Call immediately
Knocked-out permanent tooth (you have about an hour to save it). Severe ongoing pain. Facial swelling or fever with a toothache. Broken tooth with bleeding or visible nerve. Trauma to the mouth from a fall or hit.
Dental pain. Knocked-out tooth. Broken tooth. Facial trauma. The first thing to do is call. We will walk you through what to do in the next 30 minutes and get you in same-day where possible.
Tell us what you need and we'll call you back to book a time that works.
Some things need to be seen today. Others are uncomfortable but can wait until morning. Here is the rough guide - but when in doubt, call.
Knocked-out permanent tooth (you have about an hour to save it). Severe ongoing pain. Facial swelling or fever with a toothache. Broken tooth with bleeding or visible nerve. Trauma to the mouth from a fall or hit.
A baby tooth knocked out. Chipped tooth with no bleeding. Lost filling or crown. Mild to moderate toothache without swelling or fever. Object stuck between teeth that won't come out with gentle flossing.
Cold sensitivity that comes and goes. A loose baby tooth that is hanging on. A minor chip with no discomfort. A lost retainer.
Heavy uncontrolled bleeding. Suspected jaw fracture. Head injury with any loss of consciousness. We will coordinate dental follow-up after the medical emergency is handled.
Pick it up by the crown (the white part), not the root. Rinse gently with milk or saline if dirty - do NOT scrub. Place it back in the socket if possible, otherwise transport in milk. Call us on the way.
Save any fragments in milk. Rinse the mouth with warm water. A cold compress on the outside of the cheek helps with swelling. Call us.
Rinse with warm salt water. Gentle flossing in case something is stuck. Children's ibuprofen for pain if appropriate. Never put aspirin on the gum. Call us if pain is severe, persistent, or paired with swelling or fever.
Apply gentle direct pressure with clean gauze for 10 minutes. Cold compress to reduce swelling. If bleeding will not stop, head to the ER.
Try very gentle flossing once. Do not poke at the tooth or gum with anything sharp. Call us if it does not come out.
Avoid chewing on that side. Save the crown if you have it. Sugar-free gum can temporarily fill a hole if needed. Call to get the restoration replaced.
Kids in pain are scared. The wrong appointment can leave a permanent fear of the dentist. We focus on getting the immediate problem handled while keeping the experience calm.
We explain every step before it happens, use the slowest pace your child needs, and have nitrous and oral sedation on hand if it'll make the difference.
Pediatric crowns, sized instruments, child-dose anaesthetic, and in-clinic general anesthesia for cases that need it - no hospital transfer.
Call first - we'll triage on the phone, tell you what to do in the next 30 minutes, and get you in same-day where we can.
A knocked-out permanent tooth has about a one-hour window for replanting. Pick it up by the crown, rinse gently with milk or saline (do not scrub), and place it back in the socket or transport in milk. Call right away.
Call the main line - the message will direct to emergency support. For genuine medical emergencies (heavy bleeding, loss of consciousness, suspected fracture), go to the ER and call for dental follow-up.
Dental issues are best handled by a dentist. The ER is the right call for uncontrolled bleeding, loss of consciousness, or suspected jaw fracture.
Rivers Edge gives a clear estimate before any treatment. CDCP and most private insurance plans cover emergency visits, with direct billing.
Call first - even five minutes ahead. It lets the team prepare and see the child faster on arrival.
Pediatric dentistry and orthodontics in one doctor - a rare combination in Alberta.
Complex cases handled in our clinic, with no multi-month hospital wait list.
Gentle, child-paced visits with sedation options for anxious and special-needs kids.
Convenient care in both Fort Saskatchewan and Fort McMurray.
Dual-trained specialist - pediatric dentistry & orthodontics
A rare combination in Alberta. One specialist for your child's whole growing smile - so you're not handed off between practices as they age. Certified in both pediatric dentistry and orthodontics, Dr. Isfeld treats every child himself.
Two locations in Fort Saskatchewan and Fort McMurray. Whether it's your child's first visit or a follow-up, fill out the form and we'll call you back to book.
Tell us what you need and we'll call you back to book a time that works.