Toothaches

Toothaches are most often due to either problems inside the tooth or problems in the gums surrounding the tooth.

If you suspect the problem to be related to your gums you may try rinsing and flossing to clear any debris or bacteria that may be stuck. If this does not relieve the problem, contact our office and make an appointment so that we can determine the cause of the problem.

A problem inside the tooth manifests itself usually as pain with hot and cold or pain when putting pressure on the tooth. These symptoms should always be checked with a dentist as they can point to underlying infection.

Lost Filling or Crown

Crowns or fillings may become loose due to a blow to the face or decay in the tooth beneath the restoration. If this happens, contact our office to make an appointment as soon as possible. You may experience heightened tooth sensitivity when you lose your restoration.

In the meantime, keep your dental crown (if you have it) in a cool, safe place. We may be able to replace it on the tooth.

Do NOT use any kind of glue to replace the crown on your tooth.

Our dentist will check to see if your crown still fits. If so, it can be reattached to the tooth. If not, we will clean the tooth and make you a new crown.

Chipped or Fractured Teeth

Some types of chips, cracks or fractures are relatively painless, but others may result in extreme pain. When you chip or fracture a tooth, contact our office immediately. While waiting to meet with our dentist, here are some things you can do:

• If any part of the tooth has broken off, rinse it in lukewarm water and bring it with you to the appointment
• Apply gauze to any bleeding areas for 10 minutes or until the bleeding stops
• Place an ice pack or cold compress on the cheek over the area to minimize swelling and pain
• Use a topical pain reliever

You may also cover the affected area with dental cement (available for purchase at most pharmacies).

Dislodged or Loosened Teeth

First, contact our office immediately to make arrangements to meet with our dentist. Then place an ice pack or cold compress over the area to relieve swelling and discomfort. You may also use a mild pain reliever.

Our dentist will examine the dislodged or loosened tooth and reposition and stabilize it again in your mouth. If it remains in the mouth and is attached to the blood vessels and nerves, you may not need a root canal. If the tooth does not heal, a root canal treatment may be necessary.

Avulsed (Knocked-Out) Teeth

If your tooth has been completely knocked out of its socket, contact our office immediately. Time is a critical factor in whether or not we can successfully replace your tooth in your mouth. After arranging to meet with our dentist, follow these instructions:

• Rinse your mouth to remove blood or other debris.
• Place a cold compress or ice pack on the cheek over the injury to reduce swelling.
• Pick up the tooth by the crown (chewing surface). Do not touch the root.
• Gently rinse the tooth with water to clean it. Do not use any soap or chemicals, scrub or dry the tooth, or wrap it in a tissue.
• If possible, place it back in the socket and hold it in place by gently biting down. If you cannot do this, keep the tooth moist by holding it in the cheek pouch or by placing it in milk, saline solution, your own saliva, a tooth preservation kit (available at most pharmacies) or in water.

If you have a broken jaw or another serious injury, we recommend that you visit the emergency room or your medical physician before seeking dental treatment. If your injury is life-threatening, call 911 or go to the nearest emergency room.