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How to Handle a Dental
Emergency
By Krisha
McCoy, MS
Many dental problems develop gradually over
time. But sometimes pain or sensitivity in
your teeth can come on suddenly, and you may
need immediate dental care, either at the
emergency room or from your dentist.
It's not always easy to know whether a
tooth, gum, or mouth problem requires
emergency care or how to handle the
situation. But generally speaking, the
following are considered dental emergencies:
Lip or tongue bite with excessive
bleeding
If you accidentally bite your lip,
tongue, or other soft tissue in your mouth,
clean the area and apply a cold compress to
decrease swelling. If the bleeding is
severe, or will not stop, go to the
emergency room.
Broken or cracked tooth
In the case of a broken or cracked tooth,
call your dentist immediately. Until you can
get to your dentist's office, rinse your
mouth with warm water and apply a cold
compress outside the affected area.
Damaged braces
If your braces become damaged, call your
orthodontist right away. Some instances of
damaged braces need to be fixed immediately;
others can wait until your next appointment.
Injury to your jaw. If you suspect you may
have broken your jaw, apply a cold compress
to the area and immediately go to your
dentist's office or to the emergency room.
Loose tooth
If one of your teeth is partially dislodged,
see your dentist right away — they may be
able to save the tooth. Until you can get to
your dentist's office, take an
over-the-counter pain reliever and apply a
cold compress to the affected area to
relieve pain.
Tooth that has been knocked out
Grasp your lost tooth by the crown and rinse
its root if it is dirty, avoiding scrubbing
the tooth or removing pieces of tissue that
may be attached. You can attempt to reinsert
the tooth into its socket in your mouth, but
if that doesn't work, you'll need to see
your dentist quickly. The American Dental
Association recommends placing the tooth in
milk, which acts as a preservative until you
can get to a professional.
Lost filling or crown
When one of your fillings or crowns falls
out, put the filling or crown in a safe
place and call your dentist to make an
appointment. Applying clove oil to the
sensitive areas in your mouth and dental
cement from the drug store on your tooth's
surface can help decrease sensitivity, but
check with your dentist before doing these
things.
Object lodged between your teeth
If something gets stuck between your teeth,
try to gently remove it with dental floss.
If the object still won't come out, call
your dentist. Depending on the situation, he
or she may want to see you quickly.
Painful swelling
Call your dentist to schedule an appointment
if you have painful swelling in your mouth,
as you may have an abscess, an infected
pocket of pus that can lead to a serious
systemic infection. Until you can see your
dentist, try rinsing your mouth with
saltwater to relieve the pain and pressure.
Pericoronitis
This is an infection that occurs when your
wisdom teeth don't come into your mouth
properly. If you experience symptoms of
pericoronitis, which may include swollen and
irritated gums, a bad taste in your mouth,
or bad breath, or you are not able to fully
open your mouth, see you dentist as soon as
you can.
Sudden or severe toothache
If your tooth is aching, rinse out your
mouth with warm water and gently floss
around the tooth to make sure there is
nothing lodged between your teeth. Call your
dentist if your toothache does not go away.
Some dental emergencies can lead to
life-threatening infections or permanent
damage if not treated rapidly, so if you're
in doubt, always call your dentist. The
earlier you seek treatment for a dental
problem, the better your chances are for a
full recovery and continued dental health.
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