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Emergency Dentistry
Many people in their late teens and early twenties suffer from wisdom tooth pain which can arise at times of stress or when the body has been weakened by a cold or flu. Wisdom tooth extractions are usually complex due to the proximity of these teeth to important nerves and sinus’s. If you do suffer from a troublesome wisdom tooth, rest assured that our oral surgeons are available seven days a week to remove even the most difficult wisdom tooth under IV sedation or local anaesthetic Hialeah FL Florida 33012.
Dentistry has always been innovative and creative in the use of technology to make dentistry better, more predicable and easier to perform. One such innovation is digital impressions. This technology, although not new, has recently become more widely accepted and increasingly utilized.
Broken, Fractured or Avulsed Tooth: For a tooth that has been knocked out completely, place it in milk or saline immediately and then bring it into our office within the next few hours if possible. If the tooth is clean and no debris is present, you can place it back into the socket. Do not attempt to clean the tooth off, as this can damage fibers that aid in reconnection. Rinse your mouth of any blood or other debris and place a cold cloth or compress on the cheek near where the injury has occurred to keep swelling down. Taking ibuprofen will help you to manage any severe pain or inflammation before you can make it into the office. If your tooth has broken or fractured, we can usually save your smile with a filling, crown, or dental implant. It may even be possible to bond the broken tooth segment back into place.
Ultimately, to get rid of dental pain, you must first get rid of the source of the infection. Treating the pain with medication is a temporary band-aid, but does not resolve the problem. For severe infections or trauma, our Anchorage emergency dentists can prescribe prescription strength pain medications and antibiotics to keep you comfortable until you can get to our office for treatment.Anchorage Midtown Dental Center is the ONLY emergency dental office in our area open 7 days a week. We even have an after hours emergency line so you never have to be in pain!
In some cases, immediate reconstruction of the abutment may be deemed inappropriate, if the underlying structure is deemed deficient due to caries or a fracture then this issue needs to be addressed. The treatment plan may vary with the addition of a root canal treatment or a temporary crown for the reconstruction of a new crown.
Dental Emergency
Crowns can become broken by a fracture, non-retentive preparation, secondary caries, weak cement, excessive occlusal forces, decementation or loosening of the crown.[8] The consequences of a crown becoming loose include the risk of ingestion and less likely, inhalation. The management of the loose crown includes immediate recementation or a replacement crown, depending on the assessment conducted by the dentist.
Our emergency dentist will diagnose any undetected gum disease and treat the acute problem on the first visit. The dentist will then refer you to our gum specialists for expert continuous care of your gums in order to prevent further recurrence of gum disease.
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Toothaches: One of the most common reasons for tooth pain is an infection, such as an abscess or cavity. Other times they result from trauma. A tooth fracture can happen from bumping your mouth, or the failure of an old silver filling. If it has been more than 10 years since your fillings were placed, it is a good idea to see us for a checkup and exam. As Dr. Guy Burk says: “you may be driving on bald tires!” We can perform any necessary treatment to prevent fractures or emergency treatment later on. Waiting too long to replace worn out fillings usually results in dental procedures that take longer to complete and are more costly, such as root canals or extractions.
We use a variety of methods and techniques to ensure your emergencies are resolved, your teeth are preserved, and that your pain is alleviated. We encourage patients to discuss emergency protocols with us so they know exactly what to do in an emergency.
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A fractured, ditched or dislodged filling that is broken or lost may cause discomfort or sharp pain due to jagged edges. There can be aesthetical concerns if the filling is in a visible area. Patients need to be aware of the sharp edges and ensure their tongue does not constantly apply pressure around that area, as it can cause cuts to the tongue. However, in some cases the result of the loss of a filling can cause irritation to the side of the cheek and potentially lead to an ulcer. Sharp edges can easily be dealt with by levelling the filling or tooth edges from your local dentist during the emergency appointment. Hypersensitivity issues may also arise, short sharp pain caused by exposed underlying dentine, after the deterioration of the filling material.[2]
If your health history does not bar their use, 800mg of ibuprofen (Advil) every 8 hours and 1000 mg of Tylenol every 6 hours can be taken together or staggered to manage pain from a chronic toothache. These two medications are responsible for 90% of the pain relief in prescription pain relievers and are extremely effective.
A crack, fracture and the mobility of a tooth are all interrelated as the pain and symptoms experienced from a tooth that has been cracked are very similar to that of a tooth that has been fractured.[2] A tooth crack is defined as an incomplete fracture of enamel or dentine and therefore is not usually associated with noticeable mobility.[8] The cause of a tooth crack can be by excessive force applied to a healthy tooth or physiologic forces applied to a weakened tooth. The teeth most commonly involved are usually the lower molars, followed by the upper premolars and molars. The condition is extremely common in the age range of 30–60 years.[2]
The treatment is cause-related. For example, oil of cloves, which contains eugenol, can be used to treat dental pain; a drop can be applied with a cotton swab as a palliative .[citation needed] After wisdom tooth extraction, for example, a condition known as dry socket can develop where nerve endings are exposed to air. A piece of sterile gauze or cotton soaked in oil of cloves may be placed in the socket after careful cleaning with saline to relieve this form of pain .[citation needed]
Toothache and other emergency dentistry problems have a tendency to occur at any time but especially at night time or on holidays and weekends. Our emergency dentists are available 7 days a week, 365 days a year and even on weekends, Christmas day, new year’s day and bank holidays and they can be contacted by calling the dental emergency line on 0208 547 9997 between 9am and 10pm.
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Management includes cleaning all the cement and residues, to carefully inspect for any underlying caries or fractures. Details that need to be assessed include margins, gingivae and contact points; occlusion needs to be checked in both ICP and in lateral and protrusive excursions, before the crown can be re-cemented. Stronger cement should be used than the original such as resin cements, especially in cases of heavy occlusal forces.
You may never have to visit an emergency dentist, especially if you are careful with your oral hygiene and visit your dentist regularly. If your teeth are particularly sensitive or damaged, it may be necessary for you to avoid hard foods as this is the main cause of broken and chipped teeth.
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If a back molar tooth fractures as a result of hard stimuli such as a hard piece of bread or meat, then the patient can suffer from cracked tooth syndrome. This can be very painful for patients to bite on a tooth and it will require the cracked cusp to be removed by the dentist. Once the cracked cusp is removed, depending on the severity of the fracture the tooth may need a dental crown. Crowns act like a cap and prevent the tooth from fracturing further.
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