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Emergency Dentistry

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 Andersonville Illinois 60629. It may even be possible to bond the broken tooth segment back into place.

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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Dental365 offers financing solutions for all of our patients, even those without insurance coverage. If you would like to learn more about emergency dentistry or any of our other general, cosmetic, or restorative services, please contact our office to schedule a consultation with one of our doctors.

Often resulting from an accidental injury, chipped, cracked, or broken teeth can be immensely painful and may cause damage to other areas of your mouth without treatment. While most people quickly notice a broken tooth in the front of their smile, a hairline fracture in one of the back teeth may not be easy to see or feel. Over time, broken teeth can also damage your gums, cheeks, tongue, or lips. Our doctors may recommend dental bonding, or a crown to repair the damaged tooth and protect your oral health against further harm. 

When To Call Emergency Dentist

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.

Contact Anchorage Midtown Dental Center right now if you have suffered an emergency dentistry problem in Anchorage. We are your choice for the most experienced and painless emergency dentists in town.

Where To Go For Emergency Dentist

Some define a dental emergency in terms of the individual's willingness to attend for emergency dental treatment at any time at short notice, stating that persons who are fussy about when they are available for treatment are not true emergency cases.[1]:702

Non-odontogenic pain is pain that is not associated with the teeth but involves other orofacial tissues.[5] Non-odontogenic pain can be difficult to diagnose and can vary in severity.[5] The following conditions can mimic pain from a toothache and may be the reason a patient presents to a dental clinic with pain. Pain can originate from the maxillary sinus because there is only a thin plate of bone separating the maxillary teeth from the sinus; inflammation from the sinus lining from infections can lead to facial pain that can be felt in the teeth.[5] This type of pain is a dull aching pain and may be exacerbated by bending over or lying down.[5] Temporomandibular joint dysfunction syndrome (TMD) is a term used to describe a number of disorders affecting the temporomandibular joints, masticatory muscles and other structures associated with this region.[5] Common complaints from patients include pain in the muscles around the mouth, pain in the temporomandibular joint upon use, headache, earache, locking or clicking of the jaw and tinnitus.[5] Non-odontogenic pain can also be of neuromuscular origin; examples include muscle tension headache, neck pain, whiplash and fibromyalgia.[5] Pain can be evident in the facial muscles and the neck may be tender, dysfunction of muscles may also be evident.[5] Neurovascular pain refers to a group of disorders involving the trigeminal neurovascular system.[5] This condition is most often associated with headaches but can also involve infection or tumors; the pain occurs with the headache and usually subsides when headache ceases.[5] This type of pain may need a referral to a physician as in some cases can be life-threatening.[5] Neuropathic pain can mimic toothache when it involves the nerve supply to the teeth.[5] This can be caused by trauma, inflammation or tumors in the oro-facial region.[5] Trigeminal neuralgia is the most well known in the dentistry field.[5] Toothache type pain may also be felt in the presence of oral cancer, squamous cell carcinoma occurring in the oral mucosa may present with pain and sensory problems.[5]

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A swelling is a transient abnormal enlargement of a body part or area not caused by proliferation of cells but by accumulation of fluid in tissues. It can occur throughout the body (generalized), or a specific part or organ can be affected (localized). A swelling may arise intra-orally or externally around the face, jaws and neck and can be caused by trauma (hematoma, swelling due to fracture, TMJ dislocation), infection or inflammation. Swelling can occur in the gums, palate, lips, buccal space, etc. It can happen due to periodontal problems, infection, abscess, cysts, allergic reaction (anaphylactic shock), salivary gland tumour, inflammation or obstruction of salivary gland.

Following a tooth extraction, if a blood clot forms inadequately in the socket or it is broken down, a painful infection may develop which is often referred to as a ‘dry socket’. It is clinically characterized by a putrid odor and intense pain that radiates to the ear and neck. Pain is considered the most important symptom of dry socket. It can vary in frequency and intensity, and other symptoms, such as headache, insomnia, and dizziness, can be present.[13] Pre-disposing factors to dry socket include smoking, traumatic extraction, history of radiotherapy and bisphosphonate medication. A dry socket can be managed by irrigating the socket with chlorhexidine or warmed saline to remove debris followed by dressing of the socket with bismuth iodoform paraffin paste and lidocaine gel on ribbon gauze to protect the socket from painful stimuli.[14] If pus is seen in the socket and there is localised swelling and possibly lymphadenopathy, it has become infected and can often be managed as in dry socket, but usually antibiotics should be prescribed. A radiograph is useful to see if there is a retained root or bony sequestrum, which could be the cause of the infection. Clearly, if one or both is present, further treatment is indicated.[14]

A dental emergency, like a broken or infected tooth, can cause pain or discomfort in any patient, but it’s best to remain calm, and call our office immediately. The sooner you get care, the easier it is to prevent additional damage to the tooth and costly dental treatment in the future.

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During the emergency appointment the dentist will need to take a set of radiographs to assess for any underlying caries, bone loss or possible abscess. The clinical examination will detect the reasons behind the failure of the restoration. Upon treatment the dentist will provide options on the tooth’s prognosis, these may include a new restoration, extraction, root canal or placement of a crown. The tooth prognosis includes the tooth’s vitality and restorability.

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Immediate management includes a chair side repair of the fractured veneer with composite material. Bonding composite to the exposed metal will involve achieving macro mechanical retention by making grooves and notches or abrading the surface. Bonding material back onto exposed porcelain involves abrading, hydrofluoric acid etching and silanating then followed by a conventional bonding procedure. Composite patch will remain a temporary solution as the longevity of composite restorations is not predictable as well as the colour of composite is not as stable as porcelain for aesthetical reasons.[2]

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.

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.

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