Dental Emergency

 Dental Emergency.... 
· Emergency Dental First Aid
· We all do our best to avoid accidents; but, mishaps do happen. In the event of an after hours emergency please feel
  free to alert one of the doctors on call with the number listed below. Please be ready to give a brief description of the problem
 as well as your medical history and insurance information. If you are a first time patient, you will be expected to pay for services 
 at the time they are rendered with a receipt available on the next business day.  (703) 860-4148
 
· Toothache
· Thoroughly, but gently, brush, floss and rinse the area with warm salt water to remove any trapped food or debris from around the
  tooth. Do take an over the counter pain medicine as prescribed on the bottle but do not place an aspirin on the gum as this can
 cause a chemical burn of the tissue causing additional discomfort. If your pain does not subside, please call us. If the area is
 swollen, a cold compress may reduce the swelling and discomfort but the doctor should be notified either way.
 
· Debris Caught Between The Teeth
· Occasionally, a foreign object (floss, food, popcorn kernel, etc.) may become lodged between your teeth. If it remains too long,
  the area will become sore and may even lead to gum problems. Start by using a new piece of floss the way you were taught in
  the office. The next trick is to tie a small knot in the floss and gently insert the floss between the teeth by sliding it back and
  forth between the tight spot. Once the floss “pops” through the tight spot, pull the floss and knot towards the cheek. You may
  have to repeat this several times but the knot will often catch the object. If you are unable to get the floss between your teeth
  due to the foreign object, try this trick. Your teeth are attached to the jaw bone by shock absorbing ligaments, take advantage
  of this cushion by placing a toothpick between your teeth below the foreign object. Press firmly and wait a minute or two until the
  pressure has decreased and then press again. Once the pressure decreases a second time, remove the toothpick and quickly try
  the knot in floss technique. Whether or not you are successful, it is advised to have the area evaluated by the dentist to ensure all
 
· Bleeding
· Apply firm, steady pressure to the area with a damp, clean cloth or piece of gauze. Biting on a moistened tea bag placed
  directly over an extraction site is very effective after a tooth has been surgically removed. If the bleeding has not stopped, or
  significantly slowed, after 15 minutes, contact the doctor or proceed directly to the emergency room.
 
· Chipped Tooth
· If you are not immediately in pain, you may be able to schedule a future appointment to evaluate the area and restore/repair
  the damaged tooth. If the tooth is sharp or rough, you may be able to cover the area with wax or carefully use an emery
  board to smooth the damaged portion. This will make your tongue and/or your cheek much more comfortable. The traumatic
  injury has already damaged the tooth; your goal is to minimize any further damage to your tooth or soft tissues until it can be
  properly evaluated; please do not chew on that side.
· If you do experience persistent pain or sensitivity in the damaged tooth, wax may help to insulate the broken area but call the
  doctor as soon as possible for assistance.
 
· Adult Tooth Knocked Out
· Time is of the essence. Quickly find the tooth and rinse it off in cold water being careful not to touch the root. The root is the
  portion of the tooth that is supposed to be in the gum and bone that normally you can not see. The root is covered by a thin,
  delicate layer of cells that we must preserve. Do not use soap, scrub or “play with” the tooth. Now that it is clean, try to place
  it back in it’s home; the socket. If the tooth does not seem to fit, check to make sure it is not going in backwards.
· Once in place, gently bite on a piece of gauze or a clean cloth-and call us! Every 30 minutes the tooth is out the prognosis drops.
  If it is impossible to return the tooth to it’s socket, place it in a cup of cold milk or place it in the victim’s mouth. If you swallow
  the tooth we can not help you, if you aspirate (inhale the tooth into your lung) your problems have just gotten worse. If the mouth
  seems unwise or unsafe, do not follow that recommendation. We can do amazing things with the benefit of dental implants.
 
· Baby Tooth Knocked Out
· Typically, baby teeth are not returned to their socket. Do try to find the tooth and reassure your child. Call us. Your child will
  need to be evaluated to assess any other damage that may have occurred.
 
· Mouth Sores
· Canker sores (apthous ulcers) typically occur under the tongue, on the gums or the cheek. They can be caused by stress,
  trauma or acidic (oranges, tomatoes, etc.) foods. They range in size from a pin-head up to one-half inch in diameter and
  may last up to ten days. A good over the counter medication that will decrease the discomfort and may speed healing
  when applied directly to the sore is Kanka. For more frequent sufferers we can prescribe Kenalog in Orabase.
· Fever blisters or cold sores (caused by the Herpes Simplex virus) typically appear on the lip. They can be triggered by illness,
  stress, pregnancy or prolonged exposure to the sun or cold. These sores are highly contagious when the blister breaks and
  begins to “weep”. Contact with these open blisters can infect others and even infect other parts of your own body. Ointments
  with vitamin E or aloe vera or the prescription Denavir will make the sore more comfortable. An over the counter medication,
  Abreva, has been shown to speed healing and improve comfort. This medication can be taken at the first sign of an outbreak,
  even before it is visible to the naked eye.
· These are two of the most common mouth sores, but many others do exist. Contact us for more information.
· Root Canal Therapy
· Your Temporary Crown
· Post extraction instructions
· Post scaling rootplaning instructions
 Dental Emergency
 ·Root Canal Therapy
 ·Temporary Crown
 ·Eight Must Read Tips  
 
 
 ·Post Extraction
 ·Post Scaling
 
 
 
 


  Dr. Hanah Pham:
  Family & Cosmetic Dentistry.  Quality Service Commitment to Excellence!
   Meet the Doctor
 
  Our Location:
  12359 Sunrise Valley Dr. Suite 330
  Reston, VA 20191
  (703) 860-4148
  Office Hours:
  Emergency Service - 24 hours/day
  Monday - 8 am - 7 pm
  Tuesday - 8 am - 4 pm
  Wednesday - 8 am - 7 pm
  Thursday - 8 am - 7 pm
  Friday - 7 am - 1 pm
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This site was last updated 08/18/04