Trauma/Emergencies

At Riverbend Pediatric Dentistry, we offer access to care for dental emergencies 24 hours a day, 7 days a week, for patients who are patients of record in the practice and have an active* status.  Those patients who are not active patients of Riverbend Pediatric Dentistry should contact their general dentist or visit the closest hospital emergency room. 

If you are a patient of record, please contact our office.  If you are calling after hours, please follow the directions on our voicemail to contact Dr. Snyder.

*Active patients are those patients who are actively seeking treatment in the practice and remain current with their regularly scheduled recall exams.

For example:

if your child has have never visited Riverbend Pediatric Dentistry as a patient, then they are not considered an active patient of record.

Patient’s not returning to the practice every 6 months for regular check ups may not be considered active if too much time has lapsed since their last visit to the office.

Instructions for Dental Emergencies:

Toothache

  • clean around the sore tooth with a soft bristled toothbrush or warm wash cloth depending on what your child will tolerate.
  • Check for any debris that might be trapped in the area and try to remove it by rinsing with warm salt water or using dental floss if necessary.
  • Give your child the age/weight appropriate dose of acetaminophen (Tylenol) for any pain.  Do not place the medication directly on the sore area and hold it there, as this may cause a chemical burn of the soft tissue (gums), eventually resulting in more discomfort in that area.
  • If there is facial swelling present, apply a COLD compress.  If swelling becomes too great, it may be necessary to send the patient to the hospital for administration of IV fluid and antibiotics.  These situations can become serious, even life-threatening, so timely management and medical attention is required to ensure that your child avoids such conditions.
  • Schedule an appointment with your dentist as soon as possible. 

Fractured (Broken) Tooth

  • Rinse any dirt or debris from the injured area with warm water.
  • Place a cold compress over the face in the injured area.
  • Locate any fragments of the tooth that may have broken off.
  • Contact your dentist for a dental evaluation and any necessary treatment.

Tooth Knocked Out of Position (Luxation)

  • tooth has been knocked out of position but has not been knocked completely out of the mouth
  • Contact your dentist so that necessary treatment can be provided.
  • Close follow up care will be required during the first few months following the initial accident to try and intercept further complications of the trauma before the compromise the health of the tooth.

Tooth Knocked Completely Out of the Mouth (Avulsion)

Primary (Baby) Tooth:

These teeth are not reimplanted mainly avoid damaging the adult tooth that is developing under the primary teeth within the jaw bone.  A follow-up evaluation with your dentist is recommended to ensure that there is no remaining tooth structure that has been left behind and may require removal.

Permanent (Adult) Tooth:

  • Find the tooth
  • Hand the tooth only by the crown (the part that is usually visible in the mouth), DO NOT handle the root.
  • The tooth may be rinsed, but do not excessively handle or scrub the tooth.
  • If clean, try to reimplant (reinsert) the tooth into its socket and have your child hold the tooth in place by biting on a clean washcloth.  This will give the tooth a better chance for long term survival.
  • If you cannot reinsert the tooth, transport it in a cup of milk
  • CONTACT YOUR DENTIST IMMEDIATELY!  Your child will need to be seen by a dentist as soon as possible to try and save the tooth.  Close follow up care will be required in the first couple of months to determine what treatment will be necessary to give the tooth its best chance at survival.