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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 the dentist as quickly as possible.  The pain caused by dental emergencies almost always gets worse without treatment, and dental issues can seriously jeopardize physical health.

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 the 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 incredibly sensitive to temperature changes and pressure.  Crowns generally become loose because the tooth beneath is decaying.  The decay causes shape changes in the teeth – meaning that the crown no longer fits.

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 pain.
  2. Clean the crown and affix it onto the tooth with dental cement.  This can be purchased at the local pharmacy.
  3. If the crown is lost, smear the top of the tooth with dental cement to alleviate discomfort.
  4. DO NOT use any kind of glue to affix the crown.

The dentist 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

The 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 the dentist as quickly as possible.

Where a segment of tooth has been broken off, here are some steps that can be taken at home:

  1. Call the dentist.
  2. Rinse the tooth fragment and the mouth with lukewarm water.
  3. Apply gauze to the area for ten minutes if there is bleeding.
  4. Place a cold, damp dishtowel on the cheek to minimize swelling and pain.
  5. Cover the affected area with over-the-counter dental cement if there is no way to see the dentist immediately.
  6. Take a topical pain reliever.

The nature of the break or fracture will limit what the dentist 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.  In the case of a complete break, the dentist will usually affix the fragment back onto the tooth as a temporary measure.


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 the dentist immediately to make an appointment.  In the meantime, use a cold compress and over-the-counter medications to relieve pain.  The dentist will reposition the tooth and add splints to stabilize it.  If the tooth fails to heal, root canal therapy may be required.

If you have questions or concerns about dental emergencies, please contact your dentist.

Testimonials.

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Testimonials

I loved my experience at Dr. Lopez's office. 20 years ago I had several unsightly metal fillings put in my mouth. Also, I've worn my teeth down by grinding considerably over the years. As I grew older, my teeth did not look good to me when I smiled. In July of 2015, I wanted to have all of the metal fillings in my mouth removed, and one of the fillings in particular had already cracked the tooth that it filled. Initially, I was very nervous, but Dr. Lopez and his staff completely put me at ease from the time I walked in the door. The way he rebuilt the grinding damage on my back teeth is remarkable. He is not only a great dentist but a gifted architect and engineer at the same time. I didn't even feel the numbing shots at all, and I actually fell asleep in the chair during the procedure thanks to Dr. Lopez's relaxing demeanor and the calming music in the room. To my wife, I affectionately refer to him as Dr. Lopezzzzzz, now, since I did fall asleep. I would recommend Dr. Lopez to even my closest family. Thank you, again, Dr. Lopez.

Chase H

I went to Dr. Lopez to get veneers on eight teeth (upper, front). From my initial consultation to getting my temporary veneers put in today, I have been consistently impressed by his practice. The entire staff operate as a single, professional team. Extremely courteous, knowledgable, and accommodating, they do everything they can to help patients feel both comfortable and fully informed of everything that goes on during their visit.

My process with the veneers thus far has been extremely smooth and easy. Despite what you may read on the Internet from other people who have gotten veneers elsewhere, Dr. Lopez goes through great measures to ensure that your experience is pain and worry free. He is truly a master at his craft, and his vast experience in the dental profession (equally reflected in his accolades) definitely shows.

I have a check-up for the temporary veneers in the next couple of weeks, and the permanent veneers will arrive shortly thereafter. I have full confidence that the rest of this process will go just as well as it has so far, especially after my visit today. Highly recommend this office for your dental needs. 5/5 stars.

Jason H

I have never liked going to the dentist because of painful past experiences. Shots, rough cleanings, etc. On my first visit, I had a cleaning . There was no pain. I was impressed. And a recent event that required shots, and extractions had me concerned about pain, but Dr. Lopez reassured me not to worry. As he began the shots,NO PAIN AT ALL!!! I was more than impressed! I knew I had found my dentist. Dr. Lopez and his staff are kind, gentle, professional, and the atmosphere is very relaxed and pleasant! I am very pleased, and highly recommend him!!!

Robin T

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Dr. Juan R. Lopez
Phone: 580-536-9647
6941 West Gore Blvd.
Lawton, OK 73505