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What should I do in case of a dental emergency?

What Is a Dental Emergency and What to Do Next

TL;DR: A dental emergency is any oral health problem that requires immediate attention to stop pain, control bleeding, or prevent serious infection—knowing how to respond quickly can make the difference between saving or losing a tooth.

types of dental emergencies

Why Dental Emergencies Matter

Dental emergencies can happen when you least expect them—whether during a soccer game, while eating dinner, or even in your sleep. Some situations are life-threatening, while others may not be as urgent but still require timely treatment to prevent long-term damage.

The American Dental Association (ADA) defines a dental emergency as a condition that is “potentially life-threatening and requires immediate treatment to stop tissue bleeding, alleviate severe pain, or manage infection”.

Understanding the difference between urgent and non-urgent problems—and what steps to take—can help you protect your oral and overall health.


Types of Dental Emergencies

Life-Threatening Emergencies

These require immediate care and may warrant going directly to the hospital ER or calling 911:

  • Uncontrolled bleeding (from trauma, accident, or gum disease)
  • Severe facial or oral swelling that makes breathing or swallowing difficult
  • Infections that spread to soft tissue of the face or neck
  • Trauma involving facial bones or potential airway obstruction

Urgent but Non-Life-Threatening Emergencies

These problems aren’t usually life-threatening but still require prompt attention from your dentist:

  • Severe tooth pain from decay, infection, or abscess
  • Knocked-out, loose, or displaced teeth
  • Chipped, cracked, or broken teeth causing pain
  • Lost fillings, crowns, or dental restorations
  • Objects stuck between teeth or gums
  • Painful wisdom teeth or post-surgical complications (like dry socket)
  • Broken orthodontic wires or appliances poking into cheeks or gums

Common Causes of Dental Emergencies

While some emergencies result from pre-existing conditions, many occur suddenly from accidents or lifestyle habits. Common causes include:

  • Tooth decay and gum disease left untreated
  • Contact sports without a mouthguard
  • Car accidents or falls
  • Chewing hard foods (like ice, popcorn kernels, or hard candy)
  • Using teeth as tools (opening bottles, cutting tape, biting nails)
  • Jaw disorders (TMJ issues or jaw locking)

Preventive dental care and safe habits greatly reduce these risks.


How to Handle Common Dental Emergencies

1. Toothache

Tooth pain can signal anything from a lodged piece of food to deep infection.
What to do:
– Rinse with warm saltwater to soothe gums.
– Floss gently to remove debris.
– Take over-the-counter pain relievers (acetaminophen or ibuprofen).
– Apply a cold compress if swelling occurs.
🚫 Don’t place aspirin directly on the gum—it can burn tissue.

See also  How can I tell if I’m at risk for gum disease?

If pain persists more than a day or is severe, see your dentist right away—especially if you notice swelling, fever, or pus.


2. Knocked-Out Tooth

A knocked-out tooth is one of the most urgent emergencies. Acting fast—ideally within 30 minutes—can save the tooth.
What to do:
– Find the tooth and handle only by the crown (not the root).
– If dirty, rinse gently with milk or saline. Do not scrub.
– Try to reinsert the tooth into the socket, holding it in place with gentle pressure.
– If not possible, store in a container of milk, saliva, or an emergency tooth preservation kit (never in tap water).
– Get to a dentist immediately.

Baby teeth should not be reinserted. Instead, call your child’s dentist.


3. Chipped, Broken, or Cracked Tooth

Minor chips aren’t always urgent, but cracks or large breaks can lead to infection.
What to do:
– Rinse mouth with warm water.
– Save any pieces and bring them to your dentist.
– Apply a cold compress for swelling.
– Cover jagged edges with dental wax (available at drugstores) to protect your tongue or cheek.

See your dentist promptly—even small fractures can worsen without treatment.


4. Dental Abscess or Infection

An abscess is a pocket of pus caused by infection, often resulting in severe pain, swelling, or fever. Left untreated, it can spread quickly.
What to do:
– Rinse with mild saltwater.
– Apply a cold compress to reduce swelling.
– Take over-the-counter pain medication if needed.
🚫 Do not attempt to pop or drain the abscess yourself.

Seek immediate care. Infections can spread to the jaw, head, or even bloodstream, posing serious risks.


5. Lost Filling, Crown, or Dental Restoration

If a filling or crown falls out, the exposed tooth can become very sensitive.
What to do:
– Save the crown or restoration if possible.
– Temporarily cover the area with dental cement, sugar-free gum, or wax (available at drugstores).
– Avoid chewing on that side.

Contact your dentist for repair as soon as possible.

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6. Orthodontic Emergencies

Loose wires or brackets from braces can irritate gums or cheeks.
What to do:
– Use orthodontic wax or cotton to cover sharp edges.
– Trim a poking wire with sterilized nail clippers if necessary.
– Call your orthodontist for further guidance.


7. Soft Tissue Injuries (Lip, Tongue, or Cheek)

Mouth tissues bleed easily but usually heal quickly.
What to do:
– Apply gentle pressure with gauze or a clean cloth to stop bleeding.
– Use a cold compress for swelling.
– Rinse with warm saltwater or diluted hydrogen peroxide to keep the area clean.

Seek care if bleeding does not stop after 15–20 minutes, or if the cut is deep.


Prevention: How to Avoid Dental Emergencies

Wear a mouthguard when playing sports.
Use your seatbelt and car seats for children.
Avoid chewing hard objects (ice, pens, fingernails).
Don’t use teeth as tools to open packages.
Maintain regular checkups so problems are caught early.
Practice excellent oral hygiene: brush twice daily, floss once daily, and use fluoride toothpaste.


What To Do If You’re Unsure

If you’re not sure whether your situation qualifies as a dental emergency: call your dentist. Dental teams can assess over the phone and help decide whether you need to come in immediately or if it can wait.

If you have swelling, fever, or uncontrolled bleeding, or if breathing or swallowing is difficult, go straight to the ER.


Final Thoughts

Dental emergencies can be overwhelming, but knowing how to respond makes all the difference. Quick action can relieve pain, prevent serious infection, and even save a tooth.

At Designing Smiles in Roseville, MN, we’re here to guide you through urgent situations with compassionate care. If you or a loved one experiences a dental emergency, don’t wait—call us right away so we can help protect your smile and your health.

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Schedule an Appointment Today

If you are looking for a new dental home for your family, we know you will find it at Designing Smiles. Located in Roseville, we  serve patients from the surrounding communities, including Arden Hills, Shoreview, New Brighton, St. Paul, and Minneapolis. Contact us online or give us a call at (651) 636-2143.
Schedule an appointment

Schedule an Appointment Today

If you are looking for a new dental home for your family, we know you will find it at Designing Smiles. Located in Roseville, we  serve patients from the surrounding communities, including Arden Hills, Shoreview, New Brighton, St. Paul, and Minneapolis. Contact us online or give us a call at (651) 636-2143.
Schedule an appointment
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