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Emergency Dental Care

A woman with emergency dental painDo you have…

a lost crown?
a terrible toothache?
a cracked or knocked out tooth?
dentures that require an emergency repair?

One out of every four people in the United States suffers from an oral injury in their lifetime, and handling these dental emergencies can make the difference between saving or loosing a tooth.

Dental emergencies don’t always happen during regular business hours; in fact, they tend to occur at the most inconvenient times possible. That's why Dr. Darryl Azouz and our team are on-call and accessible 24 hours a day, seven days a week!

If you’ve experienced a dental emergency, contact The Serenity Dental Team at (916) 630-1084 or at (916) 708-2363. Remember, pain is a signal that something is wrong, and even though it may temporarily disappear, it doesn't mean the problem is gone!

How to prevent dental injuries and dental emergencies:

  • Child-proof your home
  • Make sure your children are belted safely in their stroller and car seat.
  • Wear a helmet when roller blading, cycling or skateboarding.
  • Always use seat belts.
  • Have a custom made mouth guard made by The Serenity Dental Team to wear while playing sports and during activities that have physical contact.

If you are away from work or home, be sure to carry Dr. Darryl Azouz's office information (6661 Stanford Ranch Road, Suite D, Rocklin, CA 95677 (916) 630-1084) www.serenitydental.net), so you can reach him for a consultation and decide if immediate dental care is needed.

To give you the best emergency dental service, be prepared to The Serenity Team:

  • Any recent treatments, surgeries, adjustments, or appointments
  • The location of the tooth and/or pain
  • Your symptoms (fever, pain, swelling)
  • Your level of pain
  • Any pain medication taken

Emergency dental careHow should emergencies be dealt with? Here's a list temporary solutions to support dental emergencies:

Lost Crown and need Emergency Dental Care

  • Call Dr. Darryl Azouz as soon as possible at (916) 630-1084 to make an appointment to re-cement the crown.
  • Attempt to snap the crown back into place.
  • Use denture adhesive paste on the crown and place it back on your tooth (do NOT use ordinary household glue!).

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Orthodontic Issues (Braces)

  • Wire irritation: cover the end of the wire with a piece of gauze or with some dental wax.
  • Embedded wire in the gum or cheek: DO NOT remove it. Call Dr. Darryl Azouz immediately at (916) 630-1084.

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Broken Dentures, Bridges, or Plates

  • Keep all of the parts and pieces of your broken bridge, dentures, or plates.
  • Call Dr. Darryl Azouz as soon as possible at (916) 630-1084 to schedule an appointment for repair or replacement.

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Broken, Fractured, or Chipped Tooth or Filling

  • Call Dr. Darryl Azouz at (916) 630-1084 within two to three hours if the broken/chipped/fractured tooth doesn't require hospital care. Quickly contacting The Serenity Dental Team can prevent infection, reduce the possibility of extensive dental care, and may save the tooth.
  • Apply direct and gentle pressure to the gums to stop bleeding. Do not apply pressure directly on a broken tooth (If tooth is in the upper part of the mouth, apply pressure to the gums above the tooth, lower tooth should have pressure applied directly below the tooth).
  • Rinse the mouth with warm water.
  • A cold compress can be externally applied to reduce swelling.
  • Find the broken tooth fragments and bring the pieces with you – they may be able to be "cemented" back together.
  • If needed, put some soft wax in the area around the chipped or damaged tooth.
  • To avoid further discomfort, avoid using the injured side of the mouth while eating. Consume only soft foods, as well as lukewarm beverages and food.
  • If pain medication is needed, take 400-800 mg of ibuprofen (Advil or Motrin) or 200-400 mg of naproxen sodium (Aleve). Do not take aspirin or aspirin-substitutes as they can slow clotting. Be sure to follow the directions from your physician and on the medication bottle.

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Gum Injury

  • A gum injury to the soft tissue in your mouth includes puncture wounds, lacerations, or tears to the cheek, tongue, or lips.
  • Clean and rinse the area immediately with a warm salt water solution (1/2 teaspoon or salt and eight ounces of warm water).
  • If your tongue is bleeding, pull your tongue forward and use a piece of gauze to apply pressure to the injury site.
  • For severe injuries, go to hospital for evaluation and treatment.

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Sore Gums

  • If pain is extreme, call Dr. Darryl Azouz as soon as possible at (916) 630-1084 to schedule an appointment.
  • For minor pain, purchase a rinse such as Peroxyl.
  • Gently brush your teeth and gums.
  • For minor but continuing discomfort, schedule an appointment with Dr. Darryl Azouz in his Rocklin office at (916) 630-1084.

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Fractured Jaw

  • Immobilize your jaw with a towel or tie, especially if there is pain when it is moved or the mouth cannot be closed in a normal manner.
  • Go to the doctor/hospital immediately. Remember, a blow to the head (especially to a child) can be especially life threatening. Treatment may include seing a dentist, but a physician will subscribe this option as needed.

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Swollen Jaw

  • Contact Dr. Darryl Azouz by calling (916) 630-1084 immediately. There may be an infection that requires antibiotics.
  • A cold compress can be externally applied to reduce swelling.

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Small Black Legion

  • A small black legion that appears in the mouth may be what's called an “amalgam tattoo.” This happens when some of the silver from an amalgam filling has rubbed onto the cheek.
  • To remove the legion, gently brush and rinse the area.

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Small White Legion

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Toothache

  • Floss thoroughly.
  • Rinse the mouth out with warm water. This may remove lodged debris.
  • Apply a cold compress on the area of the face outside of the tooth pain site – especially if there is swelling.
  • Take a pain reliever such as aspirin, Tylenol, or ibuprofen. Also, an over-the-counter topical anesthetic with 5% to 20% benzocaine applied every two hours may help.
  • Make an appointment to see Dr. Darryl Azouz as soon as possible.

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Tooth Knocked Out

  • If at any point in time the person was unconscious or requires stitches, go to the hospital immediately for a full assessment.
  • A missing tooth that has been knocked out may mean that it was inhaled. In this case, go to the hospital immediately.
  • A knocked out tooth should not be handled by the root, only by the crown (this is the chewing surface). Never touch the root; touching the root may prevent re-attachment of the tooth to the bone.
  • Remove dirt by gently rinsing the tooth with cool water. (DO NOT scrub off the tooth, wrap the tooth in a cloth or tissue or dry the tooth.)
  • If possible, replace the tooth back into the socket. Firmly and carefully push the tooth back into the socket with your fingers; bite down on a clean washcloth to hold the tooth in place.
  • If the tooth can't be placed back into the socket, it can be stored in a variety of liquids. A tooth can be stored in water for up to 15 minutes, in saliva for 30 minutes and in milk for up to one hour. If all else fails, place the tooth directly between the gums and the cheek.
  • It is imperative to keep the tooth moist at all times.
  • A tooth that is implanted within 30 minutes has an excellent chance of re-attachment. Call Dr. Darryl Azouz as soon as possible at (916) 630-1084to schedule an appointment.

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Baby Tooth Knocked Out

  • If at any point in time the person was unconscious or requires stitches, go to the hospital immediately for a full assessment.
  • Deciduous (baby) teeth are generally not re-attached. Cosmetic deformities may be caused by ankylosis, which could interfere with the irruption of a child's permanent teeth.
  • A cold compress can be externally applied to reduce swelling as needed.
  • Give the child a pain reliever such as Tylenol – be sure to follow the medication directions for dosage.
  • Contact Dr. Darryl Azouz to set an evaluation appointment to determine if a space maintainer is necessary for smooth integration of adult teeth.

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Loose Baby Tooth

  • Having loose teeth is normal for children. As long as there isn't any decay or swelling, remind children that this right of passage is part of getting "adult" (permanent) teeth.
  • If the child is experiencing discomfort, use a warm salt water rinse (1/2 teaspoon or salt and eight ounces of warm water) three to four times daily.
  • Give the child a pain reliever such as Tylenol--be sure to follow the medication directions for dosage.
  • Wiggling the tooth gently may help it come out sooner.
  • Questions? Concerns? Call Dr. Darryl Azouz at (916) 630-1084 to schedule an appointment.

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