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Emergency Dentist in Rockville

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Dental Implant Center of Rockville provides emergency dentistry in Rockville, MD. Call 301-294-8700 for urgent dental treatment.

Dr. Sreeni is committed to providing patients with compassionate emergency dental care. If you call during our regular office hours, immediate attention will be given to your situation and we will schedule an emergency dental appointment for you as soon as we can. If you are experiencing a serious or life-threatening emergency, call 911 immediately or go to your nearest emergency room for treatment.

If you have an emergency after hours, you may reach Dr. Sreeni by choosing the option to speak to the doctor.

Our Contact Information

General Dental Emergencies

During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible. After office hours, please give the office a call and follow the instructions provided. Your call will be returned as soon as possible.

If you are experiencing a serious or life-threatening emergency, please call 911 or visit the nearest emergency room.

Below are instructions for handling minor dental emergencies.

In the case of a toothache...

Gently clean the area around the tooth by rinsing the mouth with warm water and gently flossing to remove any particles that may be lodged in the tissue around the tooth. If the pain continues, or if the area around the affected tooth is warm, please call our office to schedule an appointment.

If a lip, gum, cheek, or tongue gets cut...

Apply ice to help reduce swelling and apply pressure with a clean cloth or sterile gauze to stop any bleeding. If the bleeding continues, call your physician or visit your local emergency room.

If a baby tooth gets knocked out...

Please call our office to schedule an appointment.

If a permanent tooth gets knocked out...

Call our office right away and take these steps.

  1. Do not touch the tooth root, but hold the tooth by the crown and gently rinse the tooth with water.
  2. Place the tooth back into the socket as quickly as possible and bite down on clean gauze to hold it in place.
  3. If the tooth cannot be placed in the socket, put the tooth in a small container of milk or saliva and bring it with you to your appointment.
If a tooth gets chipped or broken...

Gently rinse the area with lukewarm water and place a cold compress on the face to reduce swelling. If you can locate the piece of the broken tooth, place the piece in milk, and bring it with you to the office. If more than half of the tooth is broken off, please call us immediately.

Pediatric Dental Emergencies

During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible. After office hours, please give the office a call and follow the instructions provided. Your call will be returned as soon as possible. If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

Below are instructions for handling minor dental emergencies.

In the case of a toothache...

Gently clean the area around the tooth by rinsing the mouth with warm water and gently flossing to remove any particles that may be lodged in the tissue around the tooth. If the pain continues, or if the area around the affected tooth is warm, please call our office to schedule an appointment.

If a lip, gum, cheek, or tongue gets cut...

Apply ice to help reduce swelling and apply pressure with a clean cloth or sterile gauze to stop any bleeding. If the bleeding continues, call your physician or visit your local emergency room.

If a baby tooth gets knocked out...

Please call our office to schedule an appointment.

If a permanent tooth gets knocked out...

Call our office right away and take these steps.

  1. Do not touch the tooth root, but hold the tooth by the crown and gently rinse the tooth with water.
  2. Place the tooth back into the socket as quickly as possible and bite down on clean gauze to hold it in place.
  3. If the tooth cannot be placed in the socket, put the tooth in a small container of milk or saliva and bring it with you to your appointment.
If a tooth gets chipped or broken...

Gently rinse the area with lukewarm water and place a cold compress on the face to reduce swelling. If you can locate the piece of the broken tooth, place the piece in milk, and bring it with you to the office. If more than half of the tooth is broken off, please call us immediately.

Orthodontic Emergencies

If you experience a breakage or loosening of any of your appliances please call our office as soon as possible. Please do not come directly to the office. By calling us first we will be able to schedule a time to see you. If you have a scheduled appointment already, please call to let us know that you need something repaired so that we may add additional time to your appointment if needed.

If you need assistance after hours, please call our office phone line and leave a message on our emergency service so that we may contact you. Please be sure to leave your name, phone number with area code, and a brief message.

Review the topics below for solutions to some common non-emergency problems:

Discomfort or soreness
Non-prescription pain relievers, such as acetaminophen or ibuprofen, can help with the temporary discomfort that sometimes occurs for the first day or two after an orthodontic adjustment.  A diet of soft foods for a day or two can also be helpful.
Ligatures come off

There are two types of ligatures that may be used to attach the arch wire to the brackets. They may be tiny rubber bands or small, thin wires.

If a rubber band ligature comes off, it may be possible to put it back in place using clean tweezers.

If a wire ligature comes off, it can be removed with clean tweezers. If it is poking the mouth but is not loose, it may be possible to bend it back down away from the tissues with a Q-tip or clean pencil eraser. Let our office know about the problem so that we can decide if we need to see you before your next scheduled appointment.

Irritated cheek tissues
Non-medicated orthodontic relief wax can be placed over brackets or wires that may be irritating the mouth.
Food stuck in braces
Dental floss, an interproximal brush, or a toothpick can be used for removing food that gets caught between teeth or wires. Sometimes tying a knot in the dental floss before threading it through the brackets can help to catch and remove the food.
Wire out of place
If a wire is out of place and poking the cheek, use a Q-tip or pencil eraser to push the wire against the tooth. If this is not possible, or if the wire is still uncomfortable, place wax over the end of the wire and call our office to set up a time to have the wire adjusted and put back into place.
Sores in the mouth
Rinsing with warm salt-water several times a day can help to heal sores in the mouth. To lessen discomfort, topical anesthetic treatments, such as Orabase or Ora-Gel, can be applied with with a Q-tip to any abrasions or sores in the mouth.
Preventing infections
For minor sores in the mouth, Peroxyl, an antiseptic rinse containing hydrogen peroxide, can be used to reduce inflammation and prevent infection. Use Peroxyl up to 4 times per day after brushing. Refer to the product label for specific instructions.

Frequently Asked Questions

How do I get an emergency dentist appointment?

Simply call our office and we will make arrangements to see you for an emergency appointment as soon as possible. Keep in mind that the earlier in the day that you call, the more likely we’ll be able to schedule you for a same-day visit.

Is a loose dental implant an emergency?

Not all loose dental implants are emergencies, but we’ll still want to see you at our office regardless. Often when an implant feels loose, it’s because the restoration attached to the implant (the denture, bridge, or crown) needs to be tightened. This only requires a quick, simple visit to our office.

Can a loose implant be saved?

When it’s the restoration attached to your implant that’s loose, your dental implant is not usually compromised and it can be saved. In the rare case that the dental implant itself is loose due to dental trauma, infection or implant failure, it can often be saved with prompt treatment, but not always. If Dr. Sreeni does not believe your implant can be fixed, it will be removed. We’ll allow the soft tissue and bone to heal, then we can usually successfully place a new implant.

What are the signs of dental implant failure?

While it’s rare for dental implants to fail, it does occasionally happen. Signs of dental implant failure include a loose implant, severe pain, inflammation in the tissue surrounding the implant, trouble eating, and gum recession. If you’re worried that your implant has failed, call our office as soon as possible. The sooner you get treatment, the more likely it is that we will be able to save your implant or replace it a month later while preserving the bone.

Can you get emergency wisdom tooth removal?

Wisdom teeth don’t typically require emergency removal, but sometimes impacted wisdom teeth can become infected, which is considered an emergency that requires urgent treatment, as infections in the teeth can easily spread to other areas of the body. If this is the case, we will schedule you for an emergency wisdom tooth extraction as soon as possible.

How do you know if you have a wisdom tooth infection?

Signs of wisdom tooth infection include severe pain, difficulty biting and chewing, severe headaches, and jaw pain. The gums and soft tissue near your wisdom tooth will often be inflamed and swollen and you may also experience discharge and a foul odor or taste in your mouth.

Will an oral surgeon pull an infected tooth?

The goal of dentistry is to save your natural teeth whenever possible, so if you can get a root canal to preserve your tooth, that’s the best solution. If, after talking to a general dentist or endodontist, you decide you still don’t want a root canal, we can extract your infected tooth. In most cases we can place an implant on the same day as the extraction.

Painful swelling that comes and goes?

Sometimes one can develop a painful swelling especially at meal times in the face below the ear or beneath the lower jaw. This could be because of a blocked salivary duct. Please call to come in the same day as often this can be managed without surgery.

Painful blisters/sores in the mouth?

Pain from sores can be unbearable limiting our ability to eat or even speak. The cause can be viral, fungal or bacterial. Stress or poor general immunity is often blamed as an instigating factor. No matter what the reason, an Oral Surgeon can correctly diagnose and treat the same.

Call 301-294-8700 for urgent dental care.

Contact our office today to schedule your appointment!

77 South Washington Street, Suite 205 Rockville, MD 20850
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