Dental emergencies can be quite frightening and often painful. It is important to remain calm, call us immediately, and follow the steps below for your situation.
Sometimes teeth may become fractured by trauma, grinding, or even 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 make an emergency dental care appointment with your Apple Valley Dental Group dentists in Front Royal as quickly as possible. Pain that is caused by dental emergencies almost always gets worse without treatment, and dental issues can seriously jeopardize your physical health.
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.
- Call the dentist.
- 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 possible, 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 the dentist, quickly and safely.
The dentist will try to replace the tooth in its natural socket. In some cases, the tooth will reattach, but if the inner mechanisms of the tooth are seriously damaged, root canal therapy may 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 an appointment to see a trained emergency dentist in our Front Royal office as soon as possible. Keep the crown in a cool, safe place because there is a possibility that the dentist 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.
- 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 the 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.
The dentist 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 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 see the dentist as quickly as possible.
- Call the dentist.
- 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 there is no way to see the dentist immediately.
- Take a topical pain reliever.
The nature of the break or fracture will limit what the dentist is able to do. If a fracture or crack extends into the root, root canal therapy may be the only effective way to retain the tooth. In the case of a complete break, the dentist will usually affix the fragment back onto the tooth as a temporary measure.
Dislodged or 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 and attached to the blood vessels and nerves, there is a good chance root canal therapy will not be necessary.
It is important to call the dentist immediately to make an appointment. In the meantime, use a cold compress and over-the-counter medications to relieve pain. The dentist will reposition the tooth and add splints to stabilize it. If the tooth fails to heal, root canal therapy may be required.
If you have questions or concerns about dental emergencies, please contact your dentist in Front Royal. The expert team at Apple Valley Dental Group is trained to handle emergency treatments while keeping you at ease.