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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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Immediate dental implant.Preserving natural teeth is a major goal of modern dentistry. But when a tooth is not salvageable and needs to be removed, it is now possible in many cases to replace it immediately with a dental implant. A dental implant is a small titanium post that substitutes for the root part of a natural tooth. A dental crown is attached to the implant, making the whole tooth-replacement system look and feel just like your own. Implants are used in a variety of situations: to replace a single tooth, multiple missing teeth, or even an entire set of teeth.

It used to be that if you were having failing teeth removed, there would be a wait of months between the extraction procedure and the placement of dental implants. This allowed time for the bone that formerly supported your teeth to heal before the implant procedure. These days, however, implants can sometimes be placed immediately into the tooth sockets after tooth removal. In the right circumstances, this has some definite advantages — the major one being that you will need just one surgical procedure rather than two.

How It Works

Preplanning is the key to success with immediate implants. The first step is taking x-rays to determine the quality (volume and density) of the bone that surrounds your failing teeth. Bone quality is a crucial consideration because it determines how well the implant will fuse in place as the surgical site heals in the months following the surgery. If you do not have enough bone there, placing an implant could compromise the healing of the implant-bone interface, and create possible aesthetic or functional problems.

If radiographic (x-ray) examination reveals that there is not enough bone to support the implant initially, it doesn't mean you can't have a dental implant; it just means that you will probably need to have a routine bone grafting procedure as the tooth is removed, and then allow the area to heal for several months before having a second procedure to place the implant.

Of course, even if your x-ray images look good, it is possible to extract the tooth and then find that placing the implant immediately is not in your best interests due to poor bone quality, inadequate bone quantity or the presence of infection. If that's the case, the implants will be placed after the bone graft heals and enough healthy bone have been generated in that area. After all, implants done right have a higher than 95% success rate, and that is our goal.

What to Expect

On the day of your surgery, the area of the tooth or teeth with be numbed with a local anesthetic. If you would like, you can also receive a sedative in pill form or intravenously (through a vein) for a deeper level of relaxation. Tooth extractions rarely require general anesthesia; we will discuss all of these options with you in advance.

Once the affected tooth is removed, the implant will be placed. A small amount of grafting material may be added to prevent shrinkage of the gum and bone. After the procedure, you may have some minor discomfort and/or swelling in the area, but this should subside in a day or two. If necessary, an antibiotic or pain medication will be prescribed.

After the implant is placed, a crucial healing phase begins. Your body will make new bone that actually fuses to the implant, holding it solidly in place. This process, known as osseointegration, usually takes about two to six months. During this time it's important that your implant is not subjected to too much stress. That means you will need to eat a softer diet and keep food away from the surgical site.

Depending on how many implants you received and where they are in your mouth, you may be able to receive a temporary dental crown or a set of temporary teeth to wear during this healing phase. That way, you will not only walk out of the dental office with new implants, but possibly new teeth as well! It all depends on your unique situation. As in every circumstance where your health is a concerned, we will do whatever is best to ensure the success of your treatment.

Related Articles

Immediate Dental Implants - Dear Doctor Magazine

Same-Day Tooth Replacement With Dental Implants It used to be that replacing a broken or diseased tooth with a dental implant always required three separate visits to the dental office — for tooth removal, implant placement, and crown placement. Now, in the right circumstances, it's possible to have all three done in a single day... Read Article

Dental Implants - Dear Doctor Magazine

Dental Implants – Your Best Option For Replacing Teeth Dental implants have many advantages over older methods of tooth replacement like bridges and dentures — from the way they function and feel to the way they look and last. Vigorous research has documented and confirmed that in the right situations, dental implant success rates are over 95%. It is no exaggeration to say that they have revolutionized dentistry. They may even change your life... 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