Kids Dental emergency calgary ne

KIDS DENTAL EMERGENCY?

CALL NOW!

Broken teeth? Hockey accident? Painful chewing? At any rate, don't wait! Waiting always makes things worse. Visit Dr. Zealand and Dr. Vinsky at North Calgary Pediatric Dentistry to help alleviate your kids' oral aches and pains, letting them get back to just being kids. Call us now, or make an online appointment.
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5 signs your child is in a dental emergency

kids dental emergency calgary NE child sore tooth

Sometimes, children don't have the vocabulary or ability to let us know when something is deeply wrong and what exactly the cause of their distress is — especially when it comes to their dental health, where issues can be invisible on the surface level.

As a parent, wanting to immediately help your child feel better is a natural response. When the answer isn't readily clear, it can be as stress-inducing for you as it is for your child in pain.

1. Bad breath

Persistent, potent bad breath is often a sign of a tooth infection or decay, which your child can be enduring even if their teeth look perfectly fine.

Left untreated, the tooth will eventually discolour and can pose serious, potentially life-threatening danger. It's critical to seek treatment early on if your child has ongoing halitosis.

2. Relentless rubbing

Children may experience referred pain where the source of their issue is different from where they feel the pain it is causing.

With a cracked tooth, tooth infections and toothaches, pain commonly refers into the cheeks and jawline, where your child may relentlessly rub in an attempt to self-soothe. 

In some cases, this occurs because food is lodged between their teeth, exerting uncomfortable pressure. If the rubbing persists after its removal and you notice any tooth discolouration, treat this as a kids dental emergency in Calgary, NE and seek treatment immediately.

3. Avoiding eating

What you might perceive as an act of defiance or a picky taste palette might actually be your child avoiding putting pressure on a sore tooth. Check their mouth and gums for swelling and bleeding. Seek treatment right away if you observe these abnormalities or if this behaviour carries on, despite not seeing anything of alarm.

4. Spots on teeth

Brown or black spots on teeth are cause for concern as they can signal infections, cavities and potentially the development of gingivitis. Take your child to see a kids dental emergency specialist in Calgary, NE, right away to prevent the damage from worsening. 

5. Sleep issues

Tooth pain can make it incredibly difficult to sleep. If your child has been struggling with bedtime, has emotional outbursts during the night or is tossing and turning, they might be battling a painful dental emergency.

If they are showing any of the signs above, take them in for treatment right away to stop more serious and costly consequences from occurring. Help your child get back on their feet so they can get back to running around and being their full selves!

Contact us today to learn how we can support you with our kids dental emergency services in Calgary, NE.  

"Kids dental emergency? Please don't wait. Waiting always makes things worse ..."

calgary ne dentist for kids

Written by Dr. Rory Vinsky
Published in Calgary's Child

A kids dental emergency can easily happen. As babies start to crawl and explore the world, they meet many obstacles where they might be hurt. Through the active years of childhood and adolescence, these obstacles become even more common. Injuries causing damage to the teeth, bone, gums, cheeks, and lips are common. Childhood dental injuries can have a long-lasting serious effect. They may lead to discomfort, discolouration, altered tooth development, infection (if left untreated) or tooth loss.

The most likely causes of dental injuries in children are falls and tripping over objects. For young children, playing near sharp-edged coffee tables or fireplaces, running at the swimming pool, and wearing socks on slippery linoleum floors are common activities that often cause falls and dental injuries.

Anyone of any age who plays sports without the protection of a mouthguard also risks severe dental injury. A tooth may be knocked out, moved, broken or suffer from a severe blow (concussion) when left unprotected. Other dental injuries seen by dentists result from fights, car accidents, rough play, electrical burns and, unfortunately, child abuse.

Dental injuries generally involve either the “baby/primary” teeth, or the “adult/permanent” teeth. Baby teeth begin to appear at about six months of age, and will all be present by approximately age three. The exchange of baby teeth for adult teeth begins at about age six, and continues until about age 13.

Although baby teeth aren't permanent, they're vital to the growth and development of the mouth and its structures. They guide the adult teeth into their appropriate spots and aid in speech and appearance. If the early teeth are lost, damaged or altered, these important functions can be affected. Even though the permanent teeth can't be seen when you look into your child’s mouth, injuries to the baby teeth can have a dramatic influence on later tooth development.

For this reason, all dental injuries should be evaluated by a dentist, especially those of children. Some injuries, if left untreated, can lead to nerve death with that tooth, and in the case of baby teeth this can also damage the developing adult tooth associated with it.

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Kids Dental Emergency Calgary NE: "What are the common injuries to kids teeth?"

Bumped front tooth

Written by Dr. Rory Vinsky
Published in Calgary's Child

These injuries may occur as early as the days when a child is learning to crawl. As a result of the concussion, the tooth may be loosened and bleeding may occur around the gums. This type of injury causes concern for dentists because the tooth may be so loose the child could inhale it. The dentist will also want to check the position of the tooth to ensure that it has not been moved in a way that would interfere with the child’s normal bite. Most teeth that have been bumped tighten up on their own within one to two weeks after the injury.

Injured teeth may discolour by turning grey or brown. Because the baby teeth are so white, the colour change is easy to see when compared to the surrounding teeth. The colour change may be the result of normal healing or a sign of an underlying infection developing. Therefore, examination by a dentist is important.

Your dentist will decide how often the injured tooth should be checked. It may be a schedule such as one week, three weeks, six weeks, three months and six months after the injury occurred, or longer.

Teeth knocked out

Unlike with adult teeth, when a baby tooth is knocket out, it's not replaced into its original spot. Doing so may damage the  developing permanent tooth. The success rate is also poor for re-implanted baby teeth.

If the lost tooth can't be located, an X-ray should be done to see if the tooth has been pushed back into the gums and bone. If it's still not found, an X-ray of the chest and abdomen can determine if the tooth was swallowed or inhaled. If this is the case, it'll be necessary to follow up with a doctor.

Your dentist will want to make recommendations about the resulting gap if a baby tooth is lost due to injury. With a little luck, no further treatment will be necessary, though it's possible the gap will need to be maintained to leave enough room for the permanent tooth to come through. This is done after the injured area heals.

Broken teeth

This is the most common injury for children ages three to six. Your dentist will want to take an X-ray to assess the extent of the injury.

Dental fractures may involve:

  • the enamel or outer layer – often no treatment is needed.
  • the enamel and dentin (the layer beneath the enamel but above the nerve or pulp). These need to be addressed by your dentist, as a sedative dressing is often required to soothe the tooth and to help protect the pulp. A tooth-coloured filling is placed over the sedative dressing and bonded to the tooth to restore the shape.
  • the whole tooth where the nerve is exposed. In this case, you'll notice bleeding coming from within the tooth itself. You'll want this checked by your dentist as soon as possible! The time elapsed since the injury will guide your dentist on the best course of treatment. It may involve placing a sedative dressing over the exposed nerve, or a partial or complete nerve removal. A tooth-coloured filling will be used to restore the appearance. If left untreated, the tooth may become infected and develop an abscess. Your dentist may want to complete a baby root canal or remove the rest of the tooth.
  • fractures of the root. The tooth portion above the fracture will need to be removed. Your dentist will discuss the option of removing the root below the fracture. If this is done, the developing tooth associated with it may be affected. If the root is left in place, the dentist will monitor it closely in case an infection develops. In the latter case, the remaining root will then need to be removed.

If you suspect any type of dental fracture, your child should be seen by a dentist to have the damage assessed and monitored.

Teeth pushed out of position

A tooth injury can sometimes lead to its position being altered. You may find that your child has trouble biting, or that the tooth is pushed into the gums and bone. You'll want to see a dentist in any case, and X-rays will be needed to assess the extent of the injury.

If the crown (the part of the tooth you brush) is angled backwards towards your child’s tongue, it may represent a “favourable displacement” or “favourable injured position.” This is because the root (the part that holds the tooth to the bone) will have moved forward towards the lip. Since most top adult teeth form behind the roots of the baby teeth, the root movement will be away from the developing adult tooth. Although the baby tooth may need to be removed, it's less likely to not have affected the forming adult tooth.

For teeth that are pushed into the gums and bone, often the tooth will be allowed to return to its original position (re-erupt). It is possible that the adult tooth may have been damaged as the baby tooth was pushed into it. Your dentist will want to monitor this injury to ensure the tooth is re-erupting, and to check that infection is not developing.

Fractures of the jaw

Fractured jaws account for two to eight percent of childrens injuries. Children will need emergency care immediately whenever there is significant injury involving the mouth.

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"What are the different types of injuries that can occur to permanent (adult) teeth?"

Crown cracks

Written by Dr. Rory Vinsky
Published in Calgary's Child

These are cracks in enamel that may be horizontal, oblique or vertical. There is no treatment recommended other than monitoring by your dentist.

Crown fractures

This fracture involves the crown of the tooth only. It may encompass:

  • the enamel. Here the rough edges are smoothed or a tooth-coloured filling is bonded to restore the tooth’s appearance.
  • the enamel and dentin (the layer below the enamel). This fracture will require immediate care and should be seen by your dentist. A protective sedative dressing will need to be placed to soothe the tooth and protect the underlying nerve. Your dentist may decide to restore the tooth to its original form right away, or place a temporary tooth-coloured filling over the injured area. Once the tooth has had time to heal (three to four weeks) the bonding may be completed.
  • the enamel, dentin and pulp (nerve). Immediate care is necessary by your dentist. Partial or complete nerve removal may be required depending on the length of time the nerve has been exposed. Depending on the tooth’s maturity at the time of injury, your dentist may want to encourage the tooth to develop quicker than normal, then do a root canal.

Root fractures

This type of injury may involve the crown as well. Immediate care by your emergency dentist Calgary NE is necessary. It may be a horizontal, oblique or vertical fracture. The location of the fracture will determine the treatment needed and if the tooth can be saved. It may involve splinting the tooth for a week to 10 days, or in some cases even longer.

A follow up root canal may also be required. Because these fractures can be complicated, other treatments may be recommended by your dentist.

Displaced permanent teeth

This type of injury may push the tooth forward, backward, into the gum and bone, or almost completely out of the bone. You will need to see your Calgary NE emergency dentist immediately.

Usually the tooth is replaced into its original position and splinted for a select period of time. A root canal may be needed. If the tooth is pushed into the gum, it may be allowed to re-erupt once again. Braces (orthodontics) may also be needed to reposition the tooth.

Knocked out teeth

The tooth is completely lost from the socket. This makes up somewhere between one to six percent of dental injuries. Immediate treatment is required because the longer the tooth is out of the socket, the lesser the chance it can be saved.

The tooth should be rinsed with water (being held only by the crown, not the root) and replaced into the socket and gently held in position until seen by a dentist. If the tooth cannot be replaced in the socket, it should be placed in milk or under the tongue.

The dentist will splint the tooth in place. A root canal is highly likely. Any cuts to surrounding tissues will need to be assessed and treated accordingly.

What about immediate care?

Any injury to the mouth (teeth, gums, bone) should be examined by an emergency dentist as soon as possible after the injury. This increases the chance the dentist’s treatment will be successful. It is better to have an injury checked right away than to wait and have the situation become worse.

Dental injuries to children are common, but they should never be ignored. Have the dentist check your child’s teeth whenever such an injury occurs. It could make a lifelong difference!

"Dental emergency for kids? Here are the answers to your questions"

Q1: My child is complaining about a toothache. What should I do?

There are many reasons that a child can complain of a toothache, and the best option is always to have your child seen by a dentist. After an evaluation, we can make the best recommendation for treatment.

Q2: My child bit her tongue and she's bleeding. What should I do?

  1. Apply gentle pressure with a clean cloth or gauze to stop the bleeding.
  2. Apply an ice compress to the injured area (can be applied even if there's no bleeding).
  3. If bleeding doesn't stop, go to the emergency room at your local hospital.

Q3: My child got something stuck in his teeth. How do I get it out?

Use dental floss to remove the object. You may need to make one or two small knots in the floss to help remove the debris. If you cannot remove the object, call us.

*Do not use any sharp metal implements to try to remove the object.

Q4: My child just broke a tooth. What do I do?

For all emergencies related to dentistry, please contact our office. Our Calgary NE emergency dentist need to see your child to assess the damage and plan treatment.

 

Q5: My child's tooth was knocked out. What should I do?

For all kids dental emergencies, please contact our office.

  • For a permanent (adult) tooth
    Locate the tooth and handle it gently from the crown rather than the root.
    Place the tooth in a cup of milk. Go to the emergency dentist immediately as action within 30 minutes offers the best chance for saving the tooth
  • For primary (baby) teeth
    Leave it out. You do not want to damage the developing adult tooth by putting it back. If you're unsure if it's a baby or adult tooth, place it in milk and contact our office to speak to the emergency dentist on call.

Make a kids dental emergency appointment today!

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