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Dental Topics
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Dental Emergencies
Injuries to the mouth may include
teeth that are knocked out (evulsed), forced out of position
(extruded) or broken (fractured). Sometimes lips,
gums or cheeks have cuts. Oral injuries are often painful, and
should be treated by Dr. Rabinowitz as soon as possible.
Avulsed teeth
When a tooth is knocked out you should:
Immediately call Dr. Rabinowitz for an emergency appointment.
Attempt to find the tooth.
Gently rinse, but do not scrub the tooth to remove
dirt or debris. Place the clean tooth in your mouth between the
cheek and gum. If it is not possible to store the tooth in the mouth
of the injured person, (e.g. young child) immerse in milk. Do not
attempt to replace the tooth into the socket. This could cause
further damage.
Get to the dentist as soon as possible. If it is within a half hour
of the injury, it may be possible to reimplant the tooth.
Extruded teeth
If the tooth is pushed out of place
(inward or outward), it should be repositioned to its normal
alignment with very light finger pressure. Do not force the tooth
into the socket. Hold the tooth in place with a moist
tissue or gauze. Again, it is vital that the injured individual be
seen Dr. Rabinowitz within 30 minutes.
Fractured teeth
How a fractured tooth is treated will depend on how badly it is
broken.
Regardless of the damage, treatment should always be determined by a
dentist.
Minor Fracture
-- Minor fractures can be smoothed by your dentist with a sandpaper
disc or simply left alone. Another option is to restore the tooth
with a composite restoration. In either case, you should treat the
tooth with care for several days.
Fracture Moderate
-- Moderate fractures include damage to the enamel, dentin, and/or
pulp. If the pulp is not permanently damaged, the tooth may be
restored with a full permanent crown. If pulpal damage
does occur further dental treatment will be required.
Severe Fracture
-- Severe fractures often mean a traumatized tooth
with a slim chance of recovery.
Injuries to the soft tissues
of the mouth
Injuries to the inside of the mouth
include tears, puncture wounds and lacerations to the cheek, lips or
tongue. The wound should be cleaned right away and the injured
person taken to the emergency room for the necessary suturing and
wound repair.
Bleeding from a tongue laceration can be
reduced by pulling the tongue forward and using gauze to place
pressure on the wound area. |