I think I’ve got an abscess in my mouth! What do I do now?
26th April 2022
Have you woken up to throbbing pain and a swollen face? Or have you got a raised lump on your… read more
April 2020 is a time we’ll all remember. It’s now over a month since dentists closed their doors. Although a necessary government decision, it has been hard for dentists to turn away patients from face-to-face treatment. (Why did that happen?) We understand the welfare of the whole population takes precedence over individual dental health. Yet we also understand our patients still have dental needs, even during the coronavirus lockdown. So we quickly set up remote access to dental triage and referrals for urgent dental care. Our aim is to continue to help you manage your dental problems.
Triage is the initial assessment of a patient who approaches us with a dental concern. Getting in touch is the starting point.
Please note: there is no charge for SpaDental’s triaging service.
Over the last month, we’ve been receiving calls and emails from patients, as well as forms submitted from our website. We also welcome contact from people who aren’t registered patients too. As part of our normal services, we offer emergency care to non-registered holiday-makers and visitors to the area.
Anyone with a dental concern, whether it’s a simple question or a problem, may either:
Recognising the need to ensure each individual case is recorded and followed up correctly, we’ve developed an efficient tracking procedure to manage your case from a distance, ensuring that you receive helpful advice at the professional level your condition requires.
As a group, the management team was already well set up for remote work. Now members of the clinical team are also working remotely to answer phones and offer patients advice.
We have an experienced team on hand during regular working hours to answer your calls. If you call any of our practices out of hours, you’ll be directed to the NHS 111 emergency information service.
You’ll need to supply:
The clinician will take you through a series of questions. As far as patient assessment goes, establishing just how serious your condition is takes priority. That’s why you’ll be asked about bleeding or swelling.
Bleeding that won’t stop, and swelling that is increasing and threatens to block airways, is an emergency. The triage team will advise how to access care as soon as possible.
Even if you’re in a lot of pain it does not necessarily mean it’s urgent, but the team will help you to manage until you can have a planned appointment at a later date.
The dental triage and referral team assess your case according to whether it’s non-urgent, urgent or an emergency.
While we would normally recommend a visit to a dentist or hygienist for non-urgent concerns patients ask us about, currently we offer help so you can manage the condition at home.
Our team will help you keep any problems under control with AAA until you can see a dentist face-to-face.
If you have a problem that requires a dentist’s assessment, such as a painful infection, or a possible referral to an Urgent Dental Care Centre for treatment, the team may organise a call with a dentist.
Please be patient if the dentist asks some of the same questions all over again. Confirmations are necessary. A conversation with a dentist is helpful in cases where antimicrobials will help manage your condition.
It is necessary to have a referral from a dentist to be seen at an Urgent Dental Care hub. However, following NHS guidelines, we can only refer urgent cases for face-to-face treatment, even though it may feel like an emergency to you.
Urgent Dental Care Centres have been set up around the country to see patients who need urgent or emergency dental care. Your referring dentist will try to get you into a nearby centre, if it’s necessary. Dental care is one of the few areas of NHS care patients pay a fee for. Unless you are exempt, NHS treatment charges will apply.
A summary of NHS urgent dental care pathways:
- Emergency – Aim for immediate treatment on the same day. Patients are directed to an urgent dental care hub and/or hospital unit depending on severity. For example:
- Oral, facial or dental infection with swelling / fever / airway risk.
- Bleeding of dental origin that the patient cannot control.
- Trauma of the facial skeleton.
- Trauma to teeth needing management within a specific time frame (such as a knocked out tooth).
- Urgent – Treatment recommended within 24 hours at a community dental facility. For example:
- Oral dental conditions which are likely to exacerbate a systemic medical condition (such as diabetes).
- Dental infection or localised swelling that would escalate without treatment.
- Inflammation of gum tissue around unerupted (wisdom) tooth unresponsive to triage or AAA.
- Dental infection that can be treated by removal of a tooth or the first stage of a root canal treatment.
- Dental trauma of the teeth and/or supporting structures requiring outpatient facilities without a defined time-line for care.
- Non-urgent – Patients condition can be managed with triage and advice, analgesics or antimicrobials. Care can be managed by a planned appointment at a future time. For example:
- Mild or moderate pain that is not associated with an urgent care condition and responds to over the counter medications
- Minor dental trauma.
- Post-extraction bleeding that the patient is able to control using self-help measures.
- Loose or displaced crowns, bridges or veneers.
- Fractured or loose-fitting dentures and other appliances including orthodontics.
- Orthodontic problems causing trauma.
- Fractured posts, loose or displaced fillings.
- Treatments normally associated with routine dental care, such as bleeding gums.
Q. Can I take pain killers?
A. Ask a medical professional, such as your doctor, dentist or pharmacist, for advice about painkillers. Try to take only medications you have used without a problem in the past. Avoid anti-inflammatory medications such as ibuprofen if you may have been exposed to coronavirus or have asthma.
"Better than you could ever imagine - As always everyone involved with Spadental treats you with respect and dignity. Happy to have a friendly chat and always seem genuinely interested. I always leave the practice feeling happy- which might seem strange after just having dental treatment but that's the affect all the team always seem to have on me. Arranged a follow up appointment the very next day, as a cancellation had just come in.…More Testimonials
"Lovely staff - I have been with you for 17 years and I am still coming to you. Every one is so helpful and always talks to you." LE Thank you for your reviews The staff at SpaDental Chard feel proud to read your reviews. Your lovely comments, and your good opinion mean a lot to us. We appreciate the time and thought you put into writing about how your visit to the dentist went.…More Testimonials
It hasn't been an easy year, but our patients have been so understanding. Thank you all so very much for your kind support and the lovely feedback we've received. Your kind support is very motivating It means a lot to the SpaDental Chard team to read your feedback. Your feedback is important to us as it helps us work on continual improvement of our services. Our sincere thanks to all of you have taken the…More Testimonials
We've been catching up with our patients to find out how their treatment has been over the last months. This has been such a hard year for many of us, personally and professionally, and access to dental care has been affected in many ways by the pandemic. We'd really like to take this opportunity, therefore, to thank you for your understanding. We know that you have had to cope with cancellations and changes to our…More Testimonials
With the ups and downs of the last year, we'd like to take this opportunity to thank all of our patients for your support and understanding. Your thoughtfulness is reflected in the considerate comments we've received in response to our request for feedback. We truly appreciate your kind thoughts. Thank you from all of us for your lovely reviews of SpaDental Tewkesbury. A selection of your reviews: "The service during the last few months has…More Testimonials
SpaDental Whitchurch dentist is accepting new private patients. A new patient testimonial After the closure of my local dentist in Whitchurch I telephoned Spa Dental who made me an appointment. Unfortunately I had an abscess on my tooth before my appointment date, for which I was given an emergency appointment. I am a very nervous patient and it took a long time to build confidence with my old dentist , therefore my nerves were bad and I…More Testimonials
Kind words from our patients mean a lot to us. Thank you! We're very happy to read reviews that commend the Plymouth team and the dentists "excellent care" and "professional service". Recent patient reviews commend our excellent care: "In safe and caring hands - Without exception the treatment I have received has been outstanding. From the reception staff through each of the individuals involved, their focus is on you and you're fully involved in any…More Testimonials
We very much enjoyed reading the lovely Saltash patient reviews we've received in response to our recent request for feedback. On behalf of all the staff, thank you so much for your lovely comments. We sincerely appreciate your kind words, and will also use your recommendations in our planning. SpaDental considers your review comments carefully. We read them all, and use the information we gather to guide our practice so we can keep on improving…More Testimonials
A very appreciative thank you to our patients from the clinicians and staff at SpaDental Chard. It has been a pleasure reading your comments because if our patients are happy, then we're happy. Feedback about the team and treatment from SpaDental Chard reviews "Everyone in the practice is efficient, professional and knowledgeable." - HCG "5 Star Dental Care - Being in the centre of Chard, [the SpaDental] surgery is easily accessible for most patients. The…More Testimonials
SpaDental Plymouth sincerely thanks everyone who responds to our request to review the practice. We love reading all your positive comments. That said, we also take on board the suggestions you make. Because we take Plymouth patient reviews seriously, we read them carefully to see if anyone is less than satisfied with their experience and we use that information to guide our practice. Our review rating of 4.7 stars (out of 5) highlights Plymouth patient…More Testimonials