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Emergency Dentistry

Emergency Dentistry

If the worst should happen and you need emergency dental treatment for a lost tooth, a cracked tooth, abscess, or severe toothache, then there are emergency dentists in our network who can help you.

Patients registered with a local dentist can phone the surgery during office hours and they should be able to give you an emergency appointment for emergency treatment that day, while out of hours there will be information on what to do for 24-hour dental treatment on their answer phone.

Dental practices make their own arrangements for emergency dental treatment, but they will usually provide advice and treatment if you call before 5pm on weekdays and between 9am and 1pm on weekends.

Please remember that the emergency dentist you see out of hours may not be your own dentist, and may not have your dental records. If this is the case you should take a list of any drugs you are taking and be prepared to give details about your general health, as this can affect the dental treatment you receive.

Medical aid patients can sometimes call their medical aid helpline (obviously during office hours)  to find an emergency dentist in the area. You usually have to wait a while at an emergency dentist’s surgery, but in most cases you will be seen on the same day.

Alternatively, you could arrange emergency treatment with a private dentist, as although this can be expensive you will probably be able to secure an emergency appointment more quickly.

Visitors to South Africa from abroad will have to check their medical or travel insurance certificate to see what dental treatment they are entitled to. Foreigners who are in the Southg Africa for less than six months are generally viewed as private patients and are therefore not entitled to medical aid covered treatment. This means you will have to contact a private dentist, but may be able to claim the cost of the dental treatment from your travel insurance company.

If you have severe swelling or bleeding in the mouth area then as an alternative you can contact Casualty Department of your nearest local hospital.

Any dental emergency like an injury to the teeth or gums can be potentially serious and should not be ignored. Ignoring a dental problem can increase the risk of permanent damage as well as the need for more extensive and expensive treatment down the road.

Here’s a quick summary of what to do for some common dental problems.

Toothaches:

First, thoroughly rinse your mouth with warm water. Use dental floss to remove any lodged food. If your mouth is swollen, apply a cold compress to the outside of your mouth or cheek. Never put aspirin or any other painkiller against the gums near the aching tooth because it may burn the gum tissue. See your dentist as soon as possible.

Chipped or broken teeth:

Save any pieces. Rinse the mouth using warm water; rinse any broken pieces. If there’s bleeding, apply a piece of gauze to the area for about 10 minutes or until the bleeding stops. Apply a cold compress to the outside of the mouth, cheek, or lip near the broken/chipped tooth to keep any swelling down and relieve pain. See your dentist as soon as possible.

Knocked-out tooth:

Retrieve the tooth, hold it by the crown (the part that is usually exposed in the mouth), and rinse off the tooth root with water if it’s dirty. Do not scrub it or remove any attached tissue fragments. If possible, try to put the tooth back in place. Make sure it’s facing the right way. Never force it into the socket. If it’s not possible to reinsert the tooth in the socket, put the tooth in a small container of milk (or cup of water that contains a pinch of table salt, if milk is not available) or a product containing cell growth medium, such as Save-a-Tooth. In all cases, see your dentist as quickly as possible. Knocked out teeth with the highest chances of being saved are those seen by the dentist and returned to their socket within 1 hour of being knocked out.

Extruded (partially dislodged) tooth:

See your dentist right away. Until you reach your dentist’s office, to relieve pain, apply a cold compress to the outside of the mouth or cheek in the affected area. Take an over-the-counter pain reliever (such as Tylenol or Advil) if needed.

Objects caught between teeth:

First, try using dental floss to very gently and carefully remove the object. If you can’t get the object out, see your dentist. Never use a pin or other sharp object to poke at the stuck object. These instruments can cut your gums or scratch your tooth surface.

Lost filling:

As a temporary measure, stick a piece of sugarless gum into the cavity (sugar-filled gum will cause pain) or use an over-the-counter dental cement. See your dentist as soon as possible.

Lost crown:

If the crown falls off, make an appointment to see your dentist as soon as possible and bring the crown with you. If you can’t get to the dentist right away and the tooth is causing pain, use a cotton swab to apply a little clove oil to the sensitive area (clove oil can be purchased at your local drug store or in the spice aisle of your grocery store). If possible, slip the crown back over the tooth. 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!

Broken braces wires:

If a wire breaks or sticks out of a bracket or band and is poking your cheek, tongue, or gum, try using the eraser end of a pencil to push the wire into a more comfortable position. If you can’t reposition the wire, cover the end with orthodontic wax, a small cotton ball, or piece of gauze until you can get to your orthodontist’s office. Never cut the wire, as you could end up swallowing it or breathing it into your lungs.

Loose brackets and bands:

Temporarily reattach loose braces with a small piece of orthodontic wax. Alternatively, place the wax over the braces to provide a cushion. See your orthodontist as soon as possible. If the problem is a loose band, save it and call your orthodontist for an appointment to have it recemented 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 are a serious condition that can damage tissue and surrounding teeth, with the infection possibly spreading to other parts of the body if left untreated. Because of the serious oral health and general health problems that can result from an abscess, see your dentist as soon as possible if you discover a pimple-like swelling on your gum that usually is painful. In the meantime, to ease the pain and draw the pus toward the surface, try rinsing your mouth with a mild salt water solution (1/2 teaspoon of table salt in 500ml 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, here’s what to do: Rinse your mouth with a mild salt-water solution. Use a moistened piece of gauze or tea bag to apply pressure to the bleeding site. Hold in place for 15 to 20 minutes. To both control bleeding and relieve pain, hold a cold compress to the outside of the mouth or cheek in the affected area for 5 to 10 minutes. If the bleeding doesn’t stop, see your dentist right 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.