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Dental Emergencies

Emergency Dental Procedures

Abscess Treatment of Orofacial swelling or Cellulitis

An abscess is a collection of pus that has accumulated caused by bacteria through gums or tooth decay. It is a defensive reaction of the tissue to prevent the spread of infectious materials to other parts of the body. Abscesses rarely heal themselves, so prompt medical or dental attention is indicated at the first sign of an abscess. The rapid spread of this infection through connective tissue spaces, is often referred to as cellulitis. Cellulitis usually develops quickly, over the course of hours, and may follow an inadequately managed or ignored local dental infection. If the infection spreads to involve the floor of mouth and pharyngeal spaces, the airway can be compromised (difficulty in breathing). Cellulitis involving the tissue spaces on both sides of the floor of mouth is described as Ludwig’s angina. Such presentations require immediate attention.

Localized dental abscesses may be appropriately treated by intra-oral drainage via tooth extraction, opening of root canals and/or intra-oral incision and drainage. Wherever there are signs of spreading cervico-facial infection or significant systemic disturbance, however, patients should be referred urgently further management.

Toothache Pain Relief

Severe toothache pain is definitely a dental emergency! An oral examination including X-rays will discover the cause. In most cases toothaches are caused by problems in the tooth or jaw, such as cavities, tooth decay, gum disease, the emergence of wisdom teeth, a cracked tooth, or severe gum infection.

Emergency Extractions

A dental extraction is the removal of a tooth from the mouth. Immediate persistent pain is usually the result of tooth decay. Extensive decay is the most frequent indication for extraction of teeth. Even if there is no pain, it is often desirable to remove the damaged tooth for aesthetic reasons. Extractions of impacted or painful wisdom teeth are routinely performed.

Crown Replacement or Repair

A crown or full-coverage restoration (sometimes called a cap) is a prosthetic tooth. A damaged tooth may be difficult or impossible to restore to correct form and function using a direct dental restorative material. In such cases, we produce a customized tooth shape in the chosen material that will fit the damaged tooth exactly, somewhat like a thimble fits over a finger to protect it. Crowns can also be used to support bridgework which replaces missing teeth adjacent to the crowned teeth and may be required in cases of very severe staining or where the visible form of teeth need to be realigned without the use of orthodontics.

Root Canal Treatment

An infection of the root canal – if left untreated – can result in a serious jaw infection. To cure the infection and save the tooth, it is necessary to drill into the pulp chamber, and remove the infected pulp by scraping it out of the root canals and then filling the cavity with an inert material and sealing up the opening. If enough of the tooth has been damaged, or removed as a result of the treatment, a crown may be required following root canal treatment.

Tooth Fracture

Complete Tooth Avulsion

Tooth is completely displaced out of the socket. Desiccation of periodontal ligament can not occur, as well as pulpal necrosis if no immediate action is taken place. Tooth is absent from socket. Depends on the maturity of the tooth, how the tooth was stored and patient cooperation. If tooth has been kept in favourable conditions and periodontal ligament is not necrotic, then tooth is replanted. Tooth is not replanted to avoid damage to developing tooth germ

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