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Emergency Dentistry

Injuries to the face, mouth and teeth are common among children, Emergency Dentist are here to help you in the time of an emergency Dental. Do not panic, stay calm and determine the extent of injury. If your child has a facial /head injury assess whether or not you child’s injury caused loss consciousness even for a brief moment. If this is the case, your child should see a physician immediately. Worry about the mouth and teeth later. Stop any bleeding with a clean washcloth or gauze. If there is swelling place cold compression on the area. As you do this, check for broken teeth and/or missing teeth. If there are missing teeth, look for them.

If any permanent tooth is avulsed, clean the tooth by handling it with the crown and not the root. Gently rinse the tooth of dirt with cold water. Do not unnecessarily scrub the root. Then place the tooth back into the socket. If you are unable to place it in the socket place it in homogenized cold milk or cold water and immediately see the dentist. Time is the determining factor for saving the tooth. If more than 30minutes has elapsed since the tooth was dislodged the prognosis is guarded.

Primary teeth are not reimplanted. An x-ray is taken to make sure all portion of the tooth is out. Pain medications are prescribed and the area is allowed to heal. Then an impression is taken to fabricate a space maintainer to maintain the space for the permanent tooth to come in.

Broken or chipped baby teeth

If the fracture is superficial, it can be restored with cosmetic bonding. If the fracture extends to the pulp or nerve inside the tooth a baby root canal treatment or coronal pulpotomy is performed. This is a very simple procedure and not as extensive as a root canal treatment done on permanent teeth.

If the fracture is below the gum line the tooth is removed and a spacer is placed to prevent drifting of teeth into the space and maintain space for the permanent tooth.

Gum boil or Abscess

This is caused by an infected tooth. The pulp or nerve inside the tooth is infected by decay. The abscess extends beyond the apex of the tooth into the surrounding bone, perforating the bone into the gum tissue causing a gum boil. The infected tooth cannot be saved. It has to be extracted to protect the permanent tooth bud from getting infected. The patient is first put on antibiotics and then the tooth is extracted.


If your child is having a toothache, clean the area around the tooth. Rinse the mouth with warm salt water and use dental floss to remove any trapped food between the teeth. DO NOT place aspirin on the gums or tooth. This will cause a burn to the gum tissues. If there is swelling, apply cold to the outside of the face. Take acetaminophen or ibuprofen for pain. Call the dentist.

Cold sore or Canker sore

Some patients get canker sores periodically.There is no definite cause for a cold sore.It could be due to stress, vitamin or zinc deficiency or it may have a viral origin.Cold sores usually last for 7 days.There is no definite treatment for cold sores.Treatment is aimed towards relieving the pain either with over the counter medication or prescription medication.

We try to accommodate all emergencies on the same day. Please call early in the morning. If it is after working hours, please call our answering service and the doctor on call will call you as soon as possible.

Please do not hesitate to call us if you have any questions. Your comfort is our priority!

Fractured Tooth

Tooth fracture caused from an accident can be very painful. Patients should consult the dentist at the earliest. It is important that patients take few steps before visiting the dentist when they have a fractured tooth. The broken pieces of tooth should be collected, gently washed and should be taken to the dental practice. If the tooth is knocked out then the patient should try and put the tooth back in the socket. If it is not possible the patient can put the tooth in the vestibule and rush to the dental practice. Treatment of fractured tooth depends on the type of fracture. If a small part of the tooth is chipped off, the dentist may suggest dental bonding or veneers. If the tooth is cracked or broken into two then the tooth should be repaired and may have to be protected using a dental crown.

Abscessed Tooth

The bacteria from the plaque can reach the pulp of the tooth and cause infection. This leads to the formation of pus and dental abscess. If the tooth is not treated in time the infection can reach the root and affect the bone. As a treatment to abscess the pus is drained from the tooth and antibiotics are used in the region. Patients may experience pain when they have an abscessed tooth. It is important that they meet the dentist at the earliest to protect the tooth.

Missing Tooth

A person may lose a tooth from an accidental injury, tooth decay or gum problem. The first step to perform when the tooth falls out is to gently take the tooth holding the crown and wash it without disturbing the root. The patient can rinse the mouth with warm water and try to place the tooth back in socket or in the vestibule area. Tooth can also be preserved in container of milk before visiting the emergency dentist. The time duration from the injury to the dental visit plays a crucial role. If the tooth falls out from decay or gum disease the dentist may suggest for restoration of the lost tooth. There are many methods in dentistry to replace a lost tooth. The dentist takes time in explaining the procedures and patients can opt from the treatment options.

Broken Filling

A dental filling can get damaged when a person bites on hard food. A broken filling or fallen crown can be an emergency condition because the tooth can cause discomfort to tongue and the cheeks and at times the cavity may be very painful. The cavity can attract food particles putting the tooth in danger of decay. A dental visit can help patients avoid these problems. Clove oil can be used with cotton to relieve the pain in the area. If the patient has a fallen crown, he/she can wash the inside of the crown and try placing it back over the tooth before visiting the dentist.

Extractions Emergency

Severe tooth decay or an impacted tooth can sometimes cause unbearable pain in patients. Visiting an emergency dentist is of utmost importance during such situations since these problems can distract a person from daily activities. A dentist firstly treats such conditions with pain medicine and then goes ahead with the extraction process. Based on the complexity of the tooth position a non-surgical or a surgical process may be suggested by the dentist. It is important for patients to follow the post-operative instructions from the dentist.

Save A Tooth

A knocked out tooth can be saved if it is taken to the dental practice within an hour from the incident. Patients should follow few steps to make sure that the tooth is safe. The knocked out tooth should be taken and washed gently without disturbing the root. The tooth should be put back in socket. If the patient is unable place it back in position the tooth can be saved in vestibule or in a container of milk before visiting the emergency dentist. Similarly a tooth which is broken can be saved with the help of dental crowns.

Office Hours

Monday 8:00 AM 5:00 PM
Tuesday 8:00 AM 5:00 PM
Wednesday 8:00 AM 5:00 PM
Thursday Closed
Friday 8:00 AM 5:00 PM
Saturday 7:30 AM 2:00 PM
Sunday Closed

Our Address

Advanced Restorative Dentistry
1401 South Beretania Street
Suite #470, Honolulu, Hawaii 96814

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