permanent tooth knocked out whole is very urgent.
If you can get to a dentist within 30 minutes, the tooth may be
re-attached in the socket with a chance of lasting for years. Gently
rinse the tooth of any debris and keep it from drying out - in water,
saliva, or best of all, milk. Keeping the root surface as undisturbed
as possible will maximize the chance of successful
re-attachment. More Information
A tooth pushed out
of position by a blow is fairly urgent.
It must be re-positioned by a dentist, and splinted to allow healing.
You should be seeing your dentist as soon as possible for this.
A chipped or
fractured tooth from trauma. Look closely: if
the pulp (the "nerve") is exposed, you'll see bleeding or pink tissue
at the centre of the broken area. This needs treatment as soon as
possible. If the tooth itself is not very sensitive, treatment is less
urgent, but should be arranged promptly.
Any major tooth
trauma can cause problems that are not immediately
apparent. The root can be fractured without showing, or the blow can
cause the tooth to die and eventually abscess - sometimes weeks or
months later. Teeth should always be evaluated and radiographed
(x-rayed) within a few days for hidden damage.
inside the mouth should be seen if it lasts more than a
few days or increases steadily, especially if it's associated with a
swelling that shows outside the mouth is urgent and
requires prompt assessment.
Oral swelling that
makes it hard to swallow or breathe is an emergency. Go to the hospital
Mild sensitivity to
hot and cold should be checked by your dentist if it
persists more than a few weeks.
to hot may indicate a tooth that is dying. Call your
dentist for an appointment.
Sudden sharp pain
on chewing can indicate a crack in the tooth. If left, the
tooth may break - see your dentist within a few days.
A broken molar
without pain may not be fractured close to the nerve - or
the tooth may already be dead (so that there is no longer a nerve
present. This should be seen within a few days.
Sensitivity to sweet
may indicate that an old filling is starting to leak - letting the
sweetness under the filling. Not urgent if there are no other symptoms,
but have it checked within a few weeks if it persists.
Sensitivity to hot
and cold after a new filling is fairly common (although
much less so with the newer filling and bonding materials).
The degree of sensitivity, and how long it lasts, tends to vary with
the size and depth of the filling. If it's gradually improving, time
will normally solve the problem. If it's steadily increasing, the tooth
may be starting to die - call your dentist.
Sensitivity to bite
after a new filling is also common. Most often the numbness of local
anaesthetic made it difficult for the patient - and the dentist - to
get the bite exactly right on the filling, and it needs a simple
adjustment. A high bite can make the tooth feel increasingly bruised
after a few days, and become increasingly sensitive to bite and to
A permanent tooth
coming behind the baby tooth, or the permanent tooth
coming in without the baby tooth falling out, looks urgent but usually
isn't. This is very common, and should be seen - but it can usually
wait a few weeks.