Reversible pulpitis. Causes pain of short duration and is mild to moderate in severity and can be triggered by changes in temperature or sweet foods. It usually does n’t cause disturbed sleep and typically requires a trigger. This type of toothache is generally well localised and the patient is suitable to tell which tooth it is. Early removal of the decay followed by a filling or crown keeps the whim-whams alive.

Irreversible pulpitis. When the condition is unrecoverable, pulpal inflammation doesn't go away even after removing the cause. The inflammation causes the pulp towel to die.

With unrecoverable pulpitis, the pulp is no longer suitable to heal itself and stay alive. Your body's immune system breaks down the dead towel. Still, if there's too important infection and dead tissue for your immune system to handle, an abscess can form. The infection may spread to the surrounding bone or other areas of the body. 

The dental pain can last for minutes to hours without a trigger and your sleep can come disturbed. Left untreated both of these types of pulpitis can progress to form an abscess at the tip of the root which can lead to swelling and raised temperature. In extreme circumstances, hospitalisation may be needed. Pain can be very intense and painkillers are frequently not effective. You may find pain on smelling, and sometimes pain being relieved with cold water. You might lose the tooth unless a root canal treatment is performed Other causes of toothache include dentinal sensitivity which can arise from gum disease, chipped/ misplaced dental fillings, abrasion, trauma, erosion or gum recession.

DENTAL PROSTHETIC EMERGENCIES

Lost filling or crown:

It is important to see a dentist as soon as possible if you lose a filling or a crown. You may or may not have pain or sensitivity, but the longer you leave a tooth bare, the higher the chances of you developing a problem, or exacerbating an existing problem. The loss of a filling or crown may also have occurred as a result of an underlying issues, for example dental decay.

If there is no decay, then your existing crown can normally be recemented back at the same visit. Lost fillings will usually require replacement of the filling, you may have the option of a temporary or definitive filling being placed.

Broken tooth:

Teeth may break for a variety of reasons including dental decay , trauma or biting hard or sticky foods. Treatment is dependent on how much of the tooth has broken , how much remains and whether the pulp has been damaged as a result.. Most teeth can have treatment to help save them, but a thorough assessment is required.

BROKEN DENTURES

A denture can break for a variety of reasons. We don’t recommend that you try to repair it at home It is better to avoid using a damaged denture in order to prevent damage to your lip, tongue and cheek, and to also avoid any risks of swallowing it. 

DENTAL TRAUMA

Dental trauma can be caused by a variety of causes eg accidental trips, falls, sports injuries and assaults. Treatment really is dependent upon the extent, degree of trauma and the time it’s taken for the patient to access treatment after the trauma.

Knocked out and displaced teeth can normally be replanted, moved back to their original position andsplinted.However, it's important to follow simple guidelines eg keep it clean, do not scrub or disinfect the root, If the tooth has been knocked out. The important thing isn't to let it keep the root moist as drying of the root will lead to the death of cells on the root surface. Ideally, it’s stylish to seek and have treatment within two hours of the incident, but sometimes this isn't possible as long as the tooth has been cared for, the tooth can be placed back in the socket.

After the tooth has been placed back in the socket it has to be splinted. Splinting involves bonding a piece of line onto the tooth shells to hold the teeth in place during the healing period, which may be between two to four weeks. Regular assessments are needed during this phase in order to diagnose any infections or complications that may do so that they're dealt with appropriately and in a timely fashion.

Minor cracks/ chips can be restored by either bonding the fractured portion back to the tooth or restoring the missing part with some compound filling material. We'll try to achieve the best aesthetic result possible in the circumstances.

INTRA AND EXTRA ORAL SWELLINGS

Time is of the essence if you get a swelling in the mouth or face. Swellings can very quickly get very serious (cellulitis) and in extreme cases can be life-threatening. The most common cause is a diseased tooth that was left untreated causing an abscess. In severe cases, the patient may need to be hospitalised or prescribed antibiotics.

WISDOM TEETH AND PERICORONITIS

Wisdomteeth are generally the last teeth to erupt into the mouth. These normally erupt between the periods of 18-24 years. A wisdom tooth can fail to erupt properly into the mouth and can become wedged, either under the gum or as it pushes through the gum – this is appertained to as an impacted wisdom tooth. 

Sometimes the wisdom tooth won't become impacted and will erupt and function normally. Both impacted andnon-impacted wisdom teeth can cause problems for people. Some of these problems can beget symptoms similar as pain & lump, still, other wisdom teeth may have no symptoms at all but will still cause problems in the mouth. 

What problems can wisdom teeth cause? Common problems with wisdom teeth include,

• Infection of the gum around the wisdom tooth (pericoronitis) and this is commonly the reason why they're removed. This type of infection can be severe and cause pain & lump, however, sometimes symptoms are mild. 

• Tooth decay (dental caries)

• Cyst formation around the wisdom tooth but this is uncommon.

• Prompt treatment is advised and this can involve advice, drawing and rising, antibiotics or lines. The patient is advised to have warm water salt rinses 4 times daily and go on a soft diet. If left untreated this can lead to life- threatening situations and hospitalisation. We follow Nice guidelines in deciding if a wisdom tooth should be extracted or not.

BLEEDING AFTER AN EXTRACTION

Bleeding will occur after an extraction and it isn't uncommon to ooze blood for 24-48 hours after surgery. Placing a reek pack over the area and biting forcefully for 20 minutes will often controlbleeding.

However, replace gauze as needed, If oozing is still active. This can, still, be serious and can lead to death, especially if it's uncontrollable and after a dental extraction. Incontinently seek advice or call an ambulance. You might bear suturing or pressure from special gauze placement to help stop the bleeding. Please bring a list of current medications you're taking.

PAIN AFTER A DENTAL EXTRACTION AND DRY SOCKET

Discomfort, tenderness and swelling should be expected for about 3 days after an extraction. This normally reduces and responds well to anti-inflammatories like ibuprofen or diclofenac.

It is common to get pain after an extraction which subsides over time. If the pain is intense and gets worse on the around the third day after extraction, then you might have what’s called a dry socket. Basically, the blood clot which normally fills the socket disintegrates leading to exposed bone. The dentist will normally clean the socket and place a socket dressing. This may need to be replaced after a few days. You must also follow the post -operative instructions given by the dentist.

BROKEN BRACES / WIRES

Common with braces can include loose bands, loose braces, broken braces, broken wires or wires sticking out. You may need to visit a dentist if it’s causing trauma to your soft tissues eg cheeks, gums, palate or tongue.

DENTAL ABSCESS

A dental abscess is a buildup of pus that forms inside the teeth or gums. The abscess generally comes from a bacterial infection, frequently one that has accumulated in the nerve of the tooth when the nerve has failed . 

Bacteria live in plaque, a by- product of food, slaver, and bacteria in the mouth, which sticks to the teeth and damages them and the gums. Still, the bacteria may spread inside the soft tissue of the tooth or gums,

If the plaque isn't removed by regular and proper brushing and flossing. This can ultimately affect in an abscess. There are three types of dental abscess Gingival, periodontal or periapical. Symptoms of dental abscesses include pain, a bad taste in the mouth and fever. 

Treatment for an abscess may involve root canal surgery. To minimize pain, it is best to avoid cold drinks and food and use a softer toothbrush.

Symptoms:

DENTAL SPORTS INJURY:

 Sports injuries can range from minor chips of a tooth to severe cases where teeth have been knocked out, loosened or displaced.

It is important with any dental trauma to arrange an assessment as soon as possible, especially if you have disrupted the position of the tooth or knocked it out. The success of the treatment is closely linked to how soon the treatment is sought

So, if are wondering “how do I find an emergency dentist near me “…. all you need to do is call 020 8746 1500 or visit NHS choices.