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Warning-sign checks

Periodontitis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    These changes need assessment but are not usually medical emergencies.

    Go to emergency care if swelling makes it difficult to breathe or swallow, spreads toward your eye or neck, or is rapidly worsening.

    These signs can indicate a spreading infection requiring immediate assessment.

    And for anyone, someone who:

    • is bleeding heavily and it will not stop with firm pressure
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent dental care if you develop:

    • A painful or rapidly increasing gum swelling
    • Pus around a tooth or gum
    • Facial swelling
    • Fever or feeling unwell with a dental swelling
    • A tooth that suddenly becomes very loose
    • Severe pain that is not settling
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine dental appointment if your gums regularly bleed, look swollen, have receded or remain sore.

    Also book an assessment if you have ongoing bad breath, a new space between teeth or a tooth that feels loose.

Every sign above is quoted from the sofidex article on Periodontitis. If you are not sure, err upward — it is always reasonable to be checked.