Traumatic Dental Injuries
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Traumatic Dental Injuries
While most traumatic dental injuries occur in children and teenagers, people of all ages can be affected, usually as a result of sports mishaps, automobile accidents, or bad falls. If you’ve experienced a traumatic dental injury it is important to visit your endodontist in order to determine any necessary treatment. Any dental injury, even if apparently mild, requires examination by a dentist or an endodontist immediately. Sometimes, neighboring teeth suffer an additional, unnoticed injury that will only be detected by a thorough dental exam.
Chipped or Fractured Teeth
Chipped teeth account for the majority of dental injuries. Most chipped or fractured tooth crowns can be repaired either by reattaching the broken piece or by placing a tooth-colored filling. If a significant portion of the tooth crown is broken off, an artificial crown or “cap” may be needed to restore the tooth.
Dental injuries in the back teeth often include fractured cusps, cracked teeth, or a more serious split tooth. If cracks extend into the root, root canal treatment and a full coverage crown may be needed to restore function to the tooth. Split teeth may require extraction.
Dislodged (Luxated) Teeth
During an injury, a tooth may be pushed sideways out of or into its socket. Your endodontist will reposition and stabilize your tooth. Root canal treatment is usually needed for permanent teeth that have been dislodged and should be started a few days following the injury.
Children between seven and 12 years old may not need root canal treatment, since teeth are still developing. For those patients, your endodontist will monitor the healing carefully and intervene immediately if any unfavorable changes appear.
Knocked-Out (Avulsed) Teeth
If a tooth is completely knocked out of your mouth, time is of the essence. The tooth should be handled very gently, avoiding touching the root surface itself. If it is dirty, quickly and gently rinse it in water. Do not use soap or any other cleaning agent, and never scrape or brush the tooth. If possible, the tooth should be placed back into its socket as soon as possible. The less time the tooth is out of its socket, the better the chance for saving it.
Once the tooth has been put back in its socket, your endodontist will evaluate it and will check for any other dental or facial injuries. If the tooth has not been placed back into its socket, your endodontist will clean it carefully and replace it. A stabilizing splint will be placed for a few weeks. Depending on the stage of root development, your endodontist may start root canal treatment a week or two later.
One of the many traumatic dental injuries can be to the tooth may also result in a horizontal root fracture. The location of the fracture determines the long-term health of the tooth. If the fracture is close to the root tip, the chances for success are much better. The closer the fracture is to the gum line, the poorer the long-term success rate. Stabilization with a splint is sometimes required for a period of time.
Traumatic Dental Injuries in Children
Chipped primary (baby) teeth can be aesthetically restored. Dislodged primary teeth can, in rare cases, be repositioned. However, primary teeth that have been knocked out typically should not be replanted. This is because the replantation of a primary tooth may cause further and permanent damage to the underlying permanent tooth that is growing inside the bone.
Children’s permanent teeth that are not fully developed at the time of the injury need special attention and careful follow-up, but not all of them will need root canal treatment. In an immature permanent tooth, the blood supply to the tooth and the presence of stem cells in the region may enable your endodontist to stimulate continued root growth.
Resorption occurs when your body, through its own defense mechanisms, begins to reject your own tooth in response to the traumatic injury. Following the injury, you should return to your endodontist to have the tooth examined or treated at regular intervals to ensure that root resorption is not occurring and that surrounding tissues continue to heal.
With any traumatic dental injury, time is of the essence. Contact your endodontist immediately.
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Frequently Asked Questions
What is dentistry?
Dentistry is the diagnosis, treatment, and prevention of conditions, disorders, and diseases of the teeth, gums, mouth, and jaw. Often considered necessary for complete oral health, dentistry can have an impact on the health of your entire body.
What is a dentist?
A dentist is a specialist who works to diagnose, treat, and prevent oral health problems. Your dentist has completed at least eight years of schooling and received either a DDS (Doctor of Dental Surgery) degree or a DMD (Doctor of Dental Medicine) degree. If your doctor is a pediatric dentist, this means that he or she specializes in caring for children from infancy through their teen years. A pediatric dentist has received the proper education and training needed to work with young kids. Other specializations include:
- Endodontics (root canals)
- Oral and maxillofacial (including pathology, radiology, and surgery)
- Orthodontics and dentofacial orthopedics
- Periodontics (gum disease)
- Prosthodontics (implants)
Why is visiting the dentist so important?
Visiting the dentist regularly will not only help keep your teeth and mouth healthy, but will also help keep the rest of your body healthy. Dental care is important because it:
- Helps prevent tooth decay
- Protects against periodontal (gum) disease, which can lead to tooth and bone loss
- Prevents bad breath – brushing, flossing, and seeing the dentist regularly will help reduce the amount of bacteria in your mouth that causes bad breath
- Gives you a more attractive smile and increases your self-confidence
- Helps keep teeth looking bright by preventing them from becoming stained by food, drinks, and tobacco
- Strengthens your teeth so that you can enjoy healthy, beautiful smiles for the rest of your life!
My teeth feel fine. Do I still need to see a dentist?
Your teeth may feel fine, but it's still important to see the dentist regularly because problems can exist without you knowing. Your smile's appearance is important, and your dentist can help keep your smile healthy and looking beautiful. With so many advances in dentistry, you no longer have to settle for stained, chipped, missing, or misshapen teeth. Today's dentists offer many treatment choices that can help you smile with confidence, including:
- Professional teeth whitening
- Fillings that mimic the appearance of natural teeth
- Tooth replacement and full smile makeovers
What should I look for when choosing the right dentist for me?
Choosing a dentist who “clicks” with you and your family is important, and you may wish to consider several dentists before making your final decision. During your first visit, you should be able to determine whether the dentist is right for you. During your appointment, consider the following:
- Is the appointment schedule convenient?
- Is the office easy to get to and close by?
- Does the office appear to be clean and orderly?
- Was your medical and dental history recorded and placed in a permanent file?
- Does the dentist explain techniques for good oral health?
- Is information about cost presented to you before treatment is scheduled?
- Is your dentist a member of the ADA (American Dental Association)?
How can I take care of my teeth between dental checkups?
- ALWAYS remember to brush your teeth at least two times a day, and floss at least once!
- Make sure to use toothpaste that contains fluoride, and ask your dentist if you need a fluoride rinse. This will help prevent cavities.
- Avoid foods with a lot of sugar (sugar increases the amount of bacteria that grows in your mouth causing more plaque and possibly cavities) and avoid tobacco (this can stain your teeth, cause gum disease, and eventually lead to oral cancer).
- Don't be afraid to brush your tongue! By brushing your tongue, you will remove food particles and reduce the amount of plaque-causing bacteria. Tongue brushing also helps keep your breath fresh.
- Be sure to schedule your routine checkup. It is recommended that you visit the dentist every six months.
At what age should I start taking my child to see the dentist?
The American Academy of Pediatric Dentistry (AAPD) recommends that children first see a dentist as early as six months of age and no later than one year of age. During this time, your child's baby teeth will be coming in and your dentist can examine the health of your child's first few teeth. After the first visit, be sure to schedule regular checkups every six months.
How often should I see the dentist?
Children, teens, and adults should all see the dentist for a regular checkup at least once every six months. Patients who are at a greater risk for oral cancer or gum disease may be required to see the dentist more than just twice a year. Your doctor will help determine how often you should visit the dentist for regular checkups.
What is a cavity?
A cavity is a small hole that forms inside the tooth because of tooth decay. Cavities are formed when plaque buildup on the outside of the tooth combines with sugars and starches in the food you eat. This produces an acid that can eat away the enamel on your tooth. If a cavity is left untreated, it can lead to more serious oral health problems. Cavities can be prevented by remembering to brush your teeth at least two times a day and floss between teeth at least once.
What is a filling?
A filling is a synthetic material that your dentist uses to fill a cavity after all of the tooth decay has been removed. Fillings do not generally hurt because your dentist will numb your mouth with an anesthetic. Fillings are made from a variety of different materials, including composites, gold, or ceramic. If you need a filling, be sure to talk to your doctor about what type is best for you and your teeth.
How often should I brush my teeth?
According to your dentist and the American Dental Association, you should brush your teeth at least two times a day. Brushing keeps your teeth, gums, and mouth clean and healthy by removing bacteria-causing plaque. It is also recommended that you use a soft-bristled toothbrush and toothpaste that contains fluoride when you brush your teeth. You should spend at least a minute on the top teeth and a minute on the bottom teeth, and remember to brush your tongue; it will help keep your breath smelling fresh!
When should I change my toothbrush?
Your toothbrush will eventually wear out, especially if you are brushing your teeth twice a day for two to three minutes each time. Your dentist recommends that adults and children change their toothbrush every three months. If you are using an electric toothbrush, be sure to read the directions because you may not need to change toothbrush heads as frequently. Patients with gum disease are encouraged to change their toothbrush every four to six weeks to keep any bacteria from spreading. After brushing, rinse your toothbrush with hot water to kill germs and keep the bristles clean. If you've been sick, be sure to change your toothbrush as soon as possible.
What is gum disease?
Also known as periodontal disease, gum disease is mostly caused by plaque and bacteria buildup that is not treated in its early stage. Other causes of periodontal disease include tobacco use, teeth grinding, some medications, and genetics. Gingivitis is the beginning stage of gum disease, and, if detected, is treatable. Gingivitis left untreated may turn into gum disease. Advanced gum disease will lead to tooth and bone loss, and is a permanent condition. Brushing your teeth regularly and visiting the dentist every six months will help prevent gingivitis and more severe cases of periodontal disease. Common signs of gum disease:
- Red, irritated, bleeding, or swollen gums
- Chronic bad breath
- Loose teeth, or loss of teeth
- Extreme tooth sensitivity
- Receding gum line
- Abscessed teeth
If I have braces, do I still need dental checkups every six months?
Yes! In fact, it's even more important that patients receiving orthodontic treatment visit their dentist regularly. With braces, food may be caught in places that your toothbrush can't reach. This causes bacteria to build up and can lead to cavities, gingivitis, and gum disease. Your dentist will work closely with your orthodontist to make sure that your teeth stay clean and healthy while wearing braces.
How do I schedule my next checkup?
Simply call our practice! Our front desk staff will be happy to help schedule your next dental checkup at your convenience. If you are a new patient, please let us know and we will provide you with all the information you need for your first dental visit.
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Smiles Are Our Specialty
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Address and Office Hours
Medical Arts Center
836 E. 65th Street
Savannah GA 31405
Mon - Thurs: 9:00am to 5:00pm