Do-It-Yourself Dentistry

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On their wedding day, most brides hope for sunny weather and that the photographer and band show up as planned. Not me. My wedding day wish was that my mother would not experience a dental emergency.

Seem like a strange wish for the bride? It shouldn’t. Growing up, there was rarely a special occasion, vacation, or even a long weekend when my mother did not, say, lose a crown, lose a bridge, or merely require an emergency toothpaste and lukewarm water and to avoid eating in this area. “There are temporary restorative materials that contain zinc oxide that are sold over-the-counter that can plug up the hole until you see the dentist,” says Warren Scherer, DDS, the chairman of the department of general dentistry and management science at New York University College of Dentistry in New York City. Two such products include Temparin and Dentemp OS. These products are the same as those that can be used to cover an exposed tooth surface.

Coronation Ceremony

Crowns or caps fully cover the portion of a tooth that lies at and above the gum line. But if you lose one, you have to try and put it back in, Howley says. Here’s how: Clean it out thoroughly, and either buy paste in a drugstore or mix your own with Vaseline and corn starch. “Mix it to be a pretty thick paste,” he says. Then, put the paste in the crown, place it on the tooth, and bite down gently until it’s seated. “Wipe off extra glue that will seep out,” he says. “It doesn’t taste great.”

“You can use crazy glue to replace a tooth off a denture, but that becomes more problematic because the consumer may have difficulty refitting that tooth,” Sherer says. “If I were attending a wedding or had a meeting with the queen, I would crazy glue my tooth in, but if I could wait a day or so, then I would,” he says. Partial dentures are mounted on a metal frame and fill a gap left by missing teeth. Complete dentures may be worn when all of the top or bottom teeth have been lost. They consist of artificial teeth mounted in a plastic base molded to fit the abscess, you may need to have it drained.” This was exactly the case with my recent dental emergency.

The good news is that if you really need a dentist (as I did), “there are areas or facilities that you can visit over a weekend without necessarily waiting for your dentist,” Sherer says. “Regional hospitals have dental residency programs and residents on calls and dental schools in the area have emergency facilities”

A root canal refers to damaged tissues in the tooth. If you suspect this is the issue, “keep cold and sweets away from the painful area,” Howley says. “If you do this, the pain will typically go away, but if you also have sensitivity to heat, it’s an indication of more serious problem.” For example, “if you drink coffee and the tooth hurts even after stimulus is gone, this tends to indicate a problem with a nerve or that the tooth is dying or traumatized and you need to do something about it,” he says. “It may be a simple as an antibiotic and Motrin, and sometimes it’s as simple as keeping hot, sweet, and cold away until you can have it looked at by a dentist.”

If you can’t quite put your finger on the pain (literally or figuratively), go through a mental checklist to identify the culprit. “Is it a missing filling? A broken tooth? If so, you could try aspirin or ibuprofen. Is it gum related? If so, topical ointments may work,” Howley says.

Make Your Own Dental Bag

While it’s hard to plan for dental mishaps, it’s a good idea to pack a small just-in-case bag replete with some tooth repair basics. It should contain:

  • Salt packets
  • Gauze
  • Q-tips (in case you want to swab the area)
  • Ibuprofen or another anti-inflammatory painkiller
  • A small container (if you lose a crown or piece)
  • A phone number of a dentist
  • A pack of sugar-free gum