We are a Family & Emergency Dental Clinic in Kitchener providing emergency dental services!
At Enamel Republic, we use our lunch hour to accommodate dental emergencies so that we can see our patients same-day, where possible. If you are new to our office, don’t worry, as we are accepting new patients! We also participate in a local on-call emergency dental service arranged by the Waterloo-Wellington Dental Society. This enables our patients to have access to after-hours emergency dental care with either Dr. Hornby or other local Dentists.
A dental emergency commonly involves pain, infection or swelling of the teeth and/or gums. However, dental emergencies can also include oral trauma to the teeth, gums or jaws. We often see patients at our Emergency Dental Clinic for changes in other oral structures (like the cheeks, tongue, palate, throat and tonsils) that are concerning them, as well. Generally, we will book an emergency appointment for any patient that has a concern about their oral health.
So, feel free to call us for any oral health concerns that you have and we would be more than happy to offer you a consult or dental emergency appointment!
If you are experiencing a sudden increase in tooth sensitivity to pressure, hot, cold, sweet, and/or acidic stimuli (and it is unrelated to recent treatment) you should arrange for an assessment with our Kitchener Emergency Dentist. Following placement of fillings, crowns, or bridges it can often take 1-4 weeks for these symptoms to gradually diminish and this process is entirely normal. Sensitivity to hot, cold, sweet and or acidic stimuli can indicate the presence of a cavity or a leaking filling/restoration.
If this is the case, treatment will be required to eliminate symptoms. In some situations, sensitivity is due to gum recession and an exposed root surface. In these instances, treatment might not be required and your symptoms may be resolved by the application of anti-sensitivity toothpastes. Pressure sensitivity or toothache can often be related to presence of a tooth- or gum-related infection/abscess. Occasionally, these symptoms are associated with bruxing or grinding of teeth during daytime or nighttime. Please contact our office to have your symptoms assessed so that we can help to make you comfortable again.
Localized swelling of soft tissues is commonly associated with infection of gums or teeth. If you are experiencing swelling or drainage of pus, contact your Kitchener Emergency Dental Clinic. Tooth infection or an “abscessed tooth” typically manifests as a “gum boil”, “bump”, or “gum pimple”. This is often accompanied by dull biting pain or discomfort.
Short-term treatment involves a course of prescription antibiotics. Definitive treatment of tooth-related infection involves root canal treatment or extraction of the affected tooth. In the event that you experience a larger swelling expanding toward the eye (from an upper tooth) or under the jaw or around the throat (from a lower tooth), go directly to the emergency department at your local hospital as intravenous antibiotics are likely to be required.
In the event that you experience a broken or detached orthodontic wire or bracket, you are at risk of minor soft tissue (tongue or cheek) injury. Call our office as re-bonding of brackets and retainer wires is a short and simple procedure. In the interim, you can purchase orthodontic wax at any major pharmacy – form a small ball with the wax and place over any sharp exposed contours to minimize risk of soft tissue trauma.
In most cases, broken or fractured teeth can be repaired by a simple filling or crown. Less frequently, teeth may break near to or exposing the dental pulp or nerve and root canal treatment may be required. Rarely, a fracture extends through the entire tooth or deep under the gum line making the tooth unrestorable or “un-fixable” and will require extraction.
Until treatment can be completed, discomfort can be minimized by chewing away from the affected tooth and avoiding temperature extremes. Even though your broken tooth might not be uncomfortable, do not put off consultation or treatment as prolonged exposure of the tooth’s interior may result in severe infection. Call and book an appointment for repair with our Emergency Dental Clinic in Kitchener, as soon as possible.
Sometimes teeth receive high impact trauma during sports, falls, etc.,. This is especially common in children during early walking stages. When a child receives a traumatic blow to the teeth, an immediate dental examination is required. Often, a mobile or loose tooth/teeth will be splinted to allow healing.
When a baby tooth is lost during trauma it should not be replanted in the socket as this could lead to ankylosis, a process by which bone heals directly against the tooth root. This can lead to complications when the baby tooth is due to exfoliate and be replaced by an adult tooth. If your child’s baby tooth is knocked loose, clean it and place it in a small container filled with milk. Bring it to your Kitchener Emergency Dentist for a full assessment.
When an adult tooth receives a traumatic blow and is loosened, splinting will provide stabilization so that the gums and periodontal ligament can heal properly around the tooth’s root. Occasionally, a root canal treatment is required should an abscess form around the root of the tooth. You should avoid biting and/or chewing of food with the traumatized tooth/teeth. Where an adult tooth is knocked out of its socket, clean the tooth, place in a small container filled with milk, and bring it with you to your dental appointment.
Jaw pain and jaw clicking are both common patient concerns. Sometimes these signs and symptoms follow trauma to the face. Other times, these symptoms come and go for a given patient. Patients may also experience jaw stiffness from time to time.
Jaw dysfunction or disorder (commonly TMJD or TMD) is commonly related to patient clenching and/or grinding during the day or while sleeping. Some common home remedies for jaw dysfunction include:
Call your Kitchener Dental Office to arrange an examination and emergency dental services.
When you sustain a trauma injury to teeth, oftentimes there may be scraping or laceration of lips or cheeks. The soft tissue injuries need the same level of attention as do injuries directly to teeth.
Typically, an Emergency Dentist will help to clean a soft tissue wound. They will also recommend an antibiotic ointment to prevent infection in most cases. Some Dentists may be comfortable with closure and stitching of any intra-oral wounds or tears.
Post-treatment, Children who are numb may chew or bite their cheek because they find the rubbery feeling of these parts unique. This can cause significant post-treatment injury and your child will be in significant discomfort once anesthetic wears off.
Try to monitor your child after treatment and encourage them to avoid biting or chewing on their lip. It is best practice to wait for local anesthesia to wear off completely before allowing them to eat.
Commonly, a dental emergency comes with symptoms, discomfort or pain. In the majority of situations, the pain is either inflammatory in nature or due to infection. Even pain brought on by infection has an inflammatory component. For this reason, most patients can reduce discomfort by taking Non-Steroidal Anti-Inflammatories (NSAIDs). These medications include Advil, Motrin and Alleve and they are generally superior to Tylenol when it comes to managing dental pain.
Note: Do not take these medications if you are allergic to NSAIDs or have a history of gastric ulcers. Consult a Pharmacist before choosing an over-the-counter pain medication.
A Dentist providing emergency dental services will evaluate need for tooth extraction at your emergency dental appointment. Some Emergency Dentists provide Oral Surgery and Tooth Extraction while others may not. If you have a tooth infection or abscess, your emergency dentist will at the very least prescribe an Antibiotic to curtail harmful swelling.
At Enamel Republic, we provide simple and surgical extraction services on an emergency basis.
Does Emergency Dental Care cost more? While an emergency dental procedure does not cost more than the same procedure in a non-emergency scenario, the need for an emergency examination and possibly x-rays prior to treatment will increase fees. Prices corresponding to emergency exams and radiographs appear below.
Emergency dental examinations (not including any required treatment) are billed according to the Ontario Dental Association Fee Guide. The 2019 Fee Guide suggests a cost ranging from $45 – $130, depending on the length of time required to provide a proper assessment. Radiographs (X-Rays) are an additional cost typically in the $30 – $80 range depending on the number and type of image required.
These are purely assessment cost estimates and do not include the cost of potential necessary treatments. Best practice is to call your Kitchener Emergency Dental Clinic or Family Dentist and inquire about fee ranges and estimates on emergency dental services. It is also advisable to obtain a cost estimate in advance of any necessary treatment.