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Teeth
can become broken or knocked-out through playing sports or by
freak occurrences. It's very important to handle tooth emergencies
properly in order to preserve the tooth. If you have a tooth
emergency, here's what the Hawaii Academy of Sports Dentistry
recommends you should do:
Broken
Tooth (Fracture)
1. If tooth is totally broken in half, save the broken portion
and bring to the dental office. Stabilize portion of tooth left
in the mouth by gently biting on a towel or handkerchief to
control bleeding.
2. Should extreme pain occur, limit contact with other teeth,
air or tongue. Pulp nerve may be exposed, which is extremely
painful to individual.
3. IMMEDIATELY TRANSPORT INDIVIDUAL AND TOOTH FRAGMENTS TO DENTIST.
Tooth
Knocked-Out (Avulsion)
1. Avoid additional trauma to tooth while handling. Do not handle
tooth by the root. Do not brush or scrub tooth. Do not sterilize
tooth.
2. If debris is on tooth, gently rinse with water.
3. If possible, reimplant tooth and stabilize by biting down
gently on a towel or handkerchief. Do only if individual is
alert and conscious.
4. If unable to reimplant:
Place the broken tooth in Hank's Balanced Saline Solution (EMT
ToothSaver) or in a cup of cold whole or 2% milk, or wrap in
saline-soaked gauze, or place under individual's tongue (only
if individual is conscious and alert), or place in a cup of
cold water.
5. Time is very important. Reimplantation within 30 minutes
has the highest degree of success rate. Transport individual
and tooth immediately to dentist.
Tooth
in Socket, But Wrong Position (Luxation)
THREE POSITIONS:
Extruded Tooth – Upper tooth hangs down
and/or lower tooth raised up.
1. Reposition tooth in socket using firm finger pressure.
2. Stabilize tooth by gently biting down on towel or handkerchief.
3. Transport individual immediately to dentist.
Lateral Displacement – Tooth pushed back
or pulled forward.
1. Try to reposition tooth using finger pressure.
2. Patient may require local anesthetic to reposition tooth;
if so, stabilize tooth by gently biting on towel or handkerchief.
3. Transport immediately to dentist.
Intruded Tooth – Tooth pushed into gum,
looks short.
1. Do nothing – avoid any repositioning of tooth.
2. Transport immediately to dentist.
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