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Dental Emergencies

Dental emergencies are quite frightening and often painful.  Prompt treatment is almost always required to alleviate pain and to ensure the teeth have the best possible chance of survival.

Sometimes, teeth become fractured by trauma, grinding, or biting on hard objects.  In other cases, fillings, crowns, and other restorative devices can be damaged or fall out of the mouth completely.  If there is severe pain, it is essential to contact Endodontics of Orange County immediately.  The pain caused by dental emergencies almost always gets worse without treatment, and dental issues can seriously jeopardize physical health.

Types of dental emergency and how to deal with them


Avulsed tooth (tooth knocked out)

If a tooth has been knocked clean out of the mouth, it is essential to see a dentist immediately.  When a tooth exits the mouth, tissues, nerves, and blood vessels become damaged.  If the tooth can be placed back into its socket within an hour, there is a chance the tissues will grow to support the tooth once again.

Here are some steps to take:

  1. Call our office.
  2. Pick up the tooth by the crown and rinse it under warm water.  DO NOT touch the root.
  3. If possible, place it back into its socket – if not tuck it into the cheek pouch.
  4. If the tooth cannot be placed in the mouth, put the tooth into a cup of milk, saliva, or water as a last resort.  It is important to keep the tooth from drying out.
  5. Get to our office, quickly and safely.

We will try to replace the tooth in its natural socket.  In some cases, the tooth will reattach, but if the inner mechanisms of the teeth are seriously damaged, root canal therapy might be necessary.


Lost filling or crown

Usually, a crown or filling comes loose while eating.  Once it is out of the mouth, the affected tooth may be incredibly sensitive to temperature changes and pressure.  Crowns generally become loose because the tooth beneath is decaying.  The decay causes shape changes in the teeth – meaning that the crown no longer fits.

If a crown has dropped out of the mouth, make a dental appointment as soon as possible.  Keep the crown in a cool, safe place because there is a possibility that we can reinsert it.  If the crown is out of the mouth for a long period of time, the teeth may shift or sustain further damage.

When we are not immediately accessible, here are the steps to take:

  1. Apply clove oil to the tooth to alleviate pain.
  2. Clean the crown, and affix it onto the tooth with dental cement.  This can be purchased at a local pharmacy.
  3. If the crown is lost, smear the top of the tooth with dental cement to alleviate discomfort.
  4. DO NOT use any kind of glue to affix the crown.

We will check the crown to see if it still fits.  If it does, it will be reattached to the tooth. Where decay is noted, this will be treated and a new crown will be made.


Cracked or broken teeth

The teeth are strong, but they are still prone to fractures, cracks, and breaks.  Sometimes fractures are fairly painless, but if the crack extends down into the root, it is likely that the pain will be extreme.  Fractures, cracks, and breaks can take several different forms, but are generally caused by trauma, grinding, and biting.  If a tooth has been fractured or cracked, there is no alternative but to schedule an appointment as quickly as possible.

Where a segment of tooth has been broken off, here are some steps that can be taken at home:

  1. Call our office.
  2. Rinse the tooth fragment and the mouth with lukewarm water.
  3. Apply gauze to the area for ten minutes if there is bleeding.
  4. Place a cold, damp dishtowel on the cheek to minimize swelling and pain.
  5. Cover the affected area with over-the-counter dental cement if you cannot see us immediately.
  6. Take a topical pain reliever.

The nature of the break or fracture will limit what we are able to do.  If a fracture or crack extends into the root, root canal therapy is often the most effective way to retain the tooth. In the case of a complete break, your dentist will usually affix the fragment back onto the tooth as a temporary measure.


Dislodged/loose teeth

When a tooth has been dislodged or loosened from its socket by trauma or decay, it might be possible to save it. If the tooth remains in the mouth still attached to the blood vessels and nerves, there is a good chance root canal therapy will not be necessary.

It is important to call our office immediately to make an appointment.  In the meantime, use a cold compress and over-the-counter medications to relieve pain.  Your dentist will reposition the tooth and add splints to stabilize it.  If the tooth fails to heal, root canal therapy might be required.

If you have questions or concerns about dental emergencies, please contact our office.

Testimonials.

Read what people are saying about us.

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Testimonials

I had a crown that was done about four months ago and it started hurting real bad. It felt like I was being hit in the face with a wet sock full of nickels. I yelped Endodontist and saw Dr. Cancellier's great reviews and he was one of the few doctors open at 8am. They were able to see me the same morning I called and he accessed my tooth and set an appointment for the next morning for the root canal. I heard so many horror stories about root canals so I was scared and nervous. Dr. Cancellier explained the whole process and told me not to worry because he would make it as pain free as possible. He wasn't lying. I fell asleep a couple of times during the procedure cause I was so comfortable. He gave me some pain meds for afterwards when the mouth numbing wears off but I didn't need it at all. Painless during and after. It was an awesome experience. If you need a root canal, save yourself some tears and pain and call this guy right now.

M.C.

I went to another dentist and was told I needed a ton of dental work to fix a bad root canal, including an extraction and an implant. Well, I am the biggest chicken when it comes to any dental work, so I thought I needed a 2nd opinion. I was so lucky that a friend’s dentist Dr. Uchizono referred me to Dr. Cancellier. Dr. Cancellier had to do a lot of scary things to my tooth, but he did save it. I went in for 2 procedures. I felt no pain. (Not even the shots, which usually take me over the edge). Dr. C and his staff were so nice and caring. I got a phone call the day and a few days later checking on me. I told them I could not believe that I was ok. I laughed and said the only problem I had was that I needed to go in for a massage after the 1st procedure because I was so tense that my shoulders needed to be worked on. The 2nd procedure went as smoothly as the first one. The only difference was that I did not need a massage, because I knew that I wouldn’t feel any pain. Thank you Dr. C for taking such good care of me and for saving me a ton of money and more, for saving me from experiencing pain.

N.A.

My dentist sent me to Dr. Cancellier for a bad root canal performed by an out of state endodontist. He was very gentle and took a lot of time with me. He noted that I had a significant amount of infection in my sinus and requested that I see an ENT before treating me further.

Later, it was determined I needed another root canal on another tooth which was discovered after I had returned to Dr. Cancellier after nasal surgery because the nerve had died. I was not looking forward to it because of the poor experience I had with a root canal at the other endodontist. The experience I had with Dr. Cancellier couldn't have been different. Both Dr. and staff were gentle and the procedure was done in half the time and with virtually no discomfort. I walked out of his office an extremely happy person.

C.H.

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