Guide · Toothache and emergencies

Broken or chipped tooth: what to do?

Digital X-ray unit at Zahnlounge Zürich-Enge

If a piece of tooth has broken off, keep it moist, for example in a glass of water, and get in touch the same day. Often the piece can be reattached. Rinse your mouth with water, bite on a clean cloth handkerchief if it bleeds and cool your cheek from the outside. If a whole tooth has been knocked out, hold it only by the crown, do not clean it and keep it moist, in a tooth rescue box or in cold milk. Then every minute counts.

Updated: 9 November 2026

The first few minutes

  1. Stay calm and rinse your mouth. With lukewarm water, without rubbing.
  2. Stop the bleeding. Bite on a gauze pad or a clean cloth handkerchief. A cool pack wrapped in a cloth on your cheek eases the swelling.
  3. Keep the piece. Find it and put it in water. It should not dry out.
  4. Call us. Tell us briefly what happened. We will give you the earliest appointment of the day and tell you what helps until then.
  5. If it hurts: a painkiller from the pharmacy will tide you over. Ask the pharmacist for advice. Cover sharp edges with a piece of sugar-free chewing gum until your appointment.

If a whole tooth has been knocked out

  • Hold it only by the crown, never by the root. Do not clean it.
  • Keep it moist: in a tooth rescue box from the pharmacy it stays viable for at least 24 hours. Without a box, in cold milk, but only for a short time. Never dry and never in a paper tissue.
  • Get in touch immediately. The sooner the tooth is back in place, the better the outlook.

Outside our opening hours, contact the dental emergency service or a hospital emergency department. If you have difficulty breathing or swallowing, call the emergency number 144.

How we restore the tooth

It depends on how much has broken off:

  • A small corner of enamel: we smooth the edge or rebuild the corner with tooth-coloured composite, often in a single visit. Afterwards you see nothing.
  • A larger piece: where possible, we reattach the broken piece. Otherwise we rebuild the tooth with composite or protect it with a ceramic inlay, partial crown or crown, depending on how much healthy tooth remains.
  • If the nerve is exposed or injured: root canal treatment under the microscope can save the tooth.
  • If the tooth is loose or has moved: leave it where it is. We put it back in position and stabilise it with a splint.

Relief comes first. Then we explain what happened, and you decide on the next steps in your own time.

Why teeth break

Often the tooth that breaks was already weakened: by a large old filling, after root canal treatment without a crown, or by grinding at night. Add sports accidents and hard bites such as fruit stones or bones. A well-protected tooth breaks less often. That is why we protect weakened teeth with ceramic, and people who grind protect their teeth at night with a splint.

And with children?

With baby teeth, not every accident is an emergency:

  • A knocked-out baby tooth is not put back. Have it checked within three days.
  • A broken baby tooth should be checked within three days, the same day if it bleeds.
  • For a permanent tooth, the same rules apply as for adults: get in touch immediately.

A dental accident is an accident: report it to your insurer as soon as possible, as the Swiss Dental Association SSO recommends.

Further reading