A dislodged tooth, also known as an extruded or luxated tooth, is generally caused by trauma to the mouth which has resulted in the tooth being pushed up into or out of its socket. To avoid the need for a painful and expensive root canal treatment, it must be treated in as soon as possible.
First, contact your dentist immediately and schedule an appointment as soon as possible, preferably that day. Do not touch or remove the tooth from your mouth even if it is partially out of the socket. While you’re waiting for your appointment, you can take over the counter pain relievers such as ibuprofen or acetaminophen and use cold compresses to reduce swelling.
First, your dentist will anesthetize and clean the affected area. If the tooth is visibly intact he or she will likely reposition and stabilize your tooth, then perform a series of x-rays to see if the root’s nerves or blood vessels have been fractured or damaged. Your dentist may also recommend additional tests at follow-up appointments as x-rays may not be entirely accurate immediately following a tooth’s injury.
If the dentist determines there is permanent damage to the root, nerve or blood vessels, he or she will likely recommend a root canal treatment to prevent the tooth’s discoloration or abscess, which is a serious infection.
Children whose teeth are still developing, may not require a root canal treatment since their teeth are still developing and many of their permanent teeth are still growing in.
If your dentist feels confident he or she can save the tooth, it will need to be connected to the healthy teeth on either side so that it can heal properly.
Generally there are three main ways to do this:
The tooth will need a minimum of 7 to 10 days to heal and set within the socket.
It is essential that you follow up with your dentist at least 7 to 10 days later. If upon further testing, it appears your tooth's nerve or blood vessels were indeed damaged, a root canal may be your only option.