Mouth and Dental Injuries and symptoms:

You should Contact Howe Dental Associates if you have an active infection on a tooth or elsewhere in your mouth. If you have a fractured or discolored tooth, a cavity or a mishapen, stained tooth, we have various treatments to change the appearance of the tooth or restore it to full function. If you are missing one or more teeth we have various options to restore your smile and ability to chew properly.

  • The three main ways we restore missing teeth are by removable prosthodontics (i.e. dentures), crown and fixed bridge (porcelain fused to metal {PFM} or all ceramic restorations, and finally with implant supported crowns and bridges.

Urgent Care

If you have an infection in your mouth, you should contact us as soon as possible! Symptoms may include:

  • Increased pain, swelling, warmth, or redness.
  • Red streaks on the gum around the tooth.
  • A fistula (pus draining from the gums around the base of a tooth, foul mouth odor.
  • A fever and painful swollen lymph nodes in throat.
  • Pain when chewing on a tooth.
  • A severe toothache that isn’t controlled by OTC medications or within 2 hours of taking analgesics.
  • You have facial pain or swelling, difficulty opening or closing jaw and trouble eating. The toothache interferes with sleep and normal activity.
  • You have a bump in the gums near the sore tooth that hurts when you palpate it.

General Dentistry

In addition to regular exams and cleanings, we have treatment options for cavities, discolored or stained teeth, broken teeth, misshapen teeth, and missing teeth.

The stages of tooth decay

The most common tooth infection treated is tooth decay, or caries. Tooth decay is damage that occurs when bacteria in your mouth produce acids that eat away at the mineral component of your teeth. Usually tooth decay doesn’t present symptoms until you have either an infected tooth or a hole in the tooth, known as a cavity. Symptoms may include:

  • A toothache, which is the most common symptom.
  • Swelling in your gums near a sore tooth. This can be a sign of severe tooth decay or a dental abscess.
  • Foul breath or mouth odor.
  • White, gray, brown, or black spots on your teeth.

If you notice any of the above symptoms, call for an appointment as soon as possible – treatment delays for simple fillings can lead to larger infections that lead to more pain, more expenses, and less conservative treatments including root canal therapy or extractions.

Non-emergency symptoms we treat include:

  • Dry mouthand associated mouth odor
  • Stomatitis including canker and cold sores
  • Any other inflammation of the oral cavity


Malocclusion is a very common symptom indicated by having crooked teeth or a “poor bite” with the upper and lower teeth poorly aligned with each other. Often malocclusion is a cosmetic problem, but it can also affect the longevity of teeth if it leads to collapse of bite, crowding, or inability to remove debris from teeth. Orthodontic treatment can correct the way teeth and jaws line up.

Temporomandibular Disorders (TMD)

Temporomandibular disorders (TMD) include problems with the jaw and the muscles in the face that control movement and mastication. There are many different causes of TMD, and they often require different treatments to correct. Please call for an appointment to get diagnosed properly. TMD symptoms often include:

  • Pain or tenderness in your face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth.
  • Jaws that get “stuck” or “locked” in the open- or closed mouth position.
  • Clicking, popping, or grating sounds in the jaw joint when you open or close your mouth or chew. This may or may not be painful.
  • A tired feeling in your face.
  • Trouble chewing or a sudden uncomfortable bite — as if the upper and lower teeth are not fitting together properly.
  • Swelling on the side of your face.

Missing Teeth

If you are missing teeth, we also have options to restore your smile! The three main ways we restore missing teeth are by removable prosthodontics (such as dentures), crown and fixed bridge (porcelain fused to metal, or all ceramic restorations), and implant-supported crowns and bridges. Schedule your appointment with us today to learn more.

You may also have toothaches, headaches, neck aches, dizziness, and earaches, hearing problems, upper shoulder pain, and tinnitus (ear ringing). Please refer to the WEBMD oral care guide for more info on the symptoms and treatments we have discussed