Tag Archives: dental emergencies

Pimple turning tooth gray

I think I need help fast, but I don’t have a dentist. I have a pimple on my gums which is causing serious pain. I think it’s poisoning a tooth tooth because one of my teeth has turned gray. What do I do if I don’t have a dentist?

Brooke

Dear Brooke,

Woman grabbing her jaw in pain needing an emergency dentist
Tooth pain is a dental emergency

I’m very sorry you are in so much pain. You’ve got two things going on here. One of which is considered a dental emergency.

Pimple on the Gums

Let’s start with the pimple on your gums. This is a sign you have an infected tooth. The pimple is known as an abscess. This happens because the infection is severe. Infected teeth are considered dental emergencies.

These infections will continue to spread. In some cases, they become life threatening quickly. This is a result of where they spread and how long they’re left untreated. Your jaw is very close to your brain and heart. If the infection reaches there, sometimes it is too late to do anything. There were too many people who died from tooth infections last year, given how preventable it is.

I do realize you don’t have a dentist. Because this needs to be seen to right away, I’m going to suggest you do an internet search for an emergency dentist. These are general dentists who are willing to see non-established patients quickly in cases of emergencies such as yours.

Often, they’ll do what they can to get you out of pain, prescribe an antibiotic for hold off the infection and schedule a follow-up appointment to give the tooth the entire treatment it needs.

A Gray Tooth

When a tooth has turned gray, that is a sign it is either dead of dying. This tooth was also infected, which is a definite indicator the infection is spreading.

The dead tooth won’t have any pain, but the infection is still there and will need to be removed by the dentist. Unlike medical infections, you can’t just take an antibiotic and be done. Antibiotics will only keep a dental infection at bay, it won’t rid your body of it.

With dental infections, the dentist has to get in there and physically remove the infection with a procedure called a root canal treatment. This often requires the tooth to be crowned as well.

Don’t put off getting this seen.

This blog is brought to you by Lafayette, LA Dentist Dr. Mike Malone.

Pediatric Dentist Strapped My Child Down

I am absolutely appalled. I took my daughter to the pediatric dentist for the first time. I got a little nervous when they didn’t let me back with her, but I didn’t want to make her worry so I pretended it was no big deal and she’d have a lot of fun. You can imagine how heartbroken I was when she told me that she got scared so they strapped her down. When they brought her out I could tell she’d been crying. I called, thinking I must have misunderstood her or she didn’t know how to explain what actually happened. They told me it’s standard procedure in dealing with an uncooperative child. Please tell me that’s not correct. She doesn’t ever want to go back.

Amy L.

Dear Amy,

Boy smiling and holding a toothbrush
Dental Care for Children Should be All Smiles

I’m heartbroken with you for the trauma your little girl experienced. I believe what you’re referring to is a papoose board. It wraps the child which essentially keeps them from moving during their appointment. It used to be a regular practice in many pediatric offices but has come under fire in recent years. Even the American Academy of Pediatric Dentistry has warned of its drawbacks and said parents have the right to terminate its use at any time.

While some children do better alone, many feel comforted knowing the mother is there to look out for them during their appointment. The goal of pediatric dental care is to give children a positive experience and get them excited about taking care of their teeth. I’d say your pediatric dentist totally failed at that.

Finding a Good Pediatric Dentist

You’ll obviously want to switch to a different practice. You can take your daughter to a pediatric specialist or a general dentist who enjoys treating children. One way to know how good a general dentist is with children is the age they’re willing to first see them. If they say around two years of age, you can feel pretty sure they’re comfortable with the wee set. If they say 8-10, then I’d look elsewhere.

Given your daughter’s experience, you’ll want a dentist who will let you go back with her. She’ll need to feel safe. You may also want to give her some nitrous oxide. It’s commonly called laughing gas and will help relax her. Wherever you end up, be sure to check their reviews ahead of time as well.

Please tell the new dentist what your daughter went through so they’ll be prepared to handle her understandable fear. We want to get her on the right track having positive experiences.

Most adults who end up with dental emergencies do so because they had a traumatic experience as a child and now avoid the dentist until their services become unavoidable.

For those patients, we recommend oral conscious sedation. It’s stronger than nitrous and will allow them to sleep through the appointment. That would be the last resort with a child, though. Let’s see if we can’t get her relaxed and happy without it.

This blog is brought to you by Dr. Mike Malone.