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Emergency Dental Care: Frequently Asked Questions

Q. What are some examples of dental care emergencies?

A. Some examples of dentistry emergencies are avulsed teeth, extruded teeth, broken teeth, a bitten tongue or lip, objects that are caught between teeth, toothaches, and possible broken jaw.

Q. What are avulsed teeth?

A. Avulsed teeth are teeth that are knocked out.

Q. What should you do if your tooth is knocked out?

A. If your tooth is knocked out you should carefully rinse the tooth with water. You should attempt to place the tooth back in its socket and secure it with a wet wrap. If you can not place the tooth back in its socket, put it in a glass with either saliva or milk. Then you should contact your dentist immediately.

Q. What are extruded teeth?

A. Extruded teeth are teeth that are forced out of position.

Q. What should you do if your tooth is pushed out of position?

A. If your tooth is pushed out of place you should reposition it to its normal alignment using very light finger pressure. You should hold the tooth in place with a moist gauze or tissue. Make sure that a dentist sees you within a half an hour.

Q. What do you do when you have a toothache?

A. When you have a toothache, you should clean your mouth by rinsing with warm water and remove any food that is trapped between teeth by flossing. Do not apply aspirin on the aching tooth or gum tissues. See your dentist as soon as possible.

Q. What do you do if you have something caught between your teeth

A. If you have an object caught between your teeth you should try to remove it with dental floss gently. Sometimes it helps to double up the floss. Do not attempt to remove the object with a sharp or pointed device. If you can not still can not remove the object, see your dentist.

Q. How would you treat a bitten tongue or lip?

A. To treat a bitten tongue or lip you should gently clean the area with a cloth and apply cold compresses to reduce swelling. If the bleeding continues, go to the hospital emergency room.

Q. Why do we brush our teeth?

A. We brush our teeth to remove bacteria and left over food particles from the mouth.

Q. How long should you brush your teeth?

A. You should brush your teeth twice a day for at least two to three minutes (until they are clean!).

Q. What can you do to slow down acid production when you ca't brush your teeth?

A. If you ca't brush your teeth you can rinse your mouth with water after a meal or snack to reduce acid reproduction by 30%. Wiping your teeth with a napkin is also a temporary measure until you can brush your teeth. Chewing sugar free gum helps, too.

Q. What is tooth bleaching?

A. Tooth bleaching or whitening is the process of lightening stains or discoloration of your teeth.

Q. What is involved in tooth bleaching?

A. Your dentist will determine which bleaching method is right for you. They will either use an in-office bleaching system or laser bleaching during your dental visit. But, most patients choose dentist-at-home-supervised bleaching. This method involves a custom-made mouth guard for the patient along with bleaching materials. You will be given instructions on how to wear the mouth guard and this type of method generally required ten to fourteen days to complete.

Q. How does tooth bleaching work?

A. Tooth bleaching whitens the teeth when the active whitening agent, carbamide peroxide, contacts water and hydrogen peroxide is released.

Q. Is tooth bleaching safe?

A. Studies have proven bleaching to be safe and effective. Bleaching does not soften, demineralize, or weaken the teeth.

Q. What are digitized X-rays?

A. A digitized X-ray is a computerized technology that allows a small sensor placed inside the patient's mouth to take the X-ray and instantly display it on a computer screen for the dentist to review.

Dental Emergencies and First Aid Procedures

The following first aid procedures are important steps for handling dental emergencies or facial injuries. They provide temporary relief and help in their proper repair or healing. As with any injury, always follow up with personal care from your dentist or physician.

Bitten Tongue/Cut Lip

Clean gently with a cloth. Apply cold compresses to reduce swelling. If bleeding is severe, go to an emergency services provider. After bleeding has subsided, rinse with warm salt water.

Broken Jaw (Possible)

Don't move the jaw. Secure it in place by tying a scarf, necktie, or towel around the jaw and over the top of the head. Apply cold compresses to reduce any swelling. See your dentist or emergency services provider immediately.

Broken Tooth

Rinse the mouth with warm water. Try to remove any dirt, blood, or debris from the injured area using sterile gauze or a clean cloth and warm water. Apply cold compresses on the face next to the injured tooth to reduce swelling. See the dentist immediately. Place the broken piece in a small container of whole milk.

Knocked-Out Tooth

Annually, more than two million teeth are knocked out accidentally; more than 90% of them can be saved with proper treatment.

Holding the tooth from the crown (top part), rinse off the root. Don't scrub or remove any attached tissue fragments. Gently hold the tooth in its socket. (Young children may accidentally swallow; use your judgment.) If this isn't possible, place the tooth in a cup of cold whole milk. Avoid using low fat milk, powdered milk, or milk products like yogurt. Never put the tooth in mouthwash or alcohol. Avoid scrubbing the tooth or touching the root end. Get to the dentist immediately (within 30 minutes) and take the tooth!

Objects Trapped Between Teeth

Try gliding dental floss between teeth (dental tape is often useful in removing shredded dental floss.) Sometimes tying a small knot in the floss may help, too. Avoid using any sharp or pointed objects. See a dentist if object can't be removed.

Toothache

Toothaches can result from different causes. Rinse mouth with warm water. Remove any food trapped between teeth with dental floss. Avoid applying aspirin on the tooth or gum tissues. If a cavity is suspected, insert a small cotton ball or cotton tip soaked in oil of cloves (eugenol). Do not cover a cavity with cotton if there is facial swelling or pus. See a dentist as soon as possible.

Always consult with a dentist if you have questions regarding any dental problem.

By Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.