We always have availability in our schedule for emergencies, either acute pain, swelling or broken teeth.
Dental emergencies are quite 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.
Types of dental emergency and how to deal with them
Avulsed tooth (tooth knocked out) - 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.
Here are some steps to take:
- Call our office.
- Pick up the tooth by the crown and rinse it under warm water. DO NOT touch the root.
- If possible, place it back into its socket - if not tuck it into the cheek pouch.
- If the tooth cannot be placed in the mouth, put the tooth into a cup of milk, saliva, or water as a last resort. It is important to keep the tooth from drying out.
- Get to our office, quickly and safely.
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.
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.
When we are not immediately accessible, here are the steps to take:
- Apply clove oil to the tooth to alleviate pain.
- Clean the crown, and affix it onto the tooth with dental cement. This can be purchased at a local pharmacy.
- If the crown is lost, smear the top of the tooth with dental cement to alleviate discomfort.
- DO NOT use any kind of glue to affix the crown.
We will check the crown to see if it still fits. If it does, it will be reattached to the tooth. Where decay is noted, this will be treated and a new crown will be made.
Cracked or broken teeth
The teeth are strong, but they are still prone to fractures, cracks, and breaks. Sometimes dental fractures are fairly painless, but if the crack extends down into the root, it is likely that the pain will be extreme. 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.
Where a segment of tooth has been broken off, here are some steps that can be taken at home:
- Call our office.
- Rinse the tooth fragment and the mouth with lukewarm water.
- Apply gauze to the area for ten minutes if there is bleeding.
- Place a cold, damp dishtowel on the cheek to minimize swelling and pain.
- Cover the affected area with over-the-counter dental cement if you cannot see us immediately.
- Take a topical pain reliever.
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 the case of a complete break, your dentist will usually affix the fragment back onto the tooth as a temporary measure.
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 it. If the tooth fails to heal, root canal therapy might be required.
If you have questions or concerns about dental emergencies, please contact our office.
The overwhelming fear of dental appointments can be a common cause of anxiety. Many people visualize a drill-wielding man in a white coat just waiting to cause pain and remove teeth. The reality, however, is very different. The comfort, relaxation, and happiness of the patient are the primary focus of any good dental practice. The staff at the practice will do whatever they can to reduce anxiety, allay fears, and provide painless, quick treatments.
Recent technological advancements have meant that in many cases, dentists are able to replace noisy drills with painless laser beams. There are also a wide variety of safe anesthetics available to eliminate pain and reduce anxiety during routine appointments.
Here is a list of some of the most common dental fears:
- Fear of embarrassment about the condition of teeth.
- Fear of gagging.
- Fear of injections.
- Fear of loss of control.
- Fear of not becoming numb when injected with Novocain.
- Fear of pain.
- Fear of the dentist as a person.
- Fear of the hand piece (or the drill).
How can one overcome dental anxiety?
Dental anxiety and fear can become completely overwhelming. It is estimated that as many as 35 million people do not visit the dental office at all because they are too afraid. Receiving regular dental check-ups and cleanings is incredibly important. Having regular routine check-ups is the easiest way to maintain excellent oral hygiene and reduce the need for more complex treatments.
Here are some tips to help reduce dental fear and anxiety:
Talk to us - We can't read minds. Though it can be hard to talk about irrational fears with a stranger, we can take extra precautions during visits if fears and anxiety are communicated.
Bring a portable music player - Music acts as a relaxant and also drowns out any fear-producing noises. Listening to calming music throughout the appointment will help to reduce anxiety.
Agree on a signal - Many people are afraid that the dentist will not know they are in significant pain during the appointment and will continue with the procedure regardless. The best way to solve this problem is to agree on a "stop" hand signal. Both parties can easily understand signals like raising the hand or tapping on the chair.
Spray the throat - Throat sprays (for example, Vicks® Chloraseptic® Throat Spray) can actually control the gag reflex. Two or three sprays will usually keep the reflex under control for about an hour.
Take a mirror - Not being able to see what is happening can increase anxiety and make the imagination run wild. Watching the procedure can help keep reality at the forefront of the mind.
Sedation - If there is no other way to cope, sedation offers an excellent option for many people. There are several types of sedation, but the general premise behind them is the same: the patient regains their faculties after treatment is complete.
Ask about alternatives - Advances in technology mean that dental microsurgery is now an option. Lasers can be used to prepare teeth for fillings, whiten teeth, and remove staining. Discuss all the options with us and decide on one that is effective and produces minimal anxiety.
If you have questions or concerns about how we can help you overcome anxiety and fear, please contact our office.