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Below
is a list of common emergencies that may arise when a dentist or
hospital is not immediately available, and what can be done until
the problem can be professionally treated. It is important to emphasize
that these are only immediate, temporary measures, and are in no
way a substitute for professional care provided in a timely manner.
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Tooth knocked out of mouth: Trauma
to the mouth often results in "avulsion" of one or
more teeth. If the tooth is clean, if possible, it should be
carefully placed back into its socket until you can get to
a dentist. If the tooth is contaminated, or if it cannot be
replaced (as is often the case with small children), then it
should be placed in milk (or even water if necessary). The
patient should be seen by a dentist as soon as possible, because
the longer the tooth is left out of the mouth, the less of
a chance it has to be saved.
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Toothache: : If one experiences
a toothache in a tooth with a cavity exhibiting symptoms of
cold and heat sensitivity, this usually indicates that the
nerve in the tooth is dying. Sometimes, temporary relief can
be obtained by placing a temporary filling in the hole in the
tooth that has the ingredient Eugenol in it. This
product is available in most drug stores. Never place an aspirin
against the gum around the tooth.
If the pain is accompanied by swelling, however, this indicates
an infection, and a temporary filling may only make it worse.
In such a case, it is best to go to a hospital if you cannot
reach a dentist, especially if the swelling is obvious outside
of the mouth.
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Broken Tooth: In many
cases, a small or large piece may break off of a tooth. If
there is no pain presently, then that typically means that
the crack did not occur through the nerve.
If a front tooth breaks off at the gumline, however, usually
you will be able to see the exposed nerve, which looks like a
pinkish dot in the center of the remaining tooth root. If you
cannot get to a dentist right away, or on your way to the dentist,
some soft wax (obtainable at most drug stores) may be placed
gently over the cracked tooth root. This usually protects the
sensitive exposed nerve from the cold air.
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Cold sores or denture sores: Temporary
relief for these problems can usually be obtained by the use
of an over-the-counter product containing the active ingredient Benzocaine.
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Swelling of the gums: Most
swelling is caused by underlying infection. Rinsing with hot
salt water can give some temporary relief by helping to draw
out some of the fluid which is creating the pressure.
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Bleeding in the mouth: If
an area of the mouth is bleeding persistently, there are two
remedies which may used alone or in combination: Application
of pressure, usually using some cotton gauze or a clean rag
if no gauze is available, and; Application of cold to the affected
area. It is also important to remember that a small amount
of blood, when mixed with saliva can appear to be a large amount
of blood. Do not take aspirin, as it can also worsen bleeding
due to its blood-thinning properties.
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