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After Hours Emergency Dental Advice. Emergency contacts are at end of this page.

babytoothlost

Baby Tooth Broken or Knocked Out

It is best to leave the baby tooth out. Trying to replace it will distress the child and possibly cause damage to the permanent tooth beneath. Place a handkerchief over the area until bleeding has stopped. Attend the dentist. A bandaid on the cheek can help psychologically. "So every-one knows it's sore."

Toothknockedout

Spitsaliva

Toothknockedout

ReplaceTooth

Biteonhandkercheif

Adult Tooth/ Teeth Knocked Out

Every minute counts when a tooth is out of its socket. Try to reimplant the tooth ASAP, provided it is clean. Avoid touching the root. If the tooth is fairly clean, with tweezers (if possible) remove obvious dirt and place tooth back into the socket. Ensure the tooth is the right way around. Bite down on a handkerchief to hold it in place until the dentist is available.

If the tooth is dirty, soak it in your own clean saliva. First, place the tooth in a clean small cup. Clean your mouth - Brush all other teeth in your mouth with water and a toothbrush. Rinse with water. Allow saliva to pool at the floor of the mouth (by stimulating salivation with salt on the tongue). After 1 minute spit into the cup, attempt to clean the root as best as possible with tweezers to remove the dirt. Do not scrub the root. The root cells need to stay alive for reimplantation to work. Try a second round of clean saliva if the tooth needs it.

Alternatively wrap the tooth in gladwrap and get to the dentist. The tooth needs to be reimplanted within 1 hour, maximum. If longer than 1 hour the root cells will be dead. See next paragraph.

If the tooth is very dirty, for example landed in contaminated mud, or the root cells have died, then gently clean the entire tooth with soap and water until the tooth is almost stripped back to a hard surface. Rinse with water and reimplant. The tooth may have a chance of fusing with the bone and staying in place. (Do not do this if you can afford an implant, as implants do not work well with fused teeth).

If the tooth will not go into place, leave the tooth out and seek alternatives to fill the gap with an artificial tooth.

If the tooth was loose before the accident, it may have gum disease. Reimplanting a diseased tooth will not work so well.

Antibiotics may be prescribed when you see your dentist. Take pain relief medication. Ibuprofen or paracetamol work well. Keep the handkerchief still over the next few hours. Once the tooth has firmed up a little, the bite pressure can be removed. Do not touch the tooth until the dentist can Xray this area.

The tooth will require root canal treatment to be successful.

 

 

Chipped tooth

Broken Front Tooth - Tooth chipped and no pain or minimal sensitvity

This is not an emergency. See the dentist when they are available. Chewing gum can pad over the sharp edges.

 

Pulp Visible

Fractured Tooth

Broken Front Tooth - Nerve exposure seen as a pink fleshy dot inside the tooth

Nerve exposure almost always leads to the need for root canal treatment. The sooner you can get to the dentist the better. Do not touch the pink pulp as bacterial contamination is the enemy. Keep your mouth as clean as possible. Brush all the other teeth, tongue, and use piksters to keep area hygienic. The aim is to remove plaque from the mouth, not to stir it around. Rinse the tooth brush frequently. Do not brush the broken tooth but rather use a fine toothpick to gently scratch the plaque off the tooth near the gum line. Do not touch the pulp or anywhere near the pulp (within 5mm). Saliva is good to cover the exposed pulp, provided the saliva is not full of bacteria. Mouthwash may traumatise the pulp, although it is a good idea for the rest of your mouth. Dipping the piksters in mouthwash may be effective. Eat away from the broken tooth. Keep it as clean as possible, and dont let it dry out. Avoid sugary foods. Keep the tongue clean (brush it after every meal) as it will sit against the pulp the most. Get to the dentist ASAP.

 

OilofCloves

Toothache (generally from decay)

Severe infections (swelling, redness, feeling ill, pain) need to be treated at the hospital if a dentist cannot be seen.

Lismore Base Hospital 0266218000. Ballina Hospital 0266862111.

Remove all food from the area using the toothbrush and floss. Do this frequently. Use mouthwash. Avoid sugar. If the dentist is closed, rely on pain relief medication such as ibuprofen (Nurofen) or paracetamol. The limit is 2 tablets every 4 hours of each medication. The suggested dosage (if you are able to take this medication) is to take 2 ibuprofen, then in 2 hours take 2 paracetamol, then in 2 more hours take 2 ibuprofen, then in 2 hours take 2 panadol. This is for extreme pain until you can get to the dentist. Ibuprofen works well if the dosage is kept up every 4 hours, to stay on top of the pain. Oil of cloves can relieve pain if the hole is open to the oil, but will not work if there is no visible cavity. Do not put aspirin on the tooth as it can burn the gums. Apparently raw garlic into the cavity eases the pain too.

   
AfterHoursDentist

After Hours Dentist in the Ballina, Byron, Lismore, Casino, Northern Rivers area.

Bytes of Byron Dental open until 8pm weeknights. 02 6680 8066.

If you truly have a dental emergency that requires a dentist after hours including Sundays in the Northern Rivers, Ballina, Byron Bay or Lismore areas, then our emergency number is 0473374166.

The emergency will either be classified as 
A> Trauma = broken teeth or entire tooth has come out due to an accident. Urgent dental treatment is advised to save these teeth, ideally within the hour.
B> Or if the emergency is a toothache or gum swelling, and pain killers are not reducing the pain adequately, the dentist can be called for emergency dental treatment at Bytes Dental Ballina.

There will be an after hours dentist call out fee of $150, payable before treatment commences. Dental fees as per normal are applicable on top of this. 

If the phone is not answered for any reason, please contact : Lismore Base Hospital 0266218000. Ballina Hospital 0266862111.

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