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Signs And Symptoms That Indicate You Need to See a Dentist Right Away

Don't ignore these symptoms of a potential dental emergency.

If you’re having pain, bleeding, swelling, or other unusual symptoms in your mouth, it’s best to seek urgent dental care before the underlying problem becomes worse, says ADA spokesperson Ana Paula Ferraz-Dougherty, DMD, a dentist in San Antonio, Texas. Ideally, though, “prevention is key,” she says. “Instead of waiting until you’re in pain, doing your brushing, your flossing, eating a balanced diet, and getting your regular checkups with your dentist are the things that are going to help prevent dental issues.”(Here’s what to do about your tooth pain before it becomes an issue.)

Even so, dental problems that require an urgent visit to the dentist do happen. Here’s what to look for.

Your gums are red, inflamed, or bleeding

Don’t ignore the early signs of gum disease: Get in to see the dentist as soon as possible. “The most common cause of bleeding gums is gum disease,” Dr. Ferraz-Dougherty says. “If you have any signs of swollen gums or bleeding when you brush or eat, it’s important to see the dentist to get that gum disease treated before it progresses.” At an early stage called gingivitis, gum disease may be able to be treated in the office with a cleaning, whereas more advanced stages may even require surgery, she says.

In addition, other diseases in the body may reveal themselves through gum problems, so it’s important to get them checked out right away. “Underlying systemic disease can manifest initially as bleeding gums; this includes diabetes, leukemia, and [other] cancers,” says John L. Pfail, DDS, chairman of the Department of Dentistry for The Mount Sinai Health System in New York. Because of high glucose in saliva, people with diabetes are also at higher risk of gum disease.

Your teeth feel loose or fall out

Losing teeth is only normal for children—not adults. If you feel like your teeth are shifting, moving around in your mouth, or any actually fall out, see a dentist pronto. Besides a blow to the mouth, what can cause teeth to come loose? “If left untreated, gingivitis can progress to disease which involves the bone surrounding the teeth, which in turn leads to loose teeth, pain, and the eventual loss of teeth,” Dr. Pfail says. “Teeth are secured into the mouth by bone and a thin muscle attachment called a periodontal ligament to the bone. Any damage to these structures surrounding your teeth can cause mobility of the teeth.”

In addition, the National Institutes of Health (NIH) reports that osteoporosis, bone loss that is common in older people, may also cause teeth to become loose through a weakening of the jaw bone. Women with osteoporosis are three times more likely to have tooth loss than those who don’t have it, says the NIH.

You have pus collecting in your mouth

Yes, gross: If you notice any pus in your mouth, call your dentist right away. “Pus collection in a spot in the mouth can be a dental or gum abscess and should be addressed immediately,” says Uchenna Akosa, DDS, director of Rutgers Health University Dental Associates in New Brunswick, New Jersey. “It is a sign of infection and can spread if not treated and cause more serious medical problems.” In the most extreme cases, she says, “bacteria from an abscessed tooth can spread to the brain and can be fatal.” Untreated dental infections can also lead to sepsis. Antibiotics, draining the infection, and a root canal are possible treatment options to help prevent these complications.

Extreme tooth sensitivity

Don’t suffer with this annoying dental symptom: Get help not only to reduce the pain of tooth sensitivity to hot, cold, or spicy foods, but to get to the “root” (pun intended) of the problem as soon as possible. “Causes can include tooth decay, which can involve exposure of the nerve tissue inside the tooth,” Dr. Pfail says. “Teeth that are fractured can also cause extreme tooth sensitivity. Gum recession, which exposes the dentin covering the root surface can cause sensitivity due to changes in the microscopic tubules, or tiny channels, which can transmit pain to the nerve. Extreme tooth grinding, or bruxism, can also lead to internal inflammation of the nerve tissue in the tooth.”

In addition to treating the underlying problem, “we could put you on a sensitive toothpaste, we could do a filling to cover that area, or we could do a gum procedure to recover that area,” Dr. Ferraz-Dougherty says. You should also follow these 8 rules if you have sensitive teeth.

Your tooth feels numb

Along with too much sensation, a lack of sensation in your tooth is also a sign you should have your mouth checked out now. “If your tooth feels numb that could be an indication that your tooth might need a root canal,” Dr. Ferraz-Dougherty says. “If a tooth is cracked or has a big cavity and the nerve dies that can give you a numb feeling.”

In addition, “injury or trauma to a tooth, biting into something hard, teeth grinding, or a dying tooth from chronic tooth decay can all cause a tooth to be numb,” Dr. Akosa says. “They all cause the tooth to lose access to nutrients and blood flow, resulting in numbness.”

Your jaw is swollen, clicks, or won’t open

It’s not just the teeth that can have oral emergencies: Jaw issues should be seen ASAP by the dentist as well. “When it comes to any issues with the jaw or any changes in the way it usually functions, you should be on high alert,” Dr. Pfail says. “If your jaw becomes locked, open or closed, see your dentist immediately because they can reset it.”

Swelling around your jaw area could be a sign of an infected tooth, or a type of growth such as a cyst or even a tumor, “so that’s another major reason to get it checked out,” Dr. Ferraz-Dougherty says. “Difficulty opening or closing, or clicking or popping could be a sign of TMJ disorder, or temporomandibular disorder, caused by many different things, including an uneven bite.” Addressing TMJ issues earlier rather than later can result in easier treatment such as a night guard or braces; more advanced cases may require surgery, she says.

You have a mouth sore that won’t go away

Everyone has a mouth sore once in a while, but if one sticks around, get in to see the dentist right away, as it could be a sign of oral cancer. “If the sore does not disappear within seven to 14 days, see a dentist immediately for an oral exam and cancer screening,” Dr. Akosa says. “A biopsy may be performed to determine the cause of the sore.” In addition, any strange bumps or even color changes in your mouth that last more than a week should also be evaluated immediately, Dr. Ferraz-Dougherty says.

Your tongue has changed texture

Any weirdness with your tongue should be looked at by a dentist ASAP. “Any changes in texture, any lumps, bumps or sores, or any change in sensation of your tongue would be an indication to go see your dentist,” Dr. Ferraz-Dougherty says. “That’s something we take very seriously because the tongue is one of the more common areas for oral cancer, so it’s important to get that checked out.” It’s also possible that a change in texture of the top surface of your tongue could be caused by “hairy tongue,” a fairly harmless condition in which the small bumps on your tongue called papillae build-up; however, you’ll still need to see your dentist for a diagnosis.

(09/23/2021)
by Tina Donvito

More Information: https://www.thehealthy.com/dental/signs-dental-emergency/

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