Philly Dentistry

Different scenarios call for different action in a dental emergency. It is important to see your dentist ASAP; however, we know that this is not always possible.

Here are some tips to help you in the event you or a loved one is in a dental emergency and unable to get right into a dental office.

TOOTHACHE

• Rinse your mouth vigorously with warm water
• Use floss to remove any food particles stuck between the teeth. If there happens to be swelling present then apply cold pressure on the outside of the cheek
• Do no place aspirin on the aching teeth or gums because it will burn the tissue
• See your dentist as soon as possible

OBJECT STUCK BETWEEN THE TEETH

• Use dental floss to try and remove the object
• Guide the floss carefully so you do not cut the gums or wedge the object further down into the tissue
• Do not use a sharp or pointed instrument as it may cause more harm than good

BITTEN LIP OR TONGUE

• Take medication for pain relief
• If there is bleeding then apply direct pressure to the area
• To relieve swelling use ice every 10-15 minutes
• If the bleeding persists then call your dentist or go to the emergency room

KNOCKED-OUT TOOTH

• Apply direct pressure to the bleeding area for about 20-30 minutes
• If the bleeding still does not stop, call your dentist immediately or visit the emergency room
• Gently rinse the tooth with warm water, do not scrub it
• If it is a baby tooth do not try and insert it back into the socket
• If it is a permanent tooth you can try to gently insert the tooth back into the socket. If this is not possible then place the tooth in a container of milk or cool water
• Go to your dentist immediately and bring the tooth with you

BROKEN TOOTH

• If the broken piece is easy to remove then go ahead and do so
• Use a clean cloth to apply direct pressure to the area
• Use cold pressure on the face to minimize swelling in the area of the broken tooth
• Clean the area gently if needed with warm water
• If the edges are sharp use chewing gum or soft wax to cover these edges
• Go to your dentist immediately

In dentistry it is important to act fast to avoid problems getting even worse. For example, although your broken tooth may not hurt, it is important to have a dentist evaluate it as soon as possible because there still may be an issue although it is not causing you pain.

In dentistry prevention is key. Even if you are not experiencing discomfort or problems it is very important to see your dentist regularly for six month check-ups. By going for regular check-ups it is possible to avoid many emergencies that can arise.

Schedule your free consultation with Dr. Ken Cirka, Dr. Mimi Jeon, and Dr. Stephanie Smith to see if you are at risk for any dental emergencies and learn what you can do to prevent them from happening.

Invest in a Good Electric Toothbrush

A good electric toothbrush will immediately improve your dental health. While at the store you will likely be able to tell which electric toothbrushes are superior. Look for brands “Sonicare” and “Oral-B” when in the dental aisle. They will cost more but they will do a much better job and last you longer. Your dentist may even have already slipped you a coupon for $10 off one of these at a recent check-up.

The key to these is that they are guaranteed to improve your brushing and oral health. And they will do this quite quickly too. Another benefit is that they have a timer which sets the toothbrush to work for 2 minutes. The American Dental Association (ADA) recommends brushing for 2 minutes twice daily, so this will help keep you honest with timing for brushing.

Ask your dentist and dental hygienist for tips on which electric toothbrush to purchase based on your oral health and also ask them specifics on how to use them.

Floss Every Single Day

Never skip a day of flossing. No if’s, and’s, or but’s.

Flossing helps to prevent gum disease, to freshen your breath, and also will prevent cavities too.

For most people it is a matter of finding a convenient time to floss because in order to do it properly it requires some attention to detail. I often tell patients that in the morning you may be in a hurry, and at night you might be too tired.

The time that works for me is right after I eat lunch. Maybe that could also work for you, but see what works with your schedule, and just do that.
Patients will often ask if they should floss then brush, or brush first then floss. According to the ADA this actually does not even matter!  The most important thing is that you are flossing every day and brushing twice a day, and doing this with the proper technique.

Crooked or crowded teeth can often make flossing difficult.  Treatments like Invisalign are a huge help in resolving this issue.

Ask your dentist and dental hygienist for tips on how to floss properly. You could even watch a YouTube video on flossing if you are unsure if you are doing it the right way.

Also, avoid using the flossers that are disposable. These ones you usually see on checkout lines at the grocery store and convenience store. These end up costing patients more money and also do not do as good of a job as traditional floss.

Brush your Tongue

Make sure to brush your tongue each time that you are brushing your teeth. The same bacteria that causes gum disease and cavities will start to build-up on your tongue in addition to your teeth and your gums. Not only is this gross, but this is the number one cause of bad breath.

By brushing your tongue you can get rid of bad breath. The tricky part is that the bacteria like to hide on the most posterior aspect of the tongue so it will usually stimulate the gag reflex. Here are some tips to help you brush your tongue and avoid gagging:

• Use your left hand and make a fist and grip the toothbrush tightly. For some reason by doing this, the gag reflex is suppressed. We aren’t sure why but if it helps, use it.

• While brushing your tongue, concentrate on exhaling out of your mouth

• Use motions that go side to side rather than back and forth with the brush

These tips will help you brush your tongue with your tooth brush. Keep in mind that at the convenience store they also sell a tool known as a tongue scraper. You will find it in the dental aisle and many patients find that using them works and they avoid the gag reflex entirely. Another tool you can try is a piece of dental floss to scrape the bacteria off.  Use whatever tool works, as long as you are doing it daily.

We look forward to seeing you at your next appointment!  If you ever have any questions, do not hesitate to ask us.