We try to accommodate all emergencies on the same day. If an emergency occurs, please call our office early in the morning. If the emergency is after working hours, please call our answering service, and the doctor on call will call you as soon as possible.
Injuries to the face, mouth and teeth are common emergencies among children. We are here to help you in the time of an emergency. The first step is to not panic. Stay calm and determine the extent of an injury. If your child has a head/facial injury, determine if the injury has caused a loss of consciousness. If this is the case, your child should be taken to see a physician immediately, and focus concern about the mouth and teeth after the exam. Stop any immediate bleeding with a clean washcloth or gauze. If there is any swelling, place a cold compress onto the area. As you do this, check for broken teeth and/or missing teeth. If there are missing teeth, look for them.
If any permanent tooth has been knocked out, clean the tooth by handling it with the crown and not the root area. Gently rinse dirt off of the tooth with cold water, being careful not scrub the root itself. It should then be attempted to place the tooth back into the socket. If you are unable to place it in the socket, place it in a glass of homogenized cold milk and immediately see the dentist. Time is the determining factor for saving the tooth. If more than 30 minutes has elapsed since the tooth was dislodged, the prognosis is guarded.
Primary teeth are not reimplanted. An X-ray is taken to ensure that no remnants of the tooth remain in the bone. Pain medications will be prescribed as needed, and the affected area is then allowed to heal.
If the fracture is superficial, it can be restored through cosmetic bonding. If the fracture extends to the pulp or nerve inside the tooth, a baby root canal treatment or coronal pulpotomy is performed. This is a very simple procedure, which is not as extensive as a root canal treatment done on permanent teeth. If the fracture is below the gum line, the tooth is removed and a spacer is placed to prevent drifting of teeth into the open space, maintaining room for the permanent tooth.
Gum boils or abscesses are caused by an infected tooth, where the pulp or nerve inside the tooth is infected by decay. The abscess extends beyond the apex of the tooth into the surrounding bone, perforating the bone into the gum tissue and causing a gum boil. In most cases, the infected tooth cannot be saved, and has to be extracted in order to protect the permanent tooth bud from becoming infected.
If your child is having a toothache, clean the area around the tooth. Rinse the mouth with warm salt water and use dental floss to remove any trapped food between the teeth. DO NOT place aspirin on the gums or tooth, as this will cause a burn to the gum tissues. If there is swelling, apply cold to the outside of the face. Take acetaminophen or ibuprofen for pain, and then call the Pediatric Dentist.
Some patients get canker sores periodically. There is no definite cause for a cold sore. It could be due to stress, vitamin, or zinc deficiency, or it may have a viral origin. Cold sores usually last for 7 days. There is no definite treatment for cold sores. Treatment is aimed towards relieving the pain, either with over the counter medication or prescription medication.
Please do not hesitate to call us if you have any questions. Your comfort is our main priority!
Been taking my daughter here for 2 years always excellent service and my daughter loves them.