By admin • • Comments Off on Common Dental Emergencies
As a result of sports, fall injuries, accidents and child abuse, the tooth can come out of the mouth partially or completely. In such case, few important considerations need to be made such as when did the injury occur, where did it happen, how did it occur, has the tooth been completely found or few pieces are still missing and what is overall condition of the patient?
The sooner the patient comes to the dentist with the tooth, the better the chances that doctor can re-position the tooth in the jaw and the tooth can survive inside the mouth. Any tooth which is outside the mouth for more than 2 hours has a poor outcome for reimplantation inside the mouth. It is also important to know which site did the accident occur e.g. level of contamination will be high if the injury took place on road or on playground compared to if the injury occur due to fall from stairs, information about Tetanus vaccine need to be provided as well. Similarly the cause of injury needs to be known especially if the details are not properly correlated, it can indicate injury by child abuse. If the tooth has not been completely recovered, has any search been made to find pieces in the surrounding area? If the surrounding area doesn?t yield any missing pieces of the tooth, it may happen that the patient might have swallowed pieces of tooth in which case a proper radiographic examination may be mandatory. Last but not the least, if the patient has gone unconscious, fainted, vomited, confused or is having visual difficulty, it may indicate damage to brain.
First of all gently hold the tooth avoiding contact with the root and rinse it either with saliva, water or saline.
When you approach to the dentist, store the tooth in saline, milk or ideally Hanks Balanced Salt solution. Do not store the tooth in water.
Do not touch or scrub the root portion of the tooth as it would affect its survival in mouth.
Apply cold ice over the injured part to minimize swelling and control bleeding.
Dental pain can be caused by many causes but unlike other pains in body, dental pain would not be relieved on it?s own until it?s properly cured and treated. However as first aid measure, there are few things that you can do at home.
1. Discontinue or at least avoid the things that cause dental pain e.g. sweet food, cold food, biting and eating by the painful side.
2. Do not close or chew hard
3. Use Aspirin, Acetaminophen or other pain killer. Aspirin use in children and patients with bleeding disorders should be considered and discussed with treating children.
4. Rinse mouth with warm water and table salt 5-6 times a day.
5. 2-3 drops of Vanilla extract over the painful tooth can provide immediate pain relief. A drop or two of Clove oil also helps in decreasing pain. Use extremely small quantity of clove oil. Apply it on cotton or tissue paper and place it over the painful area for a minute or so.
6. Try figuring out the cause of the pain, may be something has been wedged between the gums and it might be the cause of pain, be sure to maintain good oral hygiene.
7. Applying ice cube for 2-3 minutes over the painful area repeatedly will also relief pain.
8. Seek dental care especially if the pain has increased in intensity, lasts for longer than 15-20 minutes and increases when you lay down to sleep.
Bitten tongue or lip:Often during eating or by the sharp edge of some tooth, you may bite your tongue or lip and due to high blood supply in these areas, bleeding may be a problem.Management:1. Clean the area with copious amount of water, preferably cold water.2. Apply ice cubes to reduce the bleeding.3. If the lip is injured, try placing Vaseline or petroleum jelly on the injured area.4. Use soft diet.Dislodged filling/crown/prosthesis:If you had a filling which has broken down or a crown or prosthesis that has been displaced, you need to follow the following steps.Management:1. Rinse your mouth thoroughly with water to allow all pieces of broken filling to come out of the mouth. After cleaning the area either by floss or toothbrush, cover the open area of the tooth either with a wet cotton dipped in clove oil or sugarless gum.2. In case of the crown which has loosened, do not try to put the crown back over the tooth by using any glue or adhesive as the crown may get loose again and may dislodge during sleep which can cause accidental ingestion. Save the crown in a clean cloth or tissue paper and go to the dentist as soon as possible.3. Maintain oral hygiene properly to avoid infection spread into deeper tissues of the tooth.Jaw pain:Jaw pain could be due to disorders of the jaw and associated muscles itself or it might be referred pain (pain felt away from the actual source of pain) due to wisdom tooth.Management:1. Take pain killers.2. Apply cold ice over the area. Alternatively dip a clean cloth in warm water and gently massage the area.3. Avoid eating hard and sticky food such as chewing gums, meat, burgers etc.4. If there is jaw swelling, slice the potato and place it over the swelling for 10-15 minutes 2-3 times a day.5. Increase the intake of Vitamins A, C and E.
Do you know people having gap between their upper front teeth are considered to make more money?
The Dolphin has only one set of teeth to last a lifetime.
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