Dental injuries
Posted on October 8, 2009
Filed Under Dental |
What are dental injuries?
When any of the teeth that have received a blow or external impact (eg result of a punch, hit with object, etc…) Or internal (abrupt closure of the mouth such as the heavily hit the chin), the teeth can tear, break or loosen, increasing their mobility, or cracking (breaking of the remaining tooth fragments together).
Immediate treatment clearly increases the chances of saving the tooth.
What should we do with a case of dental injury?
When an accident involving the face or around the mouth, we must:
* Review the status of teeth before looking at a mirror, or playing gently with a finger dental crown (visible part of the tooth).
* Search your teeth or fragments thereof that we need to move them to the dentist.
* Save the tooth or fragment in a clean, one of the following fluids: blood, saliva, serum, or milk, is best quality for transporting the blood to be seen as a consequence of tooth loss.
* If you do not have containers for shipment, the patient is an adult, you are also aware, you can save it under the tongue.
* Going to a dentist urgently. The chances of successfully restoring a tooth that has been lost by an accident greatly increase sooner make rampant (ideally performed before the first half hour after trauma).
* If there is a result of an injury accident of the lips, gums and bone supporting the teeth (dent-alveolar fracture) may need to be examined and treated by a maxillofacial surgeon, in addition to dismiss serious facial injuries requiring urgent treatment (jaw fractures, suturing wounds of complex or important areas that affect, etc.).
How can the dentist?
Sometimes you can make rampant the tooth if the following steps:
* Go to a dentist urgently
* the bone surrounding the tooth (alveolus) is not quite destroyed
* the patient’s general condition permits.
Baby teeth should not reintroduce it could damage the permanent tooth that is below, in addition to being a piece that sooner or later be replaced by a permanent tooth (we have natural replacement).
If the gum around the tooth is damaged (injured), it may be necessary for the dentist or maxillofacial surgeon who has given stitches.
When that has happened is a breakdown of the tooth, the dentist can be rebuilt using the fragment removed, or by filling a color similar to the damaged tooth.
It is necessary to place a device that helps to immobilize teeth that move or reintroduced after the impact, therefore the dentist put a splint, which keeps the teeth together or mobile reintroduced, the surrounding teeth to remain firm, for a time variable.
If you have been injured in the oral cavity or to other locations may be necessary to administer antibiotics, and in selected cases doses of vaccine or tetanus memory.
The dentist should regularly review the status of the reconstructed tooth or reintroduced, by clinical and radiographic control in the case of sutured wounds have removed the points within approximately 7-10 days.
What can happen if you do not receive medical and dental assistance?
When a tooth loss is exposed cavity that contains the tooth (alveolus), or in case of fracture-fissure Channel pulp (inner tooth cavity) is communicated with the mouth. These situations favor the passage of germs from the mouth to the alveoli, or into the tooth can cause other infections that can become very serious.
In the event that the tooth loss is accompanied by wounds in the mouth, lips face, or any other nearby area (which is often), he shall be treated by a specialist in dealing with such injuries (maxillofacial surgeon).
What prognosis has reintroduced a tooth?
A very important factor when assessing the prognosis of a dental rampant maturity of the tooth has been lost, so a piece of a child who is not completely formed roots is much better than a fully developed tooth an adult.
* If rampant is performed before the first hour after tooth loss, there are chances that the tooth be re-fueled by new blood vessels, and survive for a long time.
* If on the other rampant is done after an hour, be it stand firm in the dental arch, but with time (variable period of months to approximately 5 years) will end by losing increased mobility or inflammation local.
Dr. Jens Petersen Closer, dentist, Lisa Taylor, dentist.
Toothache
Reviewed by Dr. José Ramón Hernandez Galana, a resident in Oral and Maxillofacial Surgery
What is toothache?
Popularly known as the toothache is probably the most common cause of facial pain in the region, being caused in most cases by acute pulpits (inflammation of the pulp cavity of the tooth). Usually manifested as a sharp and intense pain, which appears in response to stimuli such as cold foods, hot or sweet. When inflammation progresses can cause a dental infection, in principle located in the pulp canal, but if not treated properly will extend the area around the tooth causing, and even beyond, then the pain is intense and continuous, increasing clearly if the tooth causing pressure.
What causes dental pain?
Dental Caries *
* Fractured teeth
* Dental fissure (it is a broken tooth in which the fragments are not displaced, and may not be visible, but allowing the passage of germs into the mouth of the channel pulp)
* Irritation after a dental treatment. Sometimes it happens that after a dental repair, the materials used in it can cause inconvenience for local irritation, despite successful.
* Exposed tooth roots. This occurs when the gums shrink and fall leaving visible part of the tooth root, it should not normally be visible and in contact with hot or cold foods can cause a painful download.
At other times there are problems that can cause tooth pain similar to, although not located the source of pain in the tooth:
* Phlegmonosum abscess or gum (periodontal)
* Ulcers (canker) located in the gingival (as in acute ulcerative gingivitis)
* Pericoronitis, inflammation of the gum around a tooth that is trying to emerge from its natural position the jaw (very common when they start to leave the well-known as “wisdom teeth”, especially the lower)
* Sinusitis, inflammation of natural cavities surrounding the nasal cavity (depending on the cavity is affected, we will talk of frontal sinusitis, jaw, etc.).
* Arthritis of the TMJ (temporomandibular joint), pain usually located in front of the ears, which usually increases when moving jaw, and can radiate to other parts of the face.
There are many other causes of pain in the mouth that can be mild or severe, it is always advisable to consult a specialist to clarify the origin of the severe discomfort and discard processes.
It is worth remembering that sometimes a pain that seems to be originated in or near a tooth has its origin in another location nearby or even distant.
How can we prevent the occurrence of dental pain?
The best way to prevent toothache is to keep teeth and gums healthy, try to get it to limit the consumption of sweet foods and liquids at meal times (avoid sticky sweets, because they still adhere to the tooth). Always are brushing teeth after meals, using toothpaste with fluoride.
It is convenient to use dental floss to clean the space between the teeth, or instead of interproximal brushes (always according to the recommendations of your dentist). Go to your dentist regularly for preventive and, if necessary, treat any problems early on.
What should I do if I already have dental pain?
The first thing to do is go to a dentist as soon as possible to avoid that which is in itself a minor problem, is transformed into something serious that needs hospital treatment. Do not take antibiotics without medical prescription, it may be unnecessary, and are sometimes ineffective in treating major diseases by their misuse.
If you take painkillers to ease pain, keep in mind that some of painkillers available in the market may be harmful if taken without medical supervision (dizziness, vomiting, stomach ulcers, etc.). Therefore always seek medical advice he is the man to choose the most appropriate according to the intensity of pain, drug allergies, previous illnesses, etc.
how do I use the dentist?
* In the case of pulpits, once the dentist is the cause, usually resolved with a simple filling of the part affected.
* If we have a dental abscess home (and there is formation of pus and inflammation of the area), you should always evacuate the contents of the abscess pus, besides introducing a suitable antibiotic treatment.
* When is the predominant inflammation and has still not been formed pus comes to cellulite home dental, dental patterns and antibiotic treated tooth that caused the infection.
* If the status of the tooth causing the abscess can not be repaired must be removed once the patient is receiving antibiotic treatment. Whether the piece can be repaired and then drain the abscess was performed enzootic (pulp filling the channel) of the affected part if required.
What can happen if this is not the cause of dental pain?
If we do not receive appropriate treatment, we can develop an infection that spreads to the rest of the mouth, face, and neck. These infections are far from trivial and may even cause serious difficulties to eat (due to the impossibility of opening the mouth) and breathing (by a large swelling that sometimes reach), then potentially be dangerous for our life.
Special care must be people with disorders or diseases that alter the body’s defense mechanisms (remember AIDS), because in his case will be more dangerous infections. Another group of people at risk of suffering serious complications in infectious processes are diabetic because of his illness (especially if long-term evolution).
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