If a tooth is knocked out, it's a dental emergency requiring immediate action. First, try to put the tooth back in its socket, then seek emergency dental care as soon as possible, ideally within an hour. If you can't put it back, keep the tooth moist by placing it in milk or saliva, or a tooth-saving solution. 


Detailed Steps:

  1. Locate the tooth: If possible, find the tooth that was knocked out. 
  2. Handle the tooth carefully: Pick up the tooth by the crown (the chewing surface), not the root. 
  3. Rinse gently: If the tooth is dirty, rinse it briefly with water or milk, but avoid scrubbing or removing any tissue attached to the root. 
  4. Reinsert if possible: If the tooth is still loose, gently try to put it back in its socket, ensuring the root-side is facing the gums. 
  5. Keep the tooth moist: If you can't put it back in the socket, keep the tooth moist by placing it in milk, your saliva, or a tooth-saving solution. 
  6. Seek emergency dental care: Go to your dentist or a nearby emergency dental clinic as soon as possible, ideally within an hour of the injury. The tooth will have to ridgedly fixated for several weeks 6-8 or more done with heavy wire bonded over several teeth.


By chris castellano May 5, 2025
A chipped tooth can be caused by stress cracking or just a sharp blow to the tooth. As long as it's minor like in this picture it can be fixed with composite. If it goes into the nerve chamber of the tooth it will require a root canal and crown. Chipped teeth have symptoms of increased temporary sensitivity to air, hot cold fluids, or any that's chewed into the area. It will be a sharp pain that quickly (within a second goes away). The reason for this is dentinal sensitivity. When the outer enamel layer is chipped off into the dentinal layer it exposes the open tubules of dentin that communicate with the nerve directly. Its important to get a chipped tooth repaired quickly because a slightly aggravated nerve in a healthy state can become irreversibly aggravated over time requiring root canal crown due to bacterial contamination of the tubules.
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PFM crowns are great for posterior restorations, Strong, natural looking  and durable. Chris Castellano DMD , top implant  dentist , Riverview, Fl. 33578
By chris castellano June 25, 2023
Porcelain fused to metal crowns (PFM crowns) are metal crowns with a layer of porcelain fused on the metal. This makes them almost as durable as pure metal crowns but a lot more esthetic. PFM crowns used to be the most popular crowns in dentistry for a long time. They are still used today, but nowadays ceramic crowns are preferred, especially for front teeth restorations. PFM crowns are more affordable than all-ceramic crowns. Even though they are not as esthetic as porcelain crowns they are still good candidates for back teeth restorations. They are used on: posterion teeth conjuction with partial dentures when durable metal rests are needed
signs of needing a root canal. Chris Castellano DMD , top implant  dentist , Riverview, Fl. 33578
By chris castellano June 25, 2023
-Severe tooth pain while chewing -Your tooth pain wakes you up at night -Teeth that are highly sensitive to hot or cold, with the sensitivity lingering for some time. -Discoloration or darkening of the tooth -Swollen gums in the area of the infected tooth
wisdom tooth extractions. Chris Castellano DMD , top  dentist fro the wisdom tooth delete , Riverview, Fl. 33578
By chris castellano June 24, 2023
Most wisdom tooth removal surgeries last about 40-90 minutes. Even if you're having all four of your wisdom teeth removed at once, the procedure typically takes an hour. If your wisdom teeth are in a difficult position or there are unexpected difficulties, the surgery may take a bit longer.
taking all 4 wisdom teeth out at once! Chris Castellano DMD , top implant  dentist , Riverview, Fl. 33578
By chris castellano June 24, 2023
No! All 4 wisdom teeth do not always come in at the same time, but they will always be the last set of teeth to come in. As a general rule of thumb, lower teeth usually erupts before upper teeth and teeth in both jaws erupt in pairs one on the right and one on the left. It is most common for the bottom row to erupt before the top. It is also not unheard of for the top to erupt first and it is also possible for one set to come in while the other doesn’t. Several factors can influence the permanent tooth eruption pattern such as Heredity, how they are growing and the condition of the tooth and size of the jaw.
wisdom tooth removal. Chris Castellano DMD , top   dentist fro wisdom tooth removal  , Riverview, Fl. 33578
By chris castellano June 24, 2023
Multiple factors may influence the cost of a wisdom teeth removal . The American dental Association has about 6 billing (CDT) c odes to make the cases simpler for patients, insurance companies and providers to understand . Each tooth depending on which category code it falls to will cost $250 – $800 for each tooth for patients without insurance. Insurances typically pay less, and most offices also offer multiple extractions discounts when doing all four wisdom teeth removal during the same appointment.
is it rare to have all 4 wisdom teeth?
By chris castellano June 24, 2023
No, it is not rare at all to have all 4 wisdom teeth in fact having four wisdom teeth is the most common. Some patients have less than 4 while some have more than 4. In this instance, the extra wisdom teeth are called supernumerary teeth. Having less or more is rare relative to the number of people that have all 4. So if you have all 4 wisdom teeth you are actually in the majority not the minority.
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