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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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Doctor whitening traumatized teeth.Teeth whitening is one of the most popular cosmetic dental treatments — and it's easy to see why. Having whiter teeth can make you look years younger, and the procedure itself is among the most conservative (and cost-effective) cosmetic treatments dentistry offers. Sometimes, however, achieving a pleasing, even shade of lightness can be challenging; this is particularly true when a tooth that needs to be lightened has been subjected to an injury (dental trauma) in the past.

Dental trauma encompasses any damage to the tooth that's caused by an external agent, whether accidental or intended. It may be due to a fall, a sports injury — or even a past orthodontic procedure. According to some studies, around a quarter of Americans aged 6 to 50 years old have experienced some traumatic dental injury, with most occurring before age 19. Traumatized teeth may react to whitening procedures differently from undamaged teeth, which can make them difficult to treat. However, several effective treatments are available.

Diagnosing a Discolored Tooth

The first step in the process of lightening a traumatized tooth is a thorough exam to find out what's causing the dark staining — and one of the first things we will determine is whether or not the tooth's pulp is “vital,” or alive. This is readily revealed by radiographs (x-rays) or other tests. If the tooth is still vital, external bleaching can often yield satisfactory results — even if it's just one tooth that needs to be whitened. In-office treatments or take-home trays are effective, but office procedures generally take much less time to produce good results.

In many cases, however, discoloration of a traumatized tooth is itself an indication that the nerves in the tooth's pulp have died. In this case, before whitening treatment can start, a root canal procedure will be necessary to remove the dead or dying tissue and prevent infection. It can also happen that a tooth that appeared normal will begin to discolor many months (or years) after a root canal has been performed. In either situation, it may be possible to whiten a non-vital tooth with a procedure called internal bleaching.

Whitening From the Inside Out

Whitening traumatized teeth.Because a non-vital tooth's stains are intrinsic (inside, rather than outside, the tooth), we need to put the bleaching agent itself inside the tooth. Internal bleaching is a routine procedure, here's how it works:

Access to the pulp chamber (the small passageway in the tooth's center) will be gained by making a small hole in the back of the tooth. Then, any debris from the chamber will be removed and rinsed away, and a special cement will be added to prevent the bleaching agent from leaking into the tooth's roots.

Next, some bleaching agent (commonly sodium perborate) will be placed in the empty pulp chamber, and temporarily seal it in. At this point, you can get up and leave the office… which is why this procedure is sometimes called the “walking bleach” technique. However, you'll return in a few days for another round of bleaching; it may take up to four visits to get the degree of lightening you want.

When the tooth reaches the desired color change, a more permanent restoration will be placed on the tooth to seal that little hole — usually a tooth-colored filling material of composite resin. Many times, this relatively conservative procedure will give your tooth all the lightening it needs. If it's not enough, the tooth can be bleached externally as well, or you can even consider a veneer or crown. The goal is to recommend the most appropriate cosmetic dental procedure, and get you the best possible results.

Related Articles

Whitening Traumatized Teeth - Dear Doctor Magazine

Whitening Traumatized Teeth Sometimes teeth that have had root canal treatment darken over time. These teeth may not respond to the usual methods of whitening, but they can often be successfully bleached from the inside. This offers a more conservative option than using a veneer or crown to cover the discoloration... Read Article


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Towne Centre Family Dental and the Implant & Smile Makeover Studio

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