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24/06/2013

Dental trauma treatment

Dental treatment should be considered traumatic injury may be, but to master the correct approach would greatly reduce the patient's pain and treatment costs. 

 

If the tooth by the collision force small,dental burs, usually no obvious reaction, just a slight percussion pain or loose, in a few weeks or a few months later gradually restored. Trauma occurs 1 to 2 weeks to pay attention to the teeth to rest, without teeth bite to relieve the burden on the teeth; obviously if loose teeth will have to be neutered fixed. After injury to regularly review, one year later, if the review is not abnormal teeth can not be processed; if signs of tooth nerve necrosis (ie crown discoloration or x-ray examination showed apical shadow), it should further do root canal treatment. 

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If the crown broken, a relatively small area generally do not treat. `Collecting Medical Education Network sharper edges if broken, in order to prevent scratching the lips or tongue, sharp edges can be adjusted grind smooth. If you break the larger,ultrasonic scalers, hot and cold temperature stimuli encountered who feel pain, you can start off with drug coverage to external stimuli, and then filling material in dental defects. For deep broken teeth, you can repair the GP consultation, with conservation value, root canal treatment can make full use of the remaining tooth repair; does not preserve, but to remove and then repair it. 

 

Treatment of dislocation of teeth principle is to try to save teeth. Partial dislocation of the tooth should be reset under local anesthesia, ligation fixed. After regular review, if you find tooth nerve has necrosis, root canal treatment should be timely. Embed dislocation teeth if root has not been fully developed, they can not forcibly pull the reset, so as not to cause more trauma. Response to disease treatment, regular observation, let it grow naturally, usually within six months of teeth can grow to its original position. Complete dislocation of the teeth should be immediately replanted. 

 

Dr. Zhang pointed out that the teeth away from the body the shorter the time, the higher the success rate of replantation. Clinical cases showed replanted sooner then the greater the chances of success have been reported after prolapse teeth replanted within 30 minutes, the success rate of 90%; 30 minutes within 90 minutes after the implantation success rate of about 40 %; than 90 minutes implant success rate of only 7%. teeth emerge if not immediately after treatment, should be properly preserved teeth will fall off, and then to the hospital. 

 

Teeth after leaving the body in a short time if we can reset allowed to recover blood supply, so get nutrition, may immediately "Resurrection", its function and sensation after repair with the original teeth almost. If not immediately reset, and should be placed in humid environments, such as the patient's tongue or mouth can be placed with a cup of milk or water. If the tooth has landed contamination, rinse with tap water should be in place,teeth whitening system, but it needs to be emphasized is not hand or cloth to scrub teeth, lost teeth can not paper, dry cloth or cotton cloth wrapped. Because periodontal tooth surface with a layer of cells, which acts like a tooth root and bone between the "glue" that, once placed wipe or dry environment it is easy to make necrosis, thus affecting the replanted tooth complex effects. 

 

Dental trauma occurred, the high probability of pulp necrosis, patients need to regularly check the x-rays pulp vitality status, if necessary, the need for root canal treatment. Some patients with insufficient attention, not on time review, root cause inflammation, swelling, pain, and even the formation of jaw cysts, and finally need extractions or surgery, greatly increasing the pain and cost of treatment.

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