Category Archives: Emergency Dentist

Emergency Dentist Said My Dentist Blew It

I had a crown placed. Everything was sensitive afterward, especially to hot/cold. I went back. They said it’s normal for a few weeks. But, it continued after that. They still told me it was nothing. A few weeks later, my face blew up and I was in so much pain I went to see an emergency dentist. He told me I have an infection and need to have a root canal treatment. I couldn’t believe it. He said it was a result of an open margin. My crowns were placed incorrectly. I spoke to the original dentist, trying to get a refund for what I’d paid so far, especially, because I had to pay an emergency dentist and I missed work. He said what happens after the crown is placed is my responsibility and I’ll need to pay the balance. I can’t believe it! I’m out so much money. Is that normal?

Brooke – Texas

Brooke,

Wow! What a difficult experience you’ve had. Each dentist is a little different in their policy on refunds. However, this one seems pretty cut and dry, especially if you’ve got x-rays showing the open margins.

Your dentist didn’t meet the standard of care, not to mention he let your infection go so far. People still die from teeth infections. It’s a good thing you went to the emergency dentist. He likely saved your life.

Here are a couple of tips that may help you get a refund in your situation.

1. Tell him you’re going to contact the dental board and show them the x-ray.
2. Get the emergency dentist to contact the dentist on your behalf. Dentists don’t want to look bad in front of their peers. He may give you a refund just to maintain his reputation.

Either of those should get his attention if he has trouble being fair on his own.

This blog is brought to you by Dr. Brad Hylan.

Emergency Dentist Said My Dentist Perforated My Sinus

I can’t believe what is happening to me and don’t know if I can trust my dentist. I went in for an extraction. A few days later I started feeling poorly and feeling “pops” in my nose. I called the dentist worried it had something to do with the extraction. They told me to get a decongestant. No mention of anything else. Then I developed a fever. My dentist’s office was closed, but I was in pain and called an emergency dentist. He had me come in and examined me. He feels my dentist perforated my sinus. He prescribed me an antibiotic and said I should be feeling better within a few days. He wants me to follow up with my regular dentist to get this treated properly. I’m not sure I trust my dentist anymore. Is there anyone else I could follow up with this? Could I just go back to the emergency dentist?

Liv T. – Mississippi

Liv,

I understand your concern with your dentist. It sounds like he did several things wrong. Though it sometimes happens that a sinus is perforated, the patient should be notified right away as well as given instructions on how to aid its healing, including things like being extra careful not to blow your nose.

When you called, they should have had you come in to check for signs of infection. Thankfully, you went to see this emergency dentist. He sounds very thorough and competent and likely saved you from a serious infection.

You can follow up with the emergency dentist. Many sinus perforations heal well on their own. Occasionally, one will need help with surgery. If that’s they case, the dentist will refer you to an ENT surgeon.

This blog is brought to you by Dr. Brad Hylan.

Is It Possible to Save a Permanent Tooth that was Knocked Out?

We were at my son’s football game. His best friend lost a tooth during the game. His mother was panicked and not sure what to do. I started thinking I didn’t either. What would you do in that situation? Can a permanent tooth even be saved?

Cary A. – Minnesota

Cary,

Yes, they can be saved in some cases, but the success rate can often depend on how quickly you get to the dentist and how damaged it is. You really want to get to the dentist within thirty minutes. It’s best if you call your dentist ahead of time and let them know the situation, so they can be ready for you when you get there.

If you can’t reach your dentist, there are emergency dentists you can call who’ll get you in right away. It’s important you keep the tooth moist. You can put it in a glass of milk. Make sure you only handle it by the crown of the tooth (the visible part above your gums). Leave the root alone or you could damage the chances of saving the tooth.

If for some reason the tooth can’t be saved, don’t panic. Today we’ve made real advancements in tooth replacements. Dental Implants are like having your own teeth back.

This blog is brought to you by Dr. Brad Hylan.

Does My Fiance Need an Emergency Dentist?

My fiance was not eating much. I asked what was wrong and he said his wisdom tooth has swollen up. He says it’s normal and that happens sometimes. I don’t think so and want him to go to a dentist. Who’s right? I’m worried.

Janey K. – Frankfurt, KY

Janey,

You’re right. While some swelling can be normal when wisdom teeth are first erupting, what he’s experiencing sounds more like either an impaction or an infection. He needs to see his dentist.

When wisdom teeth first come in, there isn’t much room for them. It’s also very hard to keep wisdom teeth clean, especially when they’re still partially covered by the gums. This can trap bacteria leading to decay and/or infections.

While some pain is normal with an erupting tooth, having trouble eating is a sign it’s not normal pain. If he doesn’t have a dentist, he could see an emergency dentist. They’ll see him even without him being an established patient in this type of situation.

This blog is brought to you by Dr. Brad Hylan.

Do I Need an Emergency Dentist for a Canker Sore?

I have a pretty nasty sore in my mouth. I think it’s a canker sore. It’s making it difficult for me to eat. Does this require an emergency dental appointment?

Jane B. – Utah

Jane,

I wouldn’t say it requires an emergency appointment. First, I’d try some home treatment. There are some over-the-counter antiseptic and pain relief gels you can purchase at any drug store. Discount and grocery stores may have them too. Check the dental aisle. These often clear up in two weeks.

If it takes much longer than that, it will be time to be seen by your dentist. Sometimes, it could mean you have an oral cancer. Obviously, these aren’t as common as a canker sore, but it does happen.

There are many harmless things that can cause canker sores, such as biting your lip, friction from oral hygiene equipment, stress, allergies, or injuries. The main point is don’t panic. Get some pain relief. Give it a couple of weeks, then see a dentist.

This blog is brought to you by Dr. Brad Hylan.

Developed a Tooth Ache Two Days Before Trip

I’m about to go on an extended trip. I leave in two days and have now developed a toothache. My dentist is booked up for a week. Are there precautions I can take?

Bradley – New Jersey

Bradley,

If I were in your position, I’d see an emergency dentist just to be sure you won’t have a problem blow up on you while you’re away. He can do some diagnostic tests and x-rays, telling you what the cause of the pain is.

If it’s serious, you’ll want to get it taken care of right away. Explain to them ahead of time about your trip so they’ll be prepared to help if the situation makes that necessary.

Maybe there’s nothing serious wrong. That won’t be a waste of your time, because it means that you can proceed on your trip with complete peace of mind.

It’s always better to be safe than sorry.

This blog is brought to you by Dr. Brad Hylan.

Can I See An Emergency Dentist If I Use Meth?

I use meth quite a bit. This morning I woke up with a massive tooth ache. Can I go to the emergency dentist with meth in my system? What if I just tell him I don’t want any medication? That way I don’t have to worry about dying from the wrong meds?

Name Withheld

Dear Anonymous,

I’m very glad you’re thinking ahead about contraindications with medications. That could save your life.

If you have an abscess, the emergency dentist will need to treat you. You’ll at least want a local anesthetic. The dentist will need to know what you have in your system so he can give you something that won’t harm you.

I don’t think you’ll have to worry about being turned in or anything. An article from the ADA about treating meth patients spends the majority of the time talking about how dangerous meth is to your oral health, and how to treat the problems that result.  There’s nothing in there about turning patients in.

Dentists truly want to help. Let the dentist take care of your infection.

This blog is brought to you by Dr. Brad Hylan.

My tooth is loose from an accident. Will an emergency dentist know what to do?

I had a silly accident where  I pulled something on top of me in the garage and it cracked into my face. I iced and took ibuprofen but now it feels like it’s loose. Should I schedule an emergency dentist appointment? Will they know what to do? The tooth feels wiggly now. It’s the weekend (of course) and I don’t know if I should tough it out and wait for my regular dentist or not? If I’m going to lose it anyway, should I just wait?

– Sherry in Nevada

Sherry,

Try not to chew on it and not to mess around wiggling it. The sooner you are into a dentist the better. So, it would be best to try and schedule an emergency dentist appointment, as soon as possible. It is possible that you have injured the ligaments that hold the tooth in place. Think of it like a rubber band being stretched out. If it is stretched or strained too much, it will break.

Try to avoid any unnecessary movements because you run the risk of the tooth eventually falling out if it becomes too lose. The emergency dentist can evaluate the severity of the traumatized tooth and take action right away. He or she will make an effort to stabilize the tooth to stop any movement. It will protect the tooth and the best case scenario is for the tooth to heal without any intervention.

If there is damage to the inside of the tooth where the pulp is located, there is a chance that it may require a root canal treatment to save the tooth and a dental crown.

Until you can get in for your appointment, you should avoid chewing on it and stick to very soft foods so you aren’t tempted to chew with it. Also, feel free to keep up with the ibuprofen to help with any inflammation.

It is hard to give you any further specifics without seeing your case in person. Have you tried contacting your regular dentist? Many times they will have an after-hours or dental emergency system in place for patients of record. So, start there and if you that isn’t an option, try searching for an “emergency dentist” in your town.

Good luck! Hopefully this post encourages you to take action right away.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Does this crown problem sound like a dental emergency?

I have had porcelain crowns on the teeth that show when I smile for years. They are right up front and I have been quite happy with how they look. But, my tongue cannot seem to leave one of them alone. The best way to describe it is that there has always been a divot and I constantly am messing with it. I don’t think there has ever been anything wrong. Then, the last several weeks, I’ve noticed what looks like a dark section on it and it feels a lot more rough. I have always been one that keeps up with regular cleanings, but I am becoming concerned that this is a more serious problem. Do you think I need to schedule an emergency dentist appointment to get it checked out or re-done?

-Beck in Virginia

Beck,

Typically, an emergency dentist appointment is warranted if you are in pain or have some sort of urgent dental need. It doesn’t sound like it is causing you discomfort. Yet, it does sound like it is becoming annoying. So, it would be wise to give your dentist a call to explain what is happening with the porcelain crown. It’s not uncommon for a crown to have an imperfection. But what is alarming is the fact that it has changed over time. It is possible the divot is now picking up stains, which is causing the discoloration that you have described. Or it could be that the integrity of the crown is weakening from this flaw.

It may not require immediate replacement, but your dentist may decide to have that one porcelain crown that is bothering you replaced. It all depends on the condition and age of the restoration. Since it is in such a highly visible area, you may want to consider seeing a cosmetic dentist. If the dentist suggests redoing all the crowns so they match, that is a signal that they may not have the necessary cosmetic dentistry experience to make them look beautiful. So, take note of that cue. The only reason the other crowns should be replaced is if they are showing ware.

Thank you for your question.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Does this sounds like the correct diagnosis?

I’m really disappointed after seeing the emergency dentist yesterday. I knew I was neglecting a filling. It was diagnosed about a year ago. I mentioned it to them when I called, but I also told them that I thought it was the tooth next to it that was bothering me. I assumed they were going to do the fillings and that the emergency dentist allowed enough time for them, because I told them at least part of what was wrong on the phone. I went in for the visit and he ran a couple of “tests,” which basically amounted to him hitting the teeth with his mirror a few times. News flash. It hurt. My teeth hurt before I went in. Duh. Anyway, he then tells me that I need a filling, but not on the tooth that I already knew needed a filling, so I asked about the one with a cavity and he looked again and said I was right. He then says that I need to come back and have the fillings done. Well, I’m still in pain and the emergency dentist did nothing. I can’t help but wonder if he was in a hurry since it was the end of the day and, if he was in a hurry, could he have missed an infection?

-Jeff in Texas

Dear Jeff,

Infections are usually obvious. If you had x-rays and an exam, it would be very difficult to miss. Cavities can cause some pretty strong tooth pain, especially if they are deep. It doesn’t necesarily mean that there is an infection or that the teeth need root canals.

As far as the tests go, the emergency dentist was probably trying to ascertain which teeth were bothering you the most, so that he could give you a treatment plan and tell you how to move forward. Sometimes teeth refer pain to their neighbors or teeth can be cracked and cause pain. That isn’t always obvious, even with a visual exam and x-rays.  The tests are an unfortunate, yet important, part of being diligent.

It’s concerning that the second cavity was missed until you said something, though. This does suggest that he was hurried and certainly makes it understandable that you’d question the diagnosis. The best way to go forward is to have those fillings done as soon as possible, perhaps by a different dentist. Bear in mind, doctors don’t always allow time for the work to be done when they haven’t done an exam, simply because they don’t know how much time to set aside or whether you’ll go through with having your teeth fixed. If you schedule with someone else, try to take an appointment earlier in the day and let them know that you just had the teeth diagnosed and what the recommended treatment is. Then, ask if they will consider setting aside time for the repairs. Best of luck to you.

This post is sponsored by Cleveland dentist Hylan Dental Care.