Dental Trauma (Child)

Home care

Your child’s doctor or dentist may prescribe medicine for pain and to prevent infection. Follow all instructions for giving these medicines to your child. If your child is given an antibiotic, make sure to give all the medicine for the full number of days until it's gone. Keep giving the medicine even if your child has no symptoms.

General care

• Apply a cold pack or ice compress for up to 20 minutes a few times a day. This is to help reduce pain and relieve swelling. To make a cold pack, put ice cubes in a plastic bag that seals at the top. Cover it with a thin, dry cloth before you put it on your child’s skin.

• Serve soft foods until your child feels better. It may be hard for them to chew hard foods for a few days.

• Watch your child for signs of infection (see below).

Special note to parents

To help prevent dental injuries:

• Teach your child not to push other children when playing.

• Make sure your child wears a helmet and mouth guard when playing sports, riding a bike, skateboarding, or roller skating.

• Teach your child to use the ladder when getting out of a swimming pool.

• Don’t allow your child to jump off a moving swing.

• Teach your child to be careful of their teeth and friends' teeth when playing.

• Never let children use their teeth to cut or open things. Have them use scissors, if they are old enough to do so safely.

• Make sure that children see the dentist routinely to make sure that their teeth are healthy.

Follow-up care

Follow up with your child’s doctor or dentist as advised.

When to get medical advice

Contact your child's doctor or dentist or get medical care right away if your child has:

• A fever. (See "Fever and children" below.)

• Aching pain in a tooth.

• A tooth that is sensitive to cold.

• A headache, dizziness, or confusion.

• Redness or swelling around the tooth.

• Pain that gets worse.

• Fluid leaking from the area around the tooth.

Fever and children

Use a digital thermometer to check your child’s temperature. Don’t use a mercury thermometer. There are different kinds and uses of digital thermometers. They include:

• Rectal. For children younger than 3 years old, a rectal temperature is the most accurate.

• Forehead (temporal). This works for children age 3 months and older. If a child under 3 months old has signs of illness, this can be used for a first pass. The doctor may want to confirm with a rectal temperature.

• Ear (tympanic). Ear temperatures are accurate after 6 months of age, but not before.

• Armpit (axillary). This is the least reliable but may be used for a first pass to check a child of any age with signs of illness. The doctor may want to confirm with a rectal temperature.

• Mouth (oral). Don’t use a thermometer in your child’s mouth until they are at least 4 years old.

Use the rectal thermometer with care. Follow the product maker’s directions for correct use. Insert it gently. Label it, and make sure it’s not used in the mouth. It may pass on germs from the stool. If you don’t feel okay using a rectal thermometer, ask the doctor what type to use instead. When you talk with any doctor or nurse about your child’s fever, tell them which type you used.

Below are guidelines to know if your young child has a fever. Your child’s doctor may give you different numbers for your child. Follow your doctor’s specific instructions.

Fever readings for a baby under 3 months old:

• First, ask your child’s doctor how you should take the temperature.

• Rectal or forehead: 100.4°F (38°C) or higher

• Armpit: 99°F (37.2°C) or higher

Fever readings for a child age 3 months to 36 months (3 years):

• Rectal, forehead, or ear: 102°F (38.9°C) or higher

• Armpit: 101°F (38.3°C) or higher

Call the doctor in these cases:

• Repeated temperature of 104°F (40°C) or higher in a child of any age

• Fever of 100.4° (38°C) or higher in baby younger than 3 months

• Fever that lasts more than 24 hours in a child under age 2

• Fever that lasts for 3 days in a child age 2 or older