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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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Antibiotic premedication for dental treatments.Antibiotics are widely prescribed to control bacterial infections. Sometimes they are given before a medical or dental procedure, to prevent a possible infection from occurring; this practice is called “antibiotic prophylaxis.” In the recent past, physicians and dentists advised that people with certain medical conditions — including a number of heart problems and several types of bone or joint replacements — should always take antibiotics before many routine dental procedures. Today, their advice may be different.

A growing body of evidence now indicates that far fewer patients need to take this preventive step than was previously thought. As a result, the guidelines for prescribing antibiotic prophylaxis have recently changed — and they may do so again in the future. Why are the recommendations changing… and what do you need to know about taking antibiotics before coming to the dental office?

The Risk of Infection

We all know that bacteria — both helpful and harmful types — thrive in many parts of the body, including the mouth. Whenever circumstances make it possible for these microorganisms to enter the bloodstream, there's a slight risk that a bacterial infection may develop. This could occur in many dental procedures — and it could also occur during routine activities like chewing, brushing and flossing. In most cases, the risk is so small that the chance of a having bad reaction to antibiotics (while rare) is far greater than the chance of developing an infection; therefore, antibiotics aren't routinely used.

Some people, however, need to take extra precautions before having dental procedures. If you have been treated for some types of heart disease, or have had certain orthopedic procedures (including total joint replacement), we may advise taking antibiotics to protect against even a remote chance of infection. Recommendations are made on an individual basis, taking into account your medical history and a clinician's healthcare experience.

Guidelines for Antibiotic Premedication

Prophylactic antibiotics might be recommended before dental procedures if you have one or more of the following heart conditions:

  • A heart transplant
  • Artificial heart valves
  • A history of infective endocarditis
  • Some types of congenital heart problems — particularly if they haven't been completely repaired, or if their treatment involves prosthetic material

If you have undergone a joint replacement procedure, prophylactic antibiotics might be recommended if you also have one or more of the following risk factors:

  • A systemic inflammatory disease such as rheumatoid arthritis or lupus erythematosis
  • A weakened immune system resulting from HIV, cancer, radiation or chemotherapy, or another cause
  • Insulin-dependent (type I) diabetes or hemophilia
  • A history of previous infection in a prosthetic joint
  • Undernourishment or malnourishment

There are other circumstances where taking prophylactic antibiotics would be a prudent step; there are also a number of situations where these medications might have been recommended in the past, but aren't currently required in all cases. For example, the presence of a benign heart murmur, a pacemaker or defibrillator, and certain heart diseases or congenital defects don't automatically mean that antibiotic prophylaxis will be needed.

In recent years, reports of drug-resistant bacteria and harmful side effects from some medications have increased public awareness of the consequences of overusing antibiotics. Fortunately, new scientific research is helping healthcare professionals make better, evidence-based treatment decisions on antibiotic use. If you have questions about whether you should take antibiotics before dental procedure, don't hesitate to ask.

Related Articles

Premedication - Dear Doctor Magazine

Premedication for Dental Treatment If you have had a total joint replacement in the past, you may be advised to take antibiotics before have dental work. That's because certain preexisting health conditions may make you more susceptible to infection during a dental procedure. Find out what the risk factors are... 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