Common Dental Emergencies - DENTAL IMPACTION

Dental emergencies happen when least expected. Although some, like toothache and broken tooth can be managed even after 24 hours, some others such as DENTAL IMPACTION need immediate attention at home before a dentist's visit can be arranged.

Dental impaction is the forceful pushing of the teeth inside or into the jaw bone. This is often what happens by a blunt trauma, when the child falls on their mouth or jaw. When the trauma is mild, the tooth is pushed halfway into the jaw, but in severe cases, the entire tooth gets pushed in, with possible injuries to the tooth's ligament and even fracture to the socket.

Often times in case of trauma or fall, there is plenty of bleeding (disproportionate to the trauma), including visible lip tear or injury, thereby preventing early detection of impaction.

PRIMARY MANAGEMENT

In such a case, it is necessary to manage the initial situation as quickly and conservatively as possible;

• Stop the Bleeding - If the bleeding is from the outer lip or tongue, apply gentle pressure on the area with a clean moist cloth for a while. If inner lip bleeds, press the area gently against the child's teeth/gums.
• Distract the child during cleaning- Sing, talk or soothe the child in whichever way you can. Any treatment needs a child to sit still.
• Keep the area cool - Numbing the pain and reducing the swelling are first priority. Apply an ice pack or frozen veggies on the area. Sucking a popsicle is also a great idea.
• Painkiller - These should be given only when the child is unable to bear the pain for long, usually under advice from the pediatric dentist
• Change diet temporarily - Although often superficial, lip cuts or injuries can be very painful. It is better to change the diet for children to liquid or semi-solid till the wound heals. Softer diets help healing faster and don't tend to irritate. Chilled treats such as popsicle or ice cream, and a mouth rinse after food will take care of dental hygiene too for a while.

Once the bleeding is under control, the injury must be shown to a pediatric dentist at the earliest. Usually it is just to take advice on further course of action and check if there's any damage, tear or cut in the deeper tissues of the mouth.

TREATMENT

Baby teeth that are impacted often come out on their own, depending on the depth they have gone into the jawline. This may take 3 to 7 months and occurs due to the natural growth of the jaw in children. In case the teeth don't come out and if there are chances of damage to the root of the permanent teeth, then extrusion or teeth removal is the only remedial action performed by the pediatric dentist. 

Oral Injuries and their treatment

In case your child needs medical intervention after a fall or a pediatric dentist to look into her teeth, and decide the further course of action, reach out to Dr.Premila. She can be reached at Small Bites Dental Clinic.

Common Dental Emergencies - DENTAL IMPACTION

Dental emergencies happen when least expected. Although some, like toothache and broken tooth can be managed even after 24 hours, some others such as DENTAL IMPACTION need immediate attention at home before a dentist's visit can be arranged.

Dental impaction is the forceful pushing of the teeth inside or into the jaw bone. This is often what happens by a blunt trauma, when the child falls on their mouth or jaw. When the trauma is mild, the tooth is pushed halfway into the jaw, but in severe cases, the entire tooth gets pushed in, with possible injuries to the tooth's ligament and even fracture to the socket.

Often times in case of trauma or fall, there is plenty of bleeding (disproportionate to the trauma), including visible lip tear or injury, thereby preventing early detection of impaction.

PRIMARY MANAGEMENT

In such a case, it is necessary to manage the initial situation as quickly and conservatively as possible;

• Stop the Bleeding - If the bleeding is from the outer lip or tongue, apply gentle pressure on the area with a clean moist cloth for a while. If inner lip bleeds, press the area gently against the child's teeth/gums.
• Distract the child during cleaning- Sing, talk or soothe the child in whichever way you can. Any treatment needs a child to sit still.
• Keep the area cool - Numbing the pain and reducing the swelling are first priority. Apply an ice pack or frozen veggies on the area. Sucking a popsicle is also a great idea.
• Painkiller - These should be given only when the child is unable to bear the pain for long, usually under advice from the pediatric dentist
• Change diet temporarily - Although often superficial, lip cuts or injuries can be very painful. It is better to change the diet for children to liquid or semi-solid till the wound heals. Softer diets help healing faster and don't tend to irritate. Chilled treats such as popsicle or ice cream, and a mouth rinse after food will take care of dental hygiene too for a while.

Once the bleeding is under control, the injury must be shown to a pediatric dentist at the earliest. Usually it is just to take advice on further course of action and check if there's any damage, tear or cut in the deeper tissues of the mouth.

TREATMENT

Baby teeth that are impacted often come out on their own, depending on the depth they have gone into the jawline. This may take 3 to 7 months and occurs due to the natural growth of the jaw in children. In case the teeth don't come out and if there are chances of damage to the root of the permanent teeth, then extrusion or teeth removal is the only remedial action performed by the pediatric dentist. 

Oral Injuries and their treatment

In case your child needs medical intervention after a fall or a pediatric dentist to look into her teeth, and decide the further course of action, reach out to Dr.Premila. She can be reached at Small Bites Dental Clinic.

Common Dental Emergencies and their Management - TOOTHACHE

Dental emergencies are more frequent than you can imagine. No parent likes to see their child in pain, and the earlier it is dealt with, the sooner is the problem identified, treated and better recovery.

Below are some of the most common dental emergencies and how they can be treated;

TOOTHACHE

Toothache is the commonest dental problem that kids face. It is experienced by children of all ages, and almost always has a specific cause that may or may not have gone unnoticed. Common causes of toothache include decay, fractures, trauma and eruption of wisdom teeth ( in adolescence).

What you can do?

CLEAN MOUTH

• ·         Cleanse or gargle with warm water first. Don't apply anything, keep warm cloth over the affected tooth or adjacent gum area.
•       Check if food has become impacted anywhere in between the teeth. Remove it as gently as possible using a clean finger, toothbrush or dental floss.

CONTROL SWELLING AND PAIN

• In case of localized swelling, apply a cold compress over the affected area. Ice cubes can also be wrapped in cloth and placed over it. This reduces swelling temporarily.
• Avoid giving any kind of medication to children at this stage without doctor's advice

VISIT A DENTIST

• ·         In case of prolonged pain that doesn't subside or swelling that doesn't relieve, it indicates a deeper dental problem that needs a dentist to look into. 
•       If the toothache is a result of an injury or fall on the face or jaw, details given to the doctor can help in the right treatment.

FOLLOW UP

• ·         The paediatric dentist will examine the child's teeth to understand the cause of pain & its origin. She will check for any decay, fracture, grinding and will treat accordingly.

·         In case of swelling or localized tenderness, it might be indicative of infection. This will need medication as per the stage of the problem.

·         In case of teeth grinding or bruxism, mouth guards may be advised (dependent on the child's age)

Toothache in children must never be ignored, because it often indicates the start of the problem or a stage at which the right treatment can reverse the deterioration process.

If you aren't sure about the cause or need a specialist to look into it, reach out to Dr.Premila of Small Bites Dental Clinic at the earliest.

Pediatric Dental X-ray Types

Dental x-rays are an essential part of any dental care treatment plan. They are diagnostic, but they can also be preventive, by helping a dentist diagnose potential oral care issues in a patient’s mouth before they become a major problem.

There are five types of X-rays your dentist may use for your child, depending on the goal:

* Bitewing X-rays (also called cavity-detecting X-rays) — These X-rays are used to view the areas between teeth that cannot be seen directly. They show where cavities are starting. These X-rays are needed only after the teeth in the back of the mouth are touching each other. In some children, this doesn't happen until the first permanent molar (also called the 6-year molar) has erupted.

* Periapical X-rays — These are used to view the entire crowns and roots of one, two or three teeth that are next to each other. The X-rays also will show the supporting bone structure of the teeth. This type of X-ray lets the dentist see a child's permanent teeth growing below the baby teeth. It also is used to look for abscesses and gum disease.

* Panoramic X-rays — These X-rays are used to view all of the teeth on one film. They also show the upper and lower jaws, the temporomandibular joints (TMJs) and the sinuses above the upper teeth. They are often used if a child has hurt his or her face, has orthodontic problems, or is mentally or physically disabled. Panoramic X-rays, unlike other types, do not require a film to be put in the child's mouth. This is helpful for children who gag easily or who have small mouths. This X-ray has to be exposed for 12 to 18 seconds. The patient must be able to sit or stand still for that whole time.

* Occlusal X-rays — These are used to view most of the upper or lower teeth on one film. This is useful when the dentist does not have a panoramic X-ray machine or when the child has difficulty in taking bitewing or periapical X-rays.

* Orthodontic X-rays (also called cephalometric or lateral skull) — This type of X-ray shows the head from the side. It is used to evaluate growth of the jaws and the relationship of bones in the skull. It helps an orthodontist make an accurate diagnosis and develop a treatment plan.

Dental X-rays are very safe and expose your child to a minimal amount of radiation. When all standard safety precautions are taken, today's X-ray equipment is able to prevent unnecessary radiation and allows the dentist to focus the X-ray beam on a specific part of the mouth. High-speed film enables the dentist to reduce the amount of radiation the patient receives. A lead body apron or shield will be placed over the child's body. Make sure the shield covers your child's neck to protect the thyroid gland. It also should extend all the way to the thighs to protect the genitals and reproductive organs.

Content excerpts from http://www.colgate.com/