Posts for tag: dental injuries
From birth to young adulthood, your child's teeth gums and other mouth structures steadily grow and mature. Sometimes, though, problems arise and get in the way of their oral health. It's important we detect when that happens and take action.
We can sort these potential problems into three broad categories: developmental, disease and injury. The first category includes such problems during their childhood years as teeth erupting out of position or the jaws growing improperly and becoming abnormally long, short, wide or narrow.
The possibility of developmental problems is a primary reason for regular dental visits, beginning around your child's first birthday. If we can detect a growing problem early, we may be able to minimize or even reverse its impact to your child's oral health.
Regular dental care also helps control disease, particularly tooth decay and cavity formation. Our primary aim is to treat decay, even in primary (baby) teeth: losing a primary tooth to decay could adversely affect the incoming permanent tooth's jaw position. Besides treatment, we can also help prevent decay with topical fluoride treatments (to strengthen enamel) and sealants.
Although not as common as disease, dental problems due to injury still occur all too frequently. Blows to the mouth can chip teeth, loosen them or even knock them out. For any type of visible tooth injury you should visit us or an emergency room immediately — time is of the essence especially to save a knocked out tooth. Be sure you recover and bring any knocked out teeth or chip fragments.
We can also help you on the injury prevention front as well. For example, if your child participates in contact sports or similar activities, we can fashion a custom-fitted mouth guard to protect their teeth and soft tissues.
Keeping a vigilant eye for these potential problems will help ensure your child's future oral health is the best it can be. The sooner these problems are detected, the better and less costly their outcome.
When you or a family member takes a traumatic hit to the mouth, what should you do? Besides immediate first aid, your next action will depend on the extent of damage to any teeth. What you do and when you do it may even determine whether an injured tooth is eventually saved or lost.
If a tooth has been completely knocked out, you have about five minutes to replace the tooth in the socket to give it the best chance of reattachment and long-term survival. While we can certainly perform this action in our office, getting to us within five minutes may not be possible. Fortunately, any person can perform this action on site (see the article linked below for basic instructions on replantation). If for some that's not possible, you should control bleeding at the tooth site with direct pressure, place the recovered tooth in milk or the patient's saliva, and see us as soon as possible.
If, however, the injured tooth has been obviously knocked out of line but not completely detached from its socket, you have a small cushion of time to seek dental treatment — but not much. For this degree of injury, you should see us within six hours of the incident. We will be able to determine the exact nature of the injury, and treat the condition by moving the teeth back into proper position and splinting them.
You have up to twelve hours for broken or chipped teeth still in their normal position. Try to locate and save any broken-off fragments — it may be possible to re-bond them to the teeth. Although it may not be as urgent as other situations, you should still seek treatment as soon as possible. A broken tooth could leave the inner pulp exposed — a situation that left untreated could lead to eventual tooth loss.
Traumatic injuries to the mouth can have serious consequences for your long-term dental health. With our consultation and treatment efforts, we can help you save an injured tooth.
If you would like more information on caring for 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.”
Youth sports can be a positive life experience for your child or teenager. But there's also a risk of injury in many sporting activities, including to the teeth and mouth. An injury to the mouth, especially for a child or young adolescent whose teeth are still developing, can have a significant negative impact on their oral health.
When it comes to teeth or mouth injuries, the best preventive measure is for your child to wear an athletic mouthguard, especially for contact sports like football, hockey or soccer. But be warned: not all mouthguards are alike — and neither is their level of protection.
Mouthguards can be classified into three types. The first is known as “stock,” which is the least expensive and offers the least level of protection. They usually are available only in limited sizes (small, medium, large, etc.) and cannot be custom-fitted for the individual. This significantly lowers their protective ability, and thus we do not recommend these to our patients.
The next type is referred to as “boil and bite.” These mouthguards are made of a material called thermoplastic, which becomes pliable when heated. When first purchased, the guard is placed in boiling water until soft; the individual can then place them in the mouth and bite down or press the guard into the teeth until it hardens and forms to their palates. Although this type offers a better fit and more protection than stock mouthguards, it isn't the highest level of protection available.
That distinction goes to the last type — a custom mouthguard made by a dentist. Although the most expensive of the three, it offers the best fit and the highest level of protection. A well-made custom mouthguard is tear-resistant, fits comfortably, is easy to clean and doesn't restrict speaking and breathing. We recommend this guard as your best alternative for protecting your child athlete from tooth and mouth damage.
If you would like more information on the use of athletic mouthguards for young athletes, contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Mouthguards.”
When involved in high impact sports or vigorous activities, it is important to protect your mouth and teeth. This statement is backed by the fact that there are over 600,000 sports-related dental injuries treated in emergency rooms across the US each year according to the US Centers for Disease Control (CDC).
In addition to absorbing and distributing the forces that impact the mouth, teeth, face and jaws an athlete receives while participating in sports such as baseball, football, basketball, hockey (ice and field), skateboarding and wrestling, the American Dental Association (ADA), also recommends the use of custom mouthguards for other activities such as acrobatics, bicycling, handball, racquetball, skiing, and even weightlifting.
These facts make two things clear: (1) it is vital that you obtain a professionally made mouthguard that you wear during these types of activities and (2) that you also understand how this mouthguard protects you. Below are just a few ways.
- Lacerations. A custom-fit, professionally made mouthguard covers the sharp surfaces of the teeth to protect the soft tissues of the cheeks, lips, gums and tongue from lacerations that can occur from a blow or sudden jolt.
- Mouth Impact. Just as a mouthguard protects against soft tissue lacerations, it can also help prevent injuries to the jaws and teeth. This includes but is not limited to chipped teeth, fractured teeth, broken teeth and teeth that are partially or fully knocked out of their natural position.
- TMJ (jaw joint) Trauma. Wearing a properly fitted mouthguard can reduce the potential for jaw displacement and joint fractures by cushioning the jaws against damage from an impact.
- Direct Jaw Impact. Anytime a person receives a direct impact to his/her jaw, having a mouthguard in place may help prevent more serious injuries to teeth and jaws. This is especially important for anyone diagnosed with TMJ.
- Jaw Fracture. A custom-fit, professionally made mouthguard both absorbs and distributes impact forces so that jaws are protected. And it is this reduction in force that can help prevent the jaws from fractures.
- Under Chin Impact. Receiving a blow under the chin can obviously damage teeth; however, it can also cause damage to the jaws as well as inflame or cause TMJ issues.
Witnessing or being involved in a sports-related dental injury can be a scary event not only for the player, but also for onlookers even if the injuries turn out to be minor. However, knowing what to do — and more importantly — how quickly to react can make a radical difference to the outcome. This is just one reason why we want to share the following easy-to-remember guidelines for what, how and when you need to respond to various types of dental injuries.
- Immediate — within 5 minutes of the injury: If a permanent tooth is totally knocked out (avulsed), it requires immediate treatment by cleaning and re-implanting the tooth back into its original position to have any hope of saving the tooth long-term. Knocked out baby (primary) teeth are not reimplanted for fear of damage to underlying permanent teeth.
- Urgent — within 6 hours of the injury: If a permanent or primary tooth is still in the mouth but has been moved from its original position, it is considered an acute injury and should be treated within 6 hours.
- Less urgent — within 12 hours of the injury: If a permanent or primary tooth is broken or chipped but has not shifted from its original position, the injury is classified as less urgent. You still need to see a dentist for an exam; however, you generally can wait up to 12 hours before possible irreversible damage occurs.
Want To Learn More?
There are several ways you can learn more about sports-related dental injuries.