August 25th, 2016

Toothaches in children can be tricky ordeals that cause distress for both the child and the parent. You may feel helpless and frustrated because you cannot pinpoint the location of the pain. It is so hard to see your little one experience discomfort and feel like there is nothing you can do about it. But there are ways you can help. Try these tips the next time your child has a toothache.
Zero in on the Painful Area
The first thing you need to do is find out where the pain is coming from. If your child is old enough, ask him or her to point to the painful area. In younger children, look for swelling and redness on the gums and cheek, dental caries (discolorations on the tooth), or broken teeth. Try to get as close to the location of the pain as possible so you can determine an effective course of action to relieve it.
Try to Find the Cause
Not all toothaches are actually toothaches. A child can bite his or her tongue or cheek, have sore gums, or develop ulcers in the mouth. Teeth that are coming in can also be quite painful. If a tooth is discolored, broken, loose, or has spots that are either darker or lighter than the rest of the tooth, those could be causes of pain.
Five-Step Approach to Dental Pain Relief
- Floss. Help your child floss to remove any food particles that may be wedged between the teeth and could be causing pain.
- Rinse with warm salt water. Use a warm salt-water solution and have your child rinse well by swishing or holding the salt water over the painful area.
- Use a cold compress. This can relieve pain and swelling. If there is no swelling, you can try it anyway to subdue the pain. Try it on for about 15 minutes, then off for 20.
- Give the child ibuprofen or acetaminophen. Use the appropriate dosage for your child’s age and administer it regularly as directed.
- See Dr. James Robson. If you determine that the tooth or gum is damaged, or if the pain simply cannot be relieved, call our East Lyme, CT office.
If your child is experiencing throbbing pain, fatigue, or fever, you should call your pediatrician as soon as possible. If your child is experiencing mouth pain accompanied by trouble breathing or swallowing, it can indicate a more serious situation and you should take your son or daughter to the emergency room.
Most mouth pain in children can be remedied with the simple steps here. The important thing is that you remain calm, no matter what. You child is taking cues from you and if you panic, he or she will panic.
August 18th, 2016

Dental implants are a surgical procedure done by Dr. James Robson right here at our East Lyme, CT office. Screw-like parts made of titanium are inserted into your jaw bone and act as the root of your tooth. An artificial tooth will be placed on top of the screw, usually made out of ceramic or layered porcelain. The dental implant will look and feel just like the natural tooth you lost.
How much time will the dental implant surgery take?
There are numerous factors that determine the length of time for the dental implant procedure:
- If you’re having one tooth replaced or several
- The teeth that are being replaced
- If you need a tooth or teeth extracted before the implant placement
- The amount of time it takes for your IV to be placed
- Any last minute questions or concerns you may need addressed
All of the above factors will also govern the amount of visits to our East Lyme, CT office you will need to make throughout your dental implant treatment period. For example, a single tooth dental implant surgery typically takes one to two hours from the time you arrive until you awaken from the anesthesia. This also includes the amount of time it takes to put on your gown, hair cap, and other surgical dressing preparations before you are able to enter the sterile surgical environment.
Does getting an implant hurt?
With nearly any surgical procedure, you will feel some sort of discomfort. Whether it is the insertion of the IV for the anesthesia, or discomfort you may feel after the surgery. However, most patients report that their pain was tolerable after their dental implant surgery. In fact, the majority of patients said the discomfort was a lot less than they expected. Dr. James Robson will prescribe pain medications to help with any discomfort you may experience once you get home.
How will I feel after the dental implant treatment?
It is normal to have some bruising and swelling in the soft tissue and gum area. Usually the pain or discomfort does not require the use of anything more than an over-the-counter pain medication such as Tylenol or ibuprofen. In addition, you will have the prescription for a stronger pain medication if you need it. You should be able to work the following day.
August 11th, 2016

The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.
According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:
- Completely erupted and non-impacted
- Completely functional
- Painless
- Free of decay
- Disease-free
- Capable of being properly cleaned
If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with Dr. James Robson; an extraction may be necessary.
Impacted wisdom teeth
One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the AAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.
Extracting fully erupted wisdom teeth
Even if your child’s wisdom teeth are fully erupted, Dr. James Robson and our team at Robson Dentistry may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.
To learn more about wisdom teeth, or to schedule an appointment with Dr. James Robson, please give us a call at our convenient East Lyme, CT office!
August 4th, 2016

Getting a dental implant is a surgical procedure and everyone’s pain tolerance level is different. Therefore, what one person may perceive as pain is only a slight discomfort for another person. The general consensus about pain and dental implants is that the majority of people feel discomfort, not pain.
A dental implant is a complex procedure. Let’s take a look at what may cause discomfort:
- Some people may find that having the IV put in is uncomfortable, especially if the healthcare worker has to try more than once. If you have a fear of needles or if you have anxiety about the procedure, we can prescribe a sedative, which you take before you arrive.
- Of course, during the dental implant surgery, you will be asleep. Therefore, you will not feel any pain or discomfort at all.
- When you awake from the surgery, your mouth should still be numb. In many cases, we can give you a “block” – it is basically a 24-hour pain medication, so you will not feel any pain or discomfort at all.
- We will also provide you with a prescription for a strong pain killer, and you will most likely sleep while you are taking them. If you are still in pain, do not take more than is prescribed without calling us first. You will need someone to stay with you for 24 hours after the surgery, and they will be instructed on how to give you any prescription medication. The anesthesia tends to make people a bit loopy and forgetful the first 24 hours.
- After the first 24 hours you may feel some discomfort. The most important thing you can do is take your pain medication regularly, whether you are taking the prescription medication or an over-the-counter pain reliever such as Tylenol or Advil.
- You should not need pain medication for more than the first few days.
Most people do say there mouth is sore and they have to be careful what they eat, so it’s best to stick to soft foods. If you have any additional questions, please contact our East Lyme, CT office and speak with Dr. James Robson.