Posts for: October, 2014
“Don’t panic” is your first priority when faced with a sudden mouth injury. Of course, that may be easier said than done when you or a family member has just experienced a chipped, fractured or even dislodged tooth.
It helps, therefore, to have some idea beforehand on what to do and, especially, when to do it. You should think in terms of immediate, urgent and less urgent injuries: a tooth completely knocked out of its socket requires immediate action — within 5 minutes of the injury; a tooth that’s moved out of its normal position but still in the socket is an urgent matter that needs professional attention within 6 hours; and a chipped tooth is less urgent, but still needs to be seen by a dentist within 12 hours.
As you may have gathered, the most important thing you can do when a dental injury occurs is to contact our office as soon as possible. If for some reason you can’t, you should visit the nearest emergency center.
There are also some actions you should take for a knocked-out permanent tooth because there’s a chance it can be replanted in the socket if you act within 5 minutes of the injury. First, rinse the tooth with cold, clean water (bottled or tap) if it’s dirty. Be sure to handle it gently, avoiding touching the root. Grasping the crown-end with your thumb and index finger, place the tooth into the empty socket and push it firmly into place. Apply light but firm pressure with your hand or a wad of wet tissue to make sure it doesn’t come out. Don’t worry about correct alignment — we can adjust that later during examination.
If the tooth is chipped or broken, try to locate the broken pieces — it may be possible to re-bond them to the tooth. You should store them in a container with milk or the injured person’s saliva (the same can be done for a knocked out tooth if reinserting it isn’t practical). The broken pieces should then be transported with the injured person to emergency treatment.
Taking these actions may not ultimately save a traumatized tooth, but they will certainly raise its chances for survival.
If you would like more information on preventing and treating dental injuries, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “The Field-Side Guide to Dental Injuries.”
Do you frequently experience bleeding gums during your daily brushing routine? You might assume that you are brushing too hard and that this bleeding is normal. However, you should know that any bleeding of gum tissue is abnormal and should be considered a potential sign of gum disease.
Gum tissues usually bleed because of dental plaque buildup from poor oral hygiene practices. When the plaque is left around the gum line for a long period of time, 24 hours or more, the gum tissues respond by becoming inflamed — this can quickly become a chronic inflammation.
Here are some other warning signs of gum disease:
- Bad Breath. Bad breath is one of the most common signs of gum disease. This is especially true for those who do not floss, because plaque collects in the protected areas between the teeth making them especially prone to gum inflammation. This plaque often produces a pungent smell that causes bad breath.
- Red or Sensitive Gums. If you look closely in the mirror, you might see redness of the gums. It may also seem as if your gums are swollen, and in more advanced cases, this can lead to receding gums. Finally, you might notice gum sensitivity when you brush or a sensitivity to hot and cold.
- Tooth Loss. If this disease goes untreated, over time, bone loss will cause loose teeth, movement or migration of the teeth into a new and unstable position, and ultimately tooth loss. The rate of progression will depend upon the type of gum disease that you have.
- Painful Gums. Once you start to feel acute pain and extremely sore gums, this may mean you have developed a periodontal abscess. When this happens, the bacteria are walled off inside a gum “pocket,” and since your body's defenses are overwhelmed, there is a battle between the bacteria in that pocket and your body's defense mechanisms. The result is a collection of pus and extra bone loss. Your gums will be sore, swollen, red and may even discharge pus.
As you can see, the further the disease progresses, the greater the amount of pain and damage that will occur. Therefore, upon the first sign of gum disease, such as bleeding gums, you should schedule an appointment with us immediately.
Although naturally resilient, your teeth still face some significant dangers. Tooth decay and gum disease, “enemies” within the mouth, can severely damage your teeth and eventually lead to their loss.
But there are also external dangers just as devastating — traumatic injuries that can happen in the blink of an eye. Fortunately, we can treat even the most serious of these injuries and increase the chances of an injured tooth’s survival.
Here are some of those common dental injuries:
Chipped or Fractured Teeth. This is a case where a part of the tooth has been broken but it’s still firmly rooted in the mouth. If small portions of the enamel or dentin (the next underlying layer of the tooth) have been chipped, we may be able to reattach them or fill the affected tooth area with a natural-colored filling (larger broken portions may require a complete crown). If the damage has injured or exposed the inner pulp, a root canal treatment might be in order to prevent infection and reduce pain.
Dislocated (Luxated) Teeth. A dislocation occurs when the impact moves the tooth in an abnormal way in the socket. We must first reposition the tooth and, if need be, stabilize it by splinting it to neighboring teeth. This type of injury may also require a root canal treatment.
Knocked out (Avulsed) Teeth. It’s quite possible to replant a knocked out tooth — if you act quickly. Without touching the root, the tooth should be rinsed with cold, clean water and then placed into the empty socket within five minutes of the injury. If placement isn’t possible, the tooth should be placed in a container with milk or with some of the injured person’s collected saliva (to keep the root from drying out), and sent with the injured person to treatment. We need to see the injured person as soon as possible to make sure the tooth is repositioned properly and take other measures to protect it. We’ll also need to monitor it for proper healing for awhile.
Although some injuries may be too severe to save a traumatized tooth, seeking immediate treatment certainly increases the chances for survival. If you or a family member experiences such an injury, keep calm and contact us immediately.
If you would like more information on treating dental injuries, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Trauma & Nerve Damage to Teeth.”