Orthodontic Problems-Braces
Crown Comes Off
Broken Denture, Bridge, Or Plate
Extraction -Bleeding After
Pain After 36 Hours After An Extraction (Dry Socket)
Broken/ Fractured /Chipped Tooth Or Filling
Gum Injury To The Soft Tissue Inside The Mouth
Burning Gums And/Or Roof Of Mouth
Sore Gums
Fractured Jaw
Swollen Jaw


Orthodontic Problems-Braces

  1. If a wire is causing an irritation, cover the end of the wire with some wax or a piece of gauze
  2. If a wire becomes embedded in the gum or cheek DO NOT remove it, go to the dentist immediately


Crown Comes Off

  1. Try to snap it back in
  2. Purchase a small tube of denture adhesive paste put a small amount in the crown and place it back on your tooth
  3. Try Dent Temp or Tempenol as a temporary adhesive
  4. Do NOT use ordinary household glue
  5. Call the dentist as soon as possible to recement it properly


Broken Denture, Bridge, or Plate

  1. Save all the parts of your broken denture, bridge or partial
  2. Call your dentist
  3. If it is possible it may be repaired or it may need to be replaced as soon as possible
  4. Temporary bridges, plates and dentures can keep you comfortable until the permanent one is repaired or replaced


Bleeding After an Extraction

  1. Slight bleeding after an extraction is normal. Clots usually form within one hour if you follow doctor’s post-op instructions.
  2. Place a thick gauze pad over the extraction site and apply pressure by biting on the gauze
  3. Avoid rinsing, drinking or eating for at least one hour following the extraction
  4. After 24 hours rinse the area with warm salt water(1/2 tsp. salt in 8 oz of water) after eating to keep the site clean
  5. Wet a tea bag and place it on the extraction site and bite on it
  6. Avoid sucking, spitting, and smoking


Pain After 48-72 Hours After Extraction

  1. Contact your dentist, you could have a “dry socket” or infection


Broken Tooth or Filling

  1. If the tooth is broken/chipped/fractured and there is no other damage requiring hospital care go to the dentist within 2-3 hours. Quick action can save the tooth, prevent infection and reduce the need for extensive dental treatment. The dentist can smooth minor chips. The tooth may also need to be restored with a composite filling.
  2. Stop any bleeding by applying direct gentle pressure to the gums. If an upper tooth, apply pressure to the gums above the tooth. If a lower tooth, apply pressure to the gums below the tooth. Do NOT press directly on the broken tooth.
  3. Rinse the mouth with warm water and apply cold compresses to reduce swelling.
  4. Find the broken tooth fragments and bring the pieces with you, they may be able to be “cemented” back together
  5. To avoid further aggravation from the damaged tooth, place a piece of soft wax into the area that was chipped. You can also try Dentemp or Tempanol for temporary filling material.
  6. Eat only soft foods. Avoid this side of your mouth when eating. Avoid food and drink that are hot or cold, eat only lukewarm
  7. Do not take aspirin or aspirin-substitutes that can slow clotting. Try 400-800 mg of ibuprofen (Advil or Motrin) or 200-400 mg of naproxen sodium (Aleve)…if you are not allergic or have any medications that could interact with these medications. Follow instructions on the bottle and your doctors instructions.

    The more the tooth is bothering you before you go to the dentist the more difficult it is for the dentist to treat you comfortably.

  8. If the pulp is damaged it can mean a root canal.
  9. This tooth may need a full permanent crown to protect if from further breakage and tooth loss.


Injury to Soft Tissue Inside the Mouth

  1. These include tear, puncture wounds or lacerations to the check, lips or tongue.
  2. Clean the area right away with a warm salt water
  3. Bleeding from the tongue can be reduced by pulling the tongue forward and using gauze to place pressure on the wound area
  4. Go to the doctor/hospital if it needs stitches


Burning Soft Tissues

  1. Ask your doctor for a prescription for anti-viral medications
  2. Use ibuprofen for pain control
  3. Try a topical application of 20% benzocaine for the discomfort


Sore Gums

  1. Purchase Peroxyl to rinse with
  2. Brush your teeth and gums CAREFULLY
  3. Call the dentist for an evaluation


Fractured Jaw

  1. If your jaw hurts when it is moved or you cannot close your mouth in a normal manner, immobilize the jaw with a towel or tie.
  2. Go to the doctor/hospital. A blow to the head can be especially life threatening to a child. They can give you treatment and tell you if you need to see the dentist


Swollen Jaw

  1. Place a cold compress to the swollen area
  2. Call the dentist immediately as you may have an infection and need to be on antibiotics


Questions will you be asked when you have a toothache and call your dentist:

  • How long has it hurt?
  • What makes it hurt? Does it keep you awake at night?
  • How much does it hurt?
  • Have you been taken anything for the pain?
  • What is the location of tooth or pain?
  • What symptoms are you having? (swelling, fever, pain)

This is done to determine the type of emergency treatment you require. Make sure to follow up on what the dentist tells you and to attend your return appointment.

Remember antibiotics are not the answer for all situations. An antibiotic will only keep the infection from spreading and can be used to rule out sinusitis and other infectious outside the tooth.

Antibiotics cannot clear up an infection inside the pulp of a tooth. Taking too many antibiotics can cause you to build up an immunity to antibiotic therapy in your future.