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Online Dental Education Library

This section of our Web site will provide our patients with information they can use before and after their treatment. Right now, if you have a dental emergency or oral concern, review our suggestions and then call us at 908-874-4555. After hours emergency phone numbers are available on our phone system.

When Dental Emergencies and other oral problems occur...
Smiling, kissing, and eating... These are some of the wonderful things for which we need our mouths and teeth! Of course, keeping our mouths and teeth clean and healthy is a major concern, but emergencies can arise. Here are some first aid tips to use before you can get some relief from your DENTIST!

TOOTHACHE HELP
Hopefully this won't ever happen to you, but if it does follow these tips:

  1. Call your dentist as soon as possible for an appointment.
  2. Apply oil of cloves to the affected tooth. You can ask you pharmacist for this.
  3. Apply ice to the affected area.
  4. Take aspirin or an aspirin substitute to ease the pain.

The best treatment is to let your dentist help you right away. Teeth don't heal themselves. Sometimes a person will have a toothache for 2-3 days and it will "go-away". Don't be fooled! The problem is still there. Remember seeing your dentist early can prevent pain, expense and maybe tooth loss!

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LOST FILLING?
See your dentist as soon as you can. Why? The soft inner part of the tooth exposed when a filling is lost can decay quickly! If you can't see a dentist right away, be sure to keep the tooth super clean. If pain should develop, try some aspirin or an aspirin substitute until you see your dentist.

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OOPS - A BROKEN TOOTH!
Most often, a broken tooth is a result of a blow to the face or from chomping on especially hard foods. If you happen to break a tooth, don't panic! See a dentist as soon as possible and if the tooth hurts, take some aspirin or an aspirin substitute. Hot or cold foods and drinks can aggravate the tooth so do avoid them. A broken tooth can be scary and even embarrassing! Get to a dentist quickly.


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WHAT'S CAUSING THE SWELLING?
Swelling can mean many things. Usually, it means a nasty infection. Immediate professional attention is very important. Call your dentist right away!


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OUCH - A DENTURE SORE SPOT!
Your dentist can usually relieve the cause of irritation quite easily. Adjustments after fitting dentures are very common! Until then, a little Ora-base applied to the spot will serve as a bandage if the area is really sore. If your dentures are old and loose, for your sake, don't try to reline them yourself or use denture adhesives. This can make matters worse, so see your dentist for any denture problem!


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OH NO, YOUR CROWN (OR BRIDGE) FELL OFF!
First, check the crown or bridge to see if it's in one piece. If it is, place a thin coat of petroleum jelly inside the crown or bridge. Then, carefully press it back in place. It is important to keep the teeth in their proper position by replacing the crown or bridge immediately. Do not chew on the replaced crown or bridges as it may come off again. This is only a temporary solution. Be sure to call your dentist as soon as you can to have the crown or bridge examined and re-cemented.


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DO YOU HAVE PAIN AROUND YOUR JAW JOINT?
This pain is often related to your teeth. If you are bothered by jaw joint pain, try these temporary solutions:

  1. Eat soft foods.
  2. Use warm, moist towels over the joint area.
  3. Take aspirin or an aspirin substitute for pain.
  4. Avoid talking, chewing and clenching as much as possible!

Be sure to call your dentist for attention. This type of pain requires treatment, which should not be delayed. These symptoms can worsen.


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BROKEN ORTHODONTIC APPLIANCE?
If this should happen to you, place a ball of wax over the broken and/or jagged wires to prevent stabbing the inside of your mouth. Your pharmacist often has this type of wax for these types of emergencies. Call you orthodontist for immediate assistance.


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COLD SORES BOTHERING YOU?
Cold sores are symptoms of a virus and can be awfully painful. As with any virus, these sores run their course in about 7 to 10 days. If these sores appear on or about your lips, keep them moist with some petroleum jelly. Your dentist will be able to help with a new prescription drug especially for these sores. If the sores aren't gone within 7 to 10 days, or worsen, call your dentist!


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HELP FOR TEETHING PAIN
Teething can be a difficult time for babies and mommies! If your child seems to be uncomfortable, apply some Ora-jel to the area where the tooth is erupting. This gel is pleasantly flavored and can be applied directly to the problem area. Time cures this problem, so be patient!


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HELP - MY TOOTH GOT KNOCKED OUT!
First, find the tooth. Immediately after, call your dentist. Then wrap the tooth in clean wet gauze. It's important not to clean the tooth. Cleaning can damage the attachments on the tooth. Success is greatest if you see your dentist within thirty minutes after the accident. The longer you wait, the less possibility of success! Get to your dentist quickly!


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Occasionally, root canal treatment proves unsuccessful at resolving an infection in the tissues near a tooth's roots. That's when a minor surgical procedure called an apicoectomy may be recommended. Because this procedure is often performed with the aid of a microscope and other small specialized tools, it's considered a type of endodontic microsurgery. Probably the most common type of root canal surgery, an apicoectomy involves removing a small portion of the apex (tip) of the tooth's root, along with any surrounding hard or soft tissue that may be infected.

What would cause you to need an apicoectomy? There could be several reasons, including a canal that is blocked or inaccessible, an anatomical irregularity, or a fracture or crack in the tooth's roots. The procedure is normally only recommended after one or more root canal treatments have been attempted, and have failed. Since this type of problem generally occurs near the apex of the root, the procedure is often an effective way to treat a persistent infection.

Root canal surgery apicoectomy.Before an apicoectomy procedure, diagnostic images (such as X-rays) of the affected tooth and surrounding bone, a careful review of your medical history including medications you take (both prescription and non-prescription), and other factors are reviewed. If an apicoectomy is recommended, the reasons for it will be explained to you.

The Apicoectomy Procedure

Root canal surgery is usually performed under local anesthesia such as a numbing shot, so you won't feel any pain. To begin the procedure, a small incision is made in the gum, and the infection at the end of the tooth's roots is exposed. The infected tissue is then removed, along with a few millimeters of the root tip itself. A dye may be used to help make cracks or fractures easy to see; if we discover that the tooth is fractured, it may be better to extract (remove) it at this time instead of completing the apicoectomy.

Next, a microscope and light are used to examine the tiny canals. They will be cleaned with an ultrasonic instrument, then filled with an inert material and sealed up with a small filling. To finish the procedure, a small bone graft may be placed at the affected site, and then the gum tissue covering the tooth's root will be sutured (sewn) closed. X-rays may also be taken as the procedure nears completion. Afterwards, instructions on postoperative care will be given, and you'll go home. Most apicoectomies take about 30 to 90 minutes to complete.

Following the procedure, you may experience some swelling and soreness in the area that was treated. Over-the-counter non-steroidal anti-inflammatory medications (such as ibuprofen) are usually all that's needed to control any discomfort. You can probably return to normal activities the following day, but you may want to avoid eating hard or crunchy foods or brushing vigorously for a few days afterwards. If your sutures aren't self-dissolving, you will be asked to return in about a week to have them removed.

The Goal: Saving Your Tooth

Although apicoectomy is typically a safe and effective procedure, there are slight risks with any type of minor surgery. That's why apicoectomies are not recommended unless further root canal treatment won't be effective. An alternative treatment in most cases would be extraction of the tooth. However, our goal as dentists is to help you preserve your natural teeth for as long as possible.

While there are excellent methods of tooth replacement (such as dental implants), these involve further and more complex treatments, and they can be costly. An apicoectomy is generally a permanent and cost-effective solution which can help the tooth last for the rest of your life.

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Towne Centre Family Dental and the Implant & Smile Makeover Studio

908-874-4555
419 US-206 Hillsborough Township, NJ 08844