Experiencing a Pediatric Dental Emergency Right Now?
Cavity risk screening is most effective when combined with consistent preventive care at home and regular professional visits. Our team will walk you through every recommendation and make sure you leave with a clear, actionable plan tailored specifically to your child.
Urgent Care & Guidance for Kids
Dental emergencies can be stressful, especially for the little ones. At Central Park West Pediatric Dentistry, we understand the urgency and concern that arises during unexpected dental situations. We are here to guide you through urgent situations with clear instructions and prompt care when needed — right here in New York.
What to Do During a Pediatric Dental Emergency
Toothache
Start by gently cleaning the area around the sore tooth. Have your child rinse their mouth with warm salt water to help dislodge any food particles stuck between the teeth. Do not place aspirin on the aching tooth or on the gum tissues. If there is facial swelling, apply a cold compress on the outside of the cheek. Give your child children's pain reliever following the dosage instructions for their age. Contact our office as soon as possible to schedule an examination.
Cut or Bitten Tongue, Lip, or Cheek
Injuries to the soft tissue of the mouth can cause bleeding, swelling, or bruising — but are rarely serious and can often be treated at home. Gently rinse the area with clean water to remove any debris. Apply a cold compress to the outside of the cheek to help reduce swelling and pain. If bleeding occurs, apply a clean gauze pad firmly to the area for at least 15–20 minutes. If the bleeding doesn't stop after 20 minutes, contact our office or visit an emergency care facility immediately.
Broken Braces and Wires
Orthodontic appliances can sometimes break or dislodge, especially during physical activity. Do not attempt to remove any broken braces or brackets that are stuck or causing a choking situation. If an orthodontic wire is causing irritation, use the eraser of a pencil to push the wire to a more comfortable position. If none of the appliance has come loose, you can gently remove it and bring it with you to the appointment. Even if there is no pain, contact your orthodontist to schedule a repair.
Broken Tooth
A broken or chipped tooth can be painful and may expose the inner layers of the tooth to infection or damage. Rinse your child's mouth with warm water to clean the area. Using a piece of gauze or clean cloth, apply gentle pressure to control any bleeding. If possible, save any broken pieces of tooth. Give your child an ice pack or cold compress held to the cheek to help reduce swelling. Seek emergency dental care or visit our office as soon as possible to reduce the risk of further damage or infection.s
Knocked Out Permanent Tooth — Act Within 30 Minutes
A knocked-out permanent tooth is a true dental emergency. The best outcome happens when the tooth is replaced quickly — ideally within 30 minutes.
- Find the tooth immediately and hold it by the crown — never by the root
- Rinse with clean water only — do not scrub or dry the tooth
- Keep the tooth moist in a container of milk, saliva, or saline
- Reinsert the tooth in the socket if possible and have your child bite down gently on a clean cloth
- See your dentist within 30 minutes for the best chance of saving the tooth
Note: This applies only to permanent teeth. Baby teeth should not be replanted.
Other Emergency Conditions
Bleeding After a Baby Tooth Falls Out
Some bleeding is normal when a baby tooth falls out. Place a clean gauze pad over the area and have your child bite down firmly for 30–60 minutes. If bleeding continues, contact our office for guidance. Do not give aspirin to children as it can increase bleeding.
Cold Sores or Canker Sores
Cold sores and canker sores are common and usually heal on their own. Over-the-counter topical products may offer temporary relief. If they're very painful or large, or if they last more than 12 days — schedule a dental visit to discuss underlying causes and explore other treatment options.