1. Swelling – Mild
  2. What to do
    Apply a cold compress on the outside of your cheek. Avoid heat for this injury. You may rinse with warm salt water or a chlorhexidine mouthwash such as Oro clense.

    How urgent?
    Should see Riverstone Dental Clinic as soon as is convenient to determine the cause of the swelling and treat as required.
  3. Swelling – Severe
  4. What to do
    You should call Riverstone Dental Clinic as soon as possible.

    This should be treated as soon as possible.
  5. Sports Injury
  6. In sports injuries teeth can be fractured, displaced or avulsed (“knocked out”). All conditions need immediate dental treatment. If the accident victim shows any signs of injury, unconsciousness, nausea or persistent headaches, they should be evaluated by proper medical personnel.
  7. If a tooth is knocked out (avulsed)
  8. There is a greater than 80% chance the tooth will be retained for life it is transported properly and can be replanted within 30 minutes after the accident. If a primary (baby) tooth is knocked out, it should NOT be replanted as it could damage the permanent tooth. After the accident the most important thing to do is to see Riverstone Dental Clinic as soon as possible. On the way the wounded area can be gently cleaned, but do not scrub with disinfectants or soap. Do not attempt to clean out the socket area. Bleeding can be controlled with pressure on a clean gauze. The tooth or fragment should be picked up by the crown or enamel portion of the tooth and NOT the root. If the tooth is dirty or contaminated it should be rinsed gently, but not scrubbed or disinfected, and placed in a liquid for transport. Alternatives in order of preference are: sterile contact lens saline, whole cold milk, saliva or water. Once Riverstone Dental Clinic receives the tooth, he may implant the tooth and splint it in place.
  9. Momentary sensitivity to hot or cold foods
  10. Possible Problem
    If the discomfort lasts only moments, sensitivity to hot and cold foods generally does not signal a problem. The sensitivity may be caused by minimal gum recession which exposes small areas of the root surface.

    What to do
    Try using toothpastes made for sensitive teeth. Brush up and down with a soft brush; brushing sideways wears away exposed root surfaces. If this is unsuccessful call Riverstone Dental Clinic’s office.
  11. Sensitivity to hot or cold after dental treatment
  12. Possible Problem
    Dental work may inflame the pulp, or nerves, inside the tooth, causing temporary sensitivity.

    What to do?
    Wait four to six weeks. If the pain persists or worsens, see Riverstone Dental Clinic.
  13. Pain to biting on new filling that feels "high" once the anaesthetic wears off
  14. What to do?
    Avoid chewing hard foods. A minor bite adjustment may be needed. Schedule an appointment to adjust filling, within 1 – 2 days, or it could get worse.
  15. Sharp pain when biting down on food or thermal sensitivity that does not respond to use of toothpastes for sensitive teeth
  16. Possible Problem
    There are several possible causes of this type of pain: decay, loose filling, a high filling or a crack in the tooth.

    What to do
    See Riverstone Dental Clinic for evaluation.
  17. Lingering pain after eating hot or cold foods
  18. Possible Problem
    This probably means the pulp has been damaged by deep decay or physical trauma.

    What to do
    See Riverstone Dental Clinic for evaluation.
  19. Constant and severe pain and pressure, swelling of gum, and sensitivity to touch
  20. Possible Problem
    A tooth may become abscessed, causing the surrounding bone to become infected.

    What to do
    See Riverstone Dental Clinic for evaluation. Take over-the-counter analgesics (Ibuprofen – Advil) until you see us.
  21. Something stuck between teeth
  22. What to do
    First, try using dental floss, very gently and carefully, to remove the object. Never poke between your teeth with a pin or similar sharp, pointy object; it can cut your gums or scratch the tooth surface. If you are unable to dislodge the material, call us for an appointment.
  23. Dull ache and pressure in upper teeth and jaw
  24. Possible Problem
    The pain of a sinus headache is often felt in the face and teeth. Grinding of teeth, a condition know as bruxism, can also cause this type of ache.

    What to do
    For sinus headache, try over-the-counter analgesics (Ibuprofen – Advil) or sinus medication. For bruxism, call Riverstone Dental Clinic for an evaluation. If pain is severe and chronic, see your physician.
  25. Chronic pain in head, neck or ear
  26. Possible Problem
    Sometimes pulp-damaged teeth cause pain in other parts of the head and neck but other dental or medical problems may be responsible.

    What to do
    See Riverstone Dental Clinic for evaluation.
  27. Bleeding after surgery
    • Bite on gauze for ½ hour.
    • Keep fingers and tongue away from the surgery site.
    • Do not rinse your mouth for 24 hours, although it is permissible to drink cool or lukewarm liquids. After the 24 hour period, rinse your mouth frequently with a solution of ½ teaspoon of salt in a glass of warm water. Continue the rinses for a few days.
    • Smoking should be avoided for at least 24 hours.
    • Bleeding - it is normal for the saliva to be streaked with blood for a day. If frank bleeding is present, fold sterile gauze into a firm wad and place it directly on the bleeding area. Maintain firm pressure by biting for 30 minutes. If bleeding persists, the gauze may be substituted by a warm, soaked tea bag. The tannic acid in tea has a clotting effect.
    • Swelling and discolouration - is to be expected in certain areas, usually reaching its maximum two days after surgery. It will disappear gradually and is no cause for concern. If desired, ice packs may be applied for the first 4 - 6 hours only, alternating for 20 minutes on, 20 minutes off.
    • Sutures (stitches) - If required, are removed without discomfort in about 5 days. An appointment will be made for you.