What
is a dental emergency?
Injuries to the mouth may include teeth that are knocked out (avulsed),
forced out of position and loosened (extruded) or fractured. In addition,
lips, gums or cheeks are often cut. Oral injuries are often painful and
should be treated by a dentist as soon as possible.
How
soon should I see a dentist?
Immediately. Getting to a dentist with 30 minutes can make the difference
between saving or losing a tooth.
What
can I do to be prepared?
Pack an emergency dental care kit, including: Dentist's phone numbers
(home and office) Saline solution Handkerchief Gauze Small container with
lid Ibuprofen (Not aspirin. Aspirin is an anti-coagulant, which may cause
excessive bleeding in a dental emergency.)
When
a tooth is pushed out of position:
Attempt to reposition the tooth to its normal alignment using very light
finger pressure, but do not force the tooth. Bite down to keep the tooth
from moving. The dentist may splint the tooth in place to the two healthy
teeth next to the loose tooth.
When
tissue is injured:
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 with warm water, and the injured person taken to a hospital
emergency room for the necessary care. Bleeding from a tongue laceration
can be reduced by pulling the tongue for-ward and using gauze to place
pressure on the wound.
When
a tooth is fractured:
Rinse mouth with warm water. Use an ice pack or cold compress to reduce
swelling. Use ibuprofen, not aspirin, for pain. Immediately get to your
dentist, who will determine treatment based on how badly the tooth is
broken. Only a dentist can tell how bad the break is. 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, treat the tooth
with care for several days. Moderate fracture: 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 pupal
damage does occur, further dental treatment will be required. Severe fracture:
Severe fractures often mean a traumatized tooth with slim chance of recovery.
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