Randall LaFrom, DDS Advanced Technology Dental Care Center of Cupertino General and Cosmetic Dentistry 20445 Pacifica Drive, Suite B Cupertino, CA 95014 (408) 996-8595 PH (408) 996-3925 FAX randy@club2000.com We are open the following hours currently: Monday 8:30am - 5:30pm Tuesday 7:30am - 5:30pm Wednesday 7:30am - 5:30pm Thursday 8:30am - 5:30pm Friday closed Sat./Sun. closed

DENTAL EMERGENCIES A true dental emergency is one in which you have a broken tooth that is causing pain, or swelling. If you experience bleeding from trauma, or if you have a tooth that has been knocked out of the socket, we suggest that you contact our office immediately. SUGGESTIONS FOR HOME REMEDIES: Tooth knocked out - CALL US IMMEDIATELY! Gently rinse off the tooth and try to reimplant it yourself immediately. If a tooth is left out of the socket for more than one hour, the likelihood that it will ever grow back properly drops as time goes on. Even if it is reimplanted immediately, there is still only about a 50/50 chance of long term survival. Call us immediately so we can x-ray the tooth to be sure it is in correctly and perhaps we can bond it in place to help stabilize the tooth. DO NOT SCRUB the tooth, as this will destroy the attachment fibers that are needed to help the tooth reimplant. If you don't feel comfortable trying to replant the tooth and you can get in to our office quickly, rinse the tooth gently and put the tooth either in the patient's mouth to keep the tooth moist, OR put it in a small cup of milk to help keep it from getting dehydrated. Chipped tooth - Rinse the area lightly with warm water. If you don't have sensitivity to PRESSURE or it's not bleeding, or COLD air doesn't send you "through the roof", then it's probably not very deep and it should either be smoothed off or at your earliest convenience, see the dentist to make sure there are no sharp edges or exposure of the pulp. Toothache - These come in a variety of styles. It can be hot or cold sensitive, pressure sensitive, percussion sensitive, sharp or dull, only hurt when stimulated, or last for either a short time (less than 30 seconds), or last for a long time (over 5 minutes.) If it's dull achy feeling, it's probably gum related and you'll need to schedule a cleaning. If it's sharp and brief feeling, then a filling may have come out and exposed a root, or a big chip on the tooth occurred. If it's a slowly getting better, than it could be the nerve or something poked under the gums. Temporary crown off - Often you can save yourself a trip to the office if you can simply clean the inside of the temporary off and reposition it back in place. Be sure to lightly rinse off the area where the temporary crown was and orient the temporary back on the tooth. Generally a temporary is only protecting the prepared tooth and this is not urgent, however, it should be replaced. Do NOT let a tooth go more than a couple days without a temporary back over it, as leakage can occur and you risk reinfection. Dental adhesive powder or even a small amount of toothpaste works well to help hold it in place until you can make it to the office. Hot and cold sensitivity - If the pain only lasts for a few seconds, then it is often related to a small exposure close to the root. In this case, avoiding hot and cold, and even placing some vaseline over the area can protect the tooth for a short while until you can get in to have us look at it. If the pain persists more that one minute after it is exposed to hot or cold, it often means that the nerve have been infected. This could mean that we will need to do a root canal to save the tooth. If Advil or Tylenol won't take away the pain, then this is probably what we will need to do to get you out of pain. Never put aspirin on the tissue in your mouth directly. It can easily burn the tissue. TMJ pain - This is often helped with a warm compress (warm wash cloth) on the jaw area, along with taking an anti-inflammatory such as Aspirin, Advil, Motrin or Naprosen. Avoid wide opening and watch how you are sleeping (with your hands near your face?). Sometimes a splint is necessary to help prevent this from recurring. Filling fell out - This generally requires a visit to replace the filling and is usually NOT an emergency. Most fillings are not deep enough to cause any problem if they are left untreated for a couple days. This can vary from case to case, so use your judgement and call us for advice if you are unsure. Sometimes putting a little wax, gum or vaseline over the area will protect it temporarily until you can come in. The pharmacy even sells a small tube of thick ointment that can be mixed up to be placed in the opening to block food from entering. Cut lip or trauma to the face - Often if there looks like you may need to have sutures in the oral-facial area, going to the Medical Doctor first may be the best. After they have taken care of your medical condition, then we can take a look at the teeth to be sure they are ok. Most times, however, a cold wet clean wash cloth applied to the area with pressure will stop any bleeding. If the cut is deep, apply the compress and go to the emergency room. Cheek bite - This is a common trauma and it can sometimes be helped by "rounding" off the corner of the opposing teeth so they can't pinch the tissue in between the teeth. Placing a cotton roll or gauze in the cheek area will help push the cheek away so that you can let the area heal without additional trauma. Something stuck between your teeth - First, try using dental floss, very gently and carefully, to remove the object. If you tie a small knot in the middle of the floss and pull that through the contact area, often you can dislodge most small pieces of food ot debris. Do not poke between your teeth with a pin or similar sharp, pointy object; it can cut your gums or scratch the tooth surface. If you can't get the obstruction out, see your dentist. If you have a true dental emergency, you may call the main office number at 408-996-8595 and leave a message after-hours. The service will page one of the Doctors and we will generally try to get back to you as soon as possible.