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Any injury to the teeth or gums can be potentially serious and should
not be ignored. Ignoring a dental problem can increase the risk of
permanent damage as well as the need for more extensive and
expensive treatment down the road.
Here's a quick summary of what to do for some common dental
problems.
1. Toothaches. First, thoroughly rinse your mouth with warm
water. Use dental floss to remove any lodged food. If your mouth is
swollen, apply a cold compress to the outside of your mouth or
cheek. Never put aspirin or any other painkiller against the gums
near the aching tooth because it may burn the gum tissue. See your
dentist as soon as possible.
2. Chipped or broken teeth. Save any pieces. Rinse the mouth
using warm water; rinse any broken pieces. If there's bleeding,
apply a piece of gauze to the area for about 10 minutes or until the
bleeding stops. Apply a cold compress to the outside of the mouth,
cheek, or lip near the broken/chipped tooth to keep any swelling
down and relieve pain. See your dentist as soon as possible.
3. Knocked-out tooth. Retrieve the tooth, hold it by the
crown (the part that is usually exposed in the mouth), and rinse off
the tooth root with water if it's dirty. Do not scrub it or remove
any attached tissue fragments. If possible, try to put the tooth
back in place. Make sure it's facing the right way. Never force it
into the socket. If it's not possible to reinsert the tooth in the
socket, put the tooth in a small container of milk (or cup of water
that contains a pinch of table salt, if milk is not available) or a
product containing cell growth medium, such as Save-a-Tooth. In all
cases, see your dentist as quickly as possible. Knocked out teeth
with the highest chances of being saved are those seen by the
dentist and returned to their socket within 1 hour of being knocked
out.
4. Extruded (partially dislodged) tooth. See your dentist
right away. Until you reach your dentist's office, to relieve pain,
apply a cold compress to the outside of the mouth or cheek in the
affected area. Take an over-the-counter pain reliever (such as
Tylenol or Advil) if needed.
Objects caught between teeth. First, try using dental floss to
very gently and carefully remove the object. If you can't get the
object out, see your dentist. Never use a pin or other sharp object
to poke at the stuck object. These instruments can cut your gums or
scratch your tooth surface.
5. Lost filling. As a temporary measure, stick a piece of
sugarless gum into the cavity (sugar-filled gum will cause pain) or
use an over-the-counter dental cement. See your dentist as soon as
possible.
6. Lost crown. If the crown falls off, make an appointment to
see your dentist as soon as possible and bring the crown with you.
If you can't get to the dentist right away and the tooth is causing
pain, use a cotton swab to apply a little clove oil to the sensitive
area (clove oil can be purchased at your local drug store or in the
spice aisle of your grocery store). If possible, slip the crown back
over the tooth. Before doing so, coat the inner surface with an
over-the-counter dental cement, toothpaste, or denture adhesive, to
help hold the crown in place. Do not use super glue!
7. Broken braces wires. If a wire breaks or sticks out of a
bracket or band and is poking your cheek, tongue or gum, try using
the eraser end of a pencil to push the wire into a more comfortable
position. If you can't reposition the wire, cover the end with
orthodontic wax, a small cotton ball, or piece of gauze until you
can get to your orthodontist's office. Never cut the wire, as you
could end up swallowing it or breathing it into your lungs.
8. Loose brackets and bands. Temporarily reattach loose
braces with a small piece of orthodontic wax. Alternatively, place
the wax over the braces to provide a cushion. See your orthodontist
as soon as possible. If the problem is a loose band, save it and
call your orthodontist for an appointment to have it recemented or
replaced (and to have missing spacers replaced).
9. Abscess. Abscesses are infections that occur around the
root of a tooth or in the space between the teeth and gums.
Abscesses are a serious condition that can damage tissue and
surrounding teeth, with the infection possibly spreading to other
parts of the body if left untreated.
Because of the serious oral health and general health problems
that can result from an abscess, see your dentist as soon as
possible if you discover a pimple-like swelling on your gum that
usually is painful. In the meantime, to ease the pain and draw the
pus toward the surface, try rinsing your mouth with a mild salt
water solution (1/2 teaspoon of table salt in 8 ounces of water)
several times a day.
10. Soft-tissue injuries. Injuries to the soft tissues, which
include the tongue, cheeks, gums and lips, can result in bleeding.
To control the bleeding, here's what to do:
- Rinse your mouth with a mild salt-water solution.
- Use a moistened piece of gauze or tea bag to apply pressure
to the bleeding site. Hold in place for 15 to 20 minutes.
- To both control bleeding and relieve pain, hold a cold
compress to the outside of the mouth or cheek in the affected
area for 5 to 10 minutes.
- If the bleeding doesn't stop, see your dentist right away or
go to a hospital emergency room. Continue to apply pressure on
the bleeding site with the gauze until you can be seen and
treated.
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