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Dental Emergency



Image of an emergency sign at Portland Children's Dentistry.Here at Portland Children's Dentistry, we always make time for dental emergencies. There is always a dentist on call, so Dr. David, Dr. Patty, or Dr. Jennifer will be able to answer your questions in the event that your child has an emergency.

If you believe a trauma warrants it, or if you are not sure, please call 911 immediately. Otherwise, call us right away at (503) 893-2889 and let us know what happened. If the emergency occurs outside of office hours, you will be able to reach Dr. David, Dr. Patty, or Dr. Jennifer through our office phone number.

What If Your Child's Tooth Gets Knocked Out, Fractured, or Loosened?


Anytime your child accidentally knocks out, fractures, or loosens a tooth, you should let us know, so that we can gauge what the best course of action is and make plans to follow through as needed.


Knocked Out Tooth


If a baby tooth is knocked out we will not replace it. Re-implanting a baby tooth can cause more harm than good, and can even damage the adult tooth that is waiting to erupt.

•  An adult tooth is a different story. We will likely re-implant an adult tooth that has been knocked out. Here are some steps that you can take following the accidental loss of a tooth:
•  Recover the tooth, making sure to grip it only by the crown (top portion).
•  Avoid touching the root end of the tooth, as this can damage it.
•  Gently rinse the tooth off with some saline (if available) or water if it has dirt or debris on it. Avoid scrubbing the tooth.
•  If possible, re-implant the tooth in the socket with gentle but firm finger pressure.
•  If unable to re-implant the tooth, place the tooth in a Tupperware with some milk to transport it to our office. An older child can keep the tooth in their mouth (outside of the teeth so they don’t accidentally swallow it) while in transit to the dental office.
•  Make sure to keep the tooth moist while you transport it to our office. Teeth that are allowed to dry out may become damaged.
•  Call us as soon as you can to let us know that you have a dental emergency and are on your way.

Fractured tooth


A tooth fracture may involve the outer layers of the tooth (enamel and dentin) or extend to the blood vessels and nerves (pulp) that run down the middle of the tooth. A tooth fracture which extends to the pulp requires immediate treatment in order to give the tooth the best chance of remaining healthy. If you see the tooth bleeding from the center (not from the gums), it is important that your child be seen right away.

Fractured tooth


A tooth fracture may involve the outer layers of the tooth (enamel and dentin) or extend to the blood vessels and nerves (pulp) that run down the middle of the tooth. A tooth fracture which extends to the pulp may require immediate treatment in order to give the tooth the best chance of remaining healthy. Call us and let us know if you see the tooth bleeding from the center (not from the gums).

Loose/Displaced tooth


A tooth that has become loose after a trauma may need treatment or just monitoring. An exam and x-ray will help to determine the best course of treatment.

What If Your Child Has a Toothache or Pain


Toothaches can come from any number of sources. Make note of the circumstances surrounding the discomfort and call to let us know details. A few of the questions we will ask include:


•  How long has your child had a toothache?
•  Is the pain mild, moderate, or severe?
•  What makes it better or worse?
•  Is the pain at night or during the day?
•  Have you given any medications for the pain and has that helped?
•  When you inspect the tooth or area, do you see anything that suspect is causing the pain (for example, a spot on the tooth or an ulcer on the gums?)


When Your Child Has Swelling or Infection


Swelling of the gums or face can be a sign of dental infection which could be a true emergency. A small swelling that can only be seen in the mouth is a sign of infection but generally one that does not need to be treated urgently. This may appear as a small bump above the affected tooth. If the swelling extends outside of the mouth this can be a true emergency that needs to be handled urgently. Swelling that extends up towards the eye or down below the mandible (jaw bone) should be addressed immediately by a dentist or emergency room team. Antibiotics may be indicated if the infection is causing fever, pain, extensive swelling, and difficulty breathing or swallowing.


If you have any questions about a potential dental emergency, contact our Portland office at (503) 893-2889 today, and we can discuss the best options for your particular circumstances.
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Emergency Pediatric Dentist | Portland OR | Portland Children's Dentistry
Looking for an Emergency Dentist in Portland OR? Visit our website to learn about our practice and why Portland Childrens Dentistry is Portland's Emergency Dentist.
Portland Children's Dentistry, 2323 NW Westover Rd, Portland, OR 97210; (503) 893-2889; portlandchildrensdentistry.com; 6/26/2026; Page Phrases: pediatric dentist Portland OR;