- Same day emergency care
- Simple & Surgical Extractions
- Tooth Trauma
Same day emergency care
A dental emergency is an issue involving the teeth and supporting tissues that is of high importance to be treated by the relevant professional. Dental emergencies do not always involve pain, although this is a common signal that something needs to be looked at. Pain can originate from the tooth, surrounding tissues or can have the sensation of originating in the teeth but be caused by an independent source (orofacial pain and toothache). Depending on the type of pain experienced an experienced clinician can determine the likely cause and can treat the issue as each tissue type gives different messages in a dental emergency.
Pain is described as an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage. It is one of the most common reasons patients seek dental treatment and many diseases or conditions may be responsible for the cause.
Dental trauma refers to an injury on hard and soft tissues of the oral cavity and face. This includes the teeth and surrounding tissues, the periodontium, tongue, lips, and cheeks. It is more prevalent with children between 8– 12 years of age but can still happen to anyone. The prognosis of the tooth is worse the longer it is out of the mouth
Is this an emergency?
If you have had a tooth knocked out or had other dental trauma, quick thinking and staying calm are key to approaching these dental emergencies and preventing the opportunity for additional damage. We recommend applying a cold compress to reduce any swelling and calling our office as soon as possible.
Common Dental Emergencies & Same Day Services:
- Tooth knocked out
- Chipped or Broken tooth
- Cracked or fractured tooth
- Partially knocked-out (extruded) tooth
- Simple & Surgical extractions
- Fever blisters
- Severe, lasting toothaches or other tooth pain
- Swelling or bleeding
- Signs of infection
- Damage to the soft tissues of the mouth, including the tongue, cheeks, lips, and gums
- Lost dental restoration, such as a lost filling or crow
If you suffer from one of these, or another type of dental emergency, please contact our office. Our team will also be able to provide you with instructions on how to take care of your smile until you are able to come to our office to meet with our dentist. If you have experienced trauma to the head or neck, we recommend that you visit the emergency room or your general physician before coming to the dentist, even if your smile is also damaged.
Call Douglas Family Dental at 508-476-2828 or visit our office as soon as possible after the dental emergency occurs, and we will do our best to see you as soon as possible.
Simple & Surgical Extractions
There are two main types of dental extraction, simple extraction, and surgical extraction. Simple dental extraction is used to remove teeth that can be seen and are easily accessible, whereas surgical dental extraction typically requires an incision into the connective tissue to gain access to the tooth to be removed.
Simple Dental Extraction
Simple dental extraction involves the removal of teeth that are visible in the mouth. General dentists often carry out this procedure in their dental practices, using a local anesthetic to numb the area and reduce the pain experienced by the patient.
Instruments to elevate the affected tooth and grasp the visible portion are needed, such as elevator and dental forceps. The elevator is used to loosen the tooth and the forceps to grasp the tooth for its extraction.
Surgical Dental Extraction
Surgical dental extraction involves the removal of teeth that are not easily accessible inside the mouth. This may be because they have not erupted through the gum completely or they have been fractured under the gum line.
In this case, it is necessary to make an incision into the connective tissue surrounding the tooth to gain access to it for extraction. For example, the soft tissues that cover the tooth may be elevated, or a drill or osteotome may be needed to remove some of the nearby jawbone during the extraction procedure
After a tooth is traumatized, the following situations can occur:
- No apparent damage to the tooth structure
- The tooth becomes loose
- Fracture of the crown of the tooth
- Fracture of the root of the tooth
- Tooth dislocation (like lateral movement, rotation, intrusion or extrusion)
- Avulsion of the tooth (the entire tooth being knocked off)
Management after injury:
- After injury, even though there is no apparent damage to the crown of the tooth, invisible injury to the root may still occur. Therefore, it is necessary to go to see a dentist immediately after injury. The dentist will give clinical examination and may perform the following treatment according to the situation : smoothen sharp edges of the fractured tooth and apply topical fluoride, filling, endodontic (pulp) treatment or extraction, etc.
- Even if the tooth is vital right after the injury, it is possible that necrosis can happen within 5 years. Therefore, it is necessary to have follow-up reviews regularly as advised by the dentist.
- If the crown of a tooth has been fractured, you should try your best to find and pick up the fractured portion of the tooth and go to a dentist immediately.
- If the whole permanent tooth has been knocked off after the injury, you should keep calm and take the following actions:
- Pick up the knocked-off tooth by holding the crown ,do not touch the root
- Use half a glass of plain water or milk to gently rinse off the dirt at the surface of tooth. Do not wash or scrub the root surface of the tooth to avoid damaging the soft tissues around the root.
- Use the adjacent teeth as reference, put the tooth back into the socket and ask the injured person to gently bite together to hold the tooth in place. The sooner the tooth is put back, the greater the chance of it being preserved.
- If there is any difficulty in inserting the tooth into the socket, immerse the tooth in a container filled with either milk or saliva of the injured person. Make sure the tooth is completely immersed.
You should seek help immediately after oral structure or tooth injury because the sooner the treatment is received, the greater the chance of preserving the teeth. Afterwards, the replanted tooth should be reviewed by the dentist regularly to ensure the success of the treatment.