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Landmark Dental Centre
Dr. DJ Neal, Dr. TC Neal
Creating Beautiful Smiles
Call: (250) 656-4848

Dental Emergencies

Dental emergencies are quite frightening and often painful.  Prompt treatment is almost always required to alleviate pain and to ensure the teeth have the best possible chance of survival.

Sometimes teeth become fractured by trauma, grinding or biting on hard objects.  In other cases, fillings, crowns and other restorative devices can be damaged or fall out of the mouth completely.  If there is severe pain, it is essential to make an appointment with Dr. Neal as quickly as possible.

 

 IN CASE OF AN EMERGENCY, PHONE DR. NEALS OFFICE AT 250-656-4848. IF DR. NEAL IS NOT IN TOWN, THERE WILL ALWAYS BE A DENTIST ON CALL, AND THEIR PHONE NUMBER PROVIDED .

 

Types of dental emergency and how to deal with them


Avulsed tooth (tooth knocked out)

If a tooth has been knocked clean out of the mouth, it is essential to see a dentist immediately.  When a tooth exits the mouth, tissues, nerves and blood vessels become damaged.  If the tooth can be placed back into its socket within an hour, there is a chance the tissues will grow to support the tooth once again.

Here are some steps to take:

  1. Call Dr. Neal, or if you can't reach him immediately, call any dentist.
  2. Pick up the tooth by the crown and rinse it under warm water.  DO NOT touch the root.
  3. If possible, place it back into its socket – if not tuck it into the cheek pouch.
  4. If the tooth cannot be placed in the mouth, put the tooth into a cup of milk, saliva, or water as a last resort.  It is important to keep the tooth from drying out.
  5. Get to the dentist, quickly and safely.

The dentist will try to replace the tooth in its natural socket.  In some cases, the tooth will reattach, but if the inner mechanisms of the teeth are seriously damaged, root canal therapy may be necessary.


Lost filling or crown

Usually, a crown or filling comes loose while eating.  Once it is out of the mouth, the affected tooth may be  sensitive to temperature changes and pressure. 

If a crown has dropped out of the mouth, make a dental appointment as soon as possible.  Keep the crown in a cool, safe place because there is a possibility that the dentist can reinsert it.  If the crown is out of the mouth for a long period of time, the teeth may shift or sustain further damage.

When the dentist is not immediately accessible, here are the steps to take:

  1. Apply clove oil to the tooth to alleviate severe pain (purchased at drugstore or health store). Note: some minor temperature sensitivity is normal due to the protective crown being missing, but this is not a major concern.
  2. Clean the crown and affix it onto the tooth with dental cement if it is available at the local pharmacy.
  3. DO NOT use "Crazy Glue" or similar product to affix the crown

Dr. Neal will check the crown to see if it still fits.  If it does, it will be reattached to the tooth. Where decay is noted, this will be treated and a new crown will be made.


Cracked or broken teeth

Teeth are strong, but they are still prone to fractures, cracks and breaks.  Sometimes fractures are fairly painless, but if the crack extends down into the root, it is likely that the pain will be extreme.  Fractures, cracks and breaks can take several different forms, but are generally caused by trauma, grinding and biting.  If a tooth has been fractured or cracked, there is no alternative but to see Dr.Neal as soon as possible.

 

The nature of the break or fracture will limit what Dr. Neal is able to do.  If a fracture or crack extends into the root, root canal therapy may be the only effective way to retain the tooth if in fact the tooth is salvageable.

Dislodged/loose teeth

When a tooth has been dislodged or loosened from its socket by trauma or decay, it might be possible to save it.  If the tooth remains in the mouth and attached to the blood vessels and nerves, there is a good chance root canal therapy will not be necessary.

It is important to call Dr. Neal to make an appointment.  In the meantime, use a cold compress and over-the-counter medications to relieve pain. Dr. Neal will reposition the tooth and add a splint to stabilize it if necessary.  If the tooth fails to heal, root canal therapy may be required.

If you have questions or concerns about dental emergencies, please contact Dr. Neals office.

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We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below. E-mails are checked once per day Monday through Friday. If a reply or appointment booking is needed immediately, or to change a previously reserved appointment time, please phone us directly at 250-656-4848.
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