Tag Archives: Salem MA Emergency Dentist

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?


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.

Dentist Perforated My Sinus!

I need help. I’m in complete agony. I don’t like dentists to begin with, so it took a lot of pain for me to go in to see one to begin with. I don’t have a regular dentist so I contacted an emergency dentist. He said my pain is being caused by two molars that are beyond repair. He offered to extract them and I agreed. The next day, my nose felt weird and kept making strange popping sounds. I called the office because I’d never had this procedure before and didn’t know what was normal. They suggested I take a decongestant. Mind you, they never mentioned the possibility that anything else could be wrong. I started taking the decongestant, but by morning I developed a fever. I called them back and they called in an antibiotic for me. Still no mention of a problem during my procedure. A week later, I’m in so much pain I just show up at their office and tell them someone has to check me right then. They bring me back. That’s the FIRST time they mentioned that my sinus had been perforated during the procedure. He removed some pieces of bone and said I should be good to go. It’s now another week later and I’m getting worse. Do I need to go to a hospital?


Dear Missy,

Woman holding her jaw in pain

Holy Molars! That is one heck of a horror story. I’m very sorry you’re facing this. Your emergency dentist really blew it on a lot of levels. Our sinus cavities are quite close to some tooth roots, so perforated sinuses do happen. But, there is a protocol he’s supposed to follow to help aid healing. Part of that is informing you so that you know not to place unnecessary pressure on it during healing and to not blow your nose.

Secondly, it sounds like he has you on the wrong antibiotic. You should be much better by now. Here’s what I want you to do. While most perforated sinuses heal on their own quite nicely, yours has progressed way too far. I think you need an emergency ENT (Ear, Nose, and Throat) appointment. Let your medical doctor know what is going on so he can recommend one for you TODAY.

They’ll not only get you on the correct antibiotic but will give you a treatment plan for healing. Be aware, if it’s progressed as much as I think you may need surgery to correct this.

Dental Emergencies and Dental Anxiety

Fear eyes looking out from behind a chair
Dental Anxiety Leads to Dental Emergencies

In our practice, we’ve noticed that many dental emergencies we end up seeing, developed because the patient has dental anxiety and avoids the dentist. It sounds like you’re in this category. Plus, with the experience you’ve just had, I wouldn’t be surprised if you never wanted to step into a dental office again.

I don’t want you relegated to going from one dental emergency to another, always having painful visits to the dentist. Because of that, I want to let you know that there are dentists who cater to fearful patients. They’re gentle and compassionate. They won’t lecture you about not coming in. Instead, they’ll help you get your oral health on track.

You’ll find even your body feels better once your dental issues are in hand. There’s a way to do it both stress-free and pain-free too. I want you to look for a dentist who uses sedation dentistry. This will allow you to sleep through your appointments. It has changed the lives of many fearful patients who were eventually even able to come without sedation.

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

Is This White Sore in My Mouth Cancer?

I’ve got this painful white sore in my mouth. It’s making it hard to eat. Do I have cancer? Should I see a dentist?

Missy P. – Kentucky


I couldn’t tell you if it was oral cancer without examining it.  Before you panic, though, it could just as likely be a canker sore. Your dentist should be doing regular examinations for oral cancer. If you don’t have a dentist, you can see an emergency dentist if it turns out not to be a canker sore.

True canker sores usually clear up between 10-14 days. It will just be a matter of managing the pain until then. There are oral antiseptics you can purchase over the counter.  They won’t take care of all the pain, but they can take the edge off of it.

If it doesn’t clear up in that amount of time, it’s time to get it checked out.  As I said before, if you don’t have a regular dentist an emergency dentist will see you. I have seen that most people who avoid the dentist do so out of fear.  There are dentists who are compassionate with fearful patients, who have methods of giving you a pain-free dental appointment.

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

Help! My Tooth Crumbled Into My Food

I just received a temporary filling and am getting a root canal treatment in just a few days. I was eating some sticky rice at an Asian restaurant when I felt something weird going on with my tooth. Then I felt grains of what I think is my tooth structure in the my food. I think my tooth is crumbling. Can this wait until my root canal appointment or do I need to be seen in an emergency visit?

Marsha V. – Nashville


That depends on whether it’s the actual tooth structure crumbling or just the temporary crown coming apart. They’re designed to come out fairly easily so that is a real possibility. Sticky foods can also help that along.

Here’s what I’d like you to do, if you haven’t already. Look at the tooth. Does it look like it’s the tooth structure itself that’s coming apart, or is there a divot where the filling was placed?

If it’s the tooth itself, I’d call the dentist and ask if he wants you to come in for an emergency dental visit. If it’s the temporary filling, you’ll be fine.

There is dental filling material you can purchase at a local pharmacy. It’s also designed to be temporary and will not be a good subsititute for a permanent filling. You’re the exact type of case this store bought filling is used for. It will help keep things in place until you go in for your root canal treatment.

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

My doctor is shoving me off to a dentist

I’ve been feeling poorly for a while. My white blood cell count is up.  My dentist ran a bunch of tests, but didn’t find anything.  Now, after my spending thousands of dollars,  my doc is telling me there is nothing else he can do and he thinks he needs to see a dentist. Is he just passing off his problem (or my problem in this case? I told him I didn’t have a dentist and he said to find one.

Selena T. – New Mexico


Your doctor isn’t the only one to send their patients to the dentist for an unknown illness, and with good reason. I realize you’re feeling abandoned, but it will likely solve a lot of your problems.  You can have an abscessed tooth without having any significant pain.

A tooth infection can cause you to feel flu-like.  It can also raise your white blood cell count.  So, it’s at least a problem to eliminate.

I realize you don’t have a dentist, but you can call an emergency dentist and explain what has been going on.  Most of them will get you in quickly. Some the same day.

You’ll be surprised how often this ends up solving medical problems.

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

Can I fill my own tooth?

I have a small cavity and wondered if it is possible to fill your own tooth? I don’t have money for the dentist, I saw some dental filling material while wandering around my pharmacy waiting for a prescription.  Is it possible I could just use that myself to take care of it.  To be honest, I don’t even have a dentist. New patient stuff always costs more money.

Eleana K. – Missouri


I admire your DIY spirit. I am all for that. There are times however, when it is wiser to leave it to the professionals.  This is different than adding grout to your shower tile.  This is decay that infects your tooth and spreads. This can turn into an abscess that can spread far.

You don’t just fill the decayed tooth. You have to clean out all they decay and get any infection that has developed.  If you leave even one trace, it doesn’t matter if you fill it.  The decay will start creeping through your teeth, hidden underneath the filling.

Unless you’re willing to dig around your tooth and trust that you can get everything, I suggest you go to the dentist. I understand you don’t have your own dentist, but there are emergency dentists that will see you, even if you’re not a patient.

I really suggest you get this taken care of, before it becomes a medical issue in addition to a dental issue.  Who knows? You may like the emergency dentist so much that you find a permanent pracitioner.

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

My husband knocked out four of my teeth and I don’t know what to do

Can you help me? My husband knocked out four of my teeth and I don ‘t know what to do. The police  have taken him, but I’m still here with no teeth and a lot of pain.

Sandee M. – Bronx, NY


I’m sorry for that horrible experience.  A man that will hit a woman is no man.  I know it will take more than just healing your body to feel better. You’ll want to get to your dentist right now. Tell him it is a dental emergency and he should meet you at the office. If not, there are emergency dentists who will see non-patients (and I would get a different dentist).

Put your teeth in some milk and get to the office. You generally only have thirty minutes to have a chance of saving your teeth.

If your teeth cannot be saved, don’t despair. There is a program for women who’ve suffered domestic violence. It’s called Give Back A Smile.  They can help you with any restorative work you need done.

I hope you have a safe place to go.

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