After Hours Emergencies - Eldon Family Dentistry

Dental emergencies can strike at any time. If you are experiencing severe pain, swelling, or trauma to the mouth, then you should seek treatment as soon as possible.

A permanent tooth that has been knocked out needs, to be cleaned with water and replaced back in the socket as soon as possible. If you are not able to do this no your own, then a dentist should do it within 30 minutes of the injury occurring.

If you have a dental emergency and are a patient of record at Eldon Family Dentistry, then please use this form to contact us. If your emergency is life-threatening or if you have trouble breathing or swallowing, call 911 or go to a hospital emergency room.

Name*

First Name* Last Name*

Email*

Phone*

Date of Birth*

Date of Last Visit*

Doctor Who Treated You*

Describe the nature of your dental emergency

Consent*

This form is not transmitted privately. Proceeding to Submit means acknowledgement of this fact. For a secure transmission, please call our office directly.

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