Avulsion & Subluxation

Knocked out or Loose Tooth Solutions

Avulsion is a word that describes the complete displacement of a tooth from the socket due to trauma.  An avulsed tooth is a true dental emergency. If you have a tooth knocked out you’ll need a dentist to repair it ASAP, but before you get to the office there are several things you can do.

  • Try your best to keep calm
  • If you can find the knocked out tooth, pick it up by the crown (the white part). Avoid touching the root.
  • If the tooth is dirty, wash it for about 3-5 seconds under cold running water.
  • Try to replant the tooth if possible. You can bite on a handkerchief to hold it in position.
  • If you are unable to replant the tooth, place the tooth in a glass of milk. You can also keep it in your mouth between your molars and the inside of your cheek – just don’t swallow it.
  • AVOID storage in water
  • Call the office and see Dr. Hemphill ASAP.
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What Will the Dentist do for My Avulsed Tooth?

When a tooth is knocked out, the nerves, blood vessels and supporting tissues get damaged. The nerves and blood vessels can’t be repaired. An avulsed tooth will require a root canal. The good news is the bone can reattach to the root of the tooth once it’s put back in place.

Once you’re at the office Dr. Hemphill will put the tooth back into place. If the tooth or bone is broken, then the process can get more complicated. Dr. Hemphill will flush the socket clean then slip the tooth back into place. It’s important to re-implant the tooth as soon as possible – ideally within an hour of the accident.

Dr. Hemphill may perform a root canal right away, or may wait. It depends on how long the tooth was out of the mouth and other factors. Regardless, the tooth will receive a splint to hold it in place. If the bone around the tooth was not fractured, the root usually will reattach firmly to the bone in about three to four weeks. If the damage is more extensive reattachment may take six to eight weeks of repair time. 

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What if My Avulsed Tooth Can’t Be Used?

Sometimes too much time has passed or the avulsed tooth is not salvageable. When teeth are broken or fractured below the gum line, it may be best to extract the fragment and insert a dental implant, bridge or a removable dental prosthesis.  For younger adults, implants are the first choice. They function like natural teeth and preserve the integrity of the jawbone.

How to Treat Subluxation or Loose Teeth

Subluxation is a word that describes a traumatic injury in which the tooth has increased mobility, or is loosened, but has not been knocked out or completely displaced from the jawbone.  You may notice bleeding, increased mobility, and sensitivity to touch with a subluxation. A loose tooth is much less concerning than one that’s been knocked out, but you should still see Dr. Hemphill to make sure the damage is not significant. Oftentimes no treatment is required depending on the severity.  When the damage is significant, a splint and root canal therapy may be needed.


Six Common Causes of Loose Teeth


Trauma to the Mouth
Any time you experience an injury to your mouth, ligaments and connective tissues can stretch and can result in loosened teeth.
Primary Occlusal Trauma
When teeth experience a biting force that is beyond their tolerance. The force is usually long-lasting and is typically caused when patients clench their teeth or suffer from bruxism – nighttime grinding.
Secondary Occlusal Trauma
When teeth have weakened bone and gums, and can’t handle normal biting force. Usually, periodontal disease is the underlying issue.
Periodontal Disease
Also known as gum disease. It occurs when bacterial plaque and tartar infect the gums. The infection, when untreated, destroys gum tissue which can result in loss of connective tissues and bone leading to loosened teeth.
Pregnancy Hormones
High levels of estrogen and progesterone that are released during pregnancy can cause ligaments around the teeth to loosen. This is typically a temporary problem and doesn’t result in tooth loss.
Osteoporosis
A disease that affects both men and women. Osteoporosis causes bones to lose density and weaken. As the condition advances, it can cause loose teeth.

What Our Patients Say

  • patient-review
    West Hill Family Dental has been serving my entire family for 10 years. They have always been great and treat us like family. I will continue to use them because of the high level of care and comfortable atmosphere.
    Jim Barilla
  • patient-review
    Today was my first visit with West Hill Family dental. The staff was awesome! So warm and welcoming! I felt at home the moment I walked in the door. Melissa (hygienist) was awesome and very sweet. Dr. Hemphill was very personable. I am a nervous Nelly with the dentist but they really helped me feel comfortable.
    Nicole Sousa Ribeiro
  • Jorge Gallo
    "Going to the Dentist," isn't something most folks look forward to. Fortunately, the Team at West Hill Family Dental makes that experience an enjoyable event with a friendly, thoughtful and genuinely concerned approach to both routine care and one-off emergencies. The atmosphere is relaxed and positive; everything from scheduling to changes is accommodated with little fuss and a genuine enthusiasm to see you at the next opportunity. And the overall quality of care, execution and attention to customer needs are unmatched by most practices, and certainly by the cookie-cutter pop-ups that abound elsewhere. Highly recommended, family-oriented and very professional in every aspect of care and delivery - they're definitely on the list of recommendations to new residents and neighbors!
    Jorge Gallo
  • patient-review
    In the past I have had bad experiences with dentist and I have switch many times and I think I have finally found my forever home. Kim and Monica at the front desk are amazing they make sure that if you have any concerns, they will accommodate you in any way they can. They also socialize with you which makes visiting the dentist feel like visiting family. This is by far the best dentist I've ever been to and would recommend them to anyone.
    Ivy M.
  • patient-review
    Dr.Robert Hemphill and his staff are so friendly.I was very nervous to get my treatment done,doctor made me understand and kept me calm.I always walk out happy, feeling I have seen the BEST doctor who took care of my dental treatment.Kinga the dental assistant is so kind and helpful,Kim such a lovely person always smiling and happy,Monica is superb too, she calls and double confirms the appointment so that I don’t forget. Thank you once again.
    Savy Sri

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What West Hill Family Dental Patients Say

5.0

Based on 26 reviews

Loved the doctor & excellent staff! Extremely welcoming. When you walk in you are always greeted with a smile, and the office is very clean and up to date. One of the best dental experiences I have had and I will definitely come back!

D T

Dr. Hemphill really cares about his patients and the staff make you feel so welcome and comfortable. Great choice for a dental practice.

Vicki P.

I do not dread going to the dentist any more, even if I need something more than a cleaning. They are great people, always upbeat, always honest, and very accommodating. I love my visits and appreciate their expertise and care!

Carolyn M.

Great office, very welcoming I was treated like a member of the family. My small problems were taken care of fast and comfortably

Sandy K.

Dr Hemphill and his team are amazing. As a dental provider myself I can't recommend them enough to anyone looking for a great general dentist with a wonderful staff!

Adam C.

Great service and great people. I used to hate going to the Dentist. Very nice and courteous dental staff. Helpful front desk staff who can figure out your dental plan and give you an actual price.

Brandon Z.

Today was my first visit with West Hill Family dental. The staff was awesome! So warm and welcoming! I felt at home the moment I walked in the door. Melissa (hygienist) was awesome and very sweet. Dr. Hemphill was very personable. I am a nervous Nelly with the dentist but they really helped me feel comfortable.

Nicole R.

Great experience getting my first crown. Dr.Hemphill and team are gentle and made everything painless! Definitely would recommend anyone who is looking for a dentist.

Tia L.

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Our Clients Reviews

Dr.Robert Hemphill and his staff are so friendly.I was very nervous to get my treatment done,doctor made me understand and kept me calm.I always walk out happy, feeling I have seen the BEST doctor who took care of my dental treatment.Kinga the dental assistant is so kind and helpful,Kim such a lovely person always smiling and happy,Monica is superb too, she calls and double confirms the appointment so that I don’t forget. Thank you once again.

Savi S.

This is the best dentist office I have ever been too. They are extremely professional, knowledgeable and they truly care about you. Melissa, the hygienist is amazing and Dr. Hemphill always goes above and beyond. The staff at the front desk make you feel right at home and you always receive exceptional customer service. I highly recommend West Hill Family Dental.

Michele M.

The entire staff at West Hill Family Dental is extremely friendly and personable. The hygienists make you feel comfortable and the dentists are thorough yet efficient. I have been going there for 5 years and have never had a negative experience or felt as if they were trying to push dental work I did not need. I would highly recommend West Hill Family Dental to anyone looking for a dentist.

Marco A.

I am a very anxious person who was petrified to go to the dentist but had too because I had pain. The staff was amazing and Dr. Hemphill is obviously extremely skilled and his people skills are second to none. I had a root canal where I felt no pain and I am typing this just 4 hours after my procedure and I feel relief and no pain at all. WOW- if anyone is hesitant as a first time patient don't be. You are welcomed as a part of the family practice and I have no anxiety about my next visit. I have a lot of work to be done but know now there is no better place to go than West Hill. I am so glad I found them.

Steve B.

I am from out of town visiting family in Connecticut this weekend and I had a terrible toothache and didn't know where to turn. Obviously my family dentist is a few hundred miles away and It was a Saturday morning. I asked my uncle who I should call for help. They told me their dentist, Dr. Hemphill, has an emergency number I should try....so I did. Dr. Hemphill was kind enough to drive in and assess the situation. I am out of pain and enjoying the rest of my weekend with my family. Thank you Dr. Hemphill. I can't thank you enough for all your time and help with this tooth situation.

Parag D.

They made changing dentists after 32 years extremely easy, very friendly, and informative, they make you feel welcome as soon as you walk in the door!

Ashley B.

The best dentist ever! Love the water pick! The dental hygienists are wonderful and Dr. Hemphill is a pro at his job. Even makes getting novocaine easy! Even my children enjoy getting their teeth cleaned here.

Meredith

Always a good experience! Everyone is extremely nice and professional!

Joann H.

Just switched my kids to them and they wonderful!! GREAT staff, from front desk to the hygienist to the dentist himself! I am very picky when it comes to this stuff but You know you have the right one when you're kids ASK when they can go back to the dentist! I'd recommend them to anyone!!

Briana B.

As someone who has never been a fan of the dentist, I can honestly say this experience was comforting and painless! I was greeted with a smile at the front desk and exceptional patient care from the hygienist, to the assistant, to Dr. Hemphill himself. Dr. Hemphill walked me through, step by step, explaining what he was doing as his assistant and hygienist comforted me along the way! The entire staff was extremely friendly and personable!

Autumn S.

Best dental practice in CT... I recommend all my family and friends here... Wonderful, friendly staff... Look at our pearly whites...

Melissa F.

Dr Hemphill is easily the best dentist I've ever had. All of the staff are very friendly and caring. If your looking for a dentist in this area pick these people! You wont regret it.

Ashley C.

Dr Hemphill is simply the best! He and his staff are the nicest, kindest, most sincere people I have come across in a long time. He really stepped up to the plate when I had an emergency situation. He came in and opened his doors to me on his day off and not only saved me from a lot of pain and misery but he also saved my tooth!

Scott K.

Dr. Hemphill, or as I like to call him "Dr. H", makes going to the dentist stress free and actually a FUN and comfortable experience. He's a fantastic doctor and a great guy who really cares about his patients. The office is clean and the staff is friendly. They take my insurance and make everything totally affordable. I'm so glad I found Dr. Hemphill!

Shannon R.

Dr.Hemphill and the staff at the West Hill Family Dental showed great caring and understanding during a year long multiple visits required by my difficult dental situation. Dr. Hemphill worked with me to find the best possible plan forward. Changing of the multiple old crowns involved restoring of the decay damaged teeth, performing root canals and building up of the teeth core. With the help of a friendly dental assistant Kinga teeth were repaired and old crowns replaced by the new ones. Vicky always tried to find the best financial plan for the dental services and accommodate my busy schedule when making future appointments. Melissa and Tina did a great job on teeth cleaning. The West Hill Family Dental is a dental office where patients will find professional service while being treated with understanding and as a part of a family.

Bojana N.

Great service, flexible appointments, friendly staff and we are happy so far.

Ram P.

Really great dentist. Been a patient of his since he went into private practice and liked him so much that when he moved his office from Glastonbury to Rocky Hill, my whole family followed him. Not only is he an excellent dentist, the staff is great and appointments are on time. I can't think of enough nice things to say about him.

Mike R.

Great dentist for me and my children!

Zachary M.

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