Emergency Dental

Some dental problems can’t wait for regular office hours or appointments. When sudden toothaches or other severe problems occur, it’s important for patients to seek immediate care. For such dental emergencies, Dr. Joseph E. Frew provides urgent care services at his office in Silver Spring, Maryland. Please don't hesitate to contact our office.

Emergency Dental Q & A

What causes toothaches?

Toothaches cause sudden and severe pain or a dull yet persistent pain. There are several potential causes of toothaches, some of which are considered urgent dental issues. Possible causes include infections, gum disease, trauma or injuries, abnormal bite, and teeth grinding. Infections and trauma are considered serious dental problems that require immediate care. Those who have a toothache along with other symptoms, such as a fever, trouble breathing, swelling, and discharge, should seek urgent care services as soon as possible.

How are toothaches treated?

Treatment for toothaches depend on the underlying cause. In some cases, such as when there is a serious infection or considerable decay, extraction may be necessary. Other patients may require a root canal, while mild infections are typically treated with antibiotics.

Why are tooth extractions done?

Pulling teeth, also known as tooth extractions, are necessary for a number of reasons. Teeth that are severely infected or decayed beyond repair, may require extraction. Tooth extractions are also ordered when wisdom teeth erupt or are impacted, causing pain and other symptoms.

What can I expect from a tooth extraction?

There are two types of extractions:

  • A simple extraction. This is performed when a tooth is easily accessible. The dentist will first numb the patient’s gum tissue surround the tooth. Next, using a tool called an elevator, he or she will loosen it. Finally, the dentist will use another tool, called forceps to remove the tooth from its socket.
  • A surgical extraction. This approach is required if the tooth is impacted or broken so close to the gum line that it can not be grabbed hold of. In these instances, the dentist instead makes an incision in the gum. Some patients request sedation for a surgical extraction.

What other dental issues require an urgent care visit?

Among the most common reasons patients see Dr. Frew for an urgent care visit, include:

  • Permanent adult tooth knocked out
  • Baby tooth prematurely knocked out
  • Cracked or chipped tooth
  • Injuries inside the mouth


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