32 E. North Ave
Northlake, Il 60164
708 562-1105
fax 708 562-1283
kpr2thfxr@drrojek.com
Keith P. Rojek DDS PC
Caring about you and your Oral Health.......

Emergencies

Dental Emergencies..... What Should You Do?

Dental emergencies often arise with active kids. Knowing and following the proper response techniques can be critical to the dental health of the participant involved. The Academy for Sports Dentistry recommends that a properly fitted mouth guard be standard equipment for all sports activity.

  • Tooth Knocked Out
  • Fractured Tooth
  • Toothache?
  • Lost Crown/Bridge?
  • Broken Denture?
  • Swelling?
  • Bleeding Gum/Tooth?
  • Loose Tooth?


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Q: I knocked out my tooth... Help!!!

AVULSION (entire tooth knocked out):

Avoid additional trauma to tooth while handling
DO NOT handle tooth by the root
DO NOT brush or scrub tooth
DO NOT sterilize tooth

If debris is on the tooth, gently rinse with water
If possible, reimplant tooth and stabilize by biting down gently on a towel or handkerchief. Do only if athlete is alert and conscious.
If unable to reimplant:
Best - Place tooth in Hank's Balanced Saline Solution
2nd best - Place tooth in cold milk
3rd best - Wrap tooth in saline-soaked gauze
4th best - Place tooth under athlete's tongue... ONLY if the athlete is conscious and alert
5th best - Place tooth in cup of water

Time is very important
Reimplantation within 30 minutes has the highest degree of success rate
Transport immediately to a dentist

LUXATION (tooth in socket, but in the wrong position) ...:

EXTRUDED TOOTH ... upper tooth hangs down and/or lower tooth raised up :


• Reposition tooth in socket using firm finger pressure
• Stabilize tooth by gently biting on towel or handkerchief
• Transport immediately to a dentist • LATERAL DISPLACEMENT... tooth pushed back or pulled forward.
• Try to reposition tooth using finger pressure

Athlete may require local anesthetic (Anbesol) to reposition tooth; if so, stabilize tooth by gently biting on towel or handkerchief
• Transport immediately to a dentist

INTRUDED TOOTH ... tooth pushed into gum - looks short.:


• Do nothing - avoid any repositioning of tooth
• Transport immediately to a dentist
 
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Q: I Fractured my tooth.. What Should I do?

A: FRACTURE (broken tooth) ...
• If tooth is totally broken in half
• Save the broken portion and bring to the dental office as described under the above section "AVULSION ... if unable to reimplant"
• Stabilize portion of tooth left in mouth by gently biting on towel or handkerchief to control bleeding.

• Should extreme pain occur
• limit contact with other teeth, air or tongue
• Pulp nerve may be exposed which is extremely painful to athlete
• Transport patient and tooth fragments immediately to a dentist


Q: My crown or Bridge has fallen out. Should I replace it?

A: If your crown or bridge has come out, don't panic! Rinse and clean off crown and examine the inside. If the inside is clean, try to temporarily reinsert it as long as there is NO possibility of swallowing the tooth. If the crown fits and the bite is ok, you can obtain a temporary cement and mix and place it in the crown and place it on your dry tooth. You can also use denture adhesive or toothpaste as a temporary cement. Under NO circumstances should you cement a crown with any other Glue or product, such as crazy glue. If you cannot temporarily cement it, keep the crown safe, avoid temperature extremes as well as avoid sweets. Call the office to recement or see why the crown came out.


Q: I have a toothache. What should I do?

A:TOOTHACHE ...
• Rinse the mouth with warm water to clean it out.
• Floss to make sure that food or foreign objects aren't lodged around the tooth.
• Do not place aspirin on the aching tooth or gum tissues.
• Contact office to make an appointment with Dr Rojek as soon as possible.


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Q: I broke my denture.... What should I do?

A: If your denture is completely broken, do not try to fix it yourself. This will often cause a misalignment of the pieces, and or ruining the acrylic making it difficult to repair. Bring the pieces to the office, many times it can be repaired while you wait! Also if you have a spare denture, bring it also to your appointment as it may be useful as a substitute if your denture needs to be kept for repair.

If a tooth has fallen out, bring the tooth as it can be placed back in the denture if it is not broken. Many times a denture breaks because it no longer fits properly.. It needs to be evaluated for fit and function when it is repaired.

Q: My Jaw is swollen, it hurts and it is red.

A: Swelling is a sign that there is something wrong. Many times it can be caused by an infection, in either the gum, or from the tooth itself ( the Pulp). Rinse the area with warm salt water, and try to remove any debris. Aspirin or Ibuprofen can help with the swelling, Ice can be placed on the Jaw to limit swelling. Call the office to evaluate the extent of the infection, and what treatment is necessary to alleviate the problem.

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Q: My Gum or Tooth is Bleeding.... Now what?

A: Bleeding can be caused by many things from trauma to infection. Rinse the area off so you can clearly see the source of the problem. A piece of gauze or kleenex tissue can be used to place pressure on the gum to stop the bleeding and aid clotting. Ice or biting on a wet tea bag can also aid clotting. If bleeding is from the tooth, bite on the gauze after rinsing area. Bleeding from the gums may be a sign of gum disease.

In any case, call the office to find out the cause of the problem and see what treatment is necessary to alleviate the problem.

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Q: My tooth is loose. What can cause this?

A:Many times teeth loosen over time due to Periodontal disease. This is due to loss of the supporting bone which allows for teeth to move from the force of biting. If this problem is not addressed, the bone loss will worsen, and can lead to the loss of the tooth or teeth. Another cause of loosening can be trauma such as blunt force from an accident, or by constant long term bruxing (grinding). All these causes should be evaluated to prevent further problems or consequences.

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