GOT A DENTAL EMERGENCY?….
We understand that a lot of people avoid visiting the dentist. Even if you attend regularly there may be times when something unexpected happens. You may not be able to get in to see your own dentist quickly or you may not be registered with a dentist at all. There are times when you need to see an emergency dentist ASAP and that’s when we are here. We treat a lot of nervous patients and make every effort to relax and care for you. We ensure that our dentists have the experience and training to do this. If you are in severe pain and agony, see a Dentist as soon as possible! We are an emergency dentist based in Walsall, though we serve the whole of the West Midlands.
Below is some guidance on the most common problems that we see on a regular basis for emergencies. The most common problems are listed below:
- Broken/Chipped tooth
- Fillings causing pain/Filling come out
- Broken tooth or decay into the pulp
- Abscess “and periapical periodontitis”
- Fracture through the root
- Trauma : got into a fight with someone/fell down
- Broken brace wire
When a tooth is broken and hurts, you have to assess how deep the break and the bacteria is.
A break in only the enamel won’t hurt, because enamel isn’t sensitive.
If sharp, it may rub on your tongue or lip and cause an ulcer.
Treatment: A small filling or may just be smoothed down.
Broken / decayed dentine. A problem in the dentine causes sensitivity. It starts when cold or hot gets to it and normally lasts a few seconds only.
Treatment: A filling or root filling.
Broken tooth or decay into the pulp:
When the pulp is infected, the tooth becomes very sensitive. It may throb, be worse on lying down and when exercising,the pain is continues and it spreads until it is unbearable. Pain killers stop working at this stage. Treatment: Either a root filling or extraction by our emergency dentist. Decay into the pulp is known as pulpitis and it is where the nerve inside the tooth is exposed to bacteria. You feel pain radiating throughout your face and throbbing continuously, especially when trying to sleep or exercise.
Treatment: Root filling or extraction by your emergency dentist.
A very common situation – broken tooth.
A patient comes with a broken tooth. They were only eating something very soft (bread)and their back tooth broke. It didn’t hurt, so they left it. Two months later pain starts and they come to our emergency dentist. On looking at the tooth the dentist notes decay which must have weakened the tooth and caused it to break. Because they didn’t come to the dentist at that time, the decay spread and is now touching the nerve inside the tooth and has formed an abscess. Now, because the pain is throbbing, lasts more than a few minutes, occurs spontaneously the dentist thinks that a simple filling may not work. An X ray is taken and confirms that the decay has touched the nerve and a simple filling would irritate the nerve too much, causing pain
Treatment: The tooth needs to be extracted or a root filling done.
Abscess “and Periapical Periodontitis”.
What is an abscess?
An abscess is a collection of pus that has built up inside the teeth, gums or the bone that holds the teeth in place., common term ‘infection’.
This is one of our most common complaints we receive as an emergency. People have had a tooth broken a few months, it hasn’t hurt or they controlled it with painkillers, so they left it, and now the pain comes ‘with a vengeance’.
The pain stops when the pulp ‘dies’, and it may be a few months or years before an abscess forms. The abscess is at the bottom of the tooth, maybe pain-free or very severe pain. It feels like a deep pressure and the tooth is very sensitive to tap or touch. The tooth may feel wobbly and raised and hurt when biting. The abscess may cause severe swelling, or may be just a lump coming from the gum which occasionally bursts or leaks pus.
Treatment: Either a root filling or an extraction by our emergency dentist. It may need antibiotics first in some cases.. If severe it may need urgent attention as it may progress into a life threatening problem. Taking antibiotics is a temporary solution, the problem will always come back. Best is to go for a permanent treatment which entails a root filling or extraction.
Tooth abscess on an adult Tooth abscess on a child
Tooth abscess (or PAP)
The tooth is sensitive to touch and may feel wobbly. It may have been broken for sometime or you may have had a deep filling done on the tooth a few days or months ago. Your immune system may not be working as well as normal due to poor diet or stress. Treatment: Root filling or extraction by your emergency dentist.
Fracture through the tooth
A fractured tooth root is often discovered when surrounding bone and gum b“ecomes infected. Fractures are often a result of long term progression, injury/trauma or they can sometimes just be unlucky from biting down on ice, pens, popcorn kernels and if the tooth breaks in such a way it may not be unrestorable. Unlike a broken bone unfortunately a fractured tooth will not heal.
Treatment: Extraction by our emergency dentist.
Is the broken/damaged tooth causing you sensitivity?
Sensitivity is when the nerve swells up, this feeling may or may not go away after sometime, if this feeling doesn’t go away after a while then you may require a RCT – see below for more information:
Root canal treatment (RCT)
If NO (either of the below may be required):
Tooth extraction and replacement
Wobbly teeth – the most common cause of loose teeth is gum disease.
What Is Gum Disease?
Gum disease has different stages gingivitis which is early stages of gum disease, periodontitis which may have small pockets below the gum line which food may get trapped and the advanced periodontistis which is the last stages of gum disease. Here we talk about the most common form – chronic gum disease. It progresses slowly, over the years and early preventative treatment is best to stop it. It eventually results in tooth loss and is often the reason why people need dentures when they get older.
Late stage Gum Disease:
Late Gum Disease
Gum disease is a common condition where by the gums become sore, swollen and infected. You will know if you have gum disease as your gums may bleed when brushing or if you have bad breath.
If gum disease isn’t treated at the earlier stage it can develop into a condition that’s called Periodontitis, which affects the tissues around the teeth that help support the tooth. If this condition continues it can cause the bone in your jaw to decay . This will then eventually cause the tooth to become loose and they may eventually fall out. Chronic gum disease becomes acute gum disease causes pain.
What Can Be Done?
Maintain good oral hygiene
Attend regular dental checkups
See a Hygienist if your dentist advises you to
Intense toothache When a toothache gets so bad that pain killers don’t work, you can’t sleep and the pain is continuous, you need to see a dentist ASAP. You may have one of several conditions:
When gum disease is left untreated, it may cause an infection. The tooth may be wobbly and painful to touch. The gum is tender to touch and may bleed when brushing. Your immune system may not be working as well as normal due to poor diet or stress. You are more likely to get this if you smoke or have uncontrolled diabetes. Treatment: Cleaning the tooth and regularly visiting the dentist or hygienist in your emergency dentist.
If the tooth is right at the back, and typically your age is 18-25 or more at times, your wisdom tooth may be coming through. You might find it hurts on biting or that you can’t open your mouth wide. The gum at the back maybe swollen and growing over the tooth.
Treatment: Cleaning, may need antibiotics/extraction if severe or recurrent or causing other problems.
Note that the picture below. The red arrow points to the gum which is swollen. this is the most common are of pain. The gum sometimes swells up and seems to grow over the tooth. Typically the area will become tender to bite on. The black arrow is food getting trapped on the top of the wisdom tooth. This causes decay in the wisdom tooth and the tooth in front of it. It would be a shame to loose both teeth as a result of this, so it is important to come in for an assessment to minimize damage as soon as possible.
Are your Wisdom Teeth causing you pain?
Wisdom tooth pain can be pretty unbearable and can occur out of nowhere. It can be very painful and unexpected and can cause swelling to the affected area.
If you’re in an emergency situation and need something doing about it we can help you, we offer a 24 HOUR EMERGENCY HELPLINE, including all weekends and bank holidays. We have extracted many wisdom teeth in emergency situations and will always try and resolve the pain that patients are going through. In the instance that we are unable to extract the tooth, we will refer patients on the same day to either the Birmingham Dental Hospital or Manor Hospital for further treatment.
However in the meantime, we have the following advice for patients suffering from Wisdom Tooth Pain:
Clear the infection.
To do this mix a few spoonfuls of salt with warm water and thoroughly rinse out your mouth repeatedly. This will wash out the infection and reduce pain.
If you seek help from an emergency dentist they may try and wash out the infection, by using antiseptic mouthwashes and syringing out the infection.
To reduce the swelling use ice wrapped in a towel. This will help reduce the pain.
You should also take painkillers to ease the pain, such as Paracetamol or Ibuprofen (always read the label first and only if you are not allergic to any of these)
In an emergency you can try to numb the pain with over the counter medicines such as Orajel. However this is only advice if the pain is very severe and you should still call our emergency dentist ASAP.
If you have problems breathing or swallowing you should call 999 A&E as this can be very dangerous as it maybe that the swelling from your wisdom tooth is blocking your airway.
Tooth Has Come Out (trauma)
An Avulsed Tooth is when a tooth has completed displaced from its socket in alveolar bone, owing to trauma.
If a tooth is avulsed, you must make sure that it’s a permanent tooth, as primary teeth should not be replanted.
You Must Follow This Guide When In This Situation:
The patient should be kept as calm as possible
Find the tooth that’s been knocked out. Pick the tooth up by the white part, which is known as the crown. Avoid physically touching the root.
If the tooth is dirty, briefly wash it for about 10 seconds under cold running water and re-position it. Encourage the patient/parent/partner/friend to replant the tooth.
Bite down onto an handkerchief to kept the tooth in position.
If this is not possible, place the tooth in a suitable storage container, e.g. a glass of milk. The tooth can also be transported in the mouth, keeping it between the molars and the inside of the cheek. However, if the patient is very young, you shouldn’t do this in case they swallow it, therefore it is advisable to get the patient to spit in a container and place the tooth in it. Avoid storage in water!Then seek Emergency Dental Treatment Immediately.
Bridge or a crown has fallen out
When a bridge or crown comes out, what we must first think about is: Why did it come out?
The glue stopped working
This is the best situation because it is simply a matter of sticking it back in. When we stick the bridge or crown back in, we need to make sure that the tooth and crown / bridge is dry and clean so that the glue works as well as possible. Treatment: Glue it back in by your emergency dentist.
It’s not fitting well
The crown or bridge needs to be well fitting to the tooth that it is supported by. The tighter the fit and the more physical support that the tooth underneath offers, the better the crown or bridge will last.
Treatment: To make a new crown / bridge if possible by your emergency dentist.
The tooth underneath is too weak or broken
You need enough height and width of the tooth to support a crown or bridge (approx 2mm). The longer the bridge, the more strength the supporting teeth will need. Many times we see the tooth underneath has sheared off and broken and cannot be glued back on.
Treatment: To make a new crown / bridge if possible by our emergency dentist.
It’s catching on the bite
When there is too much force on the crown / bridge, for example it catches when you are eating or grinding your teeth, it will come off.
Treatment: To adjust the biting surface of the crown / bridge or make a new one by your emergency dentist.
If your Denture has broken or is slightly cracked in a certain area the best option for you would be: Visit our Emergency Dentist – The dentist can then send it back to the lab for repair work and to fix the denture. Sometime we need to take an impression (mould) of your teeth so that we can put the pieces back in the right place.
Getting a New Denture – Consider getting one that’s made of a better material, for example a Metal Cobalt Chrome Denture or one made of High Impact Acrylic.
Loose dentures can be a common problem for many people. There are many reasons why they can become loose, here are just some of them reasons:
- It could be that there was a problem with impressions, measurements taken or even the bite.
- Bone resorption when the gums no longer have to hold teeth in place the body then tries to reclaim bone mass after the teeth are lost, which causes the bone supporting your teeth that now supports the dentures.
- Dentures may be too large and therefore require trimming down, by a dentist.
- Everyday wear and tear your dentures can physically go out of shape leaving them loose and uncomfortable.
If you fail to take good care of your dentures, or have general poor oral hygiene, because of damage to the false teeth themselves or infection and bleeding of the gums where the dentures fit, implications can be significant.
Solutions to loose dentures:
There are many on the market and they all work well if your dentures are slightly loose, they work like a glue and are very effective. For example Poligrip is a form of denture adhesive.
Has your brace wire snapped off causing it to jab into the side of your cheek or gum? The best thing to do firstly would be:
- To try and push the wire back into place using the eraser end of a pencil (be careful). If this doesn’t work then place a small cotton ball or the orthodontic wax you get from your dentist for your braces, and cover the end of the wire that is sticking out.
- You should never attempt to cut the wire yourself as this can be a choking hazard! When left untreated, ulcers and infections can form.
- However, you can’t always get into you orthodontist in time to get the problem fixed. If you cant then call us.
- Our emergency dentist can see you and cut or smooth off the sharp bit so that it doesn’t cause complications, or we may be able to replace the wire or refix the item perfectly so that you can be comfortable.
Dry Socket /”Acute Alveolitis”
Dry socket happens about 10% of times after we take teeth out. It is essentially an infection of the socket and may happen even if you follow all of the instructions about how to prevent complication. If you get a “dry socket”, you might get a bad taste in your mouth or the pain may be getting worse over time, call us as you may need to get it cleaned and maybe get some antibiotics from our emergency dentist.
Many people start taking painkillers such as codeine when they get a toothache. In general we always advise Paracetamol and Ibuprofen (always read the label). You can maximise the dose of both, but avoid ibuprofen if you have asthma/ allergies and the risk of a stomach ulcer (if overdosed) means that even when you have it with meals there is still a serious risk. The best thing is to get the proper treatment done before the pain gets too bad.
If you’re the type of person who really dislikes going to the dentist for whatever reason it may be, fear not – you’re certainly not alone! You don’t have to dodge the reminder phone calls telling you that you’re due a checkup, especially not when we can help get you through it with peace of mind. We understand that people can get very nervous when coming for any sort of treatment to the dentist and that’s why we like to take it into consideration. Why hide away? We will do everything we can to make the experience as calming as possible, so that you feel at ease when coming to the surgery.
At times some may feel a little embarrassed about this feeling but there’s really no need, as we all can feel a little apprehensive at times.There are plenty of different techniques that can be used to help nervous patients. From using chemical sedation’s, topical anaesthetics to psychological methods that don’t carry any side effects! The typical psychological methods could include listening to calming music whilst getting the treatment done, bringing your own earphones so that you listen to music, also the dentist showing you what equipment will be used prior to carrying out the treatment so that nothings new to you and you’re aware of the tools that maybe used. There’s an array of options out there to suit individual needs.
Emergency Dentist Prices:
The price of an emergency appointment depends. Subject to availability we follow the following protocol:
Before 8 pm on weekdays: An extraction (each), including free X-rays will be £56.30 unless its a surgical procedure and will cost £104 and Root fillings with crowns start at £263, there will be £10-£30 fee for an emergency appointment irrespective of any treatment a patient opts for.
Out of hours are £30 – £200, you’ll need to call us on 01922 624900 for a quote.
An emergency dentist will see you and tell you your options, including prices. You can then decide which option you wish to go ahead with, if any. Please note that the minimum charge will be £20.60 and out of hours it is £30. This usually includes your emergency dentist consultation and X-rays if required.
Emergency service 24/7
If you need of emergency dental treatment call us on 01922624900. This number is available 24 hours a day, 365 days a year, including Bank Holidays, and weekends. The Dentist provides emergency dental service for over 5000 patients in its most recent year. The service offered is available 365 days a year and we pride ourselves in looking after all our patients and making every effort to stop dental pain in its tracks, in Birmingham. Out of hours charges are £30 – £200
Emergency Dentist Service
To contact us for emergency treatment please call – 01922624900.We cover the following areas with our service:
Park Hall, Walsall
The West Midlands area generally
If you have a problem with your teeth, and you need to be seen urgently, all you have to do is call us and ask us for an emergency dentist appointment.At The Dentist we make sure that everyone has a great service, and proper treatment. We will make sure that we do our best to solve your emergency dental problem.
Emergency Dental Problems – a summary
Any dental emergency such as an abscess can be potentially serious and must not be ignored. This is because leaving a dental problem will risk permanent damage plus it will most likely need further, more extensive and expensive treatment later on.Whilst you wait to get into The Dentist, have a read of the general advice below.
Emergency Toothaches – Rinsing out with warm water is the first thing to try. if there is food stuck between the teeth, you might be able to clear it with dental floss. If there is swelling, relieve it using ice packs. Do not place aspirin or clove oil by the gum because it will burn the gum. See your dentist as soon as possible.
Emergency Lost filling – Some people use an over-the-counter dental cement to fill in the area. This is a good idea as it can reduce sensitivity and prevent the whole from deteriorating/ However, you need to see your Dentist as soon as possible.
Emergency Knocked-out tooth – Save the tooth if you can. Hold it by the crown of the tooth (that’s the bit that you normally see) and rinse off the tooth with water and milk. Do not scrub or unnecessarily touch the root. If possible and safe, and only if it’s an adult tooth, try and put the tooth back into place, but never use force. If you cannot put it back into place, keep it in milk and visit a dentist as soon as possible, ideally within one hour.
Emergency Chipped or broken teeth – Start by rinsing out the area with warm water. If there is bleeding, by placing pressure by biting on gauze for 20 minutes and by sitting upright rather than lying down, you encourage a blood clot to form. Applying a cold compress to the area should reduce and swelling and relieve the pain. See your dentist as soon as possible.
Extruded (partially dislodged) tooth – You must see your dentist as soon as possible. Until then, you can place an ice pack to relieve pain and take painkillers such as Paracetamol and Ibuprofen if needed and safe to do so.
Objects caught between teeth – In an emergency you can use Dental Floss to try and remove the object. If you cannot manage, see your dentist. Whatever you do, don’t try and remove the object using something sharp, such as a pin as you will be more likely to cause pain and swelling to your gums.
Emergency Lost crown or veneer – If the crown (‘cap’) falls off, see your dentist as soon as possible and be sure to bring your crown with you. If possible, slip the crown back over the tooth. Denture adhesive such as polygrip can stick the crown on temporarily but you need to be careful not to swallow or aspirate the crown or veneer. Before doing so, coat the inner surface with an over-the-counter dental cement, toothpaste, or denture adhesive, to help hold the crown in place. Do not use super glue!
Emergency Broken braces wires – If your brace wire were to break and it’s sticking out and jabbing into your cheek, tongue, or gum, don’t try and cut it down yourself as you could end up accidentally swallowing it. Instead a good tip would be to get the eraser end of a pencil and try push the wire yourself into a more comfortable position. If this fails to work then we would advise covering the end with orthodontic wax, a piece of gauze or a small cotton ball until you can get to see a professional.
Loose brackets and bands – To help with a loose bracket or band, we advise reattaching the loose braces with a small piece of orthodontic wax, as a temporary precaution. Alternatively, place the wax over the braces to provide a cushion. Then seek help from your orthodontist as soon as possible. If you have a loose band, save it and call your orthodontist for an appointment to have it re-cemented or replaced (and to have missing spacers replaced).
Abscess – Abscesses are infections that occur around the root of a tooth or in the space between the teeth and gums. Abscesses can damage tissue and surrounding teeth, with the infection possibly spreading to other parts of the body if left untreated. So it’s best to seek help as soon as if you discover a pimple-like swelling on your gum that is causing you pain.In the meantime try rinsing the mouth with a mild salt water solution (1/2 teaspoon of table salt in 8 ounces of water) several times a day.
Soft-tissue injuries – Injuries to the soft tissues, which include the tongue, cheeks, gums, and lips, can result in bleeding.
To control the bleeding in an emergency, here’s what to do:
Rinse the mouth with a mild salt-water solution.
Use a moistened piece of gauze or tea bag to apply pressure to the bleeding site. Keep here for at least 15 to 20 minutes.
To both control the bleeding and relieve pain, hold a cold compress to the outside of the mouth or cheek in the affected area for about 5 to 10 minutes.
If the bleeding fails to stop then we’d advise seeing a dentist straight away or go to a hospital emergency room. Continue to apply pressure on the bleeding site with the gauze until you can be seen and treated.
Looking for an emergency dentist near me ?
For Toothache or Dental Emergencies call us on 01922 624 900, we are available 24 hours a day helpline including all weekends and bank holidays.Our 24 HOUR EMERGENCY HELPLINE is available 365 days a year, including ALL weekends and bank holidays. We deal with many emergency patients who are in severe pain/agony and will do our very best to help each and every one of you, get out of pain. We treat our emergency patients no different, in that we will give you the time you need for treatment to ensure you’re out of pain and feeling fit again. We have medication readily available here, for our patients to purchase as well as many dental products that can help you keep your Oral Hygiene up to scratch and in good condition.Don’t just take our word for it, have a read of just some of our amazing reviews:
“I travelled all the way from Warwick for an appointment as I was in severe pain due to an infection. Even though it was a Saturday morning when I called them, they gave me an appointment for the very same day and spent almost an hour taking care of my tooth. The doctor is very knowledgeable and he was very gentle and explained very patiently all the steps taken during the process to me…””Came to the surgery in agony, was given the practices number via NHS 111. I was seen promptly. The dentist was very professional, yet caring. Found my problem and was resolved quickly. After care was superb. Would highly recommend.””Excellent facilities. Excellent dentist. Absolutely excellent service when my son needed treatment late at night. Can’t recommend enough!”
Click on the link below to read more of our reviews:
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To book an Emergency Appointment: CALL 01922624900
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