|
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 within 30 minutes can make the difference between
saving or losing a tooth.
When
a tooth is knocked out: Immediately call your dentist for an emergency
appointment. Handle the tooth by the crown, not the root. Touching
the root (the part of the tooth below the gum) can damage cells
necessary for bone re-attachment. Gently rinse the tooth in water
to remove dirt. Do not scrub. Do not try to replace the tooth into
the socket, but place the clean tooth in your mouth between the
cheek and gum to keep it moist. It is important not to let the tooth
dry out.
If it
is not possible to store the tooth in the mouth of the injured person,
wrap the tooth in a clean cloth or gauze and immerse in milk.
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
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.
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 forward and using gauze to
place pressure on the wound.
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 anticoagulant, which
may cause excessive bleeding in a dental emergency.)
|