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You’ve planned your dream vacation. Your reservations are made. You’re packed and ready. You’ve even scheduled a dental checkup at our Kingston, ON office to make sure you catch any potential problems, have finished any major work, and have an up-to-date chart.

But things don’t always go according to even the best of plans. So, what to do if you find you have a dental emergency while traveling? Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok and our team have some recommendations for problems that might arise.

• Toothache—Rinse your mouth with warm water and use dental floss to remove any food particles. Never put aspirin directly on a tooth or gum tissue. If the pain persists, call a dentist.
• Cracked or broken tooth—Immediately rinse with warm water to clean the area and apply cold compresses to the face to minimize swelling. Get in touch with a dentist.
• If you lose a tooth—Keep the tooth moist at all times. Put the tooth back in the socket without touching the root if possible. If that is not an option, place the tooth between the cheek and gums or in milk. See a dentist as soon as possible.

Know where to get help if you need it! If you are traveling in the United States, the American Dental Association offers Find-a-Dentist, a website that can locate a member dentist closest to you. If you are traveling to another country, there are steps you can take to prepare for an emergency.

• If you are out of the country and need to locate a dentist, your local embassy or consulate, your hotel concierge, or friends abroad can be a useful resource.
• Before you go, check your insurance to see if you are covered while traveling.
• If you have travel insurance, find out if it covers dental treatment and can provide information on qualified local dentists and translation help, if necessary.
• Good dental care is available in many areas internationally, but it is important to know what standards are present in the countries you plan to visit. The Organization for Safety and Asepsis Procedures offers a checklist for safe treatment in their “Traveler’s Guide to Safe Dental Care.”

If you have any questions, Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok and our team are happy to do all we can to answer them. While it’s unlikely that problems will arise, we are always available if you need to contact our Kingston, ON office. Bon voyage, and we look forward to hearing about your trip!

You use your mouthguard for sports, wear a nightguard if you grind your teeth, and never bite down on solid objects. But even with all the care in the world, accidents happen. If we break a leg, our bones can regenerate tissue and knit together over time. A cracked tooth, on the other hand, can only be repaired, but will not heal. The right treatment is essential to protect your injured tooth. If you suspect you have a fractured tooth, what should you do?

Sometimes you know right away when you’ve cracked a tooth. A fall off a bike, a blow to the face on the basketball court, a bite of something that turned out to be much harder than it should have been—the results can be instantly apparent. If you have a broken or chipped tooth, call our Kingston, ON office immediately. If you have lost a piece of your tooth, bring it in with you. Early treatment can not only restore the appearance of your tooth, but might prevent the possibility of infection or damage to the root and pulp.

Sometimes, a fractured tooth is an unwelcome surprise. It doesn’t take one specific incident to cause damage to a tooth. A crack or break can develop over time if you grind your teeth, have a large filling that has compromised a tooth, or have undergone a root canal procedure that has left the tooth brittle.  You might notice a crack or a missing piece of tooth, or experience pain while chewing or sensitivity to heat and cold. If you have any of these symptoms, call us. Once again, the earlier a tooth is treated, the better the outcome.

No matter how you discover an injury, immediate treatment by Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok is the best way to safeguard your healthy smile. Prompt treatment and restoration repair your smile cosmetically, and, in the case of more serious fractures, extend your tooth’s life, prevent further damage, and ward off potential infections of the gum and bone.

We have many options for restoring your damaged tooth, and our recommendations will depend on the type of injury your tooth has suffered.

• Chips

It is important to bring any broken piece of your tooth with you because sometimes the piece can be reattached. If that is not possible, a small chip might only require bonding with a tooth-colored resin. A veneer is an option for a larger chip, or where a translucent, natural appearance is important. If the chip is deep enough, and there is pulp damage, we might suggest a root canal and a crown.

• Broken Cusps

A lost cusp is a common result of injury, especially near a filling. If the pulp is unaffected, which is generally the case, a filling or crown can restore the appearance and function of the tooth.

• Cracks through the Tooth

A tooth cracked from the chewing surface to the root presents a more serious problem. If the crack has extended to the pulp, but remains above the gum line, a root canal and crown can preserve the tooth. If the crack extends below the gum line, however, extraction might be necessary. Early cracks will eventually extend below the gum line, so early treatment is essential.

A tooth can also fracture from the root up. Any crack in the root is a serious matter, and often is not discovered until infection has set in. Extraction is a common recommendation, although some specific cracks near the tip of the root might be treated with endodontic surgery.

• Split Tooth

Sometimes an untreated vertical crack can lead to a tooth split into two pieces. An endodontist can determine whether any portion of the tooth can be saved, although extraction is more likely.

If you injure your tooth, or have any symptoms of a tooth fracture, call us immediately. Whether you have suffered a chipped tooth, a broken cusp, crown or root fractures, or even a split tooth, prompt treatment is the best way to restore and protect your attractive and healthy smile.

A root canal entails the removal of the nerve supply from a tooth. If you know the purpose of a root canal, the process may seem a little less intimidating.

Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok will explain the steps in person before your scheduled root canal. Here are some reasons why you may need one and how it will be done when you visit our Kingston, ON office for your appointment.

Let’s look at the parts of a tooth. Teeth are made up of layers. The outside is the enamel you see, which is composed of minerals. The middle layer is called dentin. It is less dense and made of calcified tissues.

The center of the tooth, also known as the pulp, holds the nerves and blood vessels. When a tooth has decayed or been infected all the way down to the pulp, a root canal is used to remove and replace the root with a filling.

A cavity, sudden trauma, severe cracks, or other events that may cause nerve damage can start an infection of the root of your tooth. You may notice an infection if you experience abnormal pain, swelling, sensitivity, or change in tooth appearance.

Don’t hesitate to contact our Kingston, ON office to schedule an examination if you notice these symptoms. We may need to take X-rays of the problem tooth to find out if a root canal is necessary.

Once an appointment is scheduled for a root canal and we’re ready to begin the procedure, you’ll be given anesthesia to keep you comfortable. The problem tooth will be isolated and sterilized. We work to remove all the infected area after that.

The treatment will include getting rid of nerve tissue and blood vessels, then filling in the spot where the nerve used to be. A crown is placed over the area to secure enamel from breaking down in the future and prevent the potential loss of the tooth. The root canal can block the possibility of having your tooth extracted due to decay or infection.

If you have further questions about root canals or notice any new issues in your mouth, please don’t hesitate to call our office and speak with a member of our staff. We’d be happy to answer your questions and schedule an appointment for you to come and get your problem tooth checked out.

Don’t forget: You can avoid having to undergo a root canal if we catch the problem early on!

We want our children to have every advantage, including oral health. That’s why you encourage your child to brush twice a day. You keep the sugary treats to a minimum. You schedule dental exams and cleanings at our Kingston, ON office.

So, how did your child get a cavity? What to do to prevent more tooth decay?

First, don’t feel guilty. Some people are more prone to cavities, even with diligent brushing and flossing. But to make sure children have all the advantages when it comes to preventing cavities, we have some tips which might improve their dental habits.

• Better Brushing

Even for adults, brushing technique can be haphazard! Brushing’s not as effective without covering all the tooth surfaces (inside, outside, and molar tops), holding the brush at a 45° angle, gently brushing the teeth with small strokes, brushing for at least two minutes, and flossing between the teeth at least once a day.

Until children develop the motor skills to brush by themselves (around age six or seven), you can help by monitoring their brushing and flossing. If you like, you can use these four minutes a day for fun as well as dental care by playing music, awarding stickers, using an app with entertaining timers, or having your child mirror your brushing habits as you brush together.

And do make your child’s life easier with the right tools. Brush heads should be small enough to fit in little mouths comfortably, and bristles should always be soft. Floss, too, should be soft and flexible. Don’t forget to retire your child’s brush after three or four months—bristles start to fray and won’t clean effectively.

• Sealing the Deal

Ask about dental sealants. This treatment provides a protective coating for your child’s molars. Cavities are so common in molars because the tops of these teeth are quite uneven. Food particles and plaque are trapped in grooves where brushes have a hard time reaching.

The sealant process is a simple and safe one. Healthy teeth are cleaned and dried, an etching solution prepares the tooth surface, a thin coat of sealant is applied, and the coating is hardened under a curing light.

Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok might recommend sealants when your child’s first adult molars erupt. Enamel takes a while to develop its full strength, so new molars are especially vulnerable to cavities. Sealants typically last from three to five years, and studies have shown a dramatic reduction in cavities when teeth are treated with sealants.

• Fluoride Helps Prevent Cavities—in Two Ways!

Fluoride helps strengthen enamel in developing teeth. Because many communities have fluoride available in their water systems, your child gets the benefit of this natural mineral.

If you’re providing your child with fluoride toothpaste, you’re helping prevent cavities in the teeth, which have already erupted. The acids from oral bacteria weaken the mineral structure of enamel, which is the first step in forming a cavity. Fluoride helps repair weakened enamel in a process known as “remineralization.”

Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok can let you know the amount of fluoride that is right for your child, including how much or how little fluoride toothpaste to use, a prescription supplement if your water doesn’t contain fluoride, or the application of a fluoride treatment directly to your child’s teeth.

• Avoid Tricky Treats

Some treats are much better than others. We’re not talking taste, though. When it comes to dental health, texture and time are more important.

When your child enjoys a plain chocolate bar, saliva helps wash away sugary food particles. Sticky candies and starches, like caramels and potato chips, are a “stickier” problem. They cling to enamel, providing lots of sugar as fuel for cavity-creating bacteria. Similarly, drinking a soda with lunch (not every day, of course!) provides a short exposure to sugars. Sipping sodas throughout the day is like bathing teeth in sugar for hours at a time.

To eliminate some of the treats bacteria love, choose snacks with an eye to how they affect teeth throughout the day, and teach your child to brush or rinse with water after eating.

• Schedule Regular Dental Exams and Cleanings

Most children should be visiting Cataraqui Dental Centre twice a year, even during the baby teeth years. Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok will monitor your child’s primary teeth and developing teeth and bite. And a professional cleaning removes built up plaque that even the most dedicated brusher might miss.

If you have any concerns about cavities and their prevention, Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok will have suggestions tailored to your child’s individual needs. Us working together to make sure your child has a healthy, confident smile? That’s a partnership that will provide lifelong advantages!