Tooth avulsion is a dental emergency that requires immediate and correct first aid to maximise the chances of successful reimplantation.1 However, despite existing guidelines, many laypeople, including schoolteachers and parents, are unaware of the appropriate steps to take when a tooth is avulsed.2 Recognising the need for a simple, easy-to-remember protocol similar to the global standard for stroke identification (BEFAST), the acronym F.I.R.S.T has been recently been published by the International Association of Dental Traumatology and the Academy for Sports Dentistry and is a easy to remember and structured approach for first responders.3

The acronym F.I.R.S.T simplifies the latest evidence-based recommendations for managing avulsed teeth:

  • F - Find the tooth

  • I - Inspect and rinse

  • R - Reposition in the socket

  • S - Seek urgent care

  • T - Transport in a safe medium.

Tooth avulsion is most common in school-going children, making it imperative that educators, school nurses, and caregivers are well-equipped to respond promptly. The F.I.R.S.T acronym provides a straightforward yet comprehensive guide to ensure timely and effective intervention, improving the likelihood of saving a knocked-out tooth.

We urge dental associations, educational institutions, and public health organisations to adopt and disseminate this easy to use and recollect acronym widely. Increasing awareness and training among first responders will significantly impact the management of dental trauma, ultimately leading to better oral health outcomes for children and adults alike.