direct pressure to the bleeding area with a clean cloth
area gently with a cloth
swelling is present apply a cold compresses to reduce swelling
bleeding does not stop go to the doctor/hospital
Could be due to sunburn. Try
a lip balm with SPF of at least 15
1. If they
have a loose tooth with no decay or swelling present you need to reassure them that this is “normal” and
they are getting their “big teeth” or “adult teeth” in
2. Have them
rinse with salt-water rinses three to four times a day
Tylenol to help with the discomfort
help them to wiggle the tooth to help it come out sooner.
WEDGED BETWEEN TEETH
dental floss and GENTLY guide it through, to avoid cutting the gums, to remove
using a sharp/pointed instrument to get it out, it will only cut the gum
3. If you
can’t remove it, contact the dentist
AND DENTAL PROBLEMS
1. Your gums
may swell and possibly bleed due to high hormone levels
mouth clean by gently brushing and flossing after each meal
3. Keep your
regular recare appointments with the dentist
sores are small and painful inside the mouth. Apply an over the counter medicine
like Orajel, Zilactin B or Orabase B
campho-phenique that will produce a bandage like film over the sore by
applying three times a day or as directed
triggering foods like nuts, chocolate, acidic fruits. Avoid trauma: like
toothbrush trauma, cheek biting, etc. Avoid Sodium Lauryl Sulfate often found in
most toothpaste and tarter- control toothpaste.
3. Ask the
dentist for a prescription of peridex and/or Aphthasol
your diet with a very high potency multi-vitamin with iron
persists for more than 14 days see your dentist/doctor
1. Try putting an
application of a topical prescription of Zovirax
2, Contact your
dentist/doctor for a systemic prescription
OF THE MOUTH; CRACKED AND/OR SORE
1. This can
be caused by a yeast infection. This
especially can happen in older adults due to decrease in skin
elasticity, decrease in tooth length, and loss of back teeth or improperly
your doctor for a prescription anti-yeast cream like
Mycolog and apply it three to four times a day for a
3. Make a
follow up appointment with the dentist to have the fit of
your denture or partial evaluated
SORENESS INSIDE YOUR
1. This can be
knows as “lichen planus” and
could be caused by nuts, chocolate, acidic fruits, sodium lauryl, medications or
stress so try avoiding these items to see if it helps
2. Contact the
dentist is it is persistent
AFTER A DENTAL INJECTION
after receiving a routine dental injection there is
swelling, soreness. stiffness when you open your jaw
and bruising which can happen any
time after an injection. This is
especially likely to happen in patients on anticoagulant medications such as:
aspirin, coumadin, ibuprofen, and others.
a cold compress
using a product like Tylenol for the discomfort
notify your dentist
taking Tylenol or aspirin substitute to ease the pain
your mouth with warm water to remove debris
dental floss to remove any food that may be trapped between
4. Apply a cold compress or
ice wrapped in a cloth to the outside
the check if there is swelling present to reduce this swelling
5. Use an
over the counter topical anesthetic with 5%-20% benzocaine every two hours or as
needed to help relieve the pain temporarily. Do not rely on over-the-counter
remedies or medication!
6. If there
is a hole in the tooth place Oil of Clove on a small cotton
pellet and place in the site to relieve pain
7. DO NOT
PUT HEAT OR ASPIRIN ON THE SORE AREA.
Remember relief is only temporarily so………
8. Go to see
9. A new product is out that might give some temporary relief: Zilactin
Toothache Swabs with benzocaine to offer instant relief from tooth and gum
1. If you
were unconscious at any stage…go to the Dr./hospital for a full assessment
2. If there
are cuts to the face that need stitching…..go to the Dr./hospital
3. If the
tooth is knocked out and you can not find the missing tooth/pieces it may have
been inhaled so to the Dr./hospital
tooth is knocked out, find the tooth and pick the tooth up by the crown (chewing
surface) NEVER the root as this may damage the chances of it reattaching to the
rinse the tooth off in cool water to remove dirt, being careful not to touch the
root. DO NOT:
scrub the tooth, dry the tooth off or wrap in a tissue or cloth!
6. Try to
place the tooth back in the socket by carefully and firmly pushing the tooth
into the socket with your fingers. Bite
down and hold it there with a clean wash cloth. If the tooth can be reimplanted
within 30 minutes the chance of retaining the tooth is good.
The tooth can be stored in: water for up to 15 minutes.
saliva for 30 minutes.
milk for 1 hour.
7. Keep the
tooth moist at ALL times. If you
can not get the tooth back in the socket place it in clean milk, sterile contact
lens saline, or saliva. If you don’t have milk put the tooth: next to the cheek or under your
lip (be careful not to swallow it); emergency tooth preservation kit
nothing else is available, water with a pinch of salt.
8. Try to
get to the dentist within one hour and bring the tooth with you so it can be
splinted in place
DENTAL CONDITIONS THAT CAN CAUSE TOOTH PAIN
problems due to being clogged from allergies or cold viruses that can
become infected to swell and put pressure all over the bone.
This puts pressure on all the upper teeth and can make them hurt,
be sensitive to hot, cold and pressure and even hurt to bite.
You need an X-ray of the sinus area.
See your doctor for possible antibiotic and decongestion therapy
pain. Sometimes your body has a hard time interpreting where pain is
coming from. Studies show
that 30% of pain that is referred from the heart goes to the lower jaw.
If this occurs during exertion notify your doctor immediately
1. If they
were unconscious at any stage…go to the Dr./hospital
2. If there
are cuts to the face that need stitching..go to Dr./hospital
teeth are not replaced due to ankylosis that can cause cosmetic deformities and
interfere with the eruption of permanent teeth. Many of these teeth will not even have a root to reimplant.
4. Use a
cold compress or ice in a cloth for swelling
Tylenol for discomfort
the dentist to determine if your child needs to be evaluated for a space
maintainer to keep this space open for the eruption of their permanent tooth.
TOOTH PUSHED OUT OF PLACE (INWARD/OUTWARD)
1. It can be
repositioned to its normal alignment with very light finger pressure
2. Do not
force the tooth into the socket
3. Hold the
tooth in place with a moist tissue/gauze
4. It is
vital to see the dentist within as soon as possible
extreme hot and cold foods
2. Use a
toothpaste for sensitive teeth
desensitizing toothpaste directly on the tooth with a Q Tip
regular fluoride treatments by the dentist to remineralize this area
teeth gently after every meal
6. See the
dentist for treatments available for this condition
1. If a
tooth has been extracted on the lower back area, it is possible that you may not
regain full sensory feelings immediately
2. After 24
hour contact your dentist to let him know your symptoms
PAIN AND TOOTH SENSITIVITY UPON WAKING
1. You may
be grinding your teeth at night. This
requires a visit to the dentist for adjustments, nightguard or future evaluation
TO TELL YOUR DENTIST WHEN YOU CALL:
will you be asked when you have a toothache and call your
has it hurt?
makes it hurt? Does it keep you
awake at night?
does it hurt?
been taken anything for the pain?
the location of tooth or pain?
symptoms are you having? (swelling, fever, pain)
This is done to determine the type of emergency
treatment you require. Make sure to
follow up on what the dentist tells you and to attend your return appointment.
antibiotics are not the answer for all situations. An antibiotic will only keep
the infection from spreading and can be used to rule out sinusitis and other
outside the tooth.
Antibiotics cannot clear up an infection inside the pulp of a
tooth. Taking too many antibiotics can cause you to build up an immunity
to antibiotic therapy
in your future.
PAIN FROM BACK BEHIND A “BACK TOOTH”-WISDOM TEETH
1. You may
have a wisdom tooth coming in. They
can easily get infected and cause swelling, pain and even a fever
2. Try salt
water rinses (1/2 tsp. salt with 8 oz. of water)
3. Try to
control the pain and fever with ibuprofen or Tylenol
dentist to get evaluated
1. Yeast is
a common inhabitant of the mouth. There will be a
Yellowish like mass, burning feeling and bad breath.
the doctor/dentist for a prescription of " Nystatin or
another type of anti yeast medication.
3. If you
wear dentures or a partial denture thoroughly clean them
and try soaking them in a solution of "Nystatin"
Medical Emergencies in the Office Manual
Continued Dental Emergencies When Alone
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