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Dental urgent care is not exactly like it is in medicine. There are not stand alone businesses just to handle a dental emergency. There are however, dental offices in Las Vegas and across America ready and able to handle your dental emergency. What types of issues are considered a dental emergency that you would need dental urgent care? When you experience an abnormal dental issue, sometimes it can be hard to know if it is a true dental emergency in need of dental urgent care. For a general rule dental urgent care is needed if you are experiencing sudden or prolonged extreme pain or profuse bleeding or both, you should seek dental urgent care right away. In some cases where you may be experiencing mild pain you may be able to put off a visit for dental urgent care a few days before visiting your dentist.

Dental Urgent Care Needs

-Broken or Fractured Tooth – This definitely falls in the category when dental urgent care is needed. This type of trauma can become extremely painful in a short amount of time. If the fracture or break causes nerve of the tooth to be exposed just the simple act of breathing will send shock waves through your body. Depending on where the fracture is this can also be considered a cosmetic dentistry emergency. That would be one where the tooth being affected is in a cosmetic area like a front tooth. Unfortunately, broken or fractured teeth cannot be repaired at home and will need immediate attention by dental urgent care. For a tooth in the back of the mouth, your dental urgent care specialist may recommend you place a medicated Marielaina Perrone DDS Dental urgent Carefilling may be placed to cover the exposed nerve and hopefully calm it down until you can come to the office. A product sold over the counter at your local drug store called Dentemp can be mixed and placed by you, to help temporarily cover the hole. Whether or not the tooth can be saved depends on how severe the fracture is. Until you are able to get to dental urgent care, rinse your mouth with warm water, apply a cold compress outside the affected area, and keep the area as clean as possible from debris and foods. You may consider taking an anti-inflammatory medication to keep the swelling down as well as take the edge off the pain before it develops. Aspirin is not suggested to be taken, it will cause difficulties in blood clotting if the tooth needs to be removed at dental urgent care.

-Temperomandibular Joint (TMJ) or Jaw Injury - If you believe you may have broken your jaw, apply a cold compress to the area to maintain swelling to the face and immediately go to dental urgent care or to the hospital emergency room. This type of injury would be beyond simple dental urgent care and the hospital would be the better place. If your jaw has become locked or dislocated, you will need to have the jawbone re-positioned back into your Temperomandibular Joint (TMJ) socket.

-Swelling With Pain. This is most definitely a true dental emergency and you should call your dental urgent care immediately for advice. Swelling in this area is due to a dental infection called an abscess. This can progress very quickly to an infection that affects your entire body and in rare cases can even lead to death. Tips to attempt to relieve some of the pressure include: apply cold compresses to the area, rinse with saltwater, and try to keep your head elevated. Once a dental infection gets to this point, most over the counter medications will not work very effectively in easing the pain. Antibiotics will be required along with drainage of the infection to relieve pressure and build up. This type of dental emergency will require you to be seen by dental urgent care.

-Biting Lip or Tongue w/ excessive bleeding - Accidentally biting your lip, tongue, or other part in your mouth is something that can happen at any time. It is important clean the area and apply a cold compress to help limit swelling to the area. If the bleeding is extensive, or will not stop quickly (a few minutes is a good guide), call dental urgent care or go to the hospital emergency room.

-Loose Tooth - If one of your teeth begins to become loose, see your dental urgent care right away. Your dentist may be able to save the tooth depending on why it has become loose. Until you are able to get to dental urgent care, take tylenol (ibuprofen) or aleve (sodium naproxen) and apply a cold compress to the affected area to relieve any associated pain or discomfort.  If the tooth became loose due to trauma, dental urgent care will most likely recommend splinting the loose tooth (using tooth bonding) to an adjacent tooth or two to allow time for the tooth to re stabilize in the bone. A loose tooth can also be caused by progressive periodontal disease which will develop over a period of years. In the case of periodontal disease causing the loose tooth or teeth, your dental urgent care may not be able to save the tooth and it may be recommended to remove the tooth. A dental implant may placed instead once the area has healed and the periodontal disease has been brought under control. If you have a loose tooth, try to “baby” it…..chew on other side and do not wiggle it with your tongue.

-Pericoronitis. This is a dental infection that generally happens in young adults as your molars erupt into your mouth, a flap of gum tissue will remain over the back of the tooth, becomes irritated and swollen, and can be extremely painful especially upon chewing. If you experience symptoms of pericoronitis, which may include swollen and irritated gums, a bad taste or malodor in your mouth, or you are not able to fully open your mouth, call dental urgent care right away.

-Sudden Onset Toothache. If your tooth begins aching, rinse out your mouth with warm water and gently floss around the tooth to make sure there is nothing lodged between your teeth that could be causing the issue. Call your dental urgent care immediately for an appointment. This could range from simple gum irritation, a full on dental infection.

-Knocked Out Tooth (also called avulsed tooth) - The main tip here is to clean off the tooth immediately to remove any dirt and debris that has gathered when hitting the floor. Do not scrub the tooth clean, just a gentle rinsing is all that is necessary. If the tooth can be re implanted dental urgent care will instruct you to do so. This is may not always possible if there is bleeding and swelling in the area where tooth was displaced. The next best option is to place the tooth in a milk solution. The milk acts as a preservative and can significantly increase the long term chances of a successful re implantation. You should call or see dental urgent care immediately even if you are able to re implant the tooth. The tooth will probably need to be splinted to another tooth (using tooth bonding) while it heals. Dental urgent care will also check that it is in proper alignment with the adjoining teeth. The tooth will also need to be monitored over time to gauge the success of the re implantation as well as any long term affects that might happen due to the trauma. This tooth may still be lost in the future or it may need  further treatment like root canal therapy.

-Lost Dental Filling or Dental Crown or Dental Bridge - Unfortunately, this type of dental emergency can happen at any time even with routine dental care. If your dental crown does come off call dental urgent care immediately for detailed instructions. Most local drug stores sell fixodent, or temporary cement to place it back on until you are able to be seen by dental urgent care. This will limit the chances of the development of tooth decay or tooth sensitivity in the interim. The same can be done for a lost filling, most drug stores sell a temporary filling material (mentioned earlier called dentemp) that can be applied at home. Either way, you will need to seek dental care ASAP to prevent any other damage from occurring to your smile.

-Orthodontic (Braces) Damage - If you believe that you have broken your braces in some way, you should call dental urgent care as soon as possible. In most instances, they will want to see you right away (especially if the break is causing pain or discomfort). But in some cases they may recommend waiting until your next dental appointment.

-Food Or Debris Stuck Between Your Teeth - If food or debris gets lodged between your teeth, try to swish aggressively, then attempt to gently remove it with dental floss. Be careful not to cause trauma to the area by being too aggressive. If the object still will not come free, call dental urgent care for more detailed instructions.

Urgent Dental Care Emergency Kit

The following are items to have ready in the house at all times in case a dental urgent care emergency arises:

-Pain Medication. Includes Motrin or Aleve or Tylenol. Just have something on hand to relieve the pain until you can see dental urgent care for more advanced pain relief. Avoid aspirin as this will inhibit blood clotting and have a possible effect on further dental treatment.

-Gauze or Cotton pads. These will be necessary if there is any bleeding from a traumatic injury or even to have the patient bite down on to relieve some of the pressure from a dental infection. It can also be useful if you have tissue irritation from your orthodontic braces, orthodontic appliance, or removable denture. You can place the cotton or gauze in between the appliance and the sore to relive some of the discomfort.

-Dental Wax. This can be used to cover up areas of irritation like orthodontic brackets or broken orthodontic wires.

-Dental Floss. This can come in handy to remove food debris that gets lodged between teeth and beneath the gums that cause pain and discomfort.

-“Save A Tooth” System. This is ideal for transporting avulsed teeth. This system will give you have a better chance for long term survival once re implanted.

-Generic Teabags. These are helpful for stopping bleeding following oral surgery or even a trauma in the mouth. Research suggests that bags containing tea from the plant camellia sinensis is better than herbal tea for this purpose. Tea bags have also been shown to be soothing if you bite your lip, cheek, or tongue.

-Denture Adhesive. This can be handy even if you do not have a denture wearer in the house. In addition to using it to fix dentures in place, it can also be used to temporarily secure a crown or bridge that has fallen out. Fixodent is a good example of a denture adhesive.

-Dentemp or Temporary Filling Material. This is an excellent material to cover up open holes in teeth until you can see dental urgent care.

-Dental Mirror and Flat Spatula. These can usually be found at any drug store or even online. The dental mirror can be used if the dental urgent care emergency is back in the mouth and the spatula will be useful for using temporary filling material in the mouth.

Marielaina Perrone DDS COlgate Wisps Dental Urgent Care-Instant Ice Packs. Perfect for quick application of cold to maintain swelling from trauma or dental infection.

-Topical Anesthetic. This can give temporary relief for denture sores, gum irritation, cold sores, canker sores, or sores from simply biting your lip, tongue, or cheek.

-Packets of Salt. Salt water helps clean and irrigate out wounds.

-Package of Colgate Wisps. These tools acts as a mini toothbrush as well as a toothpick. These can be very helpful removing foreign objects or debris lodged between your teeth.

-Orabase. A paste used for healing canker sores or sore mouths. Dental urgent care will have a stronger prescription medicine called debacterol as well.

-Dental Urgent Care Contact Information. Most dentists should be able to be reached after hours using an emergency telephone line.

Dental Urgent Care Conclusion

Dental urgent care is a term used for a dental emergency. As we said earlier there are no “dental urgent care” facilities, just call your dentist as soon as a dental emergency arises. The faster you get in front of a dental issue the easier it will be to treat for you and your dental urgent care Las Vegas team. Remember maintaining good dental health is not just about dental urgent care but should include regular dental visits as well!

 

Dental Infections (also referred to as an abscess) generally develops as a result of untreated tooth decay and poor oral hygiene. However, a dental infection can also develop from other reasons previous dental work or traumatic injury. When a dental infection begins to develop, a pocket of pus forms in the mouth as a result of an overwhelming growth of bacteria. Symptoms of a dental infection often includes swelling, pain (often radiating away from area), and sensitivity in the area. It is vital to seek professional treatment as without proper and timely treatment, the dental infection may spread to other areas of the jaw or even the brain.

Tooth decay and cavities are very common. About 90% of adults ages 20–64 have had prior tooth decay. Also, almost 30% of people in the same age group have untreated tooth decay. Treating tooth decay early is important to prevent further complications such as dental infections which can often lead to tooth loss.

Anyone who experiences dental infections should see a dentist immediately to prevent the dental infections from spreading.

One of the initial options for a dentist is to recommend an antibiotic to kill dental infections. Some antibiotics will work better than others. This is due to the type of bacteria causing the actual infection., There may also be some over-the-counter pain medications to help relieve the dental infection symptoms temporarily.

Antibiotic Use For Dental Infections

Dentists generally only recommend antibiotics for dental infections. However, not all infected teeth will require antibiotics during treatment. In some instances, a dentist may be able to drain the infected area of pus, remove the infected tooth, or complete a root canal procedure to fix the issue. Antibiotics should not be used unless absolutely necessary to complete dental infections treatment.

Antibiotic Types And Dosages For Dental Infections

The type and dosage of antibiotic your dentist will recommend will vary depending on the type of bacteria that causes dental infections. Different antibiotics work in different ways to eliminate different strains of bacteria. There are over 150 different strains of bacteria that are present in the oral cavity. Many of these bacteria have the potential to grow and cause a dental infection. Treatment can change depending on the bacteria causing the dental infection, although, dentists simply recommend an antibiotic that works against many types. This gives them the best chance to handle the infection effectively and quickly.

Classes Of Penicillin For Dental Infections

Penicillin type drugs are common forms of antibiotics for dental infections. This includes penicillin and amoxicillin. Some dentists may also recommend amoxicillin with clavulanic acid, as that combination may help eliminate bacteria that are being unsuccessfully treated by previous drugs.

Typical dosages of amoxicillin for a dental infection are either 500 milligrams (mg) every 8 hours or 1,000 mg every 12 hours.

Typical dosages of amoxicillin with clavulanic acid are around 500–2,000 mg every 8 hours or 2,000 mg every 12 hours, depending on the minimum effective dosage.

However, some bacteria have been found to resist these drugs, making them less effective. In fact, many doctors now simply choose a different antibiotic as their 1st line of treatment.

Dentists must also be aware that some people are allergic to these drugs. Anyone who has had an allergic reaction to similar medications should tell their dentist immediately before receiving their treatment recommendation.

-Clindamycin

Clindamycin is highly effective against a wide range of infectious bacteria. Some researchers recommend clindamycin as the drug of choice to treat dental infections, as bacteria may be less likely to resist this drug than penicillin-class drugs.

A typical dosage of clindamycin is either 300 mg or 600 mg every 8 hours, depending on which dosage will be effective for the individual situation.

-Azithromycin

Azithromycin also is able to work against a wide variety of bacteria, working to halt their growth. It may be effective in treating some dental infections, though dentists may only recommend it to people who are allergic to penicillin-class drugs or who do not respond to them or other drugs such as clindamycin.

 The typical dosage of azithromycin is 500 mg every 24 hours for 3 consecutive days.

-Metronidazole

Metronidazole is an antibiotic uses to treat a number of infections by both doctors and dentists. This drug is typically not the 1st choice of treatment.

The dosage for metronidazole is around 500–750 mg every 8 hours.

Time To Begin Feeling Better?

The speed with which each antibiotic takes to work on the dental infection varies depending on many factors. These can include the severity of the infection and how effective the drug is at eliminating the infectious bacteria present.

It is imperative for people to complete a full round of antibiotics, taking all of the prescribed medication exactly how the dentist says to take it. A person may begin to notice their symptoms go away after a couple of doses, completing the full dosage of antibiotics helps prevent the infection from returning or getting stronger.

The majority of acute infections resolve in 3–7 days.

Side effects Of Antibiotics For Dental Infections

While antibiotics are very effective for dental infections they can have some possible side effects. These side effects will vary by antibiotic type and individual. It is important to speak with your dentist regarding possible side effects and what to expect.

Dental Infection Treatments Beyond Antibiotics

Antibiotics may help clear active dental infections, but the tooth will still need work to clear up the root of the dental  infection. Antibiotic treatment is just one part of the treatment.

Typical treatment for dental infection can include one or more of the following procedures:

-draining the abscess

-filling in any cavities

-performing a root canal

-extracting the infected tooth

Natural Remedies For Dental infections

Some over the counter remedies may also help “control” the symptoms of a dental infection. This can include over the counter pain relievers such as ibuprofen (Advil) and acetaminophen (Tylenol) and Sodium naproxen (Alleve).

Other things to try to relive symptoms at home:

-gently rinsing the mouth with warm salt water

-rinsing gently with baking soda and water

-avoiding very hot or very cold foods to prevent temperature sensitivity

-chewing with the opposite side of the mouth

-brushing with a very soft toothbrush around the sensitive area

-avoiding very sharp, hard-to-chew foods that may bump into the sensitive area or become stuck in the teeth

-sleeping with your head elevated to relive pressure

Dental Infections Summary

Antibiotics are not the sole answer to dental infections. They are a part of a larger dental infection treatment. Most if not all dental infections require further dental work by your dentist. This can include a root canal or a tooth extraction.

Prompt dental treatment is important to keep dental infections from spreading and making things more dangerous and painful. Some helpful home remedies mentioned above may help keep inflammation down or ease pain while taking antibiotics and preparing for the recommended dental procedure. maintaining a good oral hygiene regimen, such as brushing and flossing each day and seeing a dentist for regular checkups, may help prevent dental infections and their complications.


dental emergency can arise at just about any time and place. A dental emergency can occur as a loose crown, fractured tooth, or even a toothache. Many homes and even cars have emergency first aid kits in case of a medical emergency. Most do not even think twice about adental emergency until they happen. Are you ready for a dental emergency?

Dental Emergency Items To Include in a Dental First Aid Kit

-Pain Medication. This can include Motrin or Aleve. Just something to relieve the pain until you can see your dentist for better pain relief. Do not use aspirin as this will inhibit clotting.

-Cotton or Gauze pads. These come in handy if there is any bleeding from an injury or even to have the patient bite down on to relieve some of the pressure. It also comes in handy if you have irritation from your braces or a denture. You can place the cotton or gauze in between the appliance and the sore to relive some of the discomfort.

-Wax. Another handy item to cover up areas of irritation like orthodontic brackets or wires.

-Floss. This can come in handy to remove food debris that gets lodged between teeth and beneath the gums that cause pain and discomfort.

-“Save A Tooth” System. This is for transporting teeth that have fallen out so that you have a better chance for long term survival once re implanted.

-Teabags. These are great for stopping bleeding following oral surgery or even a trauma in the mouth. Research suggests that bags containing tea from the plant camellia sinensis is better than herbal tea for this purpose. Tea bags may also be soothing if you bite your lip, cheek, or tongue.

-Denture Adhesive Paste. This can be used even if you do not have dentures. In addition to using it to secure dentures, it can also be used to temporarily secure a crown or bridge that has fallen out. A good example of this is Fixodent.

-Temporary filling material. This material tends to work better than wax for temporary replacement of a missing filling.

-Dental Mirror and Spatula. The mirror can come in handy if the emergency is back in the mouth and the spatula is necessary for using any temporary filling material in the mouth.

-Instant Ice Packs. These packs can come in handy if there is any trauma to the mouth or face.

-Topical Anesthetic. This can give temporary relief for denture sores, gum irritation, cold sores, canker sores, or sores from simply biting your lip, tongue, or cheek.

-Packets of Salt. These can be helpful if rinsing is necessary, as salt water helps clean and irrigate out wounds.

-Package of Colgate Wisps. This handy dental hygiene tool acts as toothbrush as well as a toothpick. These can help remove foreign objects lodged between your teeth.

-Orabase. A paste used for healing canker sores or sore mouths.

-Dentist Contact Information. Most dentists can be reached after hours via an emergency telephone line.

Dental Emergency Conclusion

All of the items listed above are readily available in most homes as well as drug stores. You can make a kit for at home and in your car for on the road. You never know when a dental emergency might arise and this dental emergency kit can be a life saver or should I say tooth saver! As always visit your dentist regularly for dental examinations and professional cleanings as well as for follow up to any at home dental emergency.

Wisdom teeth eruption or removal has become a young adults right of passage into adulthood in recent years. Most parents are well aware of the need to remove those pesky wisdom teeth long before they present a problem. Dentists are likely to recommend that wisdom teeth be removed before they become an issue. However, for those that do not have them removed or do not receive regular dental care, it is important to know the warning signs of problematic or impacted wisdom teeth.

Solving The Impacted Wisdom Tooth

The most common treatment to care for a wisdom tooth is to remove it from the mouth. Wisdom teeth do not fit in most people’s mouths. Our jaws are able to hold at maximum 28 teeth (counting the wisdom teeth we develop 32 teeth) usually. There are some exceptions but generally there is little room for the wisdom teeth as they develop and attempt to erupt into the mouth.

Wisdom teeth removal is can be done at a dentist’s or oral surgeon’s office using just local or if necessary general anesthesia. Since the removal of wisdom teeth is considered oral surgery there are risks involved. These can include nerve damage, excessive bleeding, and possibly bone or teeth fractures. It becomes even more complicated if the wisdom tooth is impacted. An impacted wisdom tooth occurs when the tooth is encased in bone and never erupts fully into the mouth.

An impacted wisdom tooth may partially erupt so that only a portion of the tooth is visible (referred to as partially impacted), or it may never break through the gum tissues (fully impacted). Whether partially or fully impacted, the tooth may:

-Grow at an angle toward the next tooth (second molar)

-Grow at an angle toward the back of the mouth

-Grow at a right angle to the other teeth, as if the wisdom tooth is “lying down” within the jawbone

-Grow straight up or down like other teeth but stay trapped within the bone

Signs And Symptoms Of An Impacted Wisdom Tooth

Impacted wisdom teeth don’t always cause symptoms. However, when an impacted wisdom tooth becomes infected, damages other teeth or causes other dental problems, you may experience some of these signs or symptoms:

-Pain at the back of the mouth, behind the molars. This pain will gradually increase with time as the wisdom teeth continue to grow in misaligned or sideways, pressing on nerves and bone, and crowding surrounding teeth.

-Red or swollen gum tissues

-Tender or bleeding gum tissues

-Inflammation (Swelling) around the jaw. Oral infections are common with wisdom teeth attempts at eruption. Bacteria can build up in the area where the tooth is attempting to erupt creating a buildup of oral bacteria which can lead to infection. If left untreated, this will affect both your dental and general health.

-Unexplained Bad breath (Halitosis)

-A weird taste in your mouth

-Headache

If left untreated, impacted wisdom teeth can develop into cysts and, in rare cases, tumors.

Possible Impacted Wisdom Teeth Complications

Impacted wisdom teeth can cause various problems in the mouth. These can include:

-Damage to surrounding teeth. If the wisdom tooth presses against the second molar, it may damage the roots of the second molar or make it more prone to infection. This pressure can also cause problems with crowding of the other teeth necessitating the possible need for orthodontic treatments to straighten other teeth in the future.

-Cyst Develop. The wisdom tooth grows in a sac within the bones. This sac can fill with fluid, forming a cyst that can damage the bone, teeth and nerves. In rare cases a tumor can develop. Luckily, it is usually a noncancerous tumor. The development of a cyst or tumor may require removal of tissue and bone.

-Tooth Decay. Partially impacted wisdom teeth tend to be at an increased risk for tooth decay. This is because wisdom teeth are more difficult to keep clean and because food and bacteria get easily trapped between the gum tissue and a partially erupted tooth.

-Periodontal Disease. The difficulty of cleaning impacted, partially erupted wisdom teeth also makes them an increased risk for the development of a painful, inflammatory gum condition called pericoronitis.

Impacted Wisdom Teeth Conclusion

You should schedule an appointment to see your dentist if you experience pain, swelling or other symptoms mentioned above in the area behind your last molar that may be related to an impacted wisdom tooth. Maintain regularly scheduled dental appointments for dental examinations and professional cleanings to catch any issues before they develop further. Regularly updated dental X-rays may indicate impacted wisdom teeth before any symptoms develop.