Emergency Dental Service
Dental
Emergency Service Hotline: 020 8746 1500
Our 24 Hour London Dental Emergency
Service is the largest and longest running dental emergency service in London
and is designed to cater for the young, old, elderly and disabled. Started in
1990, we were privileged to accept patients from all the major Accident and
Emergency Hospitals in London. They recommended us because of our reliability
and quality when it comes to delivering a world class Dental Emergency Service.
The new dental contract started in 2006.
Through our track record we were offered and were proud to accept the largest
NHS Dental Emergency Contract in London. In all 8 Primary Care Trusts in London
use our 24 Hour Dental Emergency Service. This Dental Emergency Service can be
accessed through our three surgeries based in West London. Please note that
during normal working hours you should contact the surgery closest to you
directly.
If you wish to be seen on the NHS for a dental
emergency after surgery hours please contact NHS Dental Nurse Triage by dialling
111.That service is accessible up to 1 AM and you should call by 12 AM.
Our private dental emergency Hotline is 020 8746 1500. This call will
normally be answered by one of our 24 hour emergency dentists.
This experience has highlighted that whether a patient has a
Toothache, Abscess, Dental Swelling, Loose Crown, Fractured Teeth, Dental
Trauma, Dental Accidents, Root Canal Treatment or Broken Denture, the patient
needs immediate attention and dental care so our team try to see you promptly.
TOOTHACHE
This is
the most common emergency and is usually related to changes in the pulp of the
tooth:
Reversible
pulpitis. Leads to pain of a short
duration and is mild to moderate in severity and can be triggered by changes in
temperature and with sweet foods. It usually doesn’t cause disturbed sleep, and
normally requires a trigger. This type of toothache is commonly well localised and
the patient is able to tell which tooth it is. Removal of the decay followed by
a filling or crown preserves the vitality of the tooth.
Irreversible
pulpitis. The dental pain can last for minutes to hours without a trigger and
can wake you up from your sleep. Pain can be very intense and painkillers will
not be effective. You may find pain on biting, and occasionally pain being
relieved with cold water. The tooth will need to be extracted unless a root
canal treatment is performed.
Left
untreated both of these types of pulpitis can progress to form an abscess at
the tip of the root which can lead to swellings and raised temperatures. In
extreme circumstances hospitalisation may be required. Other causes of
toothache include dentinal sensitivity which can arise from gum disease,
chipped/lost dental fillings, abrasion and 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
We deal with all manner of dental
trauma, from accidental trips and falls to sports injuries and assaults.
Treatment really is dependent upon the
extent and degree of trauma.
Knocked out and displaced teeth can
normally be replanted and splinted. If the tooth has been knocked out, it is
important to care for it appropriately- keep it clean, don't scrub the root,
try to keep it in the socket if possible or in milk/contact lens solution. The
important thing is not to let it dry out, and to avoid further damage to the
root. It is ideal to see a dentist within two hours of the incident, but
sometimes this is not possible-as long as the tooth has been cared for, it may
still be replanted.
Splinting takes the shape of a piece
of wire bonded onto the tooth surfaces to hold the teeth in place during the
healing period, which may be between two to four weeks. You will require
regular assessments during this phase in order to diagnose any infections or
complications that may occur, so that they are dealt with appropriately and at
the earliest time possible.
Minor cracks and chips can be restored
by either bonding the fractured portion back to the tooth or restoring the
missing part with some composite filling material.
INTRA AND EXTRA ORAL SWELLINGS
Must always
be taken seriously because they can very quickly get very serious (cellulitis).
The most common cause is an infected tooth which has been left untreated and
has progressed to forming an abscess. In severe cases the patient may need
hospitalisation.
WISDOM TEETH AND PERICORONITIS
The gum
overlying wisdom teeth can become inflamed and infected. In its earlies stages
it may be possible to treat the issue by cleaning and irrigation with some
antiseptic solution. If left untreated it may be progress to becoming quite serious
and causing localised swelling, difficulty in opening the mouth and/or
swallowing- at this stage antibiotics will be required. In severe cases the
patient may need hospitalisation. It is very important to arrange an
appointment immediately, and you will probably require antibiotics to control
the infection in the first instance, unless it is clinically appropriate to
remove the offending tooth. We follow Nice Guidelines when deciding whether to
extract the wisdom tooth or allow it to erupt naturally.
BLEEDING AFTER AN EXTRACTION
This can
be serious and can lead to death, especially if it is uncontrollable and after
a dental extraction. Call immediately to arrange an appointment or call an
ambulance. You may require suturing or pressure from special gauze placement to
help stop the bleeding. Please bring a list of any medications you are 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
Problems
with braces can include broken braces, broken wires, loose bands, loose braces,
wires sticking out.
You may
need to visit a dentist if it’s causing trauma to your cheeks, gums, palate or
tongue.
DENTAL ABSCESS
A dental
abscess is a collection of pus that can form in the teeth or gums as a result
of a bacterial infection caused by bacteria found in plaque.
Plaque can
damage teeth and gums and can eventually infect the soft tissue inside a tooth
or gums, forming an abscess.
There are
two types of dental abscess:
periapical
abscess (the most common type), when bacteria infect the inside of the tooth as
a result of dental decay
periodontal
abscess, when bacteria infect the gums
Dental
abscesses can be very painful and tender and can make a person feel unwell.
Without
dental treatment, a dental abscess will get worse and may lead to the
destruction of surrounding bone and other serious health problems.
It is
important to arrange an emergency appointment to avoid the potential spread of
infection. Treatment is dependent upon the severity and type of abscess, but
may include root canal treatment, antibiotics, deep cleaning or extraction of
the tooth.
DENTAL SPORTS INJURY:
Playing rugby,
football, cricket or on a set of rollerblades, 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 straight away,
especially if you have disrupted the position of the tooth or knocked it out.
Studies show that the highest success rates can be achieved within the first
two hours.
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.
How to get to the emergency dentist by Bus
From: Heathrow Airport Terminals 1-3 To: Ghauri Dental Centre, 113
Vicarage Farm Road, Hounslow TW5 0AA, UK
Step 1: Piccadilly line to Hounslow West - Journey time: 6 mins
Step 2: Get off at Hounslow West Station / Vicarage Farm Road
Step 3: Walk to H32 bus or 482 bus to Great West Road - Journey time: 5 mins
Step 4: Get off at 54 Vicarage Farm Road, Hounslow - Journey time: 3 mins
Step 5: Walk to 113 Vicarage Farm Road, Hounslow Journey time: 1 min
Step 6: Reach at 113 Vicarage Farm Road, Hounslow
From: Southall, Southall Station To: Ghauri Dental Centre, 113 Vicarage Farm Road, Hounslow
TW5 0AA, UK
Step 1: 482 bus or H32 bus to Great West Road - Heston House - Journey time:
21 mins
Step 2: Get off at 54 Vicarage Farm Road, Hounslow
Step 3: Walk to 113 Vicarage Farm Road, Hounslow - Journey time: 3 mins
Step 4: Reach at 113 Vicarage Farm Road, Hounslow
From: Westfield Shopping Centre, Shepherds Bush To: Ghauri Dental
Centre, 1-3 Wormholt Road, Shepherds Bush, London W12 0LU, UK
Step 1: 72 bus or 220 bus or 272 bus to Shepherd's Bush (Central Line) -
Journey time: 12 mins
Step 2: Get Off at Shepherd's Bush Green
Step 3: 207 bus or 260 bus to Galloway Road - Journey time: 14 mins
Step 4: Get Off at Shepherd's Bush Market Station
Step 5: Walk to 3 Wormholt Road, Shepherds Bush Journey time: 3 min
Step 6: Reach at 3 Wormholt Road, Shepherds Bush
From: Westfield Shopping Centre, Shepherds Bush To: Ghauri Dental
Centre, 247 Westbourne Grove, London W11 2SE, UK
Step 1: 220 bus or 72 bus or 272 bus to Shepherd's Bush (Central Line) Journey
time: 12 mins
Step 2: Get off at Shepherd's Bush Green
Step 3: Walk to 247 Westbourne Grove, Kensington (London) Journey time: 30
mins
Step 4: Reach at 247 Westbourne Grove, Kensington (London)
From: Hammersmith Station, London, UK To: Ghauri Dental Centre, 1-3
Wormholt Road, Shepherds Bush, London W12 0LU, UK
Step 1: Walk to Hammersmith Library Journey time: 2 mins
Step 2: 283 bus to Galloway Road Journey time: 20 mins
Step 3: Get off at Adelaide Grove
Step 4: Walk to 3 Wormholt Road, Shepherds Bush Journey time: 3 mins
Step 5: Reach at 3 Wormholt Road, Shepherds Bush
From: Bayswater Underground Station To: Ghauri Dental Centre, 247
Westbourne Grove, London W11 2SE, UK
Step 1: 70 bus to Portobello Road Journey time: 18 mins
Step 2: Get off at Powis Gardens stop
Step 3: Walk to 247 Westbourne Grove, Notting Hill Journey time: 8 mins
Step 4: Reach at 247 Westbourne Grove, Notting Hill