Emergency Tooth Extractions

If you have a toothache, it is a clear sign that there is something wrong. It may be something as minor as a cavity that needs filling. But it could be a sign of something more serious, like an infection that needs immediate attention. If there is any doubt, remember that OnCall Dental in Fresno is here, 24/7.

Our impulse is always to try to save your tooth. But an extraction may be unavoidable. This is especially true if you have wisdom teeth coming in. Wisdom teeth are the most common extractions.

When wisdom teeth become inflamed it could be a sign of pericoronitis. Most often, this is caused by a bit of food that gets trapped beneath the gums. Food debris is easily caught beneath partially-erupted wisdom teeth.

In other cases, teeth need to be pulled because of severe decay, disease, or trauma.

We will also do our best to keep you comfortable during the procedure. It’s common for patients to feel at least a little uneasy at the prospect of having a tooth extracted. Let us know if you fall into that category. We have sedation dentistry options that can get you through your procedure without needless stress.

If we extract one of your teeth, there are going to be changes in your mouth. We will have instructions for you afterward, in order to promote healing and prevent complications.

In most extractions we place a gauze pack on the socket to help a blood clot form. Do not chew on it! You’ll need to leave it in place for about forty-five minutes. We’ll supply you with some fresh gauze to replace the initial gauze pack.

Also:

  • Do not clean your teeth around the healing socket for at least 24 hours
  • Brush the rest of your teeth, however
  • Gently rinse out your mouth with warm sal water after eating
  • Do not use mouthwash
  • Take pain medication only as we  direct
  • Swelling and pain are normal; an ice pack can help
  • Avoid hot liquids and alcohol
  • Don’t use a straw

If you have any issues like fever, nausea or vomiting afterward, call us right away. In most cases you’ll be able to eat solid foods by the next day, although you must chew carefully, and not on the extraction site.

At OnCall Dental in Fresno we specialize in emergency dentistry, including extractions. We are here seven days a week, twenty-four hours a day. Walk-ins are always welcome.


Knockout: A Dental Emergency

Teeth can be knocked out in many different ways: an accidental elbow to the mouth, a fistfight, or a fall at home are among the more common causes. However it happens, a knocked out tooth is a dental emergency, and you should go directly to OnCall Dental in Fresno for treatment.

When a tooth is knocked out, time is of the essence. If it can be treated within an hour or so, the chances of saving the tooth are very good.

That depends, of course, on the condition of the tooth, and the condition of the patient’s jaw. The most important thing is to keep the tooth moist. A common piece of advice is to place it in some milk. But a carton of milk isn’t always going to be available.

It’s just as effective to put the tooth into some kind of protective container, and spit on it. A cup or a baggie will do just fine. Handle the tooth with care, and do not touch the root. If there are tooth fragments, gather them up.

If the tooth is intact and moist, and if you get to OnCall Dental quickly, there’s a good chance it can be saved. While walk-ins are always welcome, it’s a good idea to phone ahead so we can be ready for your arrival.

Once you’re in the chair, a dentist will clean out any debris from the socket and then try to place the tooth back in it. If the tooth is intact then the chances of success are good. There are no guarantees, of course: positioning it correctly can be difficult. But sometimes it can be a straightforward process.

There are no two ways about it: a knocked out tooth is a genuine dental emergency. At OnCall Dental in Fresno, emergency dentistry is our specialty, as are dental implants. We are here seven days a week, twenty-four hours a day. No appointment is necessary.


Emergency Root Canals

Most people do not think of a toothache as a dental emergency. Painful, yes; even inconvenient, especially when it happens on the weekend, when most dental office are closed. But an emergency? No way. When it’s your toothache, though, the sense of urgency grows. And if the tooth is abscessed, it could require an emergency root canal from OnCall Dental in Fresno.

An abcessed tooth is when a tooth’s nerve has become infected. The most common cause of this is a cavity that has gone untreated, and spreads deep into the tooth.

But cavities aren’t the only cause. A tooth can become abcessed after it cracks or breaks, and the nerve (dental pulp) is exposed. Bacteria can get in and cause infection to spread down the roots and into the bone tissue.

Infection can also happen between the gums and the tooth root. This is known as a periodontal abscess.

A root canal can correct this issue. We know from experience that the words “root canal” can strike fear into the bravest of hearts, because they are associated with great pain. But the facts are this: with modern dentistry, root canals are painless. In fact, since they fix an abscessed tooth, root canals don’t cause pain, they relieve it.

Sedation dentistry is always an option. We offer nitrous oxide and oral conscious sedation.

With a root canal, we removed the damaged pulp, and then fill and seal the tooth with a crown. The root may be gone, but the tooth has been saved, and with proper care should last for many years to come.

At OnCall Dental in Fresno we specialize in emergency dentistry, including root canals. We are here seven days a week, twenty-four hours a day. Walk-ins are always welcome.


Toothache Relief

There is never a good time to have a toothache. The sensation can be anything from a dull ache to sharp pain. It might be throbbing and persistent, or only there when you bite into something. You may need immediate attention, and if you do, OnCall Dental in Fresno is your go-to resource.

The most common causes of toothache pain include the following:

  • Tooth Decay. The most common cause of a toothache, by far, is tooth decay. That means a cavity, or a whole in the enamel of the tooth. Once tooth decay reaches the middle layer of a tooth, it causes increased sensitivity to touch and temperature.
  • Pulpitis. Another common cause of toothache pain is pulpitis. This is when the pulp at the center of a tooth has become inflamed and irritated. If it is reversible, we can do a drill-and-fill. If it isn’t, then a root canal is probably in order.
  • Abscess. When bacteria builds up inside a tooth’s pulp chamber and becomes infected, it causes an abscess.  The infection tries to drain itself out of the tip of the tooth root. The pressure associated with it can be very painful. Once again, a root canal may be in order.
  • Impacted tooth. This means a tooth is unable to move into its proper positiion in the mouth. It happens because other teeth or bone is in the way. The most common teeth to become impacted are the wisdom teeth, which for most people come in in the late teens or early twenties. An extraction is usually in order.
  • Sensitive Teeth. This usually means that your teeth are extra-sensitive to temperature. You don’t have a toothache in the usual sense. Fluoride treatment and brushing with sensitive-teeth toothpaste can alleviate the pain. Most toothpaste brands have a line of sensitive teeth pastes.

If you have a toothache, there is no reason to wait for your regular dentist. At OnCall Dental in Fresno we treat toothache pain, and we’re here seven days a week, twenty-four hours a day. Walk-ins are always welcome.


Do I Have A Dental Emergency?

If there is a sudden problem with your teeth, the first thing you should do is call your dentist to see if you can get in for treatment right away. But dental problems have a way of happening when your dentist isn’t available. At such times, remember OnCall Dental in Fresno.

Walk-ins are always welcome here, and we will be happy to help you. But it’s important to remember that not every situation is going to be a genuine emergency.

If your teeth are giving you pain, here are some things to think about as you gauge how serious your situation is.

  • Is there bleeding? If you are bleeding from the mouth, and you cannot control it, that’s a big red flag. Head in to our office.
  • How bad is the pain? Is your pain severe? Is it the result of an accident, or is there an infection? Severe pain is another red flag that you’ve got a genuine emergency.
  • Are there any loose teeth? Even if there isn’t any pain, a loose tooth is a sign that there is a serious problem.
  • Did you lose a tooth? If you’ve had a tooth knocked out, there is no question: you have a dental emergency. The sooner you get treatment for it, the better the chances that the tooth can be saved. Time is of the essence.
  • Is there an infection? An infection, too, is definitely an emergency situation. An abcess or serious infection can even be life-threatening. It may be accompanied by swelling of the face, or knots on the gums.

Any of the above symptoms can safely be categorized as a dental emergency. OnCall Dental in Fresno is here for you.

Some things, though, are not emergencies. They may be a little frightening, but you should not have a sense of urgency.

  • Chipped teeth. If there is no pain, you can wait a day or so before getting treatment. If, however, there are sharp fragments where the chip is, or if it really hurts, consider it an emergency.
  • Lost Crown or Filling. These, generally, are not emergencies. If a crown has come off, use over-the-counter dental cement to put it back in place until you can see your dentist. You can also use denture adhesive. Do not, however, use an adhesive like super glue. If a filling has come out and it’s bothering you, a good trick is putting sugarless gum in the cavity until you get to the dentist.
  • A toothache. We know that toothaches are no fun, but provided the pain isn’t severe, it does not need immediate attention. If there is severe pain, or if there is swelling in your face, a high fever, or bumps on your gums, it is definitely an emergency situation. Head to OnCall Dental.

OnCall Dental in Fresno sees dental emergencies on a daily basis. Walk-ins are always welcome, but you can also make an appointment. We are here 24/7.


Chipped or Broken Tooth: What To Do

Your teeth are among the strongest parts of your body, but they are not invincible. A fall, a collision, or any number of other accidents can result in a chipped or broken tooth. If it happens to you or a loved one, contact OnCall Dental in Fresno right away.

If a tooth chips or breaks, it may not hurt. It’s a serious matter, but if it doesn’t hurt it doesn’t usually require immediate attention. Even if there isn’t any pain, you’re probably going to feel some sharp edges with your tongue. It’s important that you avoid that area when you chew, because chewing might chip it some more. We may be able to smooth out the chip and repair any damage with composite filling.

If your tooth is giving you pain, call us immediately. There could be a serious crack or fracture, with accompanying damage to the inside of the tooth. The sooner you get into the OnCall Dental office, the better. In severe cases it is not always possible to save the tooth.

There are some things you can do before you get to the office:

  • Clean your mouth thoroughly with warm water, swished gently
  • Apply a cold compress to your face to minimize swelling
  • Take a pain reliever with acetaminophen (don’t take aspirin). Brands with acetaminophen include Tylenol, Alka-Seltzer Plus, and NyQuil, but there are many others.

Once you’re here, we will probably take an x-ray. If there is damage to the tooth’s pulp a root canal may be in order. If not, the tooth may only need a crown.

If you have a chipped or broken tooth, take nothing for granted, even if there is no pain. OnCall Dental in Fresno treats dental emergencies on a daily basis. Walk-ins are always welcome, but you can also make an appointment. We are here 24/7.


Bite Your Tongue? Here’s What To Do

It can happen at home or at the office, but it’s most common when you’re participating in sports: biting down on your lip or tongue, and hurting yourself. If it happens to you, head to OnCall Dental in Fresno as soon as you can.

Injuries like this can result in a lot of bleeding. That’s because the mouth has such an excellent blood supply. It doesn’t necessarily mean the injury is more severe than you thought. In fact, the mouth’s great blood supply facilitates healing.

One of the first things you should do if you have a bitten lip or tongue, or see someone who has one, is to try to control the bleeding. Firm pressure on the wound is the first line of defense. Just be sure you use a clean piece of cloth or gauze. If it doesn’t stop soon, keep the pressure on and call 911.

If you’re able to get the bleeding to stop, the next thing to do is apply a cold compress to the the wound. That will help with any swelling. Don’t apply ice or a cold pack directly to the wound, or two the outside of the mouth. Instead, wrap it up in cloth. Your shirt will do. Applying it directly could cause skin damage.

Examine the wound for any debris. There is likely to be some if the injury is the result of a fall. Gently clean it out, but if it’s stuck, don’t try to force things. Leave that to us.

Remember that at OnCall Dental in Fresno, we handle dental emergencies, including bit tongues and lips, on a regular basis. Other urgent dental care includes toothache relief. You don’t need an appointment; walk-ins are always welcome. We are here 24/7.


You Might Laugh: Sedation Dentistry

At OnCall Dental in Fresno, we handle a wide varity of urgent dental situations. From weekend warriors who lost a tooth on the playing field to the kid with the severe toothache in the middle of the night, we have pretty much seen it all, and treated it all.

In many cases, patients arrive here in great pain, and are facing painful treatment. Sedation is frequently necessary to treat them quickly, efficiently, and without pain.

One of the most common forms of sedation dentistry is nitrous oxide, better known as laughing gas. It is often described as light sedation, probably because it does not put you to sleep. But nitrous oxide is enough to make most patients feel very relaxed. They may not actually laugh, but in most cases they are able to undergo treatment.

Did you know that nitrous oxide has been used in dentistry for more than a hundred years? It’s true. That’s probably because it is so safe and, above all, effective. It takes effect quickly, wears off quickly, and for the majority of patients, there are no side effects. A minority experience headaches, nausea, shivering, or sweating.

Nitrous oxide is administered through a mask, and is actually a mixture of nitrous and oxygen. It is so safe that it is the sedation method of choice for treating children who are anxious about seeing the dentist.

Remember that at OnCall Dental in Fresno, we handle dental emergencies on a routine basis. They include toothache relief and extractions. You don’t need an appointment; walk-ins are always welcome. We are open 24/7.


Knocked Out Tooth? No Time to Lose!

There are lots of ways a tooth can get knocked out: from playing contact sports, on the playground, in a bicycle crash, or just roughhousing at home. No matter the cause, a knocked out tooth is an emergency situation, and if it happens, you should make a beeline to OnCall Dental in Fresno.

Of course, when a tooth gets knocked out it is unexpected. There is probably going to be blood, maybe even a lot of blood. There will be pain, too, and shock. It’s important that you keep calm, because time is of the essence.

This is critical: you must act quickly. The chances of having a tooth successfully put back into your jaw decrease sharply after about half an hour.

The first thing to do is locate the knocked out tooth, and make sure you find any fragments. Depending on how it happened, fragments may be on the ground, in your clothing, or in the clothing of a teammate or opponent. A fragment could even be in someone’s hair.

Do not pick the tooth up by the root. Rinse it gently, taking care not to scrub it, then put the tooth back in the gap from where it was just knocked out. If that hurts too much, put it into a small container or wrap it in plastic with a little milk to keep it moist. Milk has proteins that keep a steady acid-to-alkaline ratio. But don’t waste time looking for a carton, if one isn’t handy. You can always moisten it with spit.

By now you should be headed toward OnCall Dental, where we will make every effort to place it back in your jaw. It bears repeating that the sooner we get to it, the better. Blood vessels and other surrounding tissue have also been damaged, and a root canal may be necessary somewhere down the road. Even so, the tooth can take root and be saved.

Remember that at OnCall Dental in Fresno, we handle dental emergencies on a routine basis. You don’t need an appointment; walk-ins are always welcome. We are open 24/7.


Stuck! Dental Emergency in Fresno

Not all foods are created equal, and some have greater tendency than others to get stuck between your teeth. Is there a better example than popcorn? When you get food stuck between teeth, there are some things you should definitely not do, and some things you can do, up to and including seeing us at OnCall Dental in Fresno.

First things first: never, repeat never, use metal tools to get something, food or otherwise, that is wedged between your teeth. It might seem like a good idea. Something like, say, a pocketknife is thin, rigid, and with a pointed end. But you run a huge risk of scraping tooth enamel, or damaging your gums, or both.

Your best bet is to try getting the object unstuck with your tongue. Even then, take care. If it doesn’t come out right away, stop. A better trick is to swish a little water around in your mouth to try loosening it.

Another trick you can try involves a toothpick. Carefully place a toothpick between the two teeth where the piece of food is stuck. Gently push it in enough so that it stayed in place, and then wait for a few minutes. The teeth should move, ever so slightly. Give the toothpick one more little nudge. Then remove the toothpick and try dental floss.

But it bears repeating: do not use any metal tools. And while we’re at it, don’t use force, either. Better to make a beeline to OnCall Dental in Fresno. You don’t need an appointment; walk-ins are always welcome. We provide emergency dental care, including toothache relief, and are open 24/7.