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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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Dry mouth.Everybody gets a dry mouth from time to time. Temporary mouth dryness can be brought on by dehydration, stress, or simply the normal reduction in saliva flow at night. But persistent mouth dryness, a condition known as xerostomia, is cause for concern.

Xerostomia occurs when your salivary glands, which normally keep your mouth moist by secreting saliva, are not working properly. A chronic lack of saliva has significant health implications. For one thing, it can be difficult to eat with a dry mouth; tasting, chewing and swallowing may also be affected. This could compromise your nutrition. Also, a dry mouth creates ideal conditions for tooth decay. That's because saliva plays a very important role in keeping decay-causing oral bacteria in check and neutralizing the acids these bacteria produce; it is the acid in your mouth that erodes tooth enamel and starts the decay process. A dry mouth can also cause bad breath.

Possible Causes

There are several possible causes for xerostomia, including:

  • Medications. For most people suffering from dry mouth, medications are to blame. According to the U.S. Surgeon General, there are more than 500 medications (both prescription and over-the-counter) that have this side effect. Antihistamines (for allergies), diuretics (which drain excess fluid), and antidepressants, are high on the list of medications that cause xerostomia. Chemotherapy drugs can also have this effect.
  • Radiation Therapy. Radiation of the head and neck can damage salivary glands—sometimes permanently. Radiation to treat cancer in other parts of the body will not cause xerostomia.
  • Disease. Some systemic (general body) diseases can cause dry mouth. Sjögren's syndrome, for example, is an autoimmune disease that causes the body to attack its own moisture-producing glands in the eyes and mouth. Other diseases known to cause dry mouth include diabetes, Parkinson's disease, cystic fibrosis and AIDS.
  • Nerve Damage. Trauma to the head or neck can damage the nerves involved in the production of saliva.

Getting Relief

If you are taking any medication regularly, it's possible that your physician can either suggest a substitute or adjust the dosage to relieve your symptoms of dry mouth. If this is not possible or has already been tried, here are some other things you can do:

  • Sip fluids frequently. This is particularly helpful during meals. Make sure what you drink does not contain sugar and isn't acidic, as these will both increase your risk of tooth decay. All sodas, including diet varieties, should be avoided, as they are acidic and attack the tooth surface.
  • Chew sugarless gum. This will help stimulate saliva flow if your salivary glands are not damaged. Choose a variety that contains xylitol, a natural sugar substitute that can be protective against tooth decay.
  • Avoid drying/irritating foods and beverages. These include toast and crackers, salty and spicy foods, alcohol and caffeinated drinks.
  • Don't smoke. This can dry out the mouth and also increase your risk of gum disease.
  • Use a humidifier. Running a cool-mist humidifier at night can be soothing.
  • Use saliva stimulants/substitutes. There are prescription and over-the-counter products that can either stimulate saliva or act as a substitute oral fluid. We can give you some recommendations.
  • Practice good oral hygiene. Brush at least twice a day with a fluoride toothpaste; this will remove bacterial plaque and add minerals to strengthen your teeth. Don't forget to floss.
  • Have an exam/cleaning. If you have dry mouth, it's more important than ever to maintain your regular schedule of visits to the dental office. Please be sure to let us know what medications you are taking, particularly if there have been any changes recently. We will do our best to help relieve any dry-mouth symptoms you are experiencing.

Related Articles

Dry Mouth - Dear Doctor Magazine

Dry Mouth Dry mouth, caused by insufficient saliva flow, is more than a minor annoyance to the millions who suffer from it. That's because saliva helps maintain oral health in a variety of ways. If your mouth is persistently dry, here's what you should know... 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