatment than those of a child when avulsion takes place. This is because milk teeth are more likely to fall out to make way for their stronger, grown-up replacements.

Guardians should not, in any case, attempt to push the tooth back into its pocket due to the potential damage that could be caused to the adult tooth that is trying to come through underneath. Using tissue paper to stem any bleeding, as well as over-the-counter painkillers to numb the pain, is the best course of action that can be taken with children.

Can an avulsed tooth be replaced?

In many cases, an avulsed tooth can be replaced if patients seek treatment quickly enough. Although this can be an issue for those who lose a pearly white in the sports field or in an accident, it is vital to contact a local dental practice as soon as possible to increase the likelihood of a full recovery taking place.

Members of the public can take a number of basic actions in a bid to ensure the avulsed tooth has the best possible chance of being saved:

  1. If the tooth is shattered or fragmented as a result of the accident, it can often be extremely difficult to put back in place. However, most dental professionals will recommend that patients try to keep all the shards if possible.
  2. Those individuals whose tooth remains in one piece because it has been knocked out cleanly should seek emergency dentistry within one hour. Although this may be difficult for many people, it can be the difference between restoring a pearly white or losing it forever.
  3. Ensuring the root of the tooth does not become damaged or infected by holding it at the crown is another method of increasing the chances of a full recovery being made.
  4. In addition, although it may seem tempting to pull a tooth out that is hanging on a nerve, it is vital for patients to resist [the urge] and get to a dental clinic as quickly as possible. Those that do remain fixed to a nerve are often more likely to be successfully replanted.
  5. If a tooth is avulsed, placing it back into its socket gently ensures it is kept in its ideal environment until it can be treated. Placing a piece of cotton over the loose tooth and biting down will keep it in place until an emergency dentist has been consulted.
  6. If a patient’s face becomes swollen or the gums are damaged as a result of the injury, loose teeth should be carried in a cup of milk to help them remain as healthy as possible. Alternatively, holding it on the inside of the cheek means it is still soaked in saliva and in its rightful environment.

Using cotton wool to ease the bleeding from an open socket can be the perfect solution for individuals who did not expect too much blood. With every tooth having its own blood supply, a large quantity could emerge from the wound. However, it is important for individuals to realise that this is completely normal and panicking may make the situation worse.

What type of dental procedure is carried out?

If a member of the public with an avulsed tooth has acted quickly enough, the tooth may naturally re-implant itself into the gum. Although this depends on the extent of damage sustained as a result of the accident, it is possible for the tooth to root into place when pushed back into the socket.

Visiting a dentist immediately after a sporting injury or accident could be the difference between a simple or painful dental procedure. Initially, an emergency dentist will carry out X-rays on the tooth and cheek to ensure a tooth has been successfully placed back into the socket.

A splint may be attached to the tooth to keep it in the right position while the surrounding gums strengthen. This method sees the splint held to the teeth next to it to ensure it is not reattached crookedly. Although this is often uncomfortable to wear, patients will see the best possible results if they have patience with the treatment.

What if the treatment is unsuccessful?

If the treatment fails to successfully place the tooth back into position, patients could experience a loss of self esteem and limited self confidence due to their displeasure at having a space between their pearly whites. However, there are some courses of action that can be taken to provide a replacement following an accident.

The majority of emergency dentists advise against leaving a gap in between teeth following a mishap or injury due to the fact that it is not aesthetically pleasing. In addition, over time, this issue can negatively affect the balance of the bite and cause areas of the face to sag and make people appear older.

Therefore, many patients may find a solution by having a false tooth fitted. The wide array of options available to patients looking to replace missing teeth has increased significantly in recent years, each catering to the needs of the individual.

Removable dentures are one cost-effective solution that are easy to maintain due to the fact they can be taken out, while fixed dentures attach to the teeth on either side and act as a natural-looking replacement for a missing tooth.

Dental implants are becoming increasingly common among those people who lose their teeth following an injury. This solution can match the colour of the existing pearly whites, while allowing wearers to enjoy an improved quality of life.

What is a dental implant?

Dental implants provide a long-term and aesthetic solution for people who have lost their teeth due to injury or decay.

During this procedure, a root is fitted into the gum to fuse with the bone and provide a restoration to replace a tooth or group of teeth. They are often used to support a number of installations including crowns, implant-supported bridges and dentures, allowing patients to be safe in the knowledge their teeth remain in place.

How To Find us

The practice is open Seven days a week from 8am to 11pm for routine dentistry and we offer a 24 hour emergency dental walk-in service 365 days a year. You can book a consultation at any time by calling our reception team 24 hours a day on 0208 547 9997 or contact us during our working hours by email.

Testimonials

  • Dear Mr. Tehranian

    Amelia

    I just wanted to say thank you for my Invisalign treatment. I am really happy with my teeth now.
    March 2011
  • Pearl Dental Clinic

    Daniella

    just a big thank you to you all.. had my dental work carried out yesterday and am so happy with the results!

    The dentist was brilliant and really helpful, offered alternatives to the treatment I originally thought I thought I needed (and cheaper, not ripping me off as other professionals would!) The whole service was very goo, questions and emails always answered and the online chat service was a big help too so thanks!

    Looks awesome and am VERY happy.. I would recommend to anyone considering cosmetic dental treatment!
    December 2011
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    Charlotte from London

    A colleague recommended the Pearl Dental Clinic to me and I am very impressed with the service I received. The treatment options were carefully explained and I was advised on the most suitable procedure rather than the most expensive. When it came to perfecting my newly fitted veneers Dr Vahid Motahar was not satisfied until these were perfect. The staff are friendly and competent and I would not hesitate to recommend the clinic.
    Nov 2008
  • Pearl Dental Clinic

    Lee Henderson

    For as long as I can remember I have hated my teeth and smile so decided to seek help. I found Pearl Dental on the internet and arranged an appointment. I was initially very nervous but Dr Vahid explained all my options and showed me examples of options available. I decided that lumineers were best for me. After a few more consultations and teeth whitening at home I was ready to have my 6 lumineers fitted in April. The process was relatively pain-free and in under 3 hours my smile had been transformed. My new 'smile, has not only had a positive cosmetic effect but also a mental effect - I feel happy when posing for pictures, talking to clients etc.

    Dr Vahid and his team are truly wonderful and treated me with the most care and attention. Nothing seemed to be a problem and the time and consideration taken not just operating on me but talking to me is something I have never experienced with another dentist. This is the start of I hope a great relationship with the clinic. Thank You!

    Best wishes
    January 2011
  • Dear Mr Motahar,

    Stephanie Wilson

    Last April you performed miracles on my teeth and transformed them with a seemingly simple procedure involving fillings on the bottom of the front four top teeth. i just wanted to let you know that I am still uttterly delighted with my new smile and it remains as good as ever over a year later. Thanks again for the work that you did.

    Yours sincerely,
    October 2009
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    Adam Callow

    I came in on Saturday 31st October 2009 and had my teeth zoom whitened by your dentist Harshdeep Kaur. I just wanted to say thank you very much for the way I was looked after. It was a very professional service and I will recommend your services to all of my friends.

    Even though I am not local to the area your prices were very reasonable and you have saved me around £200 if I was to have gone to my local dentist. My teeth are now so much whiter! Thank you very much!

    Best wishes,
    November 2009
  • Dear Dr. Ehsan Esfahani

    Jennifer

    I would just like to thank you for the excellent treatment I had at your clinic with Dr. Ehsan Esfahani recently.

    I didn't use your recommended endontist in Harley St as this was rather a long way to travel. I did however use Dr Fiona McMichan in Farnham Surrey, tel 01252 726766. I received first class treatment at her clinic and would have no hesitation in recommending her to others. I don't know whether it would be useful for you to keep her details for other patients who live nearer this area Kind regards Jennifer

    TY
    Oct 2011
  • Dear Vahid and team

    Katie Prested

    I have had a truly fantastic experience at Pearl Dental Clinic. I have had three white fillings, a teeth cleaning and a lingual frenectomy carried out. Dr Vahid Motahar carried out all of this treatment in the most gentle way and therefore the whole treatment was virtually pain free. I am now very happy with my healthier teeth and mouth. I would like to say a big thank you to the fabulous Dr. Motahar and his team.
    July 2011
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    Matt Di Giorgio

    I am writing to provide feedback on my recent visits to Pearl Dental Clinic. I have been visiting Dr Motahar for a number of different treatments ranging from a simple hygene appointment to a crown fitting. I would like commend Dr Motahar for his excellent work - i am a very satisfied customer. What is perhaps most notable is his balance of technical excellence and patient relations.

    I would be happy to recommend Dr Motahar's services to anyone seeking a high standard of practical or cosmetic dentistry.

    Kind regards
    November 2009
  • Dear Madam/Sir,

    Niyi from East London

    I am delighted with the work done at the Pearl Dental Clinic and wish to express deep gratitude and thanks to Dr Mohsen Esfahani, Dr Dejan Dragisic and the staff at the clinic.

    Upon finding Pearl on the web I was immediately impressed by the professional highly informative website. After putting through the first tentative email hoping for an appointment I was again pleasantly surprised by the swift response, examination and commencement of work. The administrators at the clinic are polite, patient, professional, understanding and welcoming as are the dental support staff whose chair-side work is precise and efficient.

    I presented in late 2010 with quite upsetting dental problems. Dr Mohsen Esfahani has a manner that immediately puts one at ease. He shows and talks concisely through what he has seen, discusses a range of options and explains their pros and cons. Just being treated as an intelligent adult rather than a mouth that needs working on is very pleasing. His considerate and thorough manner is to be highly recommended and his dental work is beautiful, caring tooth restoration. My other, more surgical work, was done by Dr Dejan Dragisic who like Dr Esfahani I cannot praise enough. He is another warm, patient specialist who empathises with his patient and explains the procedure to be done and what to expect then works to produce results that are essentially beautiful and highly functional dental solutions.

    Another thing, probably of much importance to anyone visiting a dentist, is I found even the most involved procedures were relatively painless. The anesthetic system the clinic uses does indeed help make things comfortable.

    For the first time in years, thanks to the dentists at Pearl Dental Clinic, I can actually give a full and confident smile. All in all I have no hesitation in recommending the Pearl Dental Clinic and my faith in them is such that I would travel for hours for an appointment rather than go elsewhere.

    12 November 2011
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    Peter from New Malden

    Shortly before Christmas last year I was in severe pain with toothache. Unfortunately due to some unpleasant experiences I had not been to the dentist regularly for some time. My usual dentist was unable to see me urgently but after some research on the internet I found Pearl Dental Clinic. I phoned at once and actually spoke to Dr Zahra Esfahani who was able to see me almost immediately.

    Since that first visit I have undergone a course of treatment which has improved the condition and look of my teeth including cleaning and the fitting of a denture. The Pearl website states that Dr Zahra Esfahani is a specialist with nervous patients I can confirm that this is definitely the case and that I will now be seeing Dr Esfahani regularly, she has restored my faith in dentists! I cannot recommend Pearl Dental highly enough.

    Thanks
  • Pearl Dental Clinic

    Sue

    Once more I am so grateful for my treatment today (10th August) The two front teeth you so painlessly removed, replacing with a small temporary plate, have given me absolutely no pain or discomfort whatsoever. My mouth feels completely normal with no pain killers needed at all.

    No one believes that I have had anything done. You provide such a kind, caring and excellent service for us "whimps", I dread the day that you move on or need a change of venue. Thank you so very, very much.
    August 2010
  • To Dr Ghazanfar Taqvi,

    Mrs. Jacqueline Smith from Warwick

    Thank you so much for removing my two wisdom teeth on Sunday.

    It will bring me great relief from all the pain I have suffered over the past few weeks. I can't thank you enough!
    August 2011