Dislodged teeth, whether partially or fully knocked out, require immediate attention. Quick action not only boosts the odds of saving the natural tooth but also protects overall oral health. Treatment may involve reimplantation, root canal therapy, or — if necessary — extraction. An endodontist leads this process, offering guidance and advanced treatment to support the best possible outcome.
Dental trauma can vary in severity, ranging from a slightly loose tooth to a knocked-out (avulsed) tooth. The choice of treatment depends on factors such as the condition of the periodontal ligament, the root structure, the patient’s age, and how much time has passed since the injury. A root canal specialist, or endodontist, can assess the patient’s condition to determine the most viable option for saving the affected tooth.
Time is of the essence for dislodged teeth. Even in cases where the tooth appears intact, internal damage can occur. Root fractures, pulp necrosis, or infection may develop if the tooth is not properly stabilized and treated. Intervention by an endodontist not only increases the chance of preserving the tooth but also reduces the risk of complications that can affect the jawbone and neighboring teeth. Understanding the following treatment approaches can help clarify what to expect when seeing a dental provider about dislodged teeth:
Reimplantation is often the first step considered when a tooth is completely knocked out. If handled correctly and quickly, a dental provider can sometimes reposition dislodged teeth back into their sockets and stabilize them with a splint. Success depends on how the tooth was stored and how much time elapsed since the injury. Ideally, the tooth should be kept moist in a solution, such as milk or saline, and reimplanted within 30 to 60 minutes.
Root canal therapy is commonly recommended when dislodged teeth have sustained internal damage but remain in place or have been successfully reimplanted. Trauma to a tooth can sever blood vessels and nerves, leading to pulp death or infection. A root canal allows the endodontist to remove the damaged tissue, disinfect the canal, and seal it to prevent further problems.
This procedure is especially beneficial in cases where the tooth structure is largely intact. By preserving the natural tooth, root canal therapy maintains the alignment of the bite and supports jawbone stability. Typically, a dental crown is recommended to protect the tooth and restore full function.
If a dislodged tooth has a severely fractured root or the supporting tissues are extensively damaged, extraction becomes the safest option. While extraction is a last resort, it can prevent infections or damage from spreading to adjacent teeth. After removal, the dental provider will clean the area to prevent infection. They can also help patients explore tooth replacements, from flipper teeth to dental implants, to maintain the general structure, appearance, and health of their smile.
Prompt evaluation and treatment of dislodged teeth can lead to lasting pain relief and a healthier smile in the long run. An endodontist can assess the injury and recommend a plan tailored to your needs. Whether the solution is reimplantation, root canal therapy, or extraction, our Omaha team can help.
Request an appointment here: https://www.advancedendotherapy.com or call Advanced Endodontic Therapy at (402) 403-6988 for an appointment in our Omaha office.
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