An avulsed or “knocked out “ tooth is one of the most devastating events that can happen to a tooth. These occur most commonly in athletic injuries, but a well made mouth guard can reduce the likelihood of this happening. If it does not happen there are some steps to follow which can help greatly. 1. Rinse the tooth off if it is dirty then reinsert it and call your dentist. 2. If this is not possible place the tooth in a liquid. The best choice would be a product such as Save A Tooth. If that is not available milk or contact lense solution will also work but don’t use water. 3. Get to your dentist ideally within 1 hr.