If an individual sustains a dental, head or neck injury which causes difficulties with breathing or swallowing, call 911 for emergency medical treatment.
Regular, preventive dental care and the wearing of protective sports guards can greatly reduce the chance of a dental emergency from occurring, but sometimes the unexpected happens. Severe pain, swelling and/or bleeding may require immediate attention. Call us at our Newmarket dental office at 905 895-9595.
During regular office hours, we will accommodate you or your family member as quickly as possible. After hours, emergency contact information is provided on our message machine. The most common dental concerns are described here. This information is intended to serve as a guide on how urgently you or your family member may require treatment.
If trauma has caused any head or neck injury or the patient is unconsciousness, it is critical that the individual first receive emergency medical care. Call 911 for emergency medical treatment.
The sooner a permanent tooth can be replaced in its socket, ideally within an hour, the greater the chance that the tooth can be preserved.
- Do not handle the root of the tooth; carefully hold it by the part of the tooth that is normally visible in the mouth, in other words, the shiny, white enamel portion.
- Rinse gently with water, then gently insert the root into the tooth socket.
- Hold tooth in place with a clean facecloth, tea towel or gauze and go immediately to your dental office or dental emergency clinic.
- Alternatively, place the tooth in a small container with milk and proceed immediately to your dental office or emergency dental clinic. If you can trust that the patient will not swallow the tooth, it may be held inside the individual’s mouth, next to the cheek or under the tongue while you travel to your dental office or dental emergency clinic.
If a permanent tooth has been displaced due to trauma, call your dental office or emergency dental clinic immediately for instructions. The tooth will have to be repositioned and splinted. Chewing or biting on a displaced tooth will be uncomfortable and can lead to more damage.
If your tooth has become loose due to an injury, call our office right away for instructions. There are a number of other reasons why teeth can become loose. These may include teeth grinding or gum disease. Emergency treatment is not required, but call YES Dental for an assessment as soon as possible. Once the underlying cause of the looseness is determined, we will discuss your treatment options.
Lost Filling, Temporary Crown or Crown
While you may experience some discomfort, emergency treatment may not be necessary. As each situation is unique, it is best to call as soon as possible, to arrange for prompt treatment. In the meantime, we may be able to offer suggestions for comfort measures. Keep your temporary crown or crown in a safe place, as it may be easily re-cemented.
A chip may occur from trauma or because of an underlying cavity or defective filling. The recommended treatment will depend on the reason for the chip. A small chip that does not cause pain does not usually require emergency treatment, but should be repaired at your earliest convenience. Small chips can often be repaired with a bonded filling, sometimes without even requiring any freezing or drilling.
Fractured or Cracked Tooth
A large fracture may require immediate attention, particularly if the pulp (living tissue inside the tooth) is exposed and you are experiencing severe pain. A simple filling may correct the problem, but in some cases, a root canal treatment and a crown may be recommended in order to provide comfort and/or to save a tooth. If an injury leads to a fractured front tooth and you can find the fractured fragment, please bring it to your appointment. Occasionally, the fractured tooth fragment may be bonded back in place, to serve as an excellent “temporary” repair which can have a surprisingly esthetic, long-lasting effect. Dr. Lederer will discuss the treatment that will best suit your needs.
A cracked tooth may be very sensitive to chewing or biting, even if a piece of the tooth has not actually broken off. Treatment recommendations will depend on the nature and extent of the crack, and may range from a simple filling to a root canal treatment and crown, or even extraction. If you are experiencing pain only when chewing, avoid chewing on the tooth and make an appointment to see us as soon as possible. If you have severe, spontaneous pain, call us immediately at 905 895-9595 for instructions.
Mild bleeding with or without pain and no history of trauma, may be related to gingivitis or gum disease. This is not a dental emergency but you should call your dental office as soon as possible so that an appointment for assessment, diagnosis and treatment can be arranged.
If you have had an injury to your tooth or mouth, try to determine the extent of the injury. Gently cleanse the area with water. If you can determine the source of bleeding, try to apply pressure over it with a clean facecloth or tea towel. A cold pack will help reduce swelling and also help manage bleeding. Call your dental office or emergency dental clinic immediately for further instructions.
Swelling and/or Pain
Swelling may be the result of an infection in the tooth or gums, or as a result of a direct hit to the face or jaws. Pain may be caused by a cavity, infection or trauma. Mild pain of recent onset may be managed with an over the counter analgesic such as acetaminophen or ibuprofen, but do plan to visit Dr. Lederer during regular office hours, as soon as possible. An early cavity may cause only minor discomfort, but ignoring the symptoms may lead to a much bigger problem which may limit the treatment options available.
Never place any pain medication directly on the gums as this can cause a chemical burn to the tissues and lead to even more pain. Call your dental office as soon as possible, so that the problem can be addressed as soon as possible.
Hot or Cold Sensitivity
Sensitivity to extreme temperatures may occur gradually or suddenly. Consuming acidic foods or drinks and/or aggressive tooth brushing may wear down your tooth enamel and lead to temperature sensitivity over time. Gum disease is often associated with gum recession and may also contribute to temperature sensitivity. A cavity, lost filling or loose filling or crown may also cause temperature sensitivity.
If you are able to manage your discomfort by avoiding extreme hot or cold, please call our office during our regular office hours. An appointment will be set up as quickly as possible to assess, diagnose and treat the problem. If your discomfort occurs suddenly and/or is severe, please call our office immediately for instructions to manage your emergency.