Emergency Walk-In Dentistry
Some oral health problems, like a chipped tooth, cracked tooth, broken dentures, and tooth infections, require urgent dental care that can’t wait days or weeks for an open appointment. At Puri Dentistry, many offices are available 365 days a year and seven days a week to get the proper care and attention you need during a dental emergency.
Our experienced staff is committed to providing our patients with the highest quality of dental care that is easily accessible at our many locations throughout California. Some of the many emergency dental procedures available include tooth infection extraction, denture repair, incision and drainage, and same-day dentures.
What is a broken tooth or chipped tooth repair?
Chipped, cracked, or broken teeth can be incredibly painful and could also cause other damage to the mouth when left without treatment. When a person suffers from a chipped front tooth, it is much more noticeable than a small chip to a back tooth. These may be difficult to notice and could go overlooked for some time. If this happens, damage could occur in the gums, tongue, lips, or cheeks.
At Puri Dentistry, our dentists are highly skilled and trained in recognizing even small cracks or chips in your teeth so they can be corrected as soon as possible and prevent further damage to your oral health.
What causes broken or chipped teeth?
If you have suffered from any of the following problems that could result in teeth breaking, talk to one of our Dental365 dentists:
- Eating something hard, like hard candy
- Sports injuries
- Trauma from an accident (commonly car accidents)
- Cavities that are not treated
- Older fillings causing tooth structural problems
In addition, the following are potential risk factors for a broken tooth:
- Teeth grinding
- Tooth decay
- Eating acidic foods
Is a broken tooth an emergency?
Your broken tooth may be considered a dental emergency, so speak with one of our Puri Dentistry if you suspect a fractured tooth. Our dentists can determine the best options for your unique situation during a personal, one-on-one consultation with a broken tooth surgeon.
How are broken teeth repaired?
One of the following procedures to repair a broken or cracked tooth may be right for you:
Dental Bonding for Chipped Teeth
Dental bonding is one treatment option that may be more affordable than dental veneers. During dental bonding, one of our skilled dentists uses color-matched composite resin to cover up any cracks, breaks, or cosmetic imperfections on your tooth.
This dental surgery is only a good option if your tooth crack or tooth fracture is relatively small and doesn’t require extensive cosmetic changes.
Dental Crowns for a Broken Tooth
A dental crown may also be a good option if your broken tooth needs to be blended in with the rest of your smile permanently. Dental crowns are custom-fit to your unique teeth and can fill gaps in the tooth due to cracking, breaking, or gapping.
What is dental tooth extraction?
Whenever possible, our expert dentists at Puri Dentistry do everything in our power to save a tooth through conservative treatment options. However, in some cases, a tooth cannot be saved. When this happens–usually due to a traumatic injury, a tooth infection, tooth damage, or tooth decay over time – tooth extraction is performed in the most gentle way possible. Our certified oral surgeons across California can extract a tooth gently and precisely.
What does tooth extraction involve?
Wisdom tooth extraction or another tooth removal involves gently removing a damaged or infected tooth if no other conservative restoration dental options can save the tooth. To extract or pull a tooth, your dentist will carefully numb the area and remove the tooth. After tooth extraction, the site is prepared for a dental bridge or implant to replace the pulled tooth. Getting a tooth pulled may be an excellent option to restore function to your bite, increase the quality of your oral health, or improve the look of your smile, and tooth extraction healing usually takes a little time.
When does a tooth need to be extracted?
You may be a candidate for the gentle tooth extraction procedure at Dental365 if you are suffering from any of the below reasons for tooth extraction:
- Crowded teeth
- Decayed teeth
- Damaged teeth
- Abscessed tooth
- Injury or trauma to teeth
- Gum disease
- Having wisdom teeth
What is the difference between simple tooth extraction and surgical tooth extraction?
There are two types of tooth extractions, simple extractions, and surgical extractions:
Simple Tooth Extraction
A simple extraction is performed on teeth that are visible in the mouth. These can be performed by a general dentist using local anesthesia.
Surgical Tooth Extraction
A surgical extraction is more complex and involves the removal of a tooth that cannot easily be seen or reached, either because it has not fully erupted or has broken off at the gum line.
Does tooth extraction hurt?
Surgical tooth extraction requires a dentist who has undergone training specifically in safe and gentle tooth removal procedures. At Dental365, our tooth extraction dentists do everything we can to ensure our patients are as comfortable as possible during the tooth extraction procedure. Speak with one of our knowledgeable staff members to learn about sedation dentistry, which may be an option to reduce tooth extraction pain further during your tooth-pulling method.
What happens during a tooth extraction?
The tooth-pulling procedure may be performed at one of our Dental365 locations by either one of our general dentists or an oral surgeon, depending on your specific needs and the type of tooth extraction you will be undergoing.
Our dentists make a small incision in your gums during your surgical tooth extraction. Then, the tooth is gently removed, one section at a time.
After the tooth extraction, we may provide you with prescription pain medication, depending on your level of discomfort. We recommend that our patients apply a warm compress to the tooth removal area to reduce pain after tooth extraction. To prevent tooth extraction complications, you should also avoid chewing food near tooth-pulling locations after oral surgery.
What is the recovery process for a tooth extraction?
Many patients wonder what happens after a tooth extraction, what is the tooth extraction healing process and what kind of recovery from a tooth extraction is necessary. If you’ve had a tooth extracted, you know the days following the procedure will require extra care and attention to the area.
Your dentist may recommend pain medication to help with discomfort, using a small gauze pad to cover the area and applying ice to the site to reduce swelling. For more details on how to ensure you’ll have a speedy and successful recovery from tooth extraction, speak to your dentist at Dental365. We are happy to answer your questions!
Are there any possible complications to tooth extraction?
A patient may encounter tooth-pulling complications after the oral surgery, including a dry socket. The best way to reduce the chances of getting dry socket following tooth extraction includes:
- Avoiding tough foods and sticking with softer foods
- Drinking out of a cup without using a straw
- Using warm salt water to rinse your mouth
Could you contact a Puri Dentistry staff member immediately if you notice severe pain or symptoms of dry socket following your procedure?
Can I replace my tooth after extraction?
Once a tooth has been extracted, there are several restoration options, including:
A dental bridge replaces one tooth or a row of teeth as long as healthy teeth are on either side of the extraction site. Bridges consist of a prosthetic tooth (or teeth) attached to crowns on either side. We permanently attach the domes to healthy teeth to keep the bridge in place.
Dentures feature a prosthetic teeth arch attached to a gum-colored base that fits snugly against the gums. Partial dentures are used when at least one healthy tooth remains, while complete dentures replace all teeth in an arch. Partial and complete dentures can be removable or supported by dental implants.
Implants are tiny titanium posts surgically implanted into the jawbone. The posts fuse with the bone, supporting a crown, bridge, or partial or complete dentures. Implant crowns and bridges are permanent, while partial and complete dentures may be removable or permanent.
Incision & Drainage
Why and Where Might an Incision & Drainage be Recommended?
When cavities or other oral infections are left untreated, they can spread to the jawbone and soft tissues of the mouth. If a condition has been allowed to develop, you may notice swelling in the mouth or face.
We understand the seriousness of problems like tooth and gum infections. When a patient presents signs of significant disease, we perform a comprehensive exam to reach an accurate diagnosis. Sometimes, the condition requires prompt and aggressive treatment to preserve both the tooth and oral and general health. Incision and drainage are one way we can achieve this.
The incision and drainage procedure uses a local anesthetic to numb the area of the mouth being treated. After a small incision is made in the gums, a small drain may be inserted to siphon off the accumulated fluid in a pocket. After thorough drainage, the infection site is irrigated with sterile saline. Antibiotics may be applied into the bag that has been drained or may be prescribed to take orally for several days.
How is an oral infection treated?
At Dental365, our experienced team of dentists and oral surgeons are knowledgeable and well-versed in many procedures to help rid your smile of infections, swelling, and other oral issues. During a one-on-one consultation with one of our experts, we will determine the exact cause of your discomfort and recommend treatment options that best suit you.
To treat infected soft tissues of the mouth, our doctors will clean the area thoroughly to eliminate all affected tissue and irrigate the room with a sterile solution. This procedure, accompanied by other necessary treatments, will alleviate pain and clear away signs of infection.
How do you treat an abscess after draining?
Aftercare is an essential aspect of incision and drainage treatment, and your dentist will instruct you on at-home care steps you should follow. A few Important steps to take include:
- Do not disturb the part of the mouth that has been treated. Do not touch the tongue or the fingers.
- Antibiotics must be taken as prescribed. Over-the-counter medication such as ibuprofen or acetaminophen can be taken to manage comfort. If pain is severe, the dentist may prescribe mild pain medication.
- Soft foods should be consumed until swelling and pain improve.
- Plenty of fluids should be consumed throughout the day to prevent dehydration.
- Aside from walking, patients should avoid exercise and activities that increase heart rate.
- Fever is a common symptom of infection. If the fever rises above 101 degrees Fahrenheit, the dentist should be contacted. If the fever rises when the office is closed, the patient should go to the nearest emergency room or urgent care.
How long does it take for incision and drainage to heal?
The wound created by the abscess can take 1 to 2 weeks to heal completely. This depends on the size spot and how well the body responds to the incision and drainage procedure. During the two weeks after the process, we expect tissue from the margins of the wound to heal toward the center, sealing over the wound bit by bit.
Can an abscess kill you?
Yes. A tooth abscess is an infection that creates a pocket in soft tissue. This pocket fills with pus that contains bacteria. Two common types of blemishes occur. Typically, these sores result from untreated cavities or poor dental health in general.
Periodontal abscesses form in the space between a tooth and the gums. The presence of bacteria in the gums can lead to severe periodontal disease if not addressed quickly enough.
Periapical abscesses form at the tip of a tooth’s root. This sore cannot be seen because it happens inside the tooth. An untreated abscess at the source can spread bacteria and infection to the surrounding bone.
A dental abscess can form in a matter of a few days. This infection does not go away on its own. An abscess can continue without treatment for several months, possibly even years. Most spots cause intense tooth pain, indicating to a patient that prompt treatment is needed. Yet, some areas do not cause pain but can be equally damaging to hard and soft tissues in the oral cavity.
If not treated, an abscess can lead to additional problems. These include:
- Fistula is an opening through the bone and tissue that allows the pus to drain. Fistula can leave an odd taste in the mouth.
- Cysts can also develop from a dental abscess. Like the abscess itself, a cyst is a fluid-filled sac. From a dental spot, a cyst may form in the jaw bone. Surgery may be needed to remove it.
- Sepsis. This is the most severe and concerning consequence of a dental abscess. If the spot drains without intervention from a dentist, the infection can spread to the mouth and the bloodstream. Once in the bloodstream, the condition becomes sepsis, a systemic disease affecting the heart, brain, and other organs.
Sepsis is a life-threatening condition that may require hospitalization and aggressive treatment.
Is a tooth abscess considered an emergency?
Yes. The blood supply to the mouth and teeth is an offshoot of the primary circulatory system. Doctors often prescribe medication to be delivered under the tongue because the blood is quickly affected by this area of the mouth. We all have bacteria in our mouths. Some are good, and some can be harmful. Some amount of bacteria does pass into the blood. However, this amount is so limited that the immune system can typically combat it. When an infection is severe, such as an abscess, the immune system may be overwhelmed by the number of bacteria absorbed into the blood. This can lead to problems in other body areas, including the brain and the heart.
Dental care should be arranged as soon as possible if signs of infection in the mouth occur.
Can you go to the ER for a dental emergency?
Hospitals and urgent care centers only sometimes have dentists on site. As much as possible, it is recommended that patients try to control dental pain at home until their dentist can see them.
If a dental emergency occurs when your dental office is closed for the day and you cannot manage pain with over-the-counter medication or your dental problem is accompanied by a fever, nausea, or vomiting, then, yes, go to the nearest emergency room.
Same-Day Denture Services
For denture patients, breaking your restoration can seriously affect your daily life. Many patients can only eat or speak generally once their dentures can be repaired. We are proud to say that we can perform same-day denture repairs, allowing you to return to your routine as quickly as possible.
What causes dentures to break?
Sometimes, dentures break and must be repaired to fit correctly and restore function for the patient. Dentures can fail due to any of the following:
- Improper fit of your dentures
- Your jaw shrinking over time
- Dropping your dentures during activities
- Misplacing your dentures
How can I tell if my dentures are broken?
You may need to visit an expert in denture repair at Puri Dentistry if you answer “yes” to any of the following questions:
- Do your dentures pinch, hurt, or feel uncomfortable when you wear them?
- Has a piece of your denture recently fallen off (it may have fallen into food)?
- Have you noticed your dentures falling out of place or slipping inside your mouth?
- Do your dentures fail to line up correctly, especially when chewing?
If you are uncomfortable going to the dentist, we provide numerous sedation dentistry options to ensure you are relaxed during your office visit. We understand that many patients can experience high levels of fear and anxiety when they think about going to the dentist and that fear can keep them from seeing the dentist as regularly as they should. This can create the need for major dental work, which can be timely and costly. Suppose you would like to learn more about our sedation dentistry options. In that case, you can contact one of our New York, New Jersey, Connecticut, Massachusetts, and Rhode Island office locations to schedule your appointment.
What is sedation dentistry?
Numerous sedation dentistry options ensure your relaxation during your dental procedures. Some patients experience high fear and anxiety when they think about going to the dentist. Sedatives reduce the brain’s recognition of pain and discomfort while easing feelings of fear and stress. At Puri Dentistry, we offer sedatives to patients with dental anxiety to help them relax during procedures.
Why is sedation dentistry used?
Patients with a very low pain tolerance or sensitive gag reflexes may be good candidates for oral sedation. Sedation dentistry is also a good option for patients who have difficulty controlling their movements or cannot sit comfortably for long periods.
What are the benefits of using sedation dentistry at Puri Dentistry?
Benefits of using sedation dentistry at one of our dental offices may include the following:
- Allows a great deal of dental work can be completed while sedated
- Provides comfort for patients for hours at a time
- Reduces or eliminates pain and discomfort during the procedure
- Reduces anxiety and fear associated with the dentist
- It improves oral health for patients who are less hesitant to visit the dentist, knowing sedation is available
How does dental sedation work?
Many forms of dental sedation affect the central nervous system. The medications classified as sedatives diminish the nervous system's activity, so when external stimulation occurs, the response is much less intense than otherwise. For dental sedation, medications are prescribed accurately so patients do not experience the sensations that are common with dental anxiety.
Can you be put to sleep for dental work?
Yes. Oral Surgery procedures are performed under IV anesthesia. This sedation method is more profound than those commonly used (nitrous oxide and oral conscious sedation). While necessary in exceptional cases, deep sedation that achieves deep sleep is typically not administered for routine procedures like root canals or dental implants.
Types of dental sedation
During a consultation with your dentist, the various sedation methods will be explained to you, and your dentist will help you decide the best sedation dentistry type for your needs. Depending on the type of sedation used, your experience will range from simply feeling more relaxed to experiencing a sleep-like state, during which little is felt or remembered. Below are the different types of sedation that can be used during dental procedures:
Often referred to as laughing gas because of the euphoric feelings it induces, nitrous oxide is inhaled through a mask, leaving you to feel calm and relaxed. The effects of the sedative diminish as soon as the cover is removed, and you will be free to resume normal activities right away and will be able to drive yourself home.
Oral sedatives come in pill form and are usually taken about one hour before dental treatment. They work quickly and wear off gradually, so you need a friend or family member to drive you to and from your appointment. Under dental sedatives, you will be in a state of relaxation and will retain the ability to talk to the doctor but will be unaware of many of the details of your procedure. Most patients can resume normal activities that evening or the following morning.
Depending on your procedure type, a local anesthetic may also be administered during your procedure since oral sedatives and nitrous oxide do not provide pain relief.
How long does dental anesthesia last?
Dental anesthesia is the term we use to describe the local anesthetic that is administered to the gums. This anesthetic eliminates pain sensations so patients can receive care most comfortably. The numbing sensation wears off over 2 to 4 hours.
What to expect during sedation
Sedation dentistry allows patients to experience a more comfortable experience at the dentist’s office, especially if they suffer from dental anxiety, by using medication. The forms of dental sedation that we use are mild. Patients can breathe and swallow on their own. They can communicate with us during their treatment if needed. Depending on the type of sedation, a patient may feel deeply relaxed. Their body may feel heavy or very light, almost like floating. Some people experience a warming sensation in their bodies under sedation. Some doze off. Across the board, though, most feel no sense of the anxiety that had previously kept them from seeing the dentist.
How long does it take for conscious sedation to wear off?
Dental sedation can take a few minutes to several hours to wear off. Nitrous oxide is nearly immediately effective after the gas is inhaled. Once administration stops, the effects of this sedative begin to lift. Patients feel alert within a few minutes and can safely drive home to resume normal activities. Oral conscious sedation tends to last several hours. Patients may feel somewhat groggy for the remainder of the day. A friend or loved one must drive the patient home after their appointment.
Is dental sedation needed for tooth extraction?
There are a few instances where patients must be “put to sleep” for tooth extraction. While this is possible, most patients can undergo this procedure comfortably with conscious sedation techniques like nitrous oxide or an oral sedative.
Will I feel any pain with dental sedation?
Dental sedation is used alongside dental anesthesia that numbs the nerves in the mouth. The local anesthetic desensitizes the nerves themselves. Sedation compounds the pain-relieving effects by depressing the reactivity of the central nervous system. Therefore, dental sedation works to enhance the impact of local numbing medication.
How else can I manage dental anxiety?
Several strategies can be used to help reduce dental anxiety. These include:
- Choose a dentist that creates a sense of trust and comfort.
- Choose a dentist that offers sedation services.
- Bring earphones to dental appointments to listen to calming music or music that uplifts the mood.
- Talk to the dentist about feelings of anxiety. They can assist with comfort-improving techniques.
- Don’t wait until a toothache has developed to see the dentist. Routine exams and cleanings are much less stressful than appointments to address pain.