What to Do If Your Child Knocks Out a Tooth
DENTAL EMERGENCIES
Drs. Greg & Phil Wolkstein
Licensed Pediatric Dentists
June 2026 • 2 min read
We offer same-day emergency appointments. If it's after hours, follow this guide until we can see you.
It happens in a flash — a fall off playground equipment, a collision during soccer, or a tumble down the porch steps.
One moment everything is fine; the next, your child is crying and holding a tooth in their hand.
Don’t panic. The next 30 minutes matter more than you think — and knowing what to do could save the tooth entirely.
"A knocked-out permanent tooth is a dental emergency. Speed matters — teeth replanted within 30 minutes have the best chance of survival."
First: Is It a Baby Tooth or a Permanent Tooth?
This is the most important question. Baby teeth should never be replanted. For a baby tooth, keep your child calm, control bleeding, and call us.
For a permanent tooth, every minute counts. Follow the steps below immediately.
Step-by-Step: Knocked-Out Permanent Tooth
-
Find the tooth and pick it up by the crown
Never touch the root — it contains cells needed for reattachment. -
Rinse gently — do not scrub
Use cold milk, saline, or plain water. Avoid soap or alcohol. -
Keep the tooth moist
Ideally replant it, or store it in milk or between cheek and gum. -
Call us and act fast
Teeth replanted within 30 minutes have the highest success rate.
DO ✓
- Handle by the crown only
- Store in milk or saline
- Try to replant if possible
- Call the dentist immediately
- Act within 30 minutes
DON’T ✗
- Touch the root
- Wrap in a dry paper towel
- Store in tap water
- Replant a baby tooth
- Wait and see
Prevention Is Still the Best Plan
A custom-fitted mouthguard is the best way to prevent dental injuries during sports. Ask us about mouthguards at your child’s next visit.
Dental Emergency? We're Here.
We offer same-day emergency appointments in San Jose.
Call (408) 578-6550
Dental Emergencies • Knocked-Out Tooth • Kids' Dental Health • Sports Dentistry • Mouthguards • San Jose Families
