Chipped Tooth With No Blood Showing
When you understand HOW and WHY things happen, your actions for treatment and prevention are vastly improved.
If you just want to know WHAT ACTIONS TO TAKE, scroll down.
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Accidents happen to teeth, especially with children. Chipped or fractured teeth may occur due to
- Impact directly to the tooth as in a fall, sports injury, or hard object in the food
- A weakness or defect in the tooth
- On back teeth it may be due to large fillings (silver fillings actually expand over time and can cause a piece of tooth to break away.
- Poor alignment of the bite causing stressful impact between upper and lower teeth
We’re talking here only about a chipped tooth with no visible blood coming from the tooth or other symptoms such as swelling.
- An obvious missing piece of tooth
- Sharp edges on tooth that may cut the lips, cheek or tongue
- Extreme sensitivity to air or cold or sweet
- No pain at all
If the tooth is sensitive to air, cold, or sweet
- This is usually due to sudden exposure of the layer of tooth beneath the enamal called dentin. It is full of microscopic pores that may expose nerve endings. This may sometimes be relieved by blotting the tooth dry with a tissue, then placing a layer of petroleum jelly (e.g. Vaseline) to cover up the pores.
- If you have pliable orthodontic wax on hand, this may also be used to cover the inner part of the tooth
- Some people get relief from warm salt water rinses (half teaspoon salt dissolved in one cup warm water). You may want to use no more than body-temperature water to avoid adding heat which can increase pain.
If the tooth is sharp and cutting the surrounding tissues
- Use pliable wax such as orthodontic wax to cover the sharp part of the tooth
- Use mild sandpaper ONLY on the edge to take the extreme sharpness off. You need to keep all the tooth structure possible for possible bonding to be done to repair the tooth so ONLY take the extreme sharpness away and no more.
If there is generalized pain or throbbing from the injury
- Give over the counter anti-inflammatory pain medicines, but NOT ASPIRIN. Typically acetaminophen or ibuprofen can be used. These are to be swallowed only and not put directly on the tooth.
Chipped teeth with no blood showing is generally not the type of dental emergency that requires urgent attention. Call your child’s dentist to set up an appointment for assessment and treatment and follow instructions they give you. If the chip is deep into the tooth, even though no blood is visible, it may require attention soon.
If you can’t get in to see them immediately, don’t worry. You can use the ideas above to relieve pain in the meantime. DON’T give more pain medicine than is recommended on the packaging.