• e.g. a toddler who falls against a piece of furniture…
• Generally, can be treated “expectantly”, without suturing

• Check for dental injury or bony damage: particularly “missing” teeth (which can be lost within the adjacent gum or lip)
• X-rays may be required for “missing teeth” or suspected fractures
• Make sure the child is fully conscious and there is no evidence of a concussional head injury, fractured mid-face or jaw
• Make sure there are no eye or ear injuries
• Check for NAI and /or other injuries
• Advise the parent/s to give over-the-counter analgesia (e.g. Calpol or Nurofen)
• Iced drinks through a straw / semi-liquid foodstuffs can be useful for a few days
• After initial nursing care / wound toilet, there is probably no indication for further (repeated) local irrigation of the wound
• If irrigating, use warmed (33-37°) solution [Evidence]
• Antibiotic cover may be indicated: e.g. Co-Amoxiclav or suitable alternative
• Discuss with the duty registrar, ANP or consultant, if in doubt, or bring back to a Review Clinic within the next 48 hours