Tag Archives: loose adult tooth

Adult tooth knocked loose

Is there anything which can be done about an adult tooth which is loose? I had an accident and dropped a hammer on my mouth. I thought everything was fine except for a fat lip, but this morning I can swear the front tooth feels loose. I thought I was imagining it at first, but now I’m pretty sure. It’s wiggling. Is this a lost cause or can it be saved?

Lizzie

Dear Lizzie,

Woman holding her jaw in pain from TMJ

Before I go over anything else, I’m going to encourage you to stop wiggling the tooth no matter how tempting it is to check. There are ligaments on your tooth which help keep them secure. Often when there is some trauma to the tooth those ligaments get stretched. However, if you keep wiggling it, the ligaments could snap, putting your teeth at greater risk.

Now that I’ve warned you about the wiggling, I can have some sympathy. Ouch! I can’t imaging how much it hurt to drop a hammer on your mouth.

It’s possible the tooth can be saved, but this is considered a dental emergency and you need to see your dentist right away. If you don’t have one, do an internet search for an emergency dentist. They are simply general dentists who are willing to see non-established patients quickly in situations such as yours.

Saving Loose Adult Teeth

The dentist will examine and do x-rays of the tooth. The x-rays are to establish whether there’s been any internal damage to the tooth. If there has, you’ll need a root canal treatment and possibly a dental crown.

If there hasn’t, and it’s just a matter of the ligaments being stretched, your dentist will stabilize the tooth with some type of splint to keep it secure while the ligaments heal.

Don’t put this off. Get it looked at quickly so you don’t risk loosing the tooth.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Will an Emergency Dentist Charge the Cause of the Accident?

I was at a stag party. We were at a pub when one of the group got a little too drunk. He started trouble which ended up causing a fight. The result of which was my front tooth lost a piece and is now loose. I’m assuming I need an emergency dentist, but I’m broke. Will the dentist charge the fee to the moron who started all this?

Casey C.

Dear Casey,

A chipped tooth in need of an emergency dentist
Tooth trauma requires an emergency dental visit

I’m very sorry this happened to you. It’s hard when you’re trying to be responsible and the people around you cause problems. You’re right that this needs an emergency dentist. Your loose tooth needs to be splinted to stabilize it. There are several ways a dentist can do this. What method he or she uses will depend on what other issues your tooth is facing.

He’ll also want to examine it for trauma to the nerves or pulp. Internal damage could mean a root canal treatment and possible crown.

Once the tooth is secure, if there’s no other damage you can fix the broken piece with dental bonding. You don’t have to have the piece that broke. A skilled cosmetic dentist can sculpt a composite resin onto your tooth which will look just like your natural tooth structure and blend in perfectly.

Who Pays for Emergency Dental Care?

Unless the person responsible comes and agrees to pay for treatment, the dentist can’t bill him. He can only bill the person receiving the services or their legal guardian without prior approval. However, you can ask for a detailed bill of the damage and send the bill to the offender. If he has integrity he may just pay. If he doesn’t, you may have to take him to small claims court.

Just be aware, many dentists are willing to work with patients financially, especially those in emergency situations. Just talk to the dentist ahead of time. If he’s not willing to work with you, try Care Credit, though most dentists offer that in-office. It’s a medical credit card that has low and even no-interest payments.

This blog is brought to you by Dr. Randall Burba.