Any dental emergency like an injury to the teeth or gums can be potentially serious and should not be ignored. Please contact us immediately if you have an emergency now. Ignoring a dental problem can increase the risk of permanent damage as well as the need for more extensive and expensive treatment down the road.
Here's a quick summary of what to do for some common dental problems.
As a temporary measure, stick a piece of sugarless gum into the cavity (sugar-filled gum will cause pain) or use over-the-counter dental cement. Call our office as soon as possible.
If the dental crown falls off, make an appointment to see Dr. Dave as soon as possible and bring the crown with you. If you cannot make an appointment right away and the tooth is causing pain, use a cotton swab to apply a little clove oil to the sensitive area, (clove oil can be purchased at your local drug store or in the spice aisle of your grocery store). If possible, slip the crown back over the tooth. Before doing so, coat the inner surface with an over-the-counter temporary dental cement, toothpaste made for sensitivity, or denture adhesive, to help hold the crown in place. Do not use super glue!
The temporary is VERY important. It protects the exposed dentin (soft, inside part of the tooth) so it is not as sensitive, prevents food from gathering in the prepared area and prevents the prepared tooth and tissue from shifting or changing which would make the seating of the final restoration more difficult. Use your toothbrush to clean the temporary as you do your natural teeth. You will not be able to floss around your temporary as this may dislodge it. Resume flossing 24-48 hours after your final restoration is in place.
First, thoroughly rinse your mouth with warm water. Use dental floss to remove any lodged food. If your mouth is swollen, apply a cold compress to the outside of your mouth or cheek. Never use heat for a toothache, if the tooth is infected, the heat will cause the infection to spread. Never put aspirin or any other painkiller against the gums near the aching tooth because it may burn the gum tissue. Call our office as soon as possible.
Abscesses are infections that occur around the root of a tooth or in the space between the teeth and gums. Abscesses are a serious condition that can damage tissue and surrounding teeth, with the infection possibly spreading to other parts of the body if left untreated. Because of the serious oral health and general health problems that can result from an abscess, call our office to schedule an appointment as soon as possible. You may discover a painful pimple-like swelling on your gum from the infection. In the meantime, to ease the pain and draw the pus toward the surface, try rinsing your mouth with a mild salt-water solution (1/2 teaspoon of table salt in 8 ounces of water) several times a day.
Save any large pieces. Rinse the mouth using warm water; rinse any broken pieces. If there's bleeding, apply a piece of gauze to the area for about 10 minutes or until the bleeding stops. Apply a cold compress to the outside of the mouth, cheek, or lip near the broken/chipped tooth to keep any swelling down and relieve pain. Call our office as soon as possible.
Retrieve the tooth, hold it by the crown (the part that is usually exposed in the mouth), and rinse off the tooth root with water if it is dirty. Do not scrub it or remove any attached tissue fragments. If possible, try to put the tooth back in place. Make sure it is facing the right way. Never force it into the socket. If it is not possible to reinsert the tooth in the socket, put the tooth in a small container of milk (or cup of water that contains a pinch of table salt, if milk is not available). In all cases, contact our office as quickly as possible. Knocked out teeth with the highest chances of being saved are those seen by the dentist and returned to their socket within 1 hour of being knocked out.
CONGRATULATIONS! You have just experienced a revolutionary tooth whitening procedure. The next 48 hours are important in enhancing and maximizing your whitening results for a long lasting, bright, and healthy smile. Everyone’s teeth have a protective layer call the protein pellicle. This layer contains the surface dental stains and is removed during the BOOST chairside treatments. It takes twelve (12) to twenty-four (24) hours for the barrier to fully develop again. Your teeth will get lighter during the next 24-48 hours. The whitening continues as it has been absorbed into the teeth. Everyone’s teeth respond differently. Results are not guaranteed. It is important to your success that you drink more than your usual amount of water for the next 48 hours.
DURING THIS PERIOD WE ASK THAT YOU AVOID THE FOLLOWING ITEMS FOR 72 HOURS:
It is common for teeth to be sensitive for a few days following office whitening. Patients may describe this sensitivity as a momentary tingling or stinging sensation. If post-operative sensitivity occurs, you can chew sugarless gum to help reduce the peroxide levels. If you do well with over the counter pain medications such as Tylenol or Motrin, they will help to alleviate mild pain and discomfort following the procedure as well. The use of a fluoride mouthwash like Act or Fluorigard and/or brushing with a sensitivity protection toothpaste, several times a day for a week following the treatment can also help.
Seek regular, professional dental hygiene care to maintain oral health, keep staining to a minimum and determine the need for whitening touch ups with your dentist or dental hygienist. Practice good oral hygiene including thorough tooth brushing with an electric toothbrush, flossing to remove debris from between the teeth, and tongue cleaning.
Take home whitening trays are a simple, relatively inexpensive and safe effective means of whitening/lightening your teeth. Although this whitening process can be very effective the results are somewhat unpredictable and may not yield the degree of lightening desired. Dark gray or brown tetracycline stained teeth do not respond as well to take home whitening. Please be aware the color of crowns, silver/amalgam and composite restorations (tooth color fillings) will not be affected by the bleaching procedure. Also note teeth are naturally darker along the gum line and may require more time to lighten than the rest of the tooth surface and usually remain slightly darker; acceptable results can usually be attained in 2-4 weeks. Regular dental check-ups and cleanings are important before and after whitening to maintain a healthy smile.
Some patients experience sensitivity during bleaching. If significant discomfort occurs due to tissue irritation, ulceration, or tooth sensitivity, it may be recommended that you bleach every second or third day. Use the tray during the day for 30 min-1 hour or use fluoride treatment/sensitivity toothpaste in your custom tray after you remove the tray. You may also brush your teeth with sensitivity toothpaste. Discontinue bleaching if your sensitivity is extreme. Food and juices high in citric acid can cause sensitivity to the teeth. Some patients have noticed temporary discomfort to the gums, lips, throat, or tongue. Should any of these symptoms persist more than two days or progressively worsen, call our office. These side effects will usually subside with 1-3 days after treatment is discontinued.
Place a clean folded piece of Damp gauze or Damp paper towel over the site. Ask the child to bite down on the piece of gauze or paper towel for 15 minutes. Repeat if necessary.
Studies have shown that day 3 & 4 tend to be the hardest days of recovery for major oral surgery.
CONTACT INFO: For any unexpected or unusual conditions, and for all questions please call us at the office: 817.741.0045. If after hours, call the emergency number listed on our machine.