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Accidents can happen, including dental accidents, and they shouldn’t be ignored. Knowing what to do when an accident happens, and getting dental care as quickly as possible, can make the difference in saving or losing a tooth.
CALL US TODAY (916) 520-1719
Same-day dental care for emergencies.
CRITICAL– Go to Emergency Room
- Severe swelling
- High fever
- Difficulty breathing
- Deep cuts on lips
- Reaction to medication resulting in hives, swelling of mouth lips or throat
URGENT– Call Us Immediately (24/7)
- Broken tooth /teeth
- Toothache preventing sleep
- Minor to moderate swelling
- Moderate to severe pain
- Tooth knocked out
- Tooth misplaced or knocked out of position
- Deep cuts on gums
- Jaw locked open
- Severe TMJ pain
Dental Emergency Tips
The following are some tips on how to handle a dental emergency until you get to our Roseville office:
Tooth knocked out – Call us immediately! Locate the tooth and pick it up by the top, not touching the roots. If dirty, rinse it with water, don’t remove any fragments of tissue, and do not scrub it. Insert it in the socket if possible and hold it there. If it can’t be inserted in the socket, put it in some milk and get to the dentist. If milk isn’t available, a saline solution like the kind used for contact lenses will work.
Broken tooth – Call us immediately! Rinse your mouth with warm water. Take ibuprofen, not aspirin, for pain. Use a cold compress for swelling. If you feel your jaw may be broken, go to a hospital emergency room immediately.
Object stuck between teeth – Try to dislodge the object with floss or an interdental brush. Call us if you can’t dislodge the object.
Soft tissue injury (lips, cheeks, gums) – Rinse with salt water, then apply pressure with soft gauze for 15 to 20 minutes on the site of bleeding. Use a cold compress on the outside for 5 to 10 minutes. If bleeding doesn’t stop, go to a hospital emergency room.
Partially dislodged tooth – Try to gently push it back into position with you finger, bite down to hold it in place, and call us.
Toothache – Brush your teeth, rinse with warm water, and floss or use an interdental brush. Call us if the pain doesn’t stop.
The human body can only grow one set of teeth as an adult. If any of these teeth are missing, replacement and restorative dentistry is highly recommended. From implants to bridges, there are several options available for anyone that is missing any teeth.
Dentures are one form of replacement for absent teeth. These ‘false teeth’ come in different forms, can be removable, bonded, or implanted, and are easily maintained. They help when there is difficulty eating or speaking because of missing teeth, and will restore the appearance of the facial structure and your smile.
Signs You May Need Dentures
- Red, swollen, tender, or bleeding gums may be symptoms of inflammation. Inflammation can lead to gingivitis or more severe periodontal disease, which, if untreated, could lead to bone and tooth loss.
- Severe pain in your teeth may be a sign of progressed tooth decay. If caught early on, decay can be treated with a filling. However, if the decay is extensive then extractions may be necessary and will facilitate the need for partial dentures.
- Cases where teeth are loose or shifting may indicate hidden bone loss form gum disease. If any teeth have moved, changed positions, or if spaces between your teeth have increased, you will likely need extensive periodontal treatment which may lead to tooth extractions.
- After losing two or more teeth partial dentures are highly recommended. If any teeth are missing, the remaining teeth will have to work harder.
Types of Dentures
Depending on your individual needs for restorative and replacement dentistry, there are a couple options for dentures available.
- Full Denture: For instances where your entire row of teeth on the mandibular or maxillary arch (the top and bottom set of teeth), full dentures can replace the entire set. After all the teeth in the arch are removed, you can receive an immediate denture temporarily.
- Immediate dentures are made in advance and will not custom fit your mouth perfectly, but they do offer a temporary solution while conventional dentures are being made.
- Conventional dentures are what you would use on a permanent basis. They are fully fabricated and customized based on the shape of your teeth. Although they require some basic maintenance, a set of conventional dentures can last up to ten years if kept in good condition. Over a period of time they may need adjustments from your dentist as the shape of your mouth will naturally change.
- Partial Denture: In cases when a few healthy, natural teeth still remain in your jaw, partial dentures are available to fill in the gaps. Like bridges, partial dentures will help prevent your natural teeth from moving out of place, while giving you the same strength and integrity to chew and speak.
What to Expect
After receiving the final dentures, during the adjustment phase, it is crucial that you communicate with you dentist any extraordinary discomfort. There will be a period where excessive salivating and gagging may occur, but this is normal. However, you should be wary if any of the following issues arise:
- A sensation of soreness may occur in the corners of your mouth – this is due to saliva that gathers in the corners of your lips if your dentures alter the way your mouth closes. Your dentist will be able to assist you in alleviating any soreness and help prevent any possible infections like cheilosis or stomatitis.
- Your gums may become irritated due to the friction of trapped food particles underneath your dentures. It is important to communicate with your dentist in any case of irritation so that they can rule out any other possible causes.
- If any slippage occurs due to issues with the suction of your dentures to your gums, a seal may weaken.
As always, there may be certain circumstances that are unique to your specific case. It is important that regular check-ups are still made to maintain the effectiveness of your dentures and level of comfort in your jaw.
Oral surgery generally defines any type of surgical procedure that deals with the mouth, throat, teeth, jaws, head and neck. Typically, oral surgery is necessary when a tooth has decayed or damaged beyond the repair of a root canal. It is also necessary when a tooth becomes impacted (see Wisdom Teeth). Surgical procedures such as these are commonly followed by the placement of dentures, bridges, or implants.
Any pain that is felt in the jaw, teeth, neck, or head area may be indicative of a number of disorders that must be treated with oral surgery. Some of the reasons for these types of pain include:
- Grinding your teeth at night
- Damage to a tooth or nerve
- Impacted or improperly aligned wisdom teeth
The presence of any Temporomandibular Disorders or many of their common symptoms should also be communicated with your dentist. These symptoms include:
- Tenderness or pain in the face, jaw joint area, or around the ear
- An inability to open your mouth wide, or any pain experience upon attempting
- Jaws that get stuck in a locked open or closed-mouth position
- Clicking or popping noises when chewing or opening and closing your mouth
- Difficulty chewing or sudden discomfort when biting
- Swelling on either side of the face
Types of Extractions
If oral surgery is prescribed by your dentist, you will undergo one of the two types of extractions:
- Simple extractions: For teeth that have already fully erupted from your gums an extraction can be made without making any incision into the gums. For this relatively painless procedure only a local anesthetic is used. This will effectively numb the patient without having to render them unconscious. After the effects of the anesthesia are felt, the dentist will use an elevator to lift the tooth, which will be removed from the mouth using forceps.
- Surgical extractions: These procedures are necessary when a tooth has either been impacted or has large or curved roots. For a surgical extraction, general anesthesia is also a choice if the patient is too anxious to be conscious. For this extraction your dentist will make an incision to gain access for the removal of the tooth.
Patient Experience Post-Procedure
The time needed for healing and the procedures themselves will be dependent on how complicated the necessary extraction is. Before undergoing any type of surgery, your dentist will talk to you about the details of your particular situation and address any issues that you may have now or in the future after the extraction.
The following should be expected post-procedure:
- With any anesthetic, numbness should be expected accompanied by difficulties chewing or even speaking. This is only temporary.
- The recovery time for surgical extractions is typically longer than for simple extractions
- Your dentist will give you instructions for managing pain and swelling as inflammation is generally greater after surgery
- Along with maintenance instructions, a list of recommended food items will be given to you as well.
- Facial bruising and slight bleeding from the wound is to be expected and should be resolved in a matter of days
- If you were given stitches to close the incision you may have to make a follow-up appointment to have them removed, otherwise they will dissolve over time
- You should abstain from smoking and other activities that can cause blood clots, such as drinking through a straw or rinsing, for at least 24 hours after the procedure.
Laser Bacterial Reduction
Now there’s a way to enjoy healthier teeth and gums without painful or expensive surgical treatments. Laser Bacterial Reduction (LBR) is a simple, non-invasive way to create a healthy environment that combats infections, tissue detachment, gum disease and bleeding.
People who Benefit from Laser Therapy
LBR is recommended for patients with any type of tissue detachment or infection. Everyone from people with gingivitis to severe periodontal disease can benefit. It is one of the most effective ways for us to create a sterile environment that responds to other types of therapy, such as:
- Localized scaling and root planing
- Deep cleanings
- Periodontal therapy
- Preventive dental cleanings
Using LBR during a preventive cleaning every 6 months will also assist our patients in avoiding developing gingivitis or gum disease. If you have a localized area of gingivitis, pocketing or a family history of early tooth loss – then LBR is an excellent choice to add onto your preventive care appointment.
What to Expect
During your LBR procedure you will most likely not feel any discomfort or pain whatsoever. It will feel similarly to having your teeth cleaned as we guide the laser applicator along the gumlines or into the pockets. You will not experience any soreness or discomfort after the treatment either. We do ask for you to avoid flossing the gum pockets at least a day or two and brush very softly, so as not to disrupt any new tissue attachments that have been established.
Other Uses for Lasers
Soft tissue lasers can also be used to eliminate or shorten the length of cold sores and ulcers. As soon as you feel a cold sore popping up, stop by Sunrise Family Dentistry for a quick and painless laser treatment to keep the ulcer from interfering with the rest of your week.
Lasers can also be used to desensitize exposed root surfaces by up to 86%, compared to other types of sensitivity treatments.
LBR is an excellent alternative for periodontal patients when it comes to managing and eliminating chronic or beginning gum disease. Stop by or call Sunrise Family Dentistry to learn more about the smarter, more effective way of stopping gum disease in its tracks.
A dental bridge can “bridge the gap” in your smile that exists because one or more of your teeth have gone missing. A bridge is made up of two crowns that fit on top of what we call abutment teeth, or anchoring teeth, with one or more false teeth in between. There are several types of bridges made out of different kinds of materials, so we can find the perfect bridge for your specific situation.
Reasons for “Bridging the Gap”
“Bridging the gap” of a missing tooth has several benefits:
- Missing teeth can slowly ruin the alignment of the teeth surrounding it – including the two adjacent teeth and any opposing teeth, but bridging as soon as possible will help ensure alignment
- A bridge can help fully restore your chewing ability
- The stress of an unstable bite from having missing teeth can cause headaches, bridges can remove that burden
- Bridges can look just as natural as regular teeth – you can get that smile back to how it once was
Types of Bridges
- Fixed bridge: These are anchored to crowns or cemented to abutments, or anchoring teeth. These bridges are more durable and can be maintained using a specialized flossing tool and proper hygiene
- Removable bridge: There are special circumstances where fixed bridges aren’t possible, most notably if there are no anchors for the bridge because the teeth adjacent to the gap are either missing or not strong enough to support a fixed bridge. In these cases your Roseville dentist can still prescribe a removable bridge that will work just the same, the only difference is that a removable bridge has to be cleaned once a day.
Types of Bridges
The same materials used for fillings and crowns can also be applied to bridges, which are essentially very similar to crowns. There are three different types of materials for bridges:
- Porcelain: Porcelain is the most natural-looking material, and because of advancements in ceramics this material has become much more durable and in some cases more durable than natural teeth.
- Metal: The most durable material that one could use for replacing or strengthening the integrity of a tooth while also being the cheapest of the three options. While these crowns look the least natural, they remain the strongest and long lasting.
- Porcelain fused to metal: A durable, long-lasting material that has the look and feel of natural teeth. The only downside to PFM is that the more of the structure of the abutment, or anchoring teeth will have to be removed for a proper fitting.
- The very first step is in preparing the abutment teeth (or anchoring teeth). These need to be shaped in order to fit the bridge – If those adjacent abutment teeth are decayed or broken, they will need to be repaired.
- A highly-accurate mold will be taken of the bridge area in order to ensure precision and proper fitting
- You will be given a temporary bridge while the permanent bridge is being fabricated, this will give your teeth and gums time to heal
- On a second visit any temporary bridge will be removed, and the permanent bridge will be fitted
- Your dentist will double-check to ensure that your spacing and bite are accurate and will be there answer any questions you may have
So if you’re missing any teeth, don’t lose hope! Getting a natural looking bridge to fill any gaps in your teeth is as easy as setting up an appointment at Sunrise Family Dentistry!
Generally, fillings are a way to restore teeth that have suffered from common decay, fractures, or have just normally wore over time. This simple procedure prevents further damage and will save you the time and money that you would have to spend on more serious and expensive treatments later on.
Who Needs Fillings
During your normal check-ups and cleanings your dentist will be able to spot teeth that have been compromised by decay and injury. Since teeth that are affected by cavities can easily be restored using fillings, large cavities are typically the number one reason for the procedure. However, there are other instances where you could benefit from fillings:
- Smaller, pinhole cavities that might not be visible to the naked eye can be revealed through x-rays, dental probes, and dyes could lead to larger fillings and can be restored
- Cracks, of fissures, in your teeth from common habits like biting your nails or grinding your teeth might have eroded your chewing surfaces
- Teeth can naturally decay over time, and can potentially lead to bigger problems if not properly restored
- Any general sensitivity to heat, cold or a discomforting feeling when you apply more pressure to a bite could indicate wear and tear on your teeth that should be restored
- If your teeth have sustained any fractures from sports, falls, altercations or accidents than any exposed cracks should be immediately restored preventing further dental injury to your teeth
Types of Fillings
Depending on what type of material you choose, fillings can last you from a decade to an entire lifetime! These are the numerous materials that we could use to strengthen your teeth:
- Composite resin fillings are usually particles of silica or ceramic that resemble a specialized epoxy. The thing you need to know about these fillings is that they can be blended to look like the color of your tooth, making these fillings less noticeable while sparing most of your regular tooth during the process. These types of fillings are a lot less durable and may need to be replaced within ten years.
- Porcelain fillings look the most natural, while being more durable than composite fillings. They can be bonded to metals, or are made completely out of ceramic material and are the best solution for worn teeth, but can be more costly. These dental inlays are custom fitted for the area.
Fillings can be the most painless and simple dental procedures thanks to advances in technique and technology.
- A localized anesthetic will be applied to the area of your mouth where the filling will be done in order to make the procedure as comfortable as possible
- Once that anesthetic has started to work, we will prepare your tooth for the filling by removing any surfaces that have become decayed or damaged
- From then, your tooth will be thoroughly cleaned to remove any debris or bacteria
- The filling material will be applied and shaped and blended to give you the most natural smile possible.
- In certain cases we will harden the adhesives or materials used in the filling process in order to increase durability
So if you’re experiencing any type of pain or annoyance call your Roseville dentist! We’ll be able to take care of it right away, and prevent any further complications that you make experience from neglect.
When the natural shape of your teeth are compromised and have cracked, decayed, been broken, or have just become worn it is important to cover the tooth in order to restore the strength, size, and shape with a crown.
A crown is essentially a cap that can be permanently bonded to your tooth for both protective and cosmetic purposes. While they eventually need to be replaced (like most dental restorations) good oral hygiene and proper care can help a crown last up to fifteen years.
There are several different types of crowns that you can choose from, the most popular being Porcelain crowns. However, it is not uncommon to have a crown made of both porcelain and metal, or even a full-metal.
Reasons for a Crown
Crowns have both cosmetic and restorative benefits. They can enhance the aesthetic look of your smile while providing the necessary support for weakened teeth which can prevent further complications that arise from untreated dental problems. Crowns are most commonly needed in the following instances:
- To protect a weak tooth that has either decayed or that needs to be held together after cracking.
- If a patient desires to cover a tooth that has been severely discolored or misshapen.
- To hold a dental bridge in place.
- In order to cover a large filling, especially in instances when there isn’t a lot of tooth left.
- To rebuild a tooth after a root canal.
- To generally help create a healthier and stronger bite.
Types of Crowns
Since each type of crown has its own qualities, characteristics, and fees, your dentist will examine your case, and help you decide which type of dental crown could be the best for you.
There are three different types of crowns:
- Full Porcelain:While Porcelain crowns can be the most costly, they look and feel just look natural teeth. Because of advancements in ceramics, porcelain crowns are just as strong as metal infused porcelain, or even full metal crowns. CAD/CAM techniques have given us the ability to create crowns with computerized precision and can take the same amount of wear as your normal teeth.
- Full Metal:Metallic caps are still the strongest and most durable, while still being the cheapest crowns out there. Typically made out of gold, platinum or palladium alloys, these crowns look the furthest from natural teeth, but are great for those back molars that you use the most for chewing. Metal crowns are also smaller, and require removing less of your outer tooth structure in order to put them into place.
- Porcelain Fused to Metal:The hybrid porcelain fused to metal (PFM) crowns are a great hybrid of the two crowns above. These PFM crowns have the strength of metal crowns with the natural look of porcelain. The only downside is that in order to place this larger crown some of the structure of the original tooth has to be removed and may cause a little discomfort.
Crown procedures are usually completed in two visits.
- For the first visit, the dentist will apply a local anesthetic before removing the decay.
- Then tooth will be shaped in order to fit the custom crown.
- Next, a putty-like material will be used to make a mold of your tooth so that your new crown will fit your tooth perfectly.
- Finally, we’ll fit you with a temporary crown to protect your tooth or implant and gums while your crown is being fabricated.
- On your second visit your crown will be ready, the dentists will fit and permanently bond the crown to your tooth or dental implant.
The term root canal actually refers to the physical hallows within the tooth that house things like nerve tissue and blood vessels, but when most people talk about getting “root canals” they are actually referring to the endodontic procedure that removes and cleans any of the diseased and infected pulp within the tooth. These endodontic procedures are actually a much better alternative than extracting a diseased tooth, because a properly cleaned and crowned tooth will take a lot less maintenance than a replacement tooth over the years.
Signs You May Need A Root Canal
- Extreme sensitivity to heat, cold, or pressure
Frequent tooth or gum pain
Severe and noticeable discoloration in the teeth
A constant foul odor or bad taste when you brush
Pus forming in the mouth
The lymph nodes under your jaw are tender or swollen
Contact your dentist as soon as possible if you’re experiencing one or more of these problems. It’s also possible that an endodontic problem can be found during a regular checkup as well, so make sure you keep scheduling those bi-annual cleaning visits.
- Other than wisdom teeth extractions, root canal procedures were known for being the most notoriously painful dental procedures one could go through, but not anymore. Thanks to all the advances in modern medicine, root canals are no more painful than getting a simple filling – all you really feel is a bit of pressure. The process is clean and simple:
- Before your procedure your dentist will want to get x-rays done to determine the extent of the damage and what exactly needs to be repaired.
Typically you won’t need to “go under” for this simple treatment – a local anesthetic will sufficiently prevent you from feeling any pain during the procedure
A simple device called a dental dam will keep the affected tooth clean and free of saliva
If possible, your dentist will provide you with a bite block so that you can relax your jaw muscles
The longest part of the procedure (and the moment you might feel a little pressure) will be when your dentist opens your tooth and removes the infected pulp, tissue, or any pus. After which your root canals will be cleaned, medicated, and a biocompatible replacement will be inserted. Sometimes a second appointment may be necessary to complete the root canal.
Finally a temporary filling will be put into place while your crown (see crowns) is being created.
Your dentists will take you through the process and any small details that are unique to your specific case. With proper maintenance, your fixed tooth can last you for the rest of your life!