Dental Emergencies
Dental emergencies are frightening and often painful. Prompt treatment is almost always required to alleviate pain and to ensure the teeth have the best possible chance of survival.
Sometimes, teeth become fractured by trauma, grinding, or biting on hard objects. In other cases, fillings, crowns, and other restorative devices can be damaged or fall out of the mouth completely. If there is severe pain, it is essential to contact our office immediately. The pain caused by dental emergencies almost always gets worse without treatment, and dental issues can seriously jeopardize physical health.
Let's look at types of dental emergencies and how to deal with them.
Avulsed Tooth
If a tooth has been knocked clean out of the mouth, it is essential to see a dentist immediately. When a tooth exits the mouth, tissues, nerves, and blood vessels become damaged. If the tooth can be placed back into its socket within an hour, there is a chance the tissues will grow to support the tooth once again. 6. We will try to replace the tooth in its natural socket. In some cases, the tooth will reattach, but if the inner mechanisms of the teeth are seriously damaged, root canal therapy might be necessary.
If you have an avulsed tooth, here are some steps to take:
1
Call our office.
2
Pick up the tooth by the crown and rinse it under the warm water. Do NOT touch the root.
3
If possible, place it back in the socket. If not, tuck it into the cheek pocket.
4
If the tooth cannot be placed in the mouth, put the tooth into a cup of milk, saliva, or water as a last resort.
5
Get to our office quickly and safely.
Lost Filling or Crown
Usually, a crown or filling comes loose while eating. Once it is out of the mouth, the affected tooth may be incredibly sensitive to temperature changes and pressure. Crowns generally become loose because the tooth beneath is decaying. The decay causes shape changes in the teeth – meaning that the crown no longer fits. If a crown has dropped out of the mouth, make a dental appointment as soon as possible. Keep the crown in a cool, safe place because there is a possibility that we can reinsert it. If the crown is out of the mouth for a long period of time, the teeth may shift or sustain further damage.
If we are not immediately accessible, here are some steps to take:
1
Apply clove oil to the tooth to alleviate pain.
2
Clean the crown and affix it onto the tooth with dental cement. This may be purchased at the pharmacy.
3
If the crown is lost, smear the top of the tooth with dental cement to alleviate discomfort.
4
Do NOT use any kind of glue to affix the crown. If possible we will reattach the crown to the tooth.
5
Where decay is noted, we will treat it and a new crown will be made.
Cracked or Broken Teeth
Teeth are strong, but they are still prone to fractures, cracks, and breaks. Sometimes fractures are fairly painless, but if the crack extends down into the root, it can cause extreme pain. Fractures, cracks, and breaks can take several different forms, but are generally caused by trauma, grinding, and biting. If a tooth has been fractured or cracked, there is no alternative but to schedule an appointment as quickly as possible.
The nature of the break or fracture will limit what we are able to do. If a fracture or crack extends into the root, root canal therapy is often the most effective way to retain the tooth. In case of a complete break, your dentist will usually fix the fragment back onto the tooth as a temporary measure.
Where a segment of tooth has been broken off, here are some steps that can be taken at home:
1
Call our office.
Rinse the tooth fragment and mouth with lukewarm water.
2
Apply gauze to the area for 10 minutes if there is bleeding.
3
Place a cold, damp dishtowel on the cheek to minimize swelling and pain.
4
Cover the affected area with over-the-counter dental cement if you cannot see us immediately.
5
Take a topical pain reliever.
Dislodged/ Loose Tooth
When a tooth has been dislodged or loosened from its socket by trauma or decay, it might be possible to save it. If the tooth remains in the mouth still attached to the blood vessels and nerves, there is a good chance root canal therapy will not be necessary. It is important to call our office immediately to make an appointment. In the meantime, use a cold compress and over-the-counter medications to relieve pain. Your dentist will reposition the tooth and add splints to stabilize. If the tooth fails to heal, root canal therapy may be required.
If you have questions or concerns about dental emergencies, please contact our office.
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