Knocked-Out Tooth: What to Do in the First 30 Minutes

A knocked-out (avulsed) permanent tooth can often be saved, but the first 30 minutes matter more than almost anything else that happens later. Here's exactly what to do on the way to see us.

Step 1: Find the tooth and pick it up by the crown

Hold it by the white chewing surface, never the root. The root surface has delicate cells that need to stay alive for a successful re-implantation.

Step 2: Rinse gently — do not scrub

1. Rinse the tooth briefly in cool water if it's dirty.
2. Do not use soap, chemicals, or a toothbrush.
3. Do not dry it or wrap it in tissue.

Step 3: Store it the right way

The best options, in order:

• Place it back in the socket if you can, and bite gently on gauze.
• If not, keep it in cold milk.
• If milk isn't available, tuck it inside your cheek (adults only).
• Plain water is a last resort — it damages root cells quickly.

Step 4: Call us immediately

Call 604-535-8835 on your way. Re-implantation success drops sharply after the first hour, so we'll clear space to see you as soon as you arrive.

Step 5: Manage pain and swelling en route

Use a cold compress on the outside of your cheek and take your usual over-the-counter pain reliever if you're able. If you'd like extra support during treatment, ask about our sedation options.

Fast action gives us the best chance to save the tooth — and to keep the fix simple.