Emergency Dentistry for Kids
in North Texas

Children have the unenviable combination of being both endlessly energetic and hilariously clumsy, which can often lead to accidents where their teeth pay the price. They are also not exactly known for their fantastic brushing habits, which can result in severe toothaches that need to be addressed right away. If your child is ever in need of immediate dental care, know that our emergency dentist in McKinney, Allen, and Frisco offers trusted care right when you need it. We want to help make your kiddo feel better and help ease your mind because we understand that these situations can be very scary! So don’t hesitate to give us a call.

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What Counts As a Dental Emergency?

There are many situations that could count as a dental emergency. Here are some common ones, but if you’re unsure about your child’s situation, its always better to be safe than sorry. Give us a call and we’ll provide guidance and support.

Severe pain: Try Tylenol first to control pain or discomfort. Constant, throbbing, or spontaneous pain shouldn’t be ignored. 

Dental abscess: Bumps and swellings on the gums can be a sign of a dental infection. If fever is associated with the presence of dental abscess this should be evaluated immediately. 

Facial swelling: This is a sign of serious infection and needs to be addressed immediately. 

Fractured or knocked-out teeth: If an adult tooth is knocked out, time is of the essence. 

  1. Gently hold the tooth by the crown - normal tooth portion, NOT the root - and RINSE GENTLY in cool water. 
  2. Try to place the tooth back in the socket where it was before and hold it in place with clean gauze or towel. Alternatively, if you are not comfortable with putting the tooth back in its socket, you can store the tooth in a container of cold milk or your child’s saliva. Make sure the tooth is completely covered in the storage medium to prevent drying out. 
  3. Take your child and tooth to the pediatric dentist IMMEDIATELY.

Tooth fracture: Depending on the severity of the fracture, we can consult you and determine the best course of action. We remain here to help!

The Importance of Immediate Care

Immediate dental care is very important if your child has a dental emergency, for several reasons.

Relieves Pain Quickly

Immediate care helps reduce or eliminate discomfort, allowing your child to eat, sleep, and return to their daily routine without distress.

Protects Developing Teeth

Treating injuries or infections right away helps preserve baby and permanent teeth, reducing the risk of long-term complications and protecting oral development.

Prevents Further Damage

By addressing problems promptly, emergency care prevents issues from worsening — saving your child from more invasive treatments in the future.

The Importance of Immediate Care

Relieves Pain Quickly

Immediate care helps reduce or eliminate discomfort, allowing your child to eat, sleep, and return to their daily routine without distress.

Protects Developing Teeth

Treating injuries or infections right away helps preserve baby and permanent teeth, reducing the risk of long-term complications and protecting oral development.

Prevents Further Damage

By addressing problems promptly, emergency care prevents issues from worsening — saving your child from more invasive treatments in the future.

Fast Relief When You Need It Most

Dental emergencies don’t wait — and neither should you. Our team is here to provide same-day appointments and phone support after hours so your child can get the care they need as quickly as possible.

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The Most Common Dental Emergencies

Whether you’re the parent of a toddler or a teenager, there are a lot of different things that can happen to your child’s mouth and require emergency treatment from the team at Sprout Dentistry for Kids. Wondering what the most common dental emergencies are for kids? Here’s a look at the most common emergencies, as well as the procedures that are required to treat them.

Toothaches

Is my child’s toothache an emergency? Most toothaches are caused by non-emergency issues like cavities. However, not only is tooth pain distracting and uncomfortable, but it can sometimes be a warning sign of a serious oral health issue. Your child’s toothache qualifies as an emergency if:

  • The pain is severe or keeping them from sleeping
  • The pain lasts longer than a day
  • The tooth is discolored or loose
  • There’s a small bump on the gums
  • There’s swelling in the mouth
  • They’re experiencing a fever or fatigue

How you should handle your child’s toothache: First, try flossing around the painful tooth and have your child rinse their mouth out with water. If pain persists, you can apply an ice pack to the outside of their mouth for 10-minute intervals. You can judiciously administer children’s over-the-counter pain relievers according to the instructions on the label, but remember that this is only meant to be a temporary solution until you can reach us.

How we treat toothaches in children: We won’t know what treatment your child will need until we’ve had a chance to evaluate them and determined the cause of their toothache. Sometimes, a simple filling or direct bonding is all that’s needed. Other times, pulp therapy or a tooth extraction may be in order.

Cracked Tooth

Is my child’s cracked tooth an emergency? A cracked tooth is typically alarming and uncomfortable, and should be treated with urgency. The sooner a cracked or broken tooth is repaired, the lower the risk is of further damage or infection. Remember, not all cracks in the teeth are easy to see. If your child starts to complain about a toothache or tooth sensitivity after they’ve taken a blow to the face, fallen down, or eaten something very hard, there may be damage that you can’t see.

How you should handle your child’s cracked tooth: First, have your child rinse their mouth out with water to keep the area clean. If at all possible, keep them from eating or chewing anything until we can see them. To minimize swelling and discomfort, you can apply a cold compress to the outside of their mouth for 10-minute intervals or give them a children’s over-the-counter pain reliever in accordance with the instructions on the label.

How we treat children’s cracked teeth: The treatment we will recommend for your child’s cracked tooth will depend on the extent of the damage. Very minorly damaged teeth can sometimes be repaired with direct bonding. In severe cases where the damage is extensive, we may need to extract the tooth altogether. However, the most common treatment for a cracked or broken tooth is a custom-made metal-free dental crown.

Chipped Tooth

Is my child’s chipped tooth an emergency? Typically, a chipped tooth is a non-urgent emergency. Nonetheless, it’s important to keep in mind that it should still be treated right away! Leaving a chipped tooth untreated can lead to further damage, and in some cases, will require more extensive repair than if it had been repaired right away. After all, enamel cannot heal or strengthen itself!

How you should handle your child’s chipped tooth: Have your child rinse their mouth out right away. Not only will this keep the area clean, but it will wash out any small fragments of their tooth that may still be in their mouth. Next, keep your child from biting, chewing, or eating anything hard or sticky until you can reach us. Only give them soft foods until their appointment to prevent the damage from getting worse.

How we treat children’s chipped teeth: Fortunately, repairing a chipped tooth is usually a quick and easy task! We’ll likely use direct bonding, wherein a tooth-colored composite resin will be molded over the damaged area and polished until it looks like a natural part of their smile. If they chipped a tooth due to a sports injury, we may also recommend getting your child a custom-made sports guard.

Knocked-Out Permanent Tooth

Is a knocked-out permanent tooth a dental emergency? Yes, you should plan to call your pediatric emergency dentist in McKinney if your child sustains a knocked-out permanent tooth. It is necessary to reach our office within one hour of the accident if we are to try and save it.

How you should handle a knocked-out permanent tooth: The best way to handle this type of situation is to hold the tooth by its crown and rinse it off with water (gently). If possible, you can try and reinsert the tooth into its socket and have your child bite down to hold it in place. If this does not work, place the tooth in a small container of milk or saliva to keep the roots moist.

How we treat knocked-out permanent teeth: At Sprout Dentistry for Kids, we will do our best to reattach your child’s permanent tooth. We’ll do this with a splint to keep it stable while it integrates with the nearby tissues; however, if it is no longer viable, we will need to discuss ways to replace it, which may include a dental bridge or space maintainer. If your child is older and nearing adulthood, it’s possible that something more permanent, like a dental implant, can be used.

Knocked-Out Baby Tooth

Is a knocked-out baby tooth a dental emergency? Yes, a knocked-out baby tooth is an injury that should be addressed quickly. While these teeth fall out eventually, an accident that forces one out of its socket too early can cause potential harm to nearby teeth, as well as the one that still exists beneath the gumline.

How you should handle a knocked-out baby tooth: If your child’s baby tooth is knocked out, you’ll need to have them rinse their mouth to flush out any debris and stop the bleeding. You can also use a clean gauze or tissue. Pain can be managed with the help of an over-the-counter medication or an ice pack, which they can keep on the outside of their cheek for 10 minutes before removing it. While waiting for their appointment, do not let them eat anything hard or crunchy, and have them stay away from acidic foods and beverages, as well as sticky snacks.

How we treat knocked-out baby teeth: Our Sprout Dentistry for Kids team will examine your child’s mouth to determine what kind of solution is necessary. In many cases, a baby tooth that is knocked out will not require any additional treatment if everything appears normal above and below the surface of their gumline. However, if a baby tooth comes out too early, we will need to put a space maintainer in place to prevent the rest of their teeth from shifting out of alignment so that the underlying tooth will erupt correctly.

Bitten Tongue, Lip, or Cheek

Is a bitten tongue, lip, or cheek an emergency? Soft tissue injuries can be alarming, especially for little ones; however, these injuries are not considered “emergencies” in that they do not require same-day care. Bleeding is usually the biggest issue, but it should stop within 10 minutes when using gauze and/or tissues. If it does not, get your child to your local ER for immediate attention.

How you should handle your child's soft tissue injury: Keeping the injured tongue, cheek, or lip clean is essential, so make sure your child rinses out their mouth before using tissue to apply pressure to the affected area. After the bleeding stops, you can switch to using a cold compress to alleviate swelling and discomfort.

How we treat soft tissue injuries in children: While most of these injuries can be treated at home, you are welcome to schedule an appointment with an emergency dentist for children. At our dental office, Dr. Sage and Dr. Justin will take a look at their lip, tongue, or cheek and determine if stitches might be necessary. Depending on the cause of the original injury, we may suggest a custom mouthguard if sports are the culprit.

Other Common Emergencies

Other common emergencies include dental concussions, sensitive teeth, lost fillings or crowns, and even something stuck between teeth. If your child experiences any of these, give us a call right away for personalized guidance and to schedule an appointment. 

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How We Treat Dental Emergencies

1

Call us for a same-day emergency appointment

If your son or daughter experiences a dental emergency during regular dental office hours, we can nearly always schedule a same-day appointment. If the incident occurs after-hours, one of our dentists will be available by phone to evaluate the need for an after-hours appointment.

2

A quick examination when you reach our office

Once you reach our office, we’ll take a look at your child’s mouth and capture any necessary X-rays to determine the extent of the issue.

3

Review findings and treatment options

Dr. Justin or Dr. Sage will go over their findings with you and lay out all your treatment options, as well as which ones they recommend.

FAQs

Still have questions?

Give us a call to chat with one of our friendly team members!

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How much does emergency pediatric dentistry cost?

If your child has an unexpected dental emergency, getting them the right help quickly can help protect and preserve their still-developing smile. However, many parents worry that they won’t be able to afford the treatments needed to address the problem. It’s natural to question how much your child’s dental emergency will cost, and our Sprout Dentistry for Kids team will gladly provide a detailed estimate after we’ve had a chance to examine their condition. Continue reading to learn more about what to expect, and feel free to contact us for additional information! Every Pediatric Dental Emergency is Unique: Once you and your child arrive at our office in McKinney, Allen, or Frisco, our team will evaluate their teeth and gums to identify the underlying issue. Some concerns, like toothaches or gingivitis, can be relatively easily addressed with simple solutions, like a prescription mouthwash and instructions to improve your kid’s at-home dental hygiene routine. However, other more severe concerns might require complex treatments, like a root canal to alleviate a toothache or infection, or placing a dental crown to protect injured teeth. We’ll recommend appropriate procedures and walk you through the details, including the pricing, for your approval before proceeding.

Does Dental Insurance Cover Pediatric Dental Emergencies?

Most dental insurance policies cover a portion of pediatric dental emergencies, but you’ll likely still have some out-of-pocket expenses. This is because these plans are typically designed to promote preventive care, so they include basic services like exams and imaging, but usually only cover 50% to 80% of treatments needed to address problems, like root canals and dental crowns. Please let us know if you’re unsure what your insurance includes and are having challenges finding the information. Our friendly office staff are familiar with different plans and can assist with claims, paperwork, or applications to help you maximize your benefits.

Are there other options to ensure my child’s emergency care is affordable?

It’s natural to want the best possible care to address your child’s dental emergency, and we don’t want your finances to interfere with potentially smile-saving services. As a result, we offer the following options to help make your kid’s visit more affordable: Flexible Financing: We offer low-to-no interest options so that you can divvy up the total invoice into more manageable installments over a designated period to suit your budget. Sprout’s Wellness Program: We offer in-house memberships for a flat annual fee that include basic services and an additional 20% discount on dental treatments offered in the office. How Proper Prevention Saves You Money. While some children experience unavoidable circumstances that lead to their dental emergencies, many urgent scenarios can be avoided. Caring for your little one’s teeth and gums consistently helps strengthen them so they’re less vulnerable to common oral issues, like cavities, gum disease, and injuries. For instance, brushing and flossing twice daily removes plaque and bacteria that can harm their enamel and connective tissues. Also, regular visits with our providers every six months allow them to monitor your child’s dental health so they can catch and address any areas of concern, like swollen gums or cavities, before they cause an emergency.

How can I prevent dental emergencies for my child?

Even with all the baby gates, safety locks, and other measures you put into place each day, children are likely to experience some falls and bumps despite our best efforts. However, there are certain precautions you can take that will dramatically lower your little one’s risk of a dental emergency! Below, you’ll find some of the easiest and most effective ways to help keep your child’s smile safe on a daily basis. 

Help them maintain good oral hygiene: Depending on the age of your child, their manual dexterity when it comes to brushing and flossing their teeth is often in need of improvement. This is because they have yet to reach the age in which they are mature and able enough to clean the hard-to-reach areas, such as their molars, properly and effectively. As a result, their teeth can become prone to dental caries (cavities) and tooth decay. This is why, as parents, it is important that you start incorporating good oral habits at an early age. Nighttime brushing is especially important to make sure that their teeth don’t have any residual food that can contribute to the development of dental decay during that nightly 8-12 hours of sleep. Whether it is helping them brush and floss their teeth or supervising them during their morning and nighttime routines, making sure they are properly caring for their smile is crucial. During their stages of development, children will go through phases which require different approaches to motivating or exciting them about brushing and flossing. 

Start early: Great oral hygiene habits can be developed from infancy. After you feed a baby, you can use a clean cloth, silicone finger brush, or even a soft-bristle toothbrush to clean and massage their gums after feeding. For kids with teeth, your fingers will think you if you graduate your child to an age-appropriate soft or extra-soft bristle toothbrush. 

To(oth) paste or not to(oth) paste?: Skip the toothpaste if no teeth are present. Once teeth first start to erupt, you can start using toothpaste. A small smear the size of a grain of rice is appropriate for children under three years old. Between three to six, you can make the transition to a dollop of toothpaste the size of a pea depending on how your little one does with learning to spit-out the toothpaste. Remember, children should spit out and not swallow excess toothpaste after brushing. 

Make this time fun and keep things positive: Encourage them with positive words and affection. If you have a chore/activity board for positive reinforcement, give them a star for a job well-done! 

Brush the grooves to the groove: Try some relaxing background music to lighten the mood and wind them down for bedtime brushing. This also helps parents and kids by allowing us to track the amount of time spent brushing. Put the songs on repeat just in case so that your kiddo won’t think that the stop of the song is necessarily time to stop brushing. 

Show them how it’s done: Children eventually want to exercise their independence. Encourage them to brush on their own next to you while you brush your own teeth. They’ll learn from your technique. After you both finish brushing, get them to let you touch-up any spots they may have missed. 

How well and how often are key: Quality of the brushing in terms of making sure that the toothbrush reaches all surfaces of the teeth is more important than brushing for a set period of time. Brushing more frequently prevents the build-up of food and debris on the teeth that over time can cause decay to develop. Encourage your kids to brush after their afternoon snacks. This is a great way to add another brushing to their schedule as well as allow them a little independence to practice their technique on their own. Any brushing is better than no brushing! 

Floss like a boss: Usually baby teeth erupt with some visible space between them. Over time, the spaces normally consolidate or close up as teeth drift closer to one another, especially between molars. If you can’t see light or some pink gingiva between the teeth that means the space is large enough to trap food but not allow a toothbrush in to clean those areas between the teeth. You can use floss sticks, or regular string floss, but definitely be the first to introduce this to your children and make it a routine you do together. Start practicing and learning to floss before the spaces close up to tight as this make it easier to get the floss between the teeth and ease your kiddo into the idea of using the jump rope for cleaning their teeth. 

Keep hard, crunchy foods out of sight: The typical kid loves candy of all types, but hard candies such as lollipops can be especially harmful if they bite or chew them. While they may taste good, these candies can lead to chipped, broken teeth and a trip to see their emergency pediatric dentist in McKinney. If you want their teeth to remain fully intact, it is best to minimize these types of treats, instruct them not bite or chew the hard candies, and watch your little one closely when they’re enjoying them so as to prevent potential damage. Also, never allow your child to chew on ice or inanimate objects. Teeth with existing fillings, restorations, or decay can be especially prone to fracture due to a frequent ice-chewing habit due to the hard forces and contraction of the tooth surface due to the temperature change caused by the ice. Their pearly whites are not meant to sustain this type of pressure, resulting in fractures and more serious damage to their primary teeth. 

Protect their teeth with a custom mouthguard: If your son or daughter enjoys playing sports, give yourself greater peace of mind by making sure they are wearing a mouthguard before they take to the court or field. Both multiplayer contact sports, as well as solo activities like biking or gymnastics, can wreak havoc on a child’s smile. Whether it is a hard-hitting tackle that results in a knocked-out tooth or a sudden fall off the balance beam that causes a busted lip and shifted tooth, a mouthguard can minimize the impact and keep their teeth and soft oral tissues from serious injury. But mouthguards are not only for sports. They are also beneficial if your little one is prone to bruxism (teeth grinding/clenching). Mouthguards can also be utilized to address issues of sleep disordered breathing, early dental crowding, and growth and development issues during early stages of dentition. By talking to Dr. Justin or Dr. Sage about having a custom-made mouthguard created for your child, their teeth and jaw will be better protected while they sleep, alleviating any potential pain or wear and tear. 

Never let your child use their teeth as tools: If you ever notice that your child is trying to open a package or container with their teeth, stop them immediately. This tip is not only important for children but also for adults. Teeth are designed to chew and tear through food, not objects. We’ve seen and dealt with emergencies from children opening anything from yogurt pouches to removing bottle caps with their teeth. Try your best to discourage these habits. Instead, make sure you can jump into action and use scissors or another appropriate tool to open the item for your child.

Can My Child Receive Sedation Dentistry?

At Sprout Dentistry for Kids, Dr. Justin and Dr. Sage are pleased to offer sedation dentistry for children who experience dental anxiety or who need a more complex treatment or procedure. All sedation options are tailored to every patient. Whether it is nitrous oxide, oral conscious sedation, or general anesthesia we will make sure your child is safe and comfortable when dealing with a dental emergency. Most commonly, children with minor dental anxiety may receive nitrous oxide sedation, whereas, moderate-to-severe dental phobia or an involved procedure usually requires oral conscious sedation. Only in instances where a child has extreme dental anxiety, special needs, or is undergoing a complex dental procedure will we use general anesthesia.

Can You Help My Child Who Has Special Needs?

Dr. Justin and Dr. Sage are both experienced and board-certified pediatric dentists who can treat all types of smiles. If your child is experiencing a dental emergency, this can cause them to become more frantic and uneasy when arriving at our office. No matter what type of special needs your child may have, it is our job to create a warm and welcoming environment so that your child is comfortable. With advanced training to help special needs children, Dr. Justin and Dr. Sage can provide your child with the care they need, especially when they need it most.

When Should I Take My Child to the ER Instead of the Dentist’s Office?

While it is natural to think that the emergency room is the appropriate place to take your child should an injury occur to their mouth, there are only three reasons you should consider the ER over your child’s dentist’s office: A dislocated, fractured, or broken jaw, Continuous, uncontrolled bleeding that hasn’t stopped in 10 minutes and Signs of serious infection, such as facial swelling approaching the eye, fever, fatigue, difficulty breathing or swallowing

How Can I Help My Child Sleep with Tooth Pain?

If your child is dealing with persistent sensitivity, pressure, or pain stemming from one of their teeth, you’ll be happy to know that there are several steps you can take to alleviate their symptoms in the short term. The first is steering clear of sugary, acidic, and spicy foods, including hard pretzels, ice cream, and lollipops. The second is placing a cold compress against the outside of their cheek for 10 minutes at a time (this will provide a temporary numbing sensation and alleviate inflammation). If their discomfort persists, then you can also give them an OTC pain reliever for kids, making sure to follow the directions on the label, of course.

Should I Worry About a Chipped Tooth If It Doesn’t Hurt?

Oftentimes, minor chips don’t result in any pain or discomfort. That said, we still recommend scheduling an appointment with one of our pediatric dentists in McKinney. That way, they can complete a comprehensive oral exam and determine if the tooth is at risk of developing an infection or breaking further. If that’s the case, then Dr. Justin or Dr. Sage will let you know before providing the necessary restorative care.

Is a Knocked-Out Baby Tooth a Dental Emergency?

Although baby teeth aren’t meant to last forever, there are several problems that can arise if they fall out too soon. So, if one of your child’s primary teeth gets knocked out while they are playing on the playground or participating in a sport, don’t wait – call us ASAP. The sooner you do, the sooner we can schedule a visit at our McKinney dental office, alleviate any pain your child is experiencing, and restore their healthy, happy smile.

Is It Safe to Use A Toothpick?

If your child has something stuck between their teeth, you might think of reaching for something sharp to dislodge it, like a toothpick. Unfortunately, the wooden ones are not particularly safe to use since they can splinter and break off inside their mouth. The good news is that there’s another easy way to remove the debris. First, dissolve some salt in warm water and have your child rinse with the mixture several times. Then, use a strand of floss to gently clean between their teeth. If that doesn’t do the trick, give us a call so we can provide further assistance.

What Does Chronic Bad Breath Mean?

Chronic bad breath can occur for several reasons. For many children, it’s inconsistent dental care. So, start by reinforcing healthy habits, like brushing for two full minutes each morning and evening as well as flossing every night before bed. If the odor persists, then don’t hesitate to schedule an exam with us. That way, one of our talented and experienced pediatric dentists can determine if an untreated oral health problem is the culprit.

Still have questions?

Give us a call to chat with one of our friendly team members!

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