Emergency Care
We are available to all patients for emergency dental appointments during our business hours, please call (425) 392-4048. After hours emergency care is available for patients of record. If your child is a patient of record and is experiencing a dental emergency, please call one of our dental staff at (425) 890-7017.

The information below may help you determine if your child needs urgent dental care.

Cavities and Toothaches
If you have noticed a dark spot on a tooth and your child has little to no pain, no difficulty eating or sleeping, please call our office during business hours to schedule an appointment for an evaluation. Be sure to brush and floss the area to keep it clean.

If your child is complaining of a toothache that is interfering with eating and sleeping, your child has a fever and/or a swollen face, please call our office or the emergency after hours number to speak with a member of our staff.

Traumatic Injuries
Children are known to fall down and crash into things. Sometimes these incidents result in trauma to the mouth or teeth. In cases where your child has suffered a head trauma and loses consciousness, has blurred vision, dizziness or vomiting, please take your child to the nearest emergency room or call 911.

Injuries to the Skin, Lips, Cheeks, Gums and Tongue
These injuries can include bruising, abrasions or scrapes and shallow or deep cuts. For these types of injuries, apply pressure to stop bleeding, apply cold to reduce swelling and clean the wound. If you are unable to adequately clean the wound, there is severe swelling or you are unable to stop the bleeding, contact your medical doctor or our office for assistance. Some serious injuries may require stitches.

Injuries to the Teeth
These types of injuries can result in the following changes to the teeth:
•  Sensitivity with biting and/or abnormal loosening. There may be some bleeding from the gums. Treatment often includes a soft diet for 2 weeks. It will be best to contact our office within the first 24 hours following injury to see if further treatment is needed.
•  Tooth is now in a different position. There may or may not be bleeding from the gum tissue. Treatments may vary for baby and permanent teeth. It will be best to contact our office to see if further treatment is needed.
•  Tooth is completely knocked out of its socket. There will be bleeding from the gum tissue. If this is a permanent tooth, carefully pick the tooth up by the crown. If the tooth is dirty, gently rinse the root with cool tap water for 10 seconds. Be sure to put a towel over the drain. Do not scrub the root. If possible, insert tooth back into its socket and have your child bite on a towel to keep the tooth in place. If you are unable to get the tooth back in place, put it in milk or place it in the mouth until you get to our office. It will be best to seek care immediately after the injury. Please do not forget the tooth at home.

The faster the tooth gets back in place, the greater chance for a successful outcome. Please do not transport the tooth dry or forget to bring it with you to the office. Treatment is dependent on the total time the tooth is out of the mouth.

If this is a baby tooth, DO NOT put the tooth back in its socket.

Injuries to the Tooth and Nerve
These injuries may result in the following:
•  Incomplete fracture of the enamel. There will be no tooth loss, but a hairline crack may be noticeable. Usually, no treatment is needed. An evaluation is recommended after the first 24 hours following the injury.
•  Fracture of crown or a chipped tooth. Loss of tooth structure is noted. Treatment depends on the extent of the chip. An evaluation is recommended after the first 24 hours following the injury.
•  Fracture of the enamel and dentin involving the nerve of the tooth. Loss of tooth structure is noted. The center of the fracture is red in color. Typically, the tooth is acutely sensitive. Treatment involves nerve treatment and bonding the tooth. It will be best to call our office within the first 24 hours following the injury.

Teeth that have been injured will require years of monitoring for changes in color and symptoms. Nerve testing may be done to monitor the vitality of the tooth. The more severe the injury, the more likely the nerve in the tooth may become necrotic (or die).

If your child is active in sports activities traumas to the mouth and teeth are more likely to occur. It is for this reason, we recommend that you inquire about a mouthguard to help prevent dental traumas.

Injuries to the Tooth, Nerve and Supporting Bone
These types of injuries can result in:

•  Fracture of the crown, root or bone, which may or may not involve the nerve.
•  Pain with biting, sensitivity to air and extremes in temperature
•  Bleeding from the gum tissue

The extent of the fracture will dictate the type of treatment. Treatments may vary for baby and permanent teeth. It will be best to contact our office to see if and when treatment is needed. If you have the fractured piece of tooth, we may be able to bond it to your child's tooth so be sure to bring it to the appointment.

Teeth that have been injured will require years of monitoring for changes in color and symptoms. Nerve testing may be done to monitor the vitality of the tooth. The more severe the injury, the more likely the nerve in the tooth may become necrotic (or die).

If your child is active in sports activities, traumas to the mouth and teeth are more likely to occur. To prevent or lessen the severity of a trauma to the mouth or teeth, we recommend that your child wears a mouth guard.












Eastside Pediatric Dental Group | www.eastsidepediatricdentalgroup.com | (425) 392-4048
185 NE Gilman Blvd., Issaquah, WA 98027



 

 

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