Emergency Dental

How do you respond if you have a…

Knocked-out tooth

The first step is to stay calm and find the actual tooth. Handle it by the crown (the top), not the root, without scraping or rubbing away any tissue fragments. If possible, rinse the tooth quickly in milk or some saliva to remove any dirt or debris. Then try to gently hold it in place in the socket. If you’re not able to replant the tooth, keep it moist by immersing it in milk or saliva (not water), sealing it in plastic wrap, or placing it in the person’s mouth next to the cheek. Time is critical in saving the tooth so contact the dentist immediately for an emergency appointment.

Chipped, fractured or cracked tooth

Clean the area by rinsing the mouth with warm water. Use an ice pack wrapped in a clean towel or a cold compress on the face if needed to reduce swelling. The urgency depends on the severity but only a dentist can discern how serious the condition is. It’s better to be safe than sorry – head to the surgery as soon as possible.

Toothache

Rinse the mouth with warm water to clean it out. If swelling is present, place a cold compress to the outside of your mouth or cheek. Gently use dental floss to remove any food caught between your teeth. Do not put aspirin directly on your aching tooth or gums as it may burn the gum tissue. For quick relief, ask your dentist or pharmacist about any over-the-counter pain medication. If the pain persists, see your dentist as soon as possible.

Bitten lip, tongue or cheek

This often occurs during eating or as a result of a fall. Clean the area gently with warm, salty water. Then apply pressure to the area with an ice pack in a clean cloth or a cold compress to the area outside to reduce bleeding and limit any swelling. If bleeding continues after about 15 minutes, see your dentist or go to the emergency room.

Abscess

This is a localised infection that usually forms at the root of the tooth or in the space between the teeth and gums. This painful condition can actually damage tissue and surrounding teeth and if left untreated, it can cause more widespread infection and may be life threatening. So it’s important to see your dentist as soon as possible. Regular warm salt water rinsing can also help alleviate discomfort until you’re able to see your dentist.

Lost filling or crown

If a cavity develops underneath a filling or crown, it can become loose and eventually fall out. It can be rather painful because the exposed middle layer (dentine) of tooth will be sensitive to any hot or cold foods. A new filling or crown will be needed so visit your dentist as soon as you can for a solution.