
Dental Emergencies and Urgent Care
If you or your little one experience a dental emergency, be sure to call our practice as soon as possible. If you need immediate attention after hours, call our emergency phone number and our on-call staff member will help you. If you are unable to reach our office during an emergency, dial 911.
We are here to help you at any time, on any day. When your or your child’s dental health is at risk, we will do everything we can to make sure you’re treated as soon as possible. While dental emergencies are rare, they can happen, and it’s vital to know how to take care of your teeth no matter what.
Common Dental Emergencies and Immediate Steps
- Broken, Chipped, or Cracked Teeth Rinse your mouth with warm water to clean the area and apply a cold compress to the outside of the face to reduce swelling. Save any broken tooth fragments and bring them with you to the office as soon as possible.
- Knocked-Out Permanent Tooth Time is critical. Gently rinse the tooth without scrubbing the root. If possible, try to place the tooth back into the socket. If that isn't possible, keep it moist in a small container of milk or saliva and call us immediately for an emergency appointment.
- Severe or Persistent Toothache A sudden, intense toothache can indicate an infection or abscess. Rinse with warm salt water and use dental floss to ensure no food is trapped. Avoid placing aspirin directly on the gums, as this can cause tissue irritation; instead, contact us to find the underlying cause.
- Objects Caught Between Teeth If an object is stuck, try to gently remove it with dental floss. Never use a sharp or pointed tool, such as a needle or pin, as this can damage the enamel or cut your gum tissue. If floss does not work, please call our office.
- Broken or Dislocated Jaw This is a serious injury that requires immediate attention. Apply a cold compress to control swelling and head to the nearest emergency room or call our office immediately. If you are having trouble breathing or swallowing, dial 911.
- Lost Filling or Crown While not always painful, a lost restoration leaves the tooth vulnerable to further damage. Keep the crown if you have it, and try to keep the area clean until you can get to our office to have it recemented or replaced.
Cracked Teeth and Hidden Risks
Because we live longer and more stressful lives today, we are exposing our teeth to many more years of potentially damaging habits such as clenching, grinding, and chewing on hard objects.
These habits make our teeth more susceptible to cracks. Our office may treat a cracked tooth to prevent further damage to the tooth structure and tissue.
Cracked teeth do not always show any visible signs of damage, but may present a variety of symptoms, including erratic pain when you chew with them, and pain or sensitivity to heat and cold. In many cases, the pain may come and go, making it difficult for us to locate the source.
Why Cracked Teeth Hurt
When the outer hard tissues of the tooth are cracked, chewing can cause movement of the pieces, and the pulp becomes irritated. When biting pressure is released, the crack can close quickly, resulting in a momentary, sharp pain. Irritation of the dental pulp can be repeated many times by chewing.
Eventually, the pulp will become damaged to the point where it can no longer heal itself. The tooth will not only hurt during chewing but may also become sensitive to extreme temperatures.
In time, a cracked tooth may begin to hurt all by itself. Extensive cracks will lead to infection of the pulp tissue, even spreading to the bone and gum tissue that surround the tooth.
Types of Cracked Teeth
- Craze Lines: Craze lines are tiny cracks that affect only the outer enamel. These are extremely common in adult teeth. Craze lines are very shallow, cause no pain, and are of no concern beyond appearance.
- Fractured Cusp: When a cusp (the pointed part of the chewing surface) becomes weakened, a fracture sometimes results. The weakened cusp may break off by itself or have to be removed by an endodontist.
When this happens, the pain will usually be relieved. A fractured cusp rarely damages the pulp, so root canal treatment is seldom needed. Your tooth will usually be restored with a full crown by our team.
- Cracked Tooth: Some cracks extend from the chewing surface of the tooth vertically toward the root. A cracked tooth may not be completely separated into two distinct segments. Because of the position of the crack, damage to the pulp is common. Root canal treatment is frequently needed to treat the injured pulp.
We can restore your tooth with a crown to hold the pieces together and protect the cracked tooth. At times, the crack may extend below the gingival tissue line, which requires extraction.
- Split Tooth: A split tooth is often the result of long-term progression of a cracked tooth. The split tooth is identified by a crack with distinct segments that can be separated.
A split tooth cannot be saved intact. The position and extent of the crack, however, will determine whether a part of the tooth can be saved. In rare instances, endodontic treatment and a crown or other restoration may be used to save a portion of the tooth.
- Vertical Root Fracture: Vertical root fractures are cracks that begin in the root of the tooth and extend toward the chewing surface. They often show minimal signs and symptoms and may therefore go unnoticed until the surrounding bone and gum become infected.
Treatment may entail extraction of the tooth. However, endodontic surgery is sometimes appropriate if a portion of the tooth can be saved by removal of the fractured root.
Preventing Cracked Teeth
- Don’t chew on hard objects such as ice, unpopped popcorn kernels, or pens.
- Don’t clench or grind your teeth.
- Wear a mouthguard or protective mask when playing contact sports.