Pediatric Dental Emergency

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Chestnut Dental maintains a 24-hour emergency service. If you feel you need either urgent advice or need to see one of our dentists on-call, please call our office to reach a receptionist during normal business hours. After office hours, our answering service will take your call and alert the on-call dentist to contact you.

Pain

Emergency-Info.jpgPain in or around the mouth can be caused by a number of problems and should be evaluated by one of our staff dentists as soon as possible to make the proper diagnosis. The pain may be caused by a tooth or soft tissue problems which can be difficult to distinguish. Infections of the gums or ulcers usually result in significant pain and need attention. Toothaches can be either spontaneous or initiated by various stimulants such as cold air, hot or cold foods or beverages and by biting. UNDER NO CIRCUMSTANCES should you use aspirin directly on the aching tooth or on the gums. For temporary pain relief, acetaminophen is recommended.

Traumatic Injuries

Soft Tissue Lacerations and/or Bruises

Application of ice to traumatized areas can help to control the bleeding and limit subsequent swelling. For active bleeding, apply firm (but gentle) pressure with sterile gauze or a clean cloth. If the injury has resulted in significant bleeding, please call our office to be seen for evaluation and treatment or go to an emergency room.

Fractured Teeth

tooth_fracture.jpgAll but the smallest of fractures need to be evaluated within 24-48 hours of the accident. If the fractured segment is found, please keep it moist in a container of water or milk, and bring it to the appointment for evaluation. Emergency treatment consists of either re-bonding the segment to the fractured tooth or temporarily applying a resin material over the fractured edge. At a subsequent appointment a full resin build-up of the fractured tooth can be completed.

Displaced or Knocked Out (Avulsed) Teeth

 

displaced_teeth1.jpgAll injuries to either primary or permanent teeth that result in significant loosening or displacement must be evaluated. Displaced teeth require repositioning and stabilization as soon as possible. Permanent teeth that are displaced totally out of the socket should be placed back into the socket by grasping the crown of the tooth and gently re-implanting the tooth. If the root is dirty, gently clean it by running it under cold water prior to re-implantation. If you are unable to re-implant the tooth, it should be placed in a container of cold milk. It is essential that the tooth be re-implanted by a dentist ASAP to maximize success!

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Canker Sores

coldsore_emergency.jpgCanker sores (aphthous ulcers) are usually small sores inside the mouth with a white or gray base surrounded by a red border. Generally, the ulcerations last one to two weeks and often recur. The duration of canker sores can be reduced by the use of antimicrobial mouthwashes or topical agents.

Lip bite (following local anesthesia)

Following anesthesia some patients play, suck or bite on their lip, cheeks or tongue. A raw, swollen and tender area can develop. This is not an infection. Keep the area clean and apply a cool compress as needed. For temporary relief, please take acetaminophen or ibuprofen and please don't hesitate to call our office.

bittenlip_emergency.jpgEmergency Dental Triage Update 2017