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Emergency Dental Care

Knocked-Out Tooth Care

Knocked-Out Tooth Care in Markham, ON

Knocked-out tooth care at My Dental Home is urgent dental treatment to save and reimplant a permanent tooth that has been fully dislodged from its socket. At our Markham dental office, Dr. Kevin F. Brown and Dr. Bahar Kermani provide emergency dental care for patients of all ages. If a tooth has been knocked out, call us at (905) 415-7700 right away.

Quick Summary

  • A knocked-out permanent tooth is a dental emergency — reimplantation is generally most successful within about 30 minutes of the injury
  • Pick the tooth up by the crown (white part), not the root, and store it in cold milk if you cannot place it back in the socket yourself
  • Our Markham office offers emergency dental services with evening hours Monday through Wednesday until 8:00 PM
  • We provide clear, upfront pricing and insurance assistance before treatment begins

 

On This Page

 

What Is a Knocked-Out Tooth?

A knocked-out tooth at My Dental Home is treated as a dental emergency because timing directly affects whether the tooth can be saved. The clinical term for a tooth that has been completely displaced from its socket is “avulsed tooth.” When a permanent tooth is knocked out, the periodontal ligament fibres that held it in bone are torn, and the nerve and blood supply are severed. According to the Canadian Dental Association, the cells on the root surface begin to die within minutes of drying out, which is why getting to a dentist quickly matters more than almost anything else.

Reimplantation is generally most successful when the tooth is placed back in its socket within about 30 minutes of the injury. After roughly 60 minutes outside the mouth, the chance of saving the tooth drops significantly. We assess each case individually, but that time window is the reason we ask you to come in as soon as possible.

 

Is Reimplantation Right for Every Knocked-Out Tooth?

Reimplantation typically applies to permanent teeth only. Key factors we evaluate include:

  • Whether the tooth is a permanent (adult) tooth or a baby tooth
  • How long the tooth has been out of its socket
  • How the tooth was stored after the injury
  • Whether the root is intact or fractured
  • The patient’s overall oral health and bone condition

Baby teeth are generally not reimplanted because forcing them back in can damage the developing permanent tooth underneath. For adult teeth with intact roots that arrive within the time window, reimplantation is usually the first option we consider.

 

Your Emergency Dental Team in Markham

At My Dental Home, Dr. Kevin F. Brown and Dr. Bahar Kermani provide emergency knocked-out tooth care at our Markham office. We prioritize urgent cases so that a patient with an avulsed tooth does not have to wait while the clock runs down on the tooth’s viability.

Our team speaks Mandarin, Cantonese, Urdu, and Hindi alongside English, which matters during a stressful emergency when clear communication helps both the patient and the parent understand what is happening and what to expect next.

 

What to Do When a Tooth Gets Knocked Out

If a permanent tooth gets knocked out, what you do in the first few minutes has a direct effect on whether we can save it. My Dental Home recommends these steps:

  1. Find the tooth and pick it up by the crown (the white part). Do not touch the root. The root surface has cells that need to stay alive for reimplantation to work.
  2. If the root looks clean, try placing the tooth back in the socket yourself. Bite down gently on a clean cloth to hold it in place. This is the single most effective thing you can do.
  3. If you cannot reinsert the tooth, store it in cold milk or saline solution. Do not store it in water, and do not wrap it in tissue or let it dry out. Milk keeps the root cells viable for up to an hour.
  4. Call our office at (905) 415-7700 immediately. Let us know you have a knocked-out tooth so we can prepare for your arrival.
  5. Get to our Markham dental office as quickly as possible. Ideally within 30 minutes of the injury. Bring the tooth with you, stored properly.

Once you arrive, we numb the area with local anesthesia, examine the tooth and the socket, and reposition the tooth. We then place a flexible splint across the reimplanted tooth and the teeth on either side to hold it stable while the ligament reattaches, which typically takes two to four weeks.

 

Benefits of Prompt Treatment

Saving a knocked-out tooth quickly gives you the strongest chance of keeping your natural tooth. At My Dental Home, we see the benefits of acting within that critical window:

  • Preserves your natural tooth — A reimplanted tooth that heals successfully functions like any other tooth. No prosthetic can perfectly replicate the feel of your own tooth root in bone.
  • Avoids the cost and complexity of replacement — Dental implants and bridges work well, but they require additional procedures and higher investment. Saving the original tooth is the simplest path forward.
  • Protects jawbone health — A living tooth root stimulates the jawbone. When a tooth is permanently lost, the bone around the empty socket begins to resorb over time.
  • Maintains your child’s dental development — For children and teens, keeping a permanent tooth in place supports proper jaw growth and prevents the neighbouring teeth from shifting.

 

Why Choose My Dental Home for Knocked-Out Tooth Care

At our dental practice in Markham, we provide emergency dental care with prompt scheduling for urgent injuries. A few things that set our Markham dental office apart for urgent dental needs:

We offer extended weekday hours and Saturday morning appointments, which means sports injuries and playground accidents that happen on evenings or weekends do not have to wait until the next business day. Our office on Highway 7 East is open Monday through Wednesday until 8:00 PM and Saturday from 9:00 AM to 2:00 PM.

Our team speaks multiple languages, and we offer clear, upfront pricing so you know what treatment will cost before we begin. We also provide insurance assistance to reduce the administrative burden during an already stressful situation.

 

Knocked-Out Tooth Cost and Insurance

The cost of knocked-out tooth treatment at My Dental Home depends on the specifics of your case. The main cost drivers include:

  • Whether the tooth can be reimplanted or requires extraction and future replacement
  • Whether the tooth needs a root canal after reimplantation (common for fully mature teeth)
  • Whether additional procedures such as splinting, imaging, or follow-up visits are needed
  • The type of replacement chosen if the tooth cannot be saved (implant or bridge)

We review all costs with you before beginning treatment and provide a written estimate. Most dental insurance plans in Ontario cover emergency treatment, and we provide insurance assistance to help with claims and coverage questions. If you need help managing out-of-pocket costs, ask about our payment options at your visit.

 

Schedule Emergency Dental Care

If a tooth has been knocked out, do not wait. Call our Markham office at (905) 415-7700 right away or text (306) 993-7242 if you cannot make a phone call. Let us know you have an avulsed tooth so we can prepare a room for your arrival.

My Dental Home is located at 5011 HWY #7 East, Markham, ON L3R 1N1. You can also request an appointment online for non-emergency visits. At your first visit, we examine the tooth and socket, take imaging, and walk you through exactly what needs to happen. We send you home with a clear plan and a firm cost estimate before you commit to treatment.

Office hours:
Monday to Wednesday: 8:00 AM – 8:00 PM
Thursday: 8:00 AM – 5:00 PM
Friday: 8:00 AM – 4:00 PM
Saturday: 9:00 AM – 2:00 PM
Sunday: Closed

 

Frequently Asked Questions

Can a knocked-out baby tooth be reimplanted?

Baby teeth are not reimplanted. Pushing a baby tooth back into the socket can injure the permanent tooth developing underneath. If your child loses a baby tooth from impact, bring them in so we can check for damage to the gums, bone, and surrounding teeth, and discuss whether a space maintainer is needed to hold the spot until the permanent tooth comes in.

How long can a knocked-out tooth survive outside the mouth?

Root surface cells start to deteriorate within minutes if the tooth dries out. Stored in cold milk or saline, a tooth can remain viable for roughly 30 to 60 minutes. Stored in saliva (inside the cheek) is another short-term option if milk is not available. The key factor is moisture: a tooth wrapped in dry tissue or left on a counter has a much lower chance of successful reimplantation.

Will a reimplanted tooth need a root canal?

For adult teeth with fully formed roots, a root canal is usually necessary within two to four weeks after reimplantation. The nerve inside the tooth typically does not survive avulsion, and root canal treatment removes the dead tissue before infection develops. For younger patients whose root tips are still developing, the nerve sometimes recovers on its own, and we monitor the tooth closely before deciding.

What happens if the tooth cannot be saved?

If reimplantation is not possible or the tooth does not survive, we discuss replacement options with you. The most common paths are a dental implant (a titanium post placed in the jawbone that supports a permanent crown) or a dental bridge (a fixed prosthetic anchored to the teeth on either side). Each option has different timelines, costs, and candidacy requirements that we review at your appointment.

Should I go to the emergency room or the dentist for a knocked-out tooth?

A dental office is almost always the better choice. Hospital emergency rooms can manage bleeding and discomfort, but most do not perform tooth reimplantation. Call us at (905) 415-7700 first. If the injury involves a broken jaw, uncontrolled bleeding, or loss of consciousness, go to the nearest emergency room and bring the tooth with you.

How can I prevent teeth from getting knocked out?

Custom sports mouthguards are the most effective prevention for contact sports and recreational activities. We fit mouthguards that match your teeth precisely, which provides better protection and comfort than store-bought versions. For children in hockey, basketball, martial arts, or other impact sports, a mouthguard is one of the simplest investments in avoiding a dental emergency.

Does insurance cover knocked-out tooth treatment in Ontario?

Most dental insurance plans in Ontario cover emergency treatment, including reimplantation, splinting, and follow-up appointments. Coverage varies by plan, and we can confirm your coverage details before treatment so there are no surprises.

Request Appointment

Call us today at (905) 415-7700 to book your consultation with My Dental Home in Unionville, ON. We look forward to meeting you and starting you on the path to a better, brighter smile!