How to Handle Common Dental Emergencies

From a toothache to a broken jaw, you can take steps to lessen the damage while you seek treatment.

When it comes to a toothache, don’t fall for old wives’ tales about aspirin and whiskey. Aspirin is acidic.3 If you don’t swallow it and instead let it dissolve against your gum to try for faster relief, it might burn your gum tissue.1

So what should you do for dental emergencies ranging from a toothache to a broken tooth to a possible broken jaw?

For starters, if you have pain or swelling, you can take an over-the-counter painkiller, such as ibuprofen. Avoid aspirin: If you are bleeding, aspirin can make the blood flow more freely. If you are bleeding from a cut or a knocked-out tooth, apply pressure with your hands or a cloth to staunch the flow of blood.2

Here’s some more advice on what you should do in case of dental emergencies.

A Possible Broken Jaw

If you have a broken jaw, you will usually feel pain and have facial swelling. Other possible symptoms include jaw stiffness, bleeding from the mouth, and an abnormal appearance of the cheek or jaw. You might also have loose or damaged teeth, and it will probably be difficult to open your mouth widely.4

To control the swelling, apply cold compresses,1 such as ice packs, bags of ice, or even a package of frozen vegetables. Stabilize the jaw using a small towel wrapped beneath the jaw and tied on top of the head.4 Go at once to your dentist or hospital emergency room.1,4

A Bitten Lip or Tongue

Clean the area gently with a cloth. Apply pressure and cold compresses, such as ice or popsicles, to stop the bleeding and reduce swelling. Go to a hospital emergency room if the bleeding doesn’t stop.1

Chipped or Broken Teeth

Rinse your mouth with warm water to clean the area, use cold compresses, and call your dentist immediately.1 If possible, bring the broken piece of your tooth to your dentist’s office. If it is large enough, your dentist might be able to bond it to the original tooth.2,6

A Knocked-Out Tooth

The American Dental Association advises holding the tooth by the crown and rinsing off the root of the tooth in water if it is dirty. Don’t scrub it or remove any attached tissue fragments.1

If it is not too painful, gently insert and hold the tooth in its socket. Otherwise, to keep the tooth and its root tissues moist, put it in a container of milk or saliva while getting to a dentist as quickly as you can.1,6 You can also carry it between your lower lip and lower gum if you don’t have a container.6

Objects Caught Between Teeth

Gently try to move the object with dental floss, but avoid cutting your gums. Never use a sharp object to dislodge something stuck between your teeth. If dental floss doesn’t work, contact your dentist.1

A Toothache

Rinse your mouth with warm water and gently use dental floss or an interdental cleaner to make sure there is no food or other debris caught between your teeth.1 Toothaches are usually the result of either tooth decay or an infection. Appropriate treatment could include antibiotics and dental restoration, so call your dentist if the pain persists.5

1 “Dental Emergencies & Injuries.” American Dental Association. www.ada.org//370.aspx Accessed 2010.

2 “Dental Emergencies.”Academy oif General Dentistry. www.agd.org/public/OralHealthFacts/files/pdfgenerator.aspx?pdf=FS_DentalEmergency.pdf&id=&margin=2 Accessed 2010.

3 “Aspirin.” National Library of Medicine and National Institutes of Health, February 1, 2009. www.nlm.nih.gov/www.nlm.nih.gov/medlineplus/druginfo/meds/a682878.html Accessed 2010.

4 “Jaw—Broken or Dislocated.” National Library of Medicine, May 15, 2008. www.nlm.nih.gov/medlineplus/ency/article/000019.htm Accessed 2010.

5 “Toothaches.” National Library of Medicine, May 28, 2008. www.nlm.nih.gov/medlineplus/ency/article/003067.htm Accessed 2010.

6 “Broken or Knocked Out Tooth.” National Library of Medicine, May 28, 2008. www.nlm.nih.gov/medlineplus/ency/article/000058.htm Accessed 2010.

Online Editor: Sims, Jane
Online Medical Reviewer: Eakle, Stephan W., DDS
Date Last Reviewed: 12/9/2010
Date Last Modified: 12/9/2010
The views represented by this article are that of the author and not of Delta Dental. This article is provided for information only. Please consult with a licensed dentist to discuss the best way for you to improve or maintain your oral health.

In all cases, specific group contract provisions, benefits, limitations and exclusions take precedence over oral health recommendations given here. We recommend that you contact your dental benefits carrier to determine the specific limitations and exclusions for your group.

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