“Dedicated to Enhancing Your Smile with Exceptional Care and Expertise”.
“Dedicated to Enhancing Your Smile with Exceptional Care and Expertise”.
“Dedicated to Enhancing Your Smile with Exceptional Care and Expertise”.
“Dedicated to Enhancing Your Smile with Exceptional Care and Expertise”.
Medically reviewed by Dr. Angela Leung, DDS – Last reviewed August 19, 2026
If you hit a tooth and it feels loose, looks “longer,” chipped, painful to bite on, or got knocked out, the clock matters.
At Angela Leung DDS PC – The Endodontics Implant Center, we treat dental trauma as a time-sensitive, biology-driven problem: stabilize tooth position, protect blood supply, control inflammation/bleeding, manage infection risk, and map a plan that preserves the tooth, nerve, ligament, bone, and gumline shape.
Dental trauma can look minor and still trigger delayed problems: nerve death, infection/abscess, progressive cracking, bite changes, gum recession, bone loss, tooth discoloration, and missed root fracture. We focus on the variables that decide whether a tooth survives:
If you’re unsure whether it’s urgent, call anyway. We’ll route you to the safest next step—dental visit, medical urgent care, or ER—based on symptoms.
A trauma visit shouldn’t be “take an x-ray and wait.” Our trauma pathway is built to create the conditions healing needs:
This is endodontic thinking applied to trauma: we plan the end result first, then sequence care so you’re not chasing downstream complications later.
For: people whose tooth looks damaged but may also have hidden nerve injury.
For: bite pain, cold sensitivity, or intermittent sharp pain after impact or biting something hard.
For: mobility, bite feels “off,” tooth moved inward/outward, sports impacts, falls.
For: a tooth completely out of the socket time and storage medium matter.
Call immediately.
For: tenderness that doesn’t match what you can see, persistent mobility, or radiographic concerns.
For: cuts, embedded debris, uncontrolled bleeding, swelling, or combined injuries.
Replacing missing teeth with durable artificial implants.
Specialized care for complex dental procedures.
Specialized dental care treating tooth pulp and roots.
Specialized care for gums and supporting structures.
Repairing teeth for function, health, aesthetics.
Enhance smiles with aesthetic and dental treatments.
Precise evaluation of bite alignment and jaw function.
Clear, precise guidance for safe and effective surgery.
We review the injury timeline, pain pattern, bite changes, medical factors affecting healing/bleeding, medications, tobacco/vape use, diabetes control, and prior dental history.
Photos, mobility grading, position notes, bite contacts, gum/soft-tissue notes, and vitality testing when appropriate so follow-ups aren’t guesswork.
We use targeted radiographs and add CBCT when root fracture/displacement/resorption risk or complex trauma is suspected.
When indicated: repositioning, splint selection, bite off-loading, soft-tissue management, and contamination control.
Some teeth need monitoring. Some need early intervention. The key is timing that matches biology so we’re not late, and not prematurely aggressive.
We schedule follow-ups to re-test nerve response, verify splint stability, re-check bite forces, and re-image when indicated then coordinate the final restoration when the foundation is stable.
If you feel dizzy, have facial numbness/tingling, uncontrolled bleeding, or head/neck injury symptoms: seek medical urgent care/ER first.
Used when tooth position and ligament healing need protection. Goal: stabilize without creating new bite trauma.
For: teeth where the nerve may recover and sealing/protection improves odds.
For: teeth with irreversible pulp injury, infection risk, or non-recovering nerve response.
For: selected cases where surgical endodontics is the best path to control infection and preserve the tooth.
For: bonding, crowns, veneers, or replacements planned after the tooth is stable so the final work lasts.
If prognosis is poor (certain root fractures, severe structural loss, advanced infection risk), we’ll explain the “why,” then map the fastest path back to function and appearance including implant options when appropriate.
We’ll give you a written plan with costs before treatment begins, then help you choose a realistic path forward.
It can be. Post-impact bite pain can signal a crack, ligament injury, or nerve inflammation even when the tooth looks normal. A targeted exam and imaging choice is what prevents missed fractures and delayed infection.
Sometimes yes, sometimes no. The decision depends on the injury type, tooth maturity, symptoms, testing trends, and imaging findings. The key is timing—too late risks infection; too early can remove a nerve that could have recovered.
Often, yes—especially when handled quickly and kept moist. Call immediately so we can direct the fastest safe pathway.
Medication list, insurance info, details of how/when the injury happened, and any tooth fragments (kept moist) if available.
We offer insurance/payment options (as listed by the practice). Our team can help clarify coverage and out-of-pocket expectations.
Angela Leung DDS PC – The Endodontics Implant Center
1131 Mission Road, South San Francisco, CA 94080
Phone: 415-681-2697
Hours: Monday–Friday 10:00 am – 6:00 pm (Saturday & Sunday closed)
If you’re dealing with missing teeth, failing dental work, or full-mouth breakdown, the fastest relief is clarity.
