What to do right now
Severe toothache. Rinse with warm water and gently floss around the tooth in case something is caught. Take an over-the-counter pain reliever as directed on the label if it is safe for you. Do not put aspirin directly on the gum, which can burn the tissue. A cold compress on the cheek can help. Call the office.
Knocked-out adult tooth. Time matters most. Hold the tooth by the crown, never the root. If it is dirty, rinse it briefly in milk or water without scrubbing. Gently push it back into the socket and bite on gauze or a clean cloth to hold it. If that is not possible, keep the tooth in a small container of milk, not water and not dry, and call immediately. Do not put a knocked-out baby tooth back in; call for advice instead.
Cracked or broken tooth. Rinse with warm water, save any pieces, and use a cold compress for swelling. Avoid chewing on that side. Cover a sharp edge with sugar-free gum or dental wax.
Lost crown or filling. Keep the crown. Do not glue it back with household adhesive. Dental cement from a pharmacy can hold a crown temporarily until you are seen.
Swelling or a bump on the gum. This can be an abscess, an infection that will not go away without treatment. Call the same day. Swelling that spreads to the eye or neck, or comes with fever or trouble swallowing, is a reason to go to the ER.
Object stuck between teeth. Use floss gently. Do not use pins or sharp objects.
When to go to the emergency room instead
Call 911 or go to the nearest emergency room for:
- Swelling that makes it hard to breathe or swallow
- Swelling spreading toward the eye or down the neck, especially with fever
- Bleeding that does not stop after 10 to 15 minutes of firm pressure
- A possible broken jaw or a serious facial injury
In Sierra Vista, the hospital emergency department is at Canyon Vista Medical Center, 5700 E Highway 90. After the ER, call us to repair the tooth.
After the emergency
Emergency care is about getting you out of pain and protecting the tooth. The permanent fix often comes next: a root canal to save an infected tooth, a crown to rebuild a broken one, or a dental implant if a tooth cannot be saved. You will get your options in plain language before anything is done.
Office hours are Monday 9am to 5pm, Tuesday 8am to 5pm, Wednesday 9am to 5pm and Thursday 8am to 4pm, Arizona time. Call (520) 458-9460.