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Find A Dentist: Frequently Asked Questions

Q. If a pain in a tooth goes away, should you still see a dentist?

A. Either minor or severe pain that goes away may indicate that you have a cracked tooth. A cracked tooth hurts because the pulp, the soft inner tissue of the tooth, is irritated. If treatment is delayed, the tooth may split and be more difficult to treat successfully.

The sudden absence of pain also may be a sign that the nerves of the tooth have died. It might also be due to a chronic infection that is draining. Even if the pain stops, if the pulp is damaged or diseased, pain will likely return and the tooth will require treatment. It is important to find a dentist who can treat the situation.

Q. After a traumatic injury, if teeth aren't chipped or broken but there's bleeding in the gums, is dental care necessary?

A. It's not always easy for people to tell when to seek a dental evaluation. However, if the gums bleed, it's important to see a dentist because the trauma may have caused damage. The tooth may have been "jammed" into the socket and severe problems could develop.

Prompt treatment often prevents more serious problems or complications from developing later. A tooth can develop problems long after the injury, so it's very important to be checked.

Q. What might be the cause of a dull ache in your upper teeth and cheek?

A. It can indicate several conditions. It could be associated with a tooth or gum problem, bruxism (grinding teeth), TMD (temporomandibular disorder), a sinus infection, headache, or salivary gland infection.

Check with your dental provider first, and if it's not related to a dental condition, you will be referred to a physician. Click here to find a dentist who specializes in TMJ/TMD.

Q. What should you do when you have a toothache?

A. Clean your mouth by rinsing with warm water and remove any food that is trapped between teeth with dental floss. Do not apply aspirin on the aching tooth or gum tissues. See your dentist as soon as possible.

Q. What should you do if your tooth is knocked out?

A. If your tooth is knocked out, you should carefully rinse the tooth with water. You should attempt to place the tooth back in its socket and secure it with a wet wrap. If you cannot place the tooth back in its socket, put it in a glass with either saliva or milk. Then you should contact your dentist so you can be seen immediately.

Q. What are extruded teeth?

A. Extruded teeth are teeth that are forced out of position.

Q. What is the treatment for a broken tooth?

A. Rinse the mouth with warm water. Try to remove any dirt, blood, or debris from the injured area using sterilized gauze or a clean cloth and warm water. Apply cold compresses on the face next to the injured tooth to reduce swelling. Cover the tooth with cotton or gauze if the rough edges are cutting you or if it is sensitive to air, and see your dentist immediately.

Q. What should you do if your tooth is pushed out of position?

A. If your tooth is pushed out of place, you should reposition it to its normal alignment using very light finger pressure. You should hold the tooth in place with a moist gauze or tissue. Make sure that a dentist sees you ideally within a half-hour.

Q. What causes a constant throbbing pain in your jaw or tooth?

A. A throbbing pain is usually a symptom from two different causes: either the nerve inside the tooth or the ligament around the tooth is damaged, irritated, or inflamed. A cavity, traumatic injury, or other factor can damage or irritate the pulp inside the tooth.

Severe gum disease affecting the ligament that surrounds and cushions the tooth roots can result in throbbing pain. An erupting tooth, including a third molar or wisdom tooth and TMD are also potential sources of throbbing pain.

Q. What is considered to be a minor tooth fracture?

A. A minor fracture is considered to be a tooth that is only broken in the hard outer enamel part.

Q. How do you treat a minor tooth fracture?

A. Your dentist can smooth a minor fracture with a sandpaper disc or just leave it alone. You can also restore the tooth with a composite restoration if necessary.

Q. What do you consider to be a moderate tooth fracture?

A. A moderate fracture is considered to be damage to the enamel, dentin, and/or pulp of the tooth.

Q. How do you treat a moderate tooth fracture?

A. A moderate fracture can be restored with a full permanent crown if the pulp is not permanently damaged. Sometimes, an onlay or bonding will be appropriate as well. Occasionally, root canal treatment (endodontics) may be required.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Dental Care For Seniors: Frequently Asked Questions

Seniors are the fastest-growing age group in the U.S., in part because medical advances and preventive care are extending life and the quality of it. As the baby boomer generation ages, the senior population is swelling, along with their interest in maintaining healthy bodies and lifestyles. Good oral health is important to overall health and seniors must stay on top of their dental care. It is now possible to keep natural teeth and good dental hygiene plays a vital role in keeping that smile.

Dental Decay and Gum Disease

Talk to your dentist about the proper care of your teeth. Brushing twice a day and flossing regularly are the most important steps you can take to keep your teeth and gums healthy and maintain that smile. If age is causing your gums to recede, clean your teeth thoroughly, but be careful not to irritate or tear the gums. A receding gum line may also expose sensitive portions of teeth; careful brushing is important, as are toothpastes that offer sensitivity protection. If you have difficulty using a toothbrush or floss because arthritis or a stroke has impaired your agility, ask your dentist to recommend commercial products that will make the tasks easier. Bleeding or sensitive gums, constant bad breath, receding gums, and loose teeth are all symptoms of gum disease, which can hasten tooth loss. If you spot these symptoms, talk with your dentist about them before they cause pain and deterioration.

Watch Your Mouth!

After a lifetime of chewing and biting, many seniors have dentures, bridges, crowns, and, of course, their fair share of fillings. Over time, even the best dental hardware can wear out. If you feel changes in your mouth, particularly when you are eating, brushing, or flossing, bring them to your dentist's attention. You may take medications or have a medical condition that results in dry mouth. Saliva production is important to good oral health: it keeps the mouth moist, washes away food particles, and protects against decay from plaque. Enlist the help of your dentist, and ask about artificial saliva products so that you don't have to worry about giving a big smile.

Maintaining Your Dental Investment

Don't stop caring for your teeth and mouth at this stage of the game! Keeping your teeth healthy means greater comfort and enjoyment as you eat, laugh, and speak. Good preventive care will give you something to really smile about!

Brian J. Gray, DDS, MAGD, FICO