Urgent Care & Guidance for Kids

Dental emergencies can be stressful, especially for little ones. At West End Avenue Pediatric Dentistry, we understand the urgency and concern that comes with unexpected dental situations. We are here to guide you through urgent situations with clear instructions and prompt care — right here in New York.

What to Do During a Pediatric Dental Emergency

Toothache

Gently clean around the sore tooth. Have your child rinse with warm salt water to dislodge any food particles. Do not place aspirin on the aching tooth or gum tissues. If facial swelling occurs, apply a cold compress to the outside of the cheek. Give children's pain reliever per dosage instructions for their age, and contact our office as soon as possible.s

Cut or Bitten Tongue, Lip, or Cheek

Gently rinse the area with clean water to remove any debris. Apply a cold compress to the outside of the cheek to reduce swelling. If bleeding occurs, apply a clean gauze pad firmly to the area for 15–20 minutes. If bleeding doesn't stop after 20 minutes, contact our office or visit an emergency facility immediately.

Broken Braces and Wires

Do not attempt to remove broken braces or brackets that are stuck or could become a choking hazard. If a wire is causing irritation, use the eraser end of a pencil to reposition it to a more comfortable position. Contact your orthodontist for a repair appointment even if there is no pain.s

Broken Tooth

Rinse your child's mouth with warm water to clean the area. Apply gentle pressure with a clean gauze or cloth to control bleeding. Save any broken tooth pieces if possible. Apply a cold compress to the cheek to reduce swelling. Seek emergency dental care as soon as possible to prevent further damage or infection.

Knocked Out Permanent Tooth — Act Within 30 Minutes

A knocked-out permanent tooth is a true dental emergency. Quick action is critical — ideally within 30 minutes for the best chance of saving the tooth.
  • Find the tooth and hold it by the crown — never by the root
  • Rinse with clean water only — do not scrub or use soap
  • Keep moist in a container of milk, saliva, or saline — never let it dry out
  • Reinsert into the socket if possible and bite gently on a clean cloth
  • See a dentist within 30 minutes for the best possible outcome
Note: This applies to permanent teeth only. Baby teeth should not be replanted.

Other Common Urgent Situations

Bleeding After a Baby Tooth Falls Out

Some bleeding is completely normal. Place a clean gauze pad over the area and have your child bite down firmly for 30–60 minutes. If bleeding continues beyond this, contact our office. Do not give aspirin to children, as it increases bleeding risk.

Cold Sores or Canker Sores

Both typically resolve on their own. Over-the-counter topical products may offer temporary pain relief. If sores are very painful, unusually large, or persist for more than 12 days — schedule a dental visit to discuss treatment options and any underlying causes.