24 hour emergency dental clinic and emergency dentists in Londonproviding useful advice about common dental emergency situations. From root canal treatments to broken teeth, how to find a 24 hour dentist, pain after wisdom tooth extraction and swollen faces, we aim to help provide you with a useful guide.
Any unforeseen dental mishap can be classed as a dental emergency. You don’t have to be in pain-any situation that stresses you, has the likelihood of being to your detriment if left untreated, causes pain or affects not just form but function, can necessitate a visit to an emergency dentist.
There are some instances where it may be more sensible to go to hospital in the first instance. These include if you have suffered a trauma or medical condition that has caused other more serious injuries or loss of consciousness. It’s important to prioritize your health. In addition, if you are experiencing symptoms of a spreading infection like a very high fever or severe difficulties breathing, then a trip to hospital may be more appropriate in the first instance.
Initially, call your own dentist and follow the advice on their answerphone. They may give details of emergency dentist arrangements in-house.
If you are here in the UK, and you are a NHS patient, then call NHS emergency dental services. They may be able to help with dental emergencies, but do note that this service is often oversubscribed, they have limited slots available and they have a strict criteria for what constitutes a dental emergency. You will be assessed on the phone by a triage professional, and you may be offered an emergency slot at a clinic, but this may not be local to you and may not be on the same day.
Private services are available and generally can deal with most dental emergencies. They will be more likely to provide you with an immediate appointment, and the costs although aren’t necessarily expensive, and should not be prohibitive. In order to minimise your cost and treatment, you are well within your rights to ask for all options available and the costs involved, and to do only what addresses your immediate concerns. Private services can be recommended by your own dentist’s emergency arrangement information, recommendation from a friend or by searching on the internet. A good guide if you want to find an emergency dentists near me. To find an emergency dentist in London, Yell is a very good source, and is also useful for finding an emergency dentist North London.
Dental insurance providers. If you have dental insurance, try calling your provider, as some may be able to recommend clinics that they know of or are preferred providers. This also gives you an opportunity to ask exactly what kind of treatment, and how much you are covered for. Denplan, Dencover and Boots all have dental emergency insurance cover. Please retain all receipts and ask the dentist to provide an itemized invoice confirming that the visit was for an emergency.
Root canal treatment or endodontic treatment is a procedure performed to help restore a tooth when there has been disease, infection or inflammation of the root canal system of the tooth.
The tooth consists of a crown (the part of the tooth that you can see in the mouth) and the roots (the part that sits beneath the gum line and secures your tooth to your jaw bone). The roots contain a blood and nerve supply, and if the health of this system is compromised by bacteria (through decay or trauma) or irritation (cracks and fillings) then the blood and nerve supply can start a process of disease or necrosis. This typically is very painful, and only two definitive treatment options are normally available-extraction or root canal treatment.
Root canal treatment involves:
Thorough assessment. This includes a clinical examination, x-rays and vitality testing (with ice pellets or using an electrical current).
If a root canal treatment is indicated, the dentist will give you local anaesthetic to numb the tooth.
A rubber dam is placed to help isolate the tooth from the rest of your mouth. This ensures that natural bacteria from your mouth cannot enter the tooth and that chemicals and tools used during the procedure are unable to enter your mouth or airways.
Using a drill, the dentist will remove decayed tooth or fillings and gain access to the pulp of the tooth.
Once the pulp has been accessed, he will locate the openings of the root canals, there may be between 1 and 4 normally.
Using a special meter called an apex locator, he will determine the length of the roots, normally we like to ensure that your root filling finishes within 0.5-2mm of the tip of the root visible on the x-ray.
The root canals are normally very narrow, and specialised tools are now used to widen and bore out the root canals to the previously determined length. This is termed mechanical preparation, and the aim is to form a well tapered shape and to debride the walls of the root canals to help eliminate bacteria.
Whilst the dentist is performing the mechanical preparation, he will also be using chemical solutions to help further disinfect the root canals and prevent clogging of the canals with debris.
At this point the dentist may place an antiseptic dressing for a few weeks prior to completion of your treatment to help further disinfect the tooth, or he may proceed to completing the root canal treatment.
The final stage is placement of a permanent filling in the root canals. The dentist normally takes an x-ray to confirm the length and size of gutta percha points prior to sealing them with a special endodontic sealer paste. He can seal the gutta percha in a few ways, but heated sealing is a popular method where the gutta percha is heated to allow it become more flowable and thus flow and fill any nooks and crannies. A final x-ray is taken to assess the quality of the treatment.
Once the root canal treatment has been completed you will still require a permanent filling or crown to seal the root canal treatment from the mouth and to give the tooth some more strength.
This can occur due to a variety of reasons, but primarily it is due to exposed dentine. Let’s have a quick look at the anatomy of a tooth.
The tooth comprises of a hard layer of enamel which serves as a protective shield. Beneath there is a softer layer called dentine. The dentine contains tubules which run from the main nerve center or pulp of the tooth.
If any dentine is exposed or irritated there is a change in the fluid dynamics within the tubules and this is translated by the pulp as pain/sensation to let you know that something is wrong.
These tubules may be exposed by dental caries, over-zealous brushing, dentine exposure secondary to acid erosion, gum recession, dental trauma or lost fillings.
Left untreated, over time the sensitivity may lead to further damage including irreversible damage to the pulp. It is important to identify the cause and to treat it appropriately.