A missing edge or crack
Tell us how much is gone and whether temperature, touch or chewing bothers your child. A fragment found safely should go into milk or water and come with you. Avoid using glue or a file on the tooth at home.

Some tooth injuries look minor on the day and change weeks later. For children coming from Mississauga, we assess the injury after a call, treat what is needed now and keep reviewing the tooth as it recovers.
Parents sometimes call us not on the day of a fall but weeks afterwards, when a front tooth has turned greyish or the gum above it looks puffy. Injuries can be quiet at first. On the day itself, though, the first job is checking your child overall: a major knock to the head or face, any struggle to breathe or swallow, or bleeding that won’t settle calls for emergency medical care.
Then contact a dental office and say when and how the injury happened, even if it was a while ago. An adult tooth knocked out completely is time-critical and needs immediate attention; a baby tooth that comes out is not to be replanted. Call to ask about our availability, and if urgent care can’t be arranged here, see another emergency dental provider.
Because problems can appear late, treatment usually includes a plan for watching the tooth. The dentist examines the injured tooth along with its gum, bone and how mature its root is, and explains what happens now and what is reviewed later. Ask which changes to look out for between appointments.

The cause and timing of the knock, plus any symptoms since, help the dentist decide what to examine. Please don’t test the tooth by pushing on it or getting your child to bite hard.
Tell us how much is gone and whether temperature, touch or chewing bothers your child. A fragment found safely should go into milk or water and come with you. Avoid using glue or a file on the tooth at home.
Describe a tooth that looks longer, shorter, angled or out of line, or a bite your child says feels strange. These signs need timely assessment. Don’t reposition the tooth yourself or assume a baby tooth is just loosening naturally.
Report cuts, swelling, bleeding and any tooth or fragment that could not be found. Share other symptoms since the accident, including any possible head injury. This wider view helps the clinician decide on the examination and whether medical care is needed as well.
Immediate first aid and dental care are needed for a permanent tooth that has been knocked out. Hold it by the crown, not the root, and keep it in milk if replanting is not safe. A young child must not hold the tooth inside their cheek.
Injury to a tooth can involve its crown, its root, the living pulp inside and the structures that support it. Some of that damage only becomes apparent with time. A repair that looks good does not show whether the pulp and supporting tissues are healing.
Your child’s stage of development also shapes what happens next. A baby tooth and a young adult tooth with an unfinished root are treated as different situations. Ask which tooth is affected, what has been confirmed and what the dentist is still watching for.
Patient information: IADT and AAPD — fractures and luxations of permanent teeth
Monitoring, repair, stabilization and other care are all possibilities. Ask what each step is meant to accomplish. A splint may hold the tooth steady while the pulp still needs observing, for example.
First-visit records let later reviews pick up changes. Mention any earlier injury in the same area. Ask what the dentist will compare at follow-up and what would prompt more testing or treatment.
Some outcomes are not knowable early on. Ask which signs are encouraging and which complications are on the watch list. Useful follow-up advice is better than being told the tooth won’t ever need care.
The order and urgency depend on the injury. Please phone the clinic about a recent knock rather than relying on a routine online request.
Tell us when and where it happened, what your child struck, what first aid was done and whether they had medical care. Mention lost teeth or pieces and bite changes. Bring health details and a note of medicines given.
The dentist looks at the teeth and tissues and discusses imaging or tests that might help. Teeth beside the obvious one may also need checking. Ask what is clear today and which results may need rechecking as healing continues.
Your child might need a repair, a splint, treatment of the pulp, a watching period or something else. Tell us how they let you know something hurts. Should the dentist recommend a referral, find out the reason and how soon it should happen.
Confirm what was done and any restrictions on eating, cleaning or activity. Ask when to return and which symptoms mean calling earlier. Reviews can continue long after the tooth looks normal.
Instructions are tailored to the injury and the treatment provided. A small repair may need different care from a displaced, splinted or replanted adult tooth.
Ask which foods and biting to avoid and for how long. Clean the area with the technique you were shown. If soreness or a splint makes that difficult, call for help instead of letting cleaning slip.
Note the date if pain increases, swelling appears, a bump forms on the gum, the bite changes or the tooth darkens, and call the clinic. Colour alone doesn’t determine what’s happening; it has to be weighed with symptoms, examination and injury type.
Check when your child can resume their usual activities and whether a mouthguard is suitable. An existing guard should be checked for fit after treatment. Protection reduces risk but doesn’t guarantee against another injury.
Patient information: IADT — broken teeth and preserving a fragment
Bring questions about what has changed and what to watch. A first appointment sets a starting point rather than answering every long-term question.
Call our Bronte Street practice after your child injures a tooth, or if an older injury has started to change, so we can talk about availability and next steps. For a recent urgent injury, use an available emergency dental provider if we can’t see you.
Knocked-out adult teeth need immediate care. Serious head injury, breathing or swallowing difficulty, or uncontrolled heavy bleeding needs emergency medical attention.