Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Airway and bleeding threats
If airway compromise from facial trauma or expanding oral hematoma, escalate airway management
Suction readiness for blood and tooth fragments
If massive oral bleeding, early surgical consultation for hemostasis
If aspiration risk from missing tooth or fragments, escalate respiratory evaluation
Focused lung exam for unilateral wheeze or decreased breath sounds
If persistent cough after trauma, chest imaging pathway
High-risk injury screen
Concomitant facial fracture concern
Malocclusion or step deformity
Trismus or facial numbness
Concomitant intracranial or cervical spine injury concern
Altered mental status or vomiting
High-energy mechanism
Tooth preservation and replantation clock
Avulsed tooth time and storage
Extra-oral dry time estimate
Best outcomes when immediate replantation at scene
Prognosis worsens as dry time increases
Storage medium before arrival
Hank balanced salt solution if available
Cold milk
Saline
Patient saliva in buccal sulcus
If avulsed permanent tooth and feasible, immediate replantation
Crown-only handling
Avoid root scraping
Avoid drying the root
Gentle rinse if gross contamination
Saline rinse
No chemical disinfectants in ED
Replantation technique
Steady finger pressure into socket
Bite on gauze for stabilization
If avulsed primary tooth, no replantation
Risk to permanent tooth bud
Iatrogenic damage concern
Treatment burden without clear benefit
Analgesia and wound care
Pain control strategy
Oral NSAID if no contraindication
Ibuprofen PO weight-based in pediatrics
Avoid NSAID if significant bleeding risk or renal risk
Acetaminophen PO as adjunct
Weight-based dosing in pediatrics
Hepatic precautions
Regional anesthesia options
Infraorbital nerve block for maxillary anterior injuries
Mental nerve block for mandibular anterior injuries
Soft tissue injury care
Lip and gingival lacerations
Irrigation and removal of embedded fragments
If through-and-through lip laceration, layered repair plan
Foreign body concern
If tooth fragment missing, search soft tissues
If not found, imaging pathway for retained foreign body
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.