Will an ER Remove a Tooth? Understanding Emergency Dental Care
The short answer is: sometimes, but not always. Emergency rooms (ERs) are designed to handle life-threatening situations and serious injuries. While a severely damaged or knocked-out tooth is certainly painful and concerning, it's not typically considered a life-threatening emergency in most cases. Therefore, an ER's priority will always be to address immediate, life-threatening conditions first.
This doesn't mean an ER won't remove a tooth. If the tooth is causing a serious complication, such as:
- Severe bleeding that won't stop: An ER doctor may intervene to control bleeding, potentially including tooth removal if necessary to achieve hemostasis.
- Obstruction of the airway: A severely fractured or dislodged tooth that's blocking the airway requires immediate action. The tooth will likely be removed to restore breathing.
- Infection spreading rapidly: In rare cases, a severely infected tooth could pose a risk of spreading infection throughout the body. The ER doctor might remove the tooth to control the infection while awaiting specialist care.
However, in most cases involving tooth pain or damage, the ER is likely to:
- Refer you to a dentist or oral surgeon: This is the most common outcome. ERs are not equipped to provide comprehensive dental care. A dentist or oral surgeon possesses the specialized training, tools, and facilities necessary for proper tooth extraction and subsequent care.
- Provide pain relief: They may offer pain medication to manage discomfort until you can see a dentist.
- Control bleeding: If there is bleeding, they will work to stop it, but may not remove the tooth unless absolutely necessary.
What to do if you have a severely damaged tooth:
The best course of action is to seek immediate care from a dentist or oral surgeon, especially if you have a knocked-out tooth, severe pain, or significant bleeding. Many dental offices have emergency lines or after-hours contact information.
Why wouldn't an ER remove a tooth?
Several factors contribute to why an ER may not remove a tooth:
- Lack of specialized equipment and expertise: ERs primarily focus on general medicine and trauma. They lack the specialized instruments and expertise necessary for safe and effective tooth extractions.
- Prioritization of life-threatening emergencies: ERs must prioritize patients with the most urgent and critical conditions. A broken tooth, while painful, usually falls lower on the priority list.
- Risk of infection: Improper tooth extraction in an ER could increase the risk of infection.
What if I can't afford a dentist?
If cost is a concern, explore options like:
- Dental schools: Dental schools often offer significantly reduced-cost services.
- Community health clinics: Many communities have health clinics that provide low-cost or free dental care.
- Dental insurance: Check if you have dental insurance coverage or if there are affordable plans available.
How can I save a knocked-out tooth?
If a tooth is knocked out, time is crucial. Gently rinse the tooth with milk or saliva (do not scrub it!), and carefully place it back into the socket if possible. If this isn't possible, place it in a container of milk or saliva and seek immediate dental care.
In conclusion, while an ER might remove a tooth in extreme circumstances, it's not their primary function. Your best bet for any significant dental emergency is to contact a dentist or oral surgeon. They are best equipped to handle the situation effectively and safely.
