Dental Emergencies

Emergency Dentists in Pasadena 

Dental emergencies are quite frightening and often painful.  Prompt treatment is almost always required to alleviate pain and to ensure the teeth have the best possible chance of survival.

Sometimes teeth become fractured by trauma, grinding or biting on hard objects.  In other cases, fillings, crowns and other restorative devices can be damaged or fall out of the mouth completely.  If there is severe pain, it is essential to make an appointment with the dentist as quickly as possible.  The pain caused by dental emergencies almost always gets worse without treatment, and dental issues can seriously jeopardize physical health.

Types of dental emergency and how to deal with them

Avulsed tooth (tooth knocked out)

If a tooth has been knocked clean out of the mouth, it is essential to see a dentist immediately.  When a tooth exits the mouth, tissues, nerves and blood vessels become damaged.  If the tooth can be placed back into its socket within an hour, there is a chance the tissues will grow to support the tooth once again.

Here are some steps to take:

  1. Call the dentist.
  2. Pick up the tooth by the crown and rinse it under warm water.  DO NOT touch the root.
  3. If possible, place it back into its socket – if not tuck it into the cheek pouch.
  4. If the tooth cannot be placed in the mouth, put the tooth into a cup of milk, saliva, or water as a last resort.  It is important to keep the tooth from drying out.
  5. Get to the dentist, quickly and safely.

The dentist will try to replace the tooth in its natural socket.  In some cases, the tooth will reattach, but if the inner mechanisms of the teeth are seriously damaged, root canal therapy may be necessary.

Lost filling or crown

Usually, a crown or filling comes loose while eating.  Once it is out of the mouth, the affected tooth may be incredibly sensitive to temperature changes and pressure.  Crowns generally become loose because the tooth beneath is decaying.  The decay causes shape changes in the teeth – meaning that the crown no longer fits.

If a crown has dropped out of the mouth, make a dental appointment as soon as possible.  Keep the crown in a cool, safe place because there is a possibility that the dentist can reinsert it.  If the crown is out of the mouth for a long period of time, the teeth may shift or sustain further damage.

When the dentist is not immediately accessible, here are the steps to take:

  1. Apply clove oil to the tooth to alleviate pain.
  2. Clean the crown and affix it onto the tooth with dental cement.  This can be purchased at the local pharmacy.
  3. If the crown is lost, smear the top of the tooth with dental cement to alleviate discomfort.
  4. DO NOT use any kind of glue to affix the crown.

The dentist will check the crown to see if it still fits.  If it does, it will be reattached to the tooth. Where decay is noted, this will be treated and a new crown will be made.

Cracked or broken teeth

The teeth are strong, but they are still prone to fractures, cracks and breaks.  Sometimes fractures are fairly painless, but if the crack extends down into the root, it is likely that the pain will be extreme.  Fractures, cracks and breaks can take several different forms, but are generally caused by trauma, grinding and biting.  If a tooth has been fractured or cracked, there is no alternative but to see the dentist as quickly as possible.

Where a segment of tooth has been broken off, here are some steps that can be taken at home:

  1. Call the dentist.
  2. Rinse the tooth fragment and the mouth with lukewarm water.
  3. Apply gauze to the area for ten minutes if there is bleeding.
  4. Place a cold, damp dishtowel on the cheek to minimize swelling and pain.
  5. Cover the affected area with over-the-counter dental cement if there is no way to see the dentist immediately.
  6. Take a topical pain reliever.

The nature of the break or fracture will limit what the dentist is able to do.  If a fracture or crack extends into the root, root canal therapy may be the only effective way to retain the tooth.  In the case of a complete break, the dentist will usually affix the fragment back onto the tooth as a temporary measure.

Dislodged/loose teeth

When a tooth has been dislodged or loosened from its socket by trauma or decay, it might be possible to save it.  If the tooth remains in the mouth and attached to the blood vessels and nerves, there is a good chance root canal therapy will not be necessary.

It is important to call the dentist immediately to make an appointment.  In the meantime, use a cold compress and over-the-counter medications to relieve pain.  The dentist will reposition the tooth and add splints to stabilize it.  If the tooth fails to heal, root canal therapy may be required.

Contact Our Emergency Dentists Immediately

If you have questions or concerns about dental emergencies, please contact our nearby dentists serving the greater area of Pasadena, Sierra Madre, Arcadia and Monrovia.

Testimonials.

Read what people are saying about us.

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Testimonials

Love this practice! I had a recent exam at Pasadena Smiles and was in need of a crown. I was referred to Dr. Koutchek for an earlier appointment. She was so warm and friendly and worked to make sure that I was well taken care of. She is very gentle and has an excellent bedside manner. The crown she placed looks completely natural and fits perfectly. I was so impressed with her work! The front office staff and dental technicians are all super helpful and friendly! Would highly recommend this practice. Thanks again!

Crystal A.

This review is for Dr. Koutchek, Krystal and April.

Let me start off by saying that I am absolutely terrified of the dentist. I'm sure most people are too but I was so traumatized by an experience I had when I was a teenager/early 20's that I haven't been back to see a dentist in a while. Needless to say my teeth were bad. I mean REALLY bad. I needed a re-treat on a root canal, a couple crowns, fillings and a deep cleaning. So as you can imagine I was not only scared but incredibly embarrassed to see a dentist after so long.

So after putting off seeing a dentist for so long and part of one tooth missing, which was so painful I had no choice but to go in. I mean, orajel and Tylenol weren't even taking the edge off anymore. I knew it was time to bite the bullet and find a new dentist.

When I walked in I was so nervous. I hadn't been to a dentist in so long I didn't know what to expect. When I was called into the office I told April how bad my teeth were and not to judge me before I even opened my mouth. But she assured me that I was going to be okay and that I would be cared for like family. Since I hadn't seen a dentist in so long I hadn't even thought about dental insurance and coverage. But April was so helpful talking to me about all the different insurances and also told me that if I don't have insurance that the doctor would offer me insurance prices until I could get dental insurance!!! What a relief!

I was then seated by the sweetest assistant, Krystal! She then took some xrays of my mouth and talked with me for a short while until Dr. Koutchek came in. And let me say, Dr. Koutchek is the most gentle and kind dentist I've ever met!!! She made me feel so at ease about my current oral situation. She told me that my tooth that was hurting needed a root canal and then a crown but that it was smart of me to come in before it got worse! So we worked out a game plan to get all my work done before the end of next year and allowed me to pay for my crown half that day and half during the crown delivery in 2 weeks!!!

My root canal was so smooth and pain free I was surprised she even did anything!!! I couldn't feel a thing!!! What a blessing! And Krystal was so kind and supportive to me! I can't stress how caring and wonderful this office is and how professional they are.

All I can say is that the staff here are absolutely FANTASTIC!!!! Super-friendly, non-judgmental and excellent at what they do. I couldn't have asked for a better experience. I have definitely found my go to dentist from now on. Thank you so much ladies. From the bottom of my heart.

Kiki W.

I have been a bit traumatized in the past with other dentists in LA. I am so happy that a friend turned me on to mission dental. Not only is their office spotless ( I'm a bit of a clean freak) but they're SO gentle. I was always terrified of cleanings and x-rays, because past dentists would be so abrasive but Dr. Koutchek and her assistant were both so gentle. It was such a pleasant experience.
I'm not one for too many reviews, but since I've had such a hard time finding an affordable (I don't have dental coverage), gentle care, a friendly, helpful stuff and a knowledgeable doctor I had to post.
I highly recommendation Mission Dental. I'm excited to go back!

Christina A.

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Contact Us. We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.