Dental Health: Caring for Damaged Teeth and Fillings
by Chris Tillington
http://www.uwdental.com

When a tooth is damaged due to chipping, breaking or
fracturing, or if a filling has been compromised, steps
need to be taken in order to provide appropriate care for
the tooth until your dentist can be seen. Otherwise,
infection can set in or the tooth itself can suffer further
damage, which may result in the eventual loss of the tooth
or other dental problems.

If something has happened to cause a tooth to become
broken, chipped or fracture in some way, take steps to see
your dentist within two to three hours of the time that the
damage was sustained. Of course, if the damage is
extensive, or comes about as the result of a trauma of some
sort, such as a motor vehicle accident, you may need to be
treated at the emergency room before you can see your
dentist or dental technician. In most cases, the damaged
area can be repaired, or the tooth can be saved through
more aggressive treatment, such as capping or filling.

The first thing to worry about is bleeding. If you apply
direct, gentle pressure to the affected gum area, not to
the tooth itself, this can usually be stopped. Where you
apply pressure depends on the area of the damaged tooth:
you apply pressure above or below the tooth. For an upper
tooth, apply pressure above the tooth, for a lower tooth,
apply pressure on the area of the gums below the tooth.
Rinse your mouth gently with warm water if there's swelling
and then apply a cold compress to the area.

If, after you have had damage to a tooth, you find a piece
of a broken or chipped tooth, bring the piece or pieces
with you when you go to the dentist. Many times the dentist
can repair the tooth with these broken pieces, since he has
the required skills and equipment. It is cheaper and easier
than replacing the tooth to have him cement them back
together. However, the dentist can just as easily make a
new filling for your tooth, so don't bother bringing lost
fillings if you find them.

You have to be careful if you have jagged edges on a tooth
that was chipped or broken. Sharp ends often irritate the
surrounding soft tissue of the mouth and can cause a great
deal of pain. As an emergency measure, to prevent this,
press a small piece of soft wax into the damaged area. You
can prevent unneccessary damage to your gums with this
method until you can see the dentist and he can file down
the edge when he sees you.

If you must eat, eat only soft foods until you've be seen
by your dentist. Also be sure to chew on the opposite side
of the mouth from the damaged tooth. If you chew on the
damaged tooth you will cause further irritation and perhaps
even infection, resulting in further damage or tooth loss.
Also avoid extremely hot or extremely cold food. Foods
that have extreme temperatures cause further pain and can
further irritate the damaged area.

You want to make sure that the gums around the tooth close
up and the blood is able to coagulate. This is because there
is a lot of blood in the area of the gums. Avoid taking any
aspirin products because they will interfere with the blood
coagulation factor. Take Advil, Motrin or Aleve in small
doses. You should be alright, as long as you don't have
any allergic reactions to these OTC medications. You should
be able to get this information from your pharmacist, who
should have a list of the medications you take.

If you follow these common-sense guidelines and take steps
to repair dental damage, you will probably not lose the
tooth, and you'll increase your chances of keeping the
damage to a minimum. If you visit your dentist regularly,
and keep your teeth healthy and clean, you'll also increase
your chances of them healing quickly.

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