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Dental Emergencies can be avoided by taking some simple precautions, such as wearing a mouth guard during sports and recreation and staying away from hard food such as lollies that may crack a tooth. Accidents do happen however, and it is important to know what actions to take immediately. 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 can be cut. Oral injuries are often painful and should be treated by a dentist as soon as possible.
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. 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 lukewarm milk or saline solution.
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.
Rinse the mouth with warm water and use an ice pack or cold compress to reduce swelling. Take Ibuprofen (if possible), not aspirin, for pain. Minor fractures can be smoothed by your dentist with a sandpaper disc or simply left alone. Restorative procedures can also be performed to fix the tooth. In either case, treat the tooth with care for several days. Moderate fractures include damage to the enamel, tissue and/or pulp. If the pulp is not permanently damaged, the tooth may be restored with a full permanent crown. If pulp damage does occur, further dental treatment will be required. Severe fractures often mean a traumatised tooth will have a slim chance of recovery.
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 forwards and using gauze to place pressure on the wound. Getting to a dentist within 30 minutes can make the difference between saving and losing a tooth!
Fluoride is a mineral that is naturally present in varying amounts in many foods and some water supplies. It is also used in many consumer dental products. Fluoride strengthens teeth making it more resistant to decay. Since Queensland’s water supply does not contain fluoride, it is important to use fluoride containing toothpastes, mouth rinses, and gels topically to gain the added benefit of preventing sensitivity and tooth decay.
A common problem is that teeth will crack, either due to trauma, grinding, clenching, decay or heavily filled teeth. “Cracked Tooth Syndrome” relates to a variety of symptoms and signs caused by a crack or many cracks in a tooth. Early diagnosis is needed to improve the chances of saving a cracked tooth. Symptoms include:
The black filling material used in your teeth is amalgam. It has been used as a filling material for over a hundred years; it’s still one of the strongest materials available. However, it isn’t very discreet. There are a number of other tooth-colour restorative materials currently available that can be used to replace old amalgams.
They’re the last teeth to erupt in the back of your mouth. Usually, they erupt between the ages of 17 and 25. Occasionally, though, they find their way out much later than that; some never erupt at all. Thanks to evolution, we’re evolving into the proud ownership of smaller jaws; unfortunately our teeth aren’t quite keeping pace. Most of our jaws only have room for 28 teeth; we have 32. Basically, this means that the last teeth to erupt, which are the wisdom teeth, have nowhere to go if there’s not enough room remaining.
In the earlier states of gum disease (mild to moderate periodontitis), most treatment involves scaling and root planning. The procedure aims at removing plaque and calculus from the surface of the tooth adjacent to gum tissue. In the majority of early gum disease cases, treatment entails improved home care techniques and scaling and root planning. Advanced cases may require surgical treatment.
Conscientious removal of plaque by flossing, brushing and regular professional cleanings will minimise your risk of gum disease. However, there are other factors that can affect the health of your gums, such as stress, diabetes, genetics and pregnancy.
As the plaque and calculus accumulate, the periodontal disease continues. Supporting tissues around the teeth (gums, periodontal ligaments, bone) are lost. Periodontal pockets form which trap additional plaque. Bad breath often accompanies this condition. Once the bone that supports the teeth is lost, it will not regrow without surgical intervention.
Periodontal disease is caused by the bacteria found in plaque. If plaque is not regularly removed, it calcifies into a rough, porous deposit called calculus, or tartar. By products of bacterial metabolism irritate the gums, making them red, tender, swollen and more prone to bleed. Eventually, the supporting periodontal structures begin to breakdown. The result of this slow process is tissue loss, bone loss and eventual tooth loss.
If you are not in any pain then ring the dentist as soon as possible and make an appointment, but try and keep the tooth as clean as possible and avoid biting hard on that tooth. If you have pain, be sure to ring your dentist and explain your situation. When a tooth is pushed out of position:
Radiographic or X-ray examinations provide your dentist with an important diagnostic tool that shows the condition of your teeth, their roots, jaw placement and the overall composition of your facial bones. X-Rays can help your dentist determine the presence or degree of periodontal disease, abscesses and many abnormal growths, such as cysts and tumours. X-rays can also show the exact location of impacted teeth. They can pinpoint the location of cavities and other signs of disease that may not be possible to detect through visual examination (such as changes in the jaw bone structure as a result of systemic disease).
The ideal time for your child to meet the dentist is six months after their first (primary) teeth erupt. This gives your dentist a perfect opportunity to carefully examine the development of their mouth and catch problems such as baby bottle tooth decay, teething irritations and prolonged thumb-sucking early.
Brushing and flossing are definitely the first steps to eliminating bad breath. Brushing and flossing remove bacteria responsible for creating odorous sulphur compounds and the food they feed on. However, bacteria hide not only on and around the teeth but also on the tongue under a layer of mucous. Here they are free to create odours. It is best to brush your tongue daily or you may want to consider a tongue scraper. Both are extremely effective at removing this protective mucous layer from the back of the tongue. The latest products on the market for bad breath are toothpastes and mouthwashes containing chlorine dioxide. The chlorine dioxide neutralises the odorous sulphur compounds, instead of simply covering up the odour.