First Steps to Take When You Knock Out a Tooth

January 27, 2026

Accidents happen fast, and a knocked-out tooth can be frightening in the moment. Whether it occurs during sports, a fall, or an unexpected injury, knowing how to respond immediately can make a major difference in whether the tooth can be saved. Quick action and proper handling are essential.

Stay Calm and Act Quickly

Time is the most important factor when a tooth is knocked out. Remaining calm helps you think clearly and take the right steps without delay. In many cases, a tooth has the best chance of being successfully reinserted if treated within an hour.

As soon as the tooth is knocked out, focus on finding it and protecting it from further damage.

Handle the Tooth Carefully

When picking up the tooth, always hold it by the crown, which is the chewing surface. Avoid touching the root, as this part contains delicate tissue needed for reattachment. Touching or scrubbing the root can reduce the chances of saving the tooth.

If the tooth is dirty, gently rinse it with clean water for a few seconds. Do not use soap, chemicals, or scrub the tooth, and do not dry it with a towel.

Try to Reinsert the Tooth If Possible

If you can, gently place the tooth back into its socket with the crown facing the correct direction. Once in place, lightly bite down on a clean cloth or gauze to help keep it stable. This step can significantly improve the likelihood of successful reattachment.

If reinserting the tooth isn’t possible or feels uncomfortable, don’t force it. Move on to keeping the tooth properly stored.

Keep the Tooth Moist

A knocked-out tooth should never be allowed to dry out. If you can’t place it back in the socket, store it in milk, saline solution, or a tooth preservation product if available. These liquids help protect the root cells.

If none of these options are available, placing the tooth inside the mouth between the cheek and gums can work for adults, as long as there’s no risk of swallowing it.

Control Bleeding and Protect the Area

Use gentle pressure with clean gauze or a cloth to control bleeding at the injury site. Applying a cold compress to the outside of the mouth or cheek can help reduce swelling and discomfort.

Avoid eating or drinking until you’ve been evaluated, especially near the injured area.

Seek Emergency Dental Care Immediately

After handling the tooth and stabilizing the situation, get to an emergency dentist as soon as possible. Even if the tooth is reinserted, professional care is essential to assess damage, stabilize the tooth, and reduce the risk of infection.

Knowing how to handle a knocked-out tooth can make a lasting difference in protecting your smile.

About the Practice

Hill Dental Wellness provides comprehensive emergency dental care with a focus on prompt treatment and patient comfort. Dr. Hill and Dr. Myers are experts in managing dental injuries, including knocked-out teeth, using modern techniques to improve outcomes whenever possible. With a commitment to quick response and compassionate care, we help patients navigate dental emergencies with confidence and clarity.

Call us at (207) 797-3130 or request an appointment online.