1️⃣ Act Quickly – Time is Critical

• Ideal re-implantation time: within 30–60 minutes after the tooth is knocked out.
• The chance of saving the tooth drops significantly after 2 hours.

2️⃣ Handle the Tooth Properly

• Pick up the tooth by the crown (the visible chewing surface), not the root.
• Avoid touching or scrubbing the root — the periodontal ligament cells are fragile.

3️⃣ Rinse if Dirty

• If the tooth is dirty, quickly rinse it with milk, saline, or tap water for no more than 10 seconds.
• Do not scrub or use soap/chemicals.

4️⃣ Keep the Tooth Moist

• Preferred storage: use milk in glass cup drop tooth in
• Alternative: place the tooth in saliva (inside your cheek) if milk isn’t available.
• Do not let the tooth dry out.

5️⃣ Reposition if Possible

• If the patient is conscious and able, gently try to reinsert the tooth into its socket:
• Hold by the crown
• Push gently into the socket
• Bite on a clean cloth to keep it in place

Only attempt this if it can be done without pain or force.

6️⃣ Immediate Dental Care

• Call your emergency dentist immediately — e.g., Dr. Castellano at 813‑672‑1917.
• Bring the tooth in its storage solution.
• Treatment may include:
• Local anesthesia
• Re-implantation
• Splinting to stabilize the tooth
• Antibiotics if needed
• Follow-up for root canal treatment (commonly required for permanent teeth)
• root canal usually necessary



A knocked-out tooth is a true dental emergency. Handle by the crown, keep it moist, and get to an emergency dentist as fast as possible — ideally within an hour.”

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