Soft Tissue Injury

The soft tissues in the mouth are delicate and sensitive, and when they are injured, it can be very painful. Soft tissues, which include the tongue, cheeks, gums and lips, can be injured when you accidentally bite down on them, if you fall, are in an accident, or if you put food in your mouth that is too hot. Chewing on hard objects also can damage soft tissues.

What You Can Do

Soft tissue injuries usually do not bleed a lot, but when they do, the injury can seem worse than it really is. When the blood mixes with saliva, it may look like you are bleeding a lot. In most cases, the bleeding should stop within a few minutes. In the meantime, here's what you should do:

Rinse your mouth thoroughly with a mild saltwater solution (1/2 teaspoon of salt in 8 ounces of water).

If the bleeding continues, press a damp piece of gauze against the injured area for 10 to 15 minutes. If you don't have gauze, you can use a sanitary napkin, tampon or a clean piece of material that will soak up blood and saliva.

To relieve pain, slow the bleeding, and reduce swelling, hold ice to the area for five or 10 minutes.

If the bleeding doesn't stop within a few minutes, the injury may be serious and you will need to see a doctor, preferably an oral and maxillofacial surgeon, right away. Maintain pressure on the area until you can be treated.

What Your Dentist Will Do

Your dentist will clean the area and then put the tooth back in the right position. He or she may use a plastic splint or orthodontic wire brackets to keep the tooth stable until it has a chance to heal.

If the nerves or blood vessels were damaged, your dentist may recommend root canal treatment to prevent the tooth from becoming discolored or developing an abscess, which is an infection. The dentist should do a series of tests to determine if the nerve has been damaged. These tests also may have to be done at follow-up appointments because the tests may not be accurate right after the tooth is injured.