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Dental emergencies may be categorized as toothaches, injuries or broken
appliances.
Toothache
If a toothache develops, using a brush and floss, clean the suspected area.
Rinse with warm salt water. Do not place an aspirin on the gums or tooth [this
may cause a burn]. Apply a cold compress to any facial swelling. Take
acetaminophen [Tylenol] and call us as soon as possible.
Evulsed Tooth
If a permanent tooth is knocked completely out, time is of the essence.
Immediately call us for an emergency appointment. It is critical to get the
person and their tooth to us within one half hour. This makes it possible to
re-implant the tooth with a high degree of success. Find the tooth, and holding
it by its crown, gently rinse it to remove dirt and/or debris. Do not scrub the
tooth. If possible, gently place the tooth back in its socket as a means of
transport. Otherwise, transport the tooth in a cup of milk, saline [salt
water], or saliva [place tooth between cheek and gum, unless child is too
young]. If none of these are available, use a cup of plain water.
Extruded Teeth
If a tooth is pushed either inward or outward, try to reposition the tooth using
light finger pressure. Do not force the tooth into its socket. Try to get the
injured person to us as soon as possible. The tooth may be stabilized and held
in place with a moist tissue or gauze on the way over.
Fractured Teeth
First rinse your mouth with warm water to keep it clean. Immediate dental care
is necessary. The treatment will depend on the severity of the fracture and
could range from smoothing out the chip to bonding with a resin [tooth colored]
material to placing a crown [cap]. If there has been pulp [nerve] injury, root
canal may be necessary at once or at a later date.
Soft Tissue Injury
The tongue, lips or cheeks may be bitten, lacerated [cut] or punctured. If there
is bleeding, apply firm pressure with a gauze or clean cloth. If bleeding
doesn't stop within 15 minutes, bring the person to our office or a hospital
emergency room. Sutures [stitches] may be necessary. Otherwise, clean the area
with warm water on a gauze or clean cloth. Apply an ice compress to the bruised
or swollen area. Contact us for further instructions.
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