Dental Program - Near You

Find A Dentist: Frequently Asked Questions

Q. If a pain in a tooth goes away, should you still see a dentist?

A. Either minor or severe pain that goes away may indicate that you have a cracked tooth. A cracked tooth hurts because the pulp, the soft inner tissue of the tooth, is irritated. If treatment is delayed, the tooth may split and be more difficult to treat successfully.

The sudden absence of pain also may be a sign that the nerves of the tooth have died. It might also be due to a chronic infection that is draining. Even if the pain stops, if the pulp is damaged or diseased, pain will likely return and the tooth will require treatment. It is important to find a dentist who can treat the situation.

Q. After a traumatic injury, if teeth aren't chipped or broken but there's bleeding in the gums, is dental care necessary?

A. It's not always easy for people to tell when to seek a dental evaluation. However, if the gums bleed, it's important to see a dentist because the trauma may have caused damage. The tooth may have been "jammed" into the socket and severe problems could develop.

Prompt treatment often prevents more serious problems or complications from developing later. A tooth can develop problems long after the injury, so it's very important to be checked.

Q. What might be the cause of a dull ache in your upper teeth and cheek?

A. It can indicate several conditions. It could be associated with a tooth or gum problem, bruxism (grinding teeth), TMD (temporomandibular disorder), a sinus infection, headache, or salivary gland infection.

Check with your dental provider first, and if it's not related to a dental condition, you will be referred to a physician. Click here to find a dentist who specializes in TMJ/TMD.

Q. What should you do when you have a toothache?

A. Clean your mouth by rinsing with warm water and remove any food that is trapped between teeth with dental floss. Do not apply aspirin on the aching tooth or gum tissues. See your dentist as soon as possible.

Q. What should you do if your tooth is knocked out?

A. If your tooth is knocked out, you should carefully rinse the tooth with water. You should attempt to place the tooth back in its socket and secure it with a wet wrap. If you cannot place the tooth back in its socket, put it in a glass with either saliva or milk. Then you should contact your dentist so you can be seen immediately.

Q. What are extruded teeth?

A. Extruded teeth are teeth that are forced out of position.

Q. What is the treatment for a broken tooth?

A. Rinse the mouth with warm water. Try to remove any dirt, blood, or debris from the injured area using sterilized gauze or a clean cloth and warm water. Apply cold compresses on the face next to the injured tooth to reduce swelling. Cover the tooth with cotton or gauze if the rough edges are cutting you or if it is sensitive to air, and see your dentist immediately.

Q. What should you do if your tooth is pushed out of position?

A. If your tooth is pushed out of place, you should reposition it to its normal alignment using very light finger pressure. You should hold the tooth in place with a moist gauze or tissue. Make sure that a dentist sees you ideally within a half-hour.

Q. What causes a constant throbbing pain in your jaw or tooth?

A. A throbbing pain is usually a symptom from two different causes: either the nerve inside the tooth or the ligament around the tooth is damaged, irritated, or inflamed. A cavity, traumatic injury, or other factor can damage or irritate the pulp inside the tooth.

Severe gum disease affecting the ligament that surrounds and cushions the tooth roots can result in throbbing pain. An erupting tooth, including a third molar or wisdom tooth and TMD are also potential sources of throbbing pain.

Q. What is considered to be a minor tooth fracture?

A. A minor fracture is considered to be a tooth that is only broken in the hard outer enamel part.

Q. How do you treat a minor tooth fracture?

A. Your dentist can smooth a minor fracture with a sandpaper disc or just leave it alone. You can also restore the tooth with a composite restoration if necessary.

Q. What do you consider to be a moderate tooth fracture?

A. A moderate fracture is considered to be damage to the enamel, dentin, and/or pulp of the tooth.

Q. How do you treat a moderate tooth fracture?

A. A moderate fracture can be restored with a full permanent crown if the pulp is not permanently damaged. Sometimes, an onlay or bonding will be appropriate as well. Occasionally, root canal treatment (endodontics) may be required.

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Medical and Dental Care Emergencies

The primary purpose of a patient visit to the dental office is to allow their doctor and/or dental auxiliary to perform a dental treatment that will aid in the improvement of their overall oral health. The primary goal of the doctor is to perform this treatment as effectively and as safely as possible. Patients give little thought to the possibility that some unforeseen medical emergency might arise in the period of time during which they are in the dental office.

Many of the things done by the doctor and staff prior to, and during, the dental treatment are done to minimize the risk of a medical emergency. For example, the medical history questionnaire, recording of blood pressure, and discussion of a patient's health history help to determine what potential risks might be present and enables the doctor to modify the planned dental treatment to minimize the potential risks. In many instances, the use of conscious sedation will be indicated as a means of decreasing stress associated with dental care. This is especially important in persons with cardiovascular diseases (such as high blood pressure or angina) who might be somewhat fearful of visiting the dentist. The use of effective drugs for pain control (such as local anesthetics) is yet another means of minimizing the risk of medical emergencies developing during treatment.

In the unlikely event that a medical emergency does occur while a patient is in the dental office, one should know that (it is highly likely) the doctor has received training in the management of medical emergencies that develop frequently.

Amongst the more commonly observed medical emergencies in dental offices are fainting, seizures, acute asthmatic attacks, allergy, and chest pain (angina).

Virtually all of these emergencies occur as a result of fear and anxiety. Therefore, it becomes very important for the patient to advise their doctor if they are apprehensive about their dental treatment. Steps usually can be taken which will prevent these situations from occurring.

Additionally, in many states it is mandatory for all dentists to be certified in basic life support (CPR) on a regular basis. In many dental offices, additional staff personnel are also trained in this very important technique.

Dental offices maintain an emergency supply of oxygen, as well as commonly used emergency equipment and drugs.

And finally, most dental offices are located in close proximity to their community's Emergency Medical Services (EMS) system (9-1-1). A telephone call activating this system will provide well-trained life-saving medical assistance within a few minutes.

By Stanley F. Malamed, DDS