Dental Emergencies in Scottsdale, AZ

Michael L Bleeker, DMD
Scottsdale Center for Implant Dentistry
Board Certified Maxillofacial Prosthodontist

Dental Emergency in Scottsdale?

Dental emergencies are inconvienient, frightening and painful. Prompt treatment is always recommended to alleviate pain and to ensure the teeth have the best possible outcome.

Sometimes teeth become fractured by trauma, grinding or biting on hard objects. In other cases, fillings, crowns and other restorative restoration can be damaged or fall out completely. If there is severe pain, it is essential to make an appointment as quickly as possible. The pain caused by dental emergencies almost always gets worse without treatment, and dental issues can sometimes jeopardize physical health.

Types of dental emergencies and how to deal with them

Avulsed or Subluxed Tooth (When the tooth is knocked out or displaced)

If a tooth has been knocked clean out of the mouth, it is essential to get to the office immediately. When a tooth is lost, tissues, nerves and blood vessels become damaged. If the tooth can be placed back into its socket within an hour, there is a chance the tissues can heal to support the tooth once again.

Here are some steps to take:

  1. Call the office
  2. Pick up the tooth by the crown and rinse it under warm water. DO NOT touch, scrub or clean the root.
  3. If possible, place it back into its socket – if not tuck it into the cheek pouch.
  4. If the tooth cannot be placed in the mouth, put the tooth into a cup of milk, saliva, or water as a last resort. It is important to keep the tooth from drying out.
  5. Get to the office, quickly and safely.

The tooth and socket will be assesed to try and replace the tooth in its natural socket. In some cases, the tooth can be replaced and secured. Sometimes root canal therapy may be necessary.

If the tooth is displaced try to push the tooth back into position and get to the office ASAP.

Lost filling or crown

Usually, a crown or filling comes loose while eating. Once it is out of the mouth, the affected tooth may be incredibly sensitive to temperature changes and pressure. Crowns generally become loose because the tooth beneath is decaying. The decay can cause shape changes in the tooth making the crown no longer fit.

If a crown has dropped out of the mouth, make a dental appointment as soon as possible. Keep the crown in a cool, safe place because there is a possibility that the dentist can reinsert it. If the crown is out of the mouth for a long period of time, the teeth may shift or sustain further damage.

When the dentist is not immediately accessible, here are the steps to take:

  1. Apply clove oil to the tooth to alleviate pain.
  2. Clean the crown and affix it onto the tooth with temporary dental cement that can be purchased at the local pharmacy.
  3. DO NOT use any kind of glue to affix the crown.

The dentist will check the crown to see if it still fits. If it does, it will be cleaned and recemented. Where decay is noted, this will be treated and a new crown will be made.

Cracked or broken teeth

The teeth are strong, but they are still prone to fractures, cracks and breaks. Sometimes fractures are fairly painless, but if the crack extends down into the root, it is likely that the pain will occur. Fractures, cracks and breaks can take several different forms, but are generally caused by trauma, grinding and biting. If a tooth has been fractured or cracked, there is no alternative but to see the dentist as quickly as possible.

Where a segment of tooth has been broken off, here are some steps that can be taken at home:

  1. Call the office.
  2. Rinse the tooth fragment and the mouth with lukewarm water.
  3. Apply gauze to the area for ten minutes if there is bleeding.
  4. Place a cold, damp dishtowel on the cheek to minimize swelling and pain.
  5. Cover the affected area with over-the-counter dental cement if there is no way to see the dentist immediately.
  6. Take a pain reliever.

The nature of the break or fracture will limit what the dentist is able to do. If a fracture or crack extends into the root, root canal therapy may be the only effective way to retain the tooth. In the case of a complete break, the tooth may need to be removed.

Dislodged/loose teeth

When a tooth has been dislodged or loosened from its socket by trauma or decay, it might be possible to save it. If the tooth remains in the mouth and attached to the blood vessels and nerves, there is a good chance root canal therapy will not be necessary.

It is important to call the dentist immediately to make an appointment. In the meantime, use a cold compress and over-the-counter medications to relieve pain. The dentist will reposition the tooth and add splints to stabilize it. If the tooth fails to heal, root canal therapy may be required.

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What our patients are saying

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I have been a patient of Dr. Bleeker’s for many years, and it has always been a pleasure to be under his care. His professionalism is truly beyond the highest standard. He consistently demonstrates exceptional skill, integrity, and genuine concern for his patients. Several years ago, I had veneers placed, and they performed beautifully without any issues for many years. When one of the veneered teeth later came off, Dr. Bleeker recommended placing a full crown, which worked perfectly. About a week later, a second tooth veneer came loose. Rather than simply replacing it, he chose to place another full crown to ensure a stronger, longer-lasting result. What impressed me most was that both crowns were provided free of charge—far beyond what I ever expected. Dr. Bleeker truly went above and beyond to stand behind his work and ensure I was completely satisfied. I am incredibly grateful for his dedication, expertise, and commitment to excellence. I highly recommend Dr. Bleeker to anyone seeking outstanding dental care.
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William Mcardle
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I am a general dentist in Phoenix and I needed Dr Bleeker’s help with a complex denture where my patient had to have his mandibular bone removed and replaced with a leg bone. I successfully help my patients with dentures in my office, but this particular case was beyond my skill level. Dr Bleeker has been exactly what this patient needed—knowledgeable, kind, easy to work with, and full of solutions. I will definitely refer other complex patients to Dr Bleeker.
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Paul Nielson
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I’ve been to quite a few dentists in my time. I have implants and crowns and hands down Dr. Bleeker and his fabulous assistant, Cheryl make it worthwhile to drive from the Biltmore area to North Scottsdale. I highly recommend this dental practice.
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Sherrie Kelly
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Best office ever! Dr Bleeker is so talented and Cheryl and Melinda are so knowledgeable and kind! Always leave there laughing and having a great time!!!!
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Interiors professional
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I met Dr Bleeker on a referral; I was able To get right away because of a cancellation. I love the easy manner Dr Bleeker has and how relaxed he is. His PA Cheryl is very professional, however, she will always make you smile. They have all the latest technology including lasers for healing and Yomi for robotic surgery implant placement.
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Beverly Schwartz
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Very clean office great atmosphere! Very professional staff! Dr Bleeker is very artistic
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Lyn Chi
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This is the best place to go for any and all dental work! The staff and the doctor know what they’re doing. I can’t believe the difference in knowledge, experience and technology that they have. Just don’t go anywhere else you will regret it. That’s what happened to me…all of the time and money I wasted at these other dental offices ..I can’t say enough good things about Dr. Bleeker and his staff.
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