Teeth are vulnerable in many cases to fractures or problems with them, as a result of falling on them or colliding with a solid object or something else. Children are often more susceptible to these injuries during play, especially the front teeth.. How do we deal with them?
various injuries
Falling or colliding the teeth with something hard leads to many injuries in them, which differ from one case to another according to the severity and cause of the injury:
Dental injuries are:
Fracture in part of the tooth.
Complete ejection of the tooth.
– A fracture in the crown of the tooth or in the root.
– The death of the nerve of the tooth: Some injuries result in the death of the nerve without a fracture or an apparent change, but the change is internal and does not appear at the same time or day of injury, but it begins to appear after a while as a result of internal bleeding.
– Tooth deviation in or out: This injury often results from falling down the stairs, for example.
Tips for dealing
Dealing with dental injuries correctly before going to the doctor helps greatly in increasing the success rate of preserving the tooth, and the need to put a large piece of gauze if the injured tooth has a wound in the lips or tongue, to avoid contamination of the wound and then increase the success rates of tooth treatment instead of removing it.
In the event that the tooth has completely come out, it must be placed in a salt solution or with milk, then immediately go to a doctor with experience to deal with these cases so that he can return the tooth to its place, make a nerve filling and fix it, warning against trying to move the tooth or return it to its place in the event that it deviates inward or outward .
Dealing medically
Dealing medically in the case of dental injuries requires doing a tooth vitality test, to see if the nerve was affected or not, and the treatment varies from one case to another, depending on the nature of the injury, for example in the case of a tooth deviating from its place inside, it must be returned to its natural place, then fixed and followed up because it is mostly needed Nerve stuffing.
But if the injury to the tooth led to the exposure of the nerve as a result of a fracture that connected it, then a nerve filling must be done, and if the nerve is not exposed, a normal filling is done while following up the case, because in some cases a nerve cut may occur as a result of the injury, but it does not appear on the same day, After a while, a sensitivity test is done for the tooth to ensure that it is still alive, but in the event of a problem in the nerve, the roots must be treated, so that it does not result in cysts that sometimes require surgical intervention.
In the event of a fracture in half of the root of the tooth, the tooth must be extracted and a movable fixture placed if the patient is still a child, because fixed fixtures or dental implants at a young age cause restriction of jaw movement, so it is necessary to wait until the jaw grows (until the age of 18 to 20 years). ),
The occurrence of a fracture in the crown only gives a high chance of preserving the tooth, and the broken crown is compensated by making a brace for the tooth and placing an artificial crown on it. If the fracture is at a level higher than the upper third of the root of the tooth, it is possible to resort to surgery to remove the broken part and make a nerve filling to preserve the tooth.
A fracture in the lower third of the root of the tooth requires the installation of a brace to keep the tooth in place. Dental injuries require X-rays and careful assessment of the condition to know the level of fracture and determine the appropriate treatment plan.
