Emergency Dental Care
Cosmetic and Family Dentist in Raleigh
Here at Fusion Dental Care, we are committed to providing our emergency dental care patients with 5-star customer service. Dr. Hoda Bassiri has advanced training in emergency dental care and is open on both Fridays and Saturdays for patients in need of urgent care. If you are experiencing any of the emergency situations detailed below, please contact Dr. Bassiri ASAP to make an appointment. Call (919) 977-7438 to make your emergency dental appointment.
Monday – Friday 8 AM to 5 PM
Saturday 8 AM to 2 PM
How do you know if your dental problem is really an emergency? The most important thing to remember is, if it hurts, then it’s an emergency. Injuries may seem insignificant but can affect the tissue inside the teeth. By quickly responding to the pain or injury, you improve the chances of saving your teeth from further injury or damage.
If there is obvious damage to your tooth, it needs to be treated as quickly as possible. A fracture or chip in your tooth can affect the tooth’s living tissue. If there is damage to the living tissue, it can cause more dental problems in the future. This damage can be prevented by seeking treatment when the tooth damage occurs.
If you lose a filling or crown, even if there are no other symptoms, you should seek dental care. A crown or filling provides support to the tooth. If it is missing then the tooth can become damaged, pieces of the tooth could break off or crumble. If this damage occurs, you’re going to need extensive treatments. If you seek dental help immediately, there’s a chance the repair can be made more easily.
Here are some frequently asked questions about the various types of dental emergencies.
I Have an Injured Tooth. What Should I Do?
If you have any type of trauma to your mouth, you should immediately consult a dentist. The dentist is the best person to determine if treatment is needed. For an injured tooth, we would examine the injured area and take x-rays if needed.
If you’re experiencing pain because of a chipped, cracked, or broken tooth, then you may want to take an over-the-counter pain reliever, such as aspirin or Advil. If you can, keep the part of the tooth that chipped away or broke off. Bring that piece of your tooth with you to your appointment. Until your examination, try to avoid extreme temperatures in your mouth or chewing on the injured tooth, as this could cause further damage.
Broken, Cracked, and Chipped Teeth
If you have a small chip and you’re not experiencing any pain, then you can decide if, how and when, you want to have the tooth repaired. Some chips are small enough that they can be cosmetically corrected or smoothed over. We can explain your options to you after we examine your tooth.
If an artificial tooth or filling chips, you should have it replaced. If a tooth is broken or cracked, it also would require immediate care. The faster you can get treatment, the better the chance that you won’t cause further damage to the tooth.
Remember, some cracks are not visible with the naked eye. They may not even be visible on an x-ray. These types of cracks are usually accompanied by symptoms which include pain when chewing and sensitivity to the air and hot and cold foods and liquids. Over time these symptoms may get worse.
Knocked Out Tooth
Fusion Dental Care of Raleigh, NC recommends the following steps to help save a tooth that has been knocked out.
Hand the tooth with care. Do not touch the tooth’s root, which is the part that is embedded in the gum.
If the tooth had become dirty, hold the crown, or upper part, and rinse it off with contact lens solution or milk until most of the dirt is gone. If neither of these items is available, leave the tooth alone. Do not wipe the tooth with your clothes or a handkerchief because this can cause damage to the microscopic cells on the surface of the tooth’s root.
Keep the tooth moist. If milk is available, drop the tooth into a glass of milk. If not place, the tooth in the mouth between the gum and cheek.
Young children whose teeth have been knocked out may not be able to hold their tooth in their mouth. Do not give a child their tooth to “store” in their mouth, because they may swallow it. Instead, place the tooth in milk or have the child spit into a cup or container, place the tooth in the milk or saliva. The most important thing is to ensure the tooth remains moist. If nothing else is available, use water.
Visit our dental offices immediately. If you’re not able to get into the office quickly, after the tooth has been knocked out, try to slip the tooth back in the socket. Often, the tooth will go back in. But you need to ensure the tooth is facing the right direction. The tooth may not go in the socket, but you should not try to force it. If it does not go back in easily, then just hold it in your mouth between your cheek and gums, or keep it in a container of saliva, milk, or water.
A Partially Dislodged Tooth
Teeth aren’t always knocked completely out of your mouth. Sometimes, the tooth is partially dislodged from its socket or knocked loose, due to an injury. This is called an extruded tooth. The tooth can be saved as long as the blood vessels and nerves are still attached and the tooth is not broken.
In order to save your tooth, you need to visit our dental offices immediately. Leave the tooth in your mouth, even if it is not completely in the socket. If you are experiencing pain, take an over-the-counter pain reliever. You can also apply a cold pack to the affected area until you reach our dental office.
Crown Came Off or Lost Fillings
Fillings fall out and crowns come off sometimes. Sometimes it’s because the crown or filling was loosened by tooth decay underneath. This decay can destroy the tooth so that it no longer provides the tight hold needed to keep the crown or filling in place. A missing crown or filling is rarely an emergency.
However, you may be experiencing pain if there is exposed tissue in the tooth. The tissue can make your tooth sensitive to air, pressure, or temperature. If you lose your crown, keep it in a safe place and schedule an appointment with your dentist.
While you don’t need to see your dentist immediately, you also don’t want to wait too long. The part of your tooth remaining is not as strong as it was when the crown was in place. This part of the tooth can be damaged more easily. Also if the crown is missing for a long time, your teeth may start to move into the place where the missing crown was located. Then, when you finally see the dentist, the crown may no longer fit in your mouth.
Severe Pain, Not Caused By Trauma
Injuries to the teeth or gum can be painful, but sometimes, you may feel that there is no reason for your dental pain. For example, you may have a sudden pain caused by eating a piece of food that has come in contact with a damaged or decaying tooth. Cold, heat, and food may create the pressure on your nerves that can cause dental pain. The tooth’s nerve can also cause pain when you have a loose crown or filling.
Over time the pain may get worse. This pain may be caused by food getting caught between the gum and tooth. If you brush and floss well, then the little bits of food will be removed. If the teeth are not brushed and flossed regularly, bacteria can multiply, and you may develop a tooth or gum infection, called an abscess.
This abscess can be in bone, at the root end of the tooth, or in the gums. Abscesses are serious medical problems if they are not treated. Swelling outside and inside of the mouth can occur. If you have an abscess, seek immediate help through our dental office or with your medical doctor.
If you are experiencing pain, contact our dental office immediately so that we can evaluate the source of your pain and help you get back to a healthy state.
Injuries to the Lips and Gums
Trauma to the tongue, lips, and inside of the mouth are common. The soft tissue in this area makes it vulnerable to certain injuries. Because there is a rich supply of blood in this area, any cut to the inside of your mouth will usually bleed heavily.
Many tongues and lip injuries occur while participating in sports activities. You can prevent these injuries by using a mouth guard. We can create a custom-fit professional mouth guard in our office. Contact us for more information.
If you are injured at home, clean the injured surface with a soft clean cloth and mild soapy water. If the cut is inside your mouth, rinse your mouth with salt water or use a hydrogen peroxide solution. You can make this solution by mixing equal parts of water and hydrogen peroxide. Make sure you don’t swallow the rinse. When you use the peroxide rinse, don’t be surprised if it begins to foam, since that’s what commonly happens when it comes in contact with the tissue in your mouth.
If your lip is bruised or swollen, apply a cold pack to the area. If bleeding occurs, apply pressure to the area with a clean cloth for 5 minutes. Ice can help to reduce or limit the discomfort, bleeding, and swelling. Use crushed ice wrapped in a clean piece of cloth or gauze and hold it to the area affected.
Seek Immediate Medical Care If:
– The cut is deep
– The lip has been punctured
– You have to swell in the floor of your mouth or neck
– You cannot control the bleeding with a cold compress or pressure
– You have a cut that crosses between the facial skin and lip border
– An infection has developed
You Have a Mouth Burn Caused By Hot Foods, Like Pizza
You’re hungry and your pizza has arrived. It smells good so you take a slice and take a big bite. You burn the roof of your mouth. There are other hot foods that can burn your palate, however, they have all come to be called “pizza palate” since this type of injury occurs commonly when eating pizza.
These are minor injuries that will heal naturally within a few days. You can keep the area clean with a warm salt water rinse after every meal. You can make this rinse by dissolving 1/8 teaspoon of salt in an 8-ounce glass of water.