Dr. Noah's Dentistry Blog

Questions About Dentistry Answered

Can Emergency Dentist Save Tooth Hit by Baseball?

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I was playing a game of baseball with some neighborhood kids when one of the balls went flying and hit me in the mouth. I originally thought I was fine because it didn’t bleed or bruise. But this morning the tooth is wiggly and loose. Is there a way to save it or is it toast?

Payson

Dear Payson,

Woman Smiling Text: A smile is the best makeup any girl can wear

It’s very possible your dentist or an emergency dentist if you don’t have one can save your tooth. But two things need to happen for you to have the best shot.

Stop wiggling it.

Your tooth has ligaments that are a bit stretchy, like rubber bands. But, just like rubber bands, if you stretch them too far or too often and they’ll snap or lose their elasticity. This puts your tooth at greater risk.

Get to the Emergency Dentist

You’ll want to get in as quickly as possible. The longer this is left that way the less chance you have to save it. The dentist can stabilize the tooth by using a splint or bonding the tooth to a stable adjacent tooth. That may be all that’s needed. It gives the ligaments time to heal. However, if the pulp of the tooth was damaged, you’ll need a root canal treatment and dental crown.

What if the tooth can’t be saved?

If it’s not possible to save the tooth you have several replacement options. The top of the line replacement is a dental implant. However, if either of the adjacent teeth is in need of a dental crown, then a dental bridge may make more sense.

If both of those options are out of your current budget, you can either find an affordable dentist who’s willing to work with you on payments or get a removable partial denture until you can afford a more stable replacement.

Either way, you need to be seen right away. This blog is brought to you by Dr. Ryan Noah.

Did the Emergency Dentist Damage My Tooth?

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I’m a little worried. I went to an emergency dentist because of a tooth which was in pain. He told me he didn’t see anything visible on the x-ray, but based on my description of symptoms he thought I cracked the tooth. He wanted to crown it first to see if the tooth could be saved. We did that, but the pain is still there. Now the tooth next to it is gray. Did he damage it or misdiagnose it?

Lauren A.

Dear Lauren,

Tulsa Emergency Dentist

A graying tooth means that the tooth is dead or dying. Without seeing an x-ray it would be impossible for me to tell exactly what the problem is, but I can give you three possibilities.

1. Your emergency dentist misdiagnosed the issue and crowned the wrong tooth. It’s always possible for dentists to get things wrong. Everyone is human after all. The only way to tell if this is what happened is to get a second opinion. Have another dentist look at the original x-rays and see if the real problem was visible.

If he did misdiagnose you, it is reasonable for you to expect a refund on all work done, including the appointment and crown. Then, you can have him treat the actual problem or, if you’ve lost faith in him, have the second dentist work on your tooth.

2. This is the least likely scenario, but worth mentioning. There is always the possibility that you happened to have trauma to the tooth adjacent to your crown that is now graying, at a later date. Unlikely, but possible.

3. More likely is the fact that both teeth experienced trauma at the same time, but the second tooth is just now showing evidence. That often happens with graying teeth. One tooth was cracked, which you instantly feel the pain. A second tooth is damaged and the blood flow cut-off, but you don’t realize it until the tooth starts to change colors. This tooth will likely need a root canal treatment and porcelain crown itself.

Why Some People End Up With Dental Emergencies.

This is not the case with everyone, especially patients in your situation where trauma is what sent you to the dentist. But, it’s worth mentioning for other patients out there who may struggle with going to the dentist.

You may find this surprising, but many Americans don’t look forward to going to the dentist. Some, out of intense dental anxiety, avoid it altogether. That often causes more pain and problems than if they came in for check-ups when problems could be caught early.

Fear isn’t the only reason people shrink from coming. Sometimes financial strains make it challenging and it just doesn’t seem important enough for them to go. When that happens, it’s better to find an affordable dentist who’ll work with you financially than to ignore the issue completely and end up with a severely abscessed tooth.

This blog is brought to you by Dr. Ryan Noah.

Is Orthly a Good Replacement for Invisalign?

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I keep reading about this product Orthly that replaces Invisalign at just a fraction of the cost. Is this legitimate?

Miranda M.

Dear Miranda,

If you’re asking if there’s an Invisalign substitute called Orthly which costs less than Invisalign, then the answer’s yes. But, if you’re asking if it’s a safe replacement, the answer is no.

Here are some of the concerns.

1. The designers have no dental training. They make that clear themselves. “Orthly does not practice dentistry nor do any employees in the company.” So, you’re talking about an app, designed by a college student who was just looking for a cheaper way to straighten his teeth. Does he understand how to move the roots of teeth without causing them to come loose?

2. You only see a dentist a couple of times. This is actually where they save their money. With Invisalign, you’re under the care of a dentist every two weeks. The appointments are designed to make sure nothing is going awry or needs to be addressed with your teeth. They’re designed to protect your teeth.

While an orthodontist working with Orthly can request you send pictures of your progress. That’s practically useless. How can a photo possibly measure things like mobility, root absorption, periodontal disease, and oral hygiene? If these problems crop up, you can lose your teeth.

3. They accept no responsibility for what happens to you. They state, “We partner with licensed, board-certified orthodontists and we ensure that they are the ones who lead the treatment process.” Those are the ones who will face liability, while Orthly rakes in the money.

So, which do you choose? That’s a personal decision. Obviously, I have strong feelings about the issue, but that is borne out of fear of low-income patients, desperate to straighten their teeth, getting themselves into situations where they end up losing their teeth, with no money left to replace them and zero recourse.

If you’re wanting to straighten your teeth, but struggle with the ability to afford it, talk to your dentist. Many of them will work with you financially.

This blog is brought to you by Dr. Ryan Noah.