Emergency Dentist Royal Palm Beach | Dr. Shayan Ghodsi DMD

This involves 2 scenarios:

This can be an issue after extractions. Ideally you need to contact your dentist or possibly go to the ER if you cannot get the bleeding under control. Follow the instructions given to you after your treatment. Applying constant pressure on the bleeding site using a clean piece of or placing a damp tea bag over the site while applying pressure should help with the bleeding as well.

This is not a true dental emergency and you should be OK until you can see your dentist. The only way a broken crown can be fully restored to its original shape is by replacing it. Depending on the type of the crown and extend of fracture, sometimes they can be smoothed and left untreated.

Porcelain crown: If you have a crown that is entirely made of porcelain, once it fractures the only option would be a new crown. If it is a slight chip then it can be smoothed but the majority of these crowns exhibit a catastrophic fracture and need to be replaced.

Porcelain fused to metal crown: Unlike a porcelain crown, these types of crown have an inner metal layer that can never fracture, thus, no matter how many times the porcelain chips; the metal layer will always protect the underlying tooth structure. If you have a minor porcelain chip, it can be smoothed and left untreated. If it is a large chip and renders your tooth without any biting contact with the opposing tooth, it is highly recommended to replace the crown before it starts drifting.

As long as it is not fractured and has an acceptable seal, it can be cleaned and re-cemented back onto your tooth. Most common reasons as to why veneers fall out are:

Do not take teeth abscesses lightly. If left untreated, it can truly become a serious health issue. Infections may appear small but they can double or triple in size overnight. The oral cavity is highly vascularized and it allows the infection to spread quite easily. That is why dentists are always worried about dental infections. Lower jaw abscesses can easily spread toward the back of the throat and severely restrict your breathing to a point that it becomes life threatening. Upper teeth abscesses can easily spread to your sinus, eyes, and brain.

You may think that antibiotics will take care of the infection but keep in mind that they need 24-48 hours to start taking effect during which time the swelling can quadruple and cause serious health issues.

When you lie down at night, the blood pressure increases very slightly in the head and neck region. An unhealthy tooth is so sensitive to pressure changes that the slightest pressure fluctuation will result in additional pain. This is also the reason why you could experience toothache during flights. Place an extra pillow under your head or sleep sitting up to minimize the pain until you can see your dentist.

Almost all dental pain is internal, meaning they originate from inside the jaw bone or inside the tooth. Rinsing with mouthwash or salt water will not have any effect. If you have inflamed gums, the rinse could be beneficial.

Brackets can become debonded and feel uncomfortable by pinching your lip. If you have orthodontic wax, cover it until you can see your dentist the following day. Short term loose wires or brackets will not have any negative impact on your orthodontic treatment.

As far as the tooth is concerned, as long as you are not in constant severe pain, you will be OK to wait until the next day. In most instances, swallowing a crown or filling is not an issue as these will pass through your digestive tract. You should see your dentist regardless to determine why the crown had fallen out. Most likely there is decay that destabilized the crown or filling.