When you have a dental emergency — whether it’s caused by a sudden accident or chronic disease — your teeth and/or the tissues of the mouth that surround them need to receive proper care right away. As with any type of medical emergency, it’s important to be aware, before you’re actually in the situation, of what you can do to ensure the best outcome.
Traumatic Dental Injuries
A knocked-out permanent tooth requires quick thinking and immediate action. You’ll increase the chances that the tooth can be saved if you pick it up without touching the root, gently clean it off with water, and put it back in its socket facing the correct way. Hold it in place with gentle pressure as you rush to the dental office or emergency room. If you can’t replant it immediately, tuck it between the patient’s cheek and gum, or carry it in a container of cold milk.
For a more traumatic injury such as a tooth that has been moved or loosened, treatment needs to occur within six hours. However, if there is uncontrollable bleeding, go immediately to the ER. Fortunately, other dental injuries that happen most frequently are less severe. The most common traumatic dental injuries are chipped teeth. If a tooth is chipped, try to find any pieces that have come off, as it might be possible to reattach them. Make an appointment for an office visit as soon as possible, and bring the pieces with you.
Acute or persistent tooth pain always signals a need for an urgent visit to the dental office. The most common cause of dental pain is tooth decay, a bacterial infection that can spread through many parts of the tooth, and even into the gum tissue. Sometimes, tooth pain indicates that you may need a root canal treatment — a procedure that not only relieves the pain of an infection deep inside the tooth, but also can keep the tooth from having to be removed. Other times, pain may be caused by a loose filling or sensitive tooth. The only way to know for sure what’s causing your tooth pain is to make an appointment at the dental office right away.
Injuries and infections involving the soft tissues of the mouth may also require emergency treatment. The tissues of the gums, tongue, or cheek lining can be damaged by accidental bites, falls, sports injuries, and scalding liquids. They may also suffer injury from foreign bodies that become lodged below the gum line, and they can develop painful and potentially serious abscesses. A periodontal (gum) abscess is a pus-filled sac caused by an infection and is usually quite painful. Abscesses require immediate attention at the dental office.
Any injury to the soft tissues of the mouth should be rinsed with dilute salt water. If there is visible debris, it should be cleared. Bleeding can usually be controlled by pressing a clean, damp material to the area for 10-15 minutes. If this does not work, go to the emergency room immediately.
A foreign body lodged beneath the gum line can sometimes be gently worked out with dental floss or a toothpick. But if this can’t be accomplished easily, make a dental appointment so the area does not become damaged and/or infected.
Share your thoughts. Communication is an extremely important part of the smile makeover process. At the first makeover consultation, it helps if you describe what you would like to change in as much detail as possible. Bring along pictures of smiles you like, or of how your own smile used to look. Your makeover dentist will have some thoughts to share with you as well because dentists are trained to look at smiles in terms of facial balance. In other words, a dentist will look not only at how the elements of a smile (teeth, lips and gums) relate to each other, but also how they blend in with the face as a whole.
Make a plan. An important part of planning a smile makeover is a comprehensive dental exam. Cosmetic dentistry offers an amazing array of lifelike tooth restorations and treatments; but first, any conditions in your mouth that may jeopardize a good result must be taken care of. If your teeth are discolored, for example, the reason must be determined. You may have an underlying dental disease that needs to be treated before whitening your teeth; otherwise, the whitening may not last. Likewise, if you often drink red wine or other beverages that stain, you might do better with porcelain veneers than bleaching treatments.
Try it out. A smile makeover is an investment that is meant to last. That’s why many of the procedures performed are irreversible. So if you are contemplating some changes, it’s a great idea to try them out before you fully commit to them. There are many ways to preview the results: computer imaging, 3-D models, and even placing temporary restorations on your teeth so you can see what the final results will look and feel like in your own mouth. This also allows a fine-tuning of the makeover plan.
A “trial smile” is a great way to eliminate unknowns in the makeover process. But when it’s all done, there’s still one thing you may not be prepared for: how great it feels to flash your new smile to the world!