Complicated Crown Fractures:

crown-fracturesA fracture involving enamel and dentin with loss of tooth structure and exposure of the pulp & treatment options vary based on the location, type & extent of injury.

 

 

Root fractures:

root-fractureThis involves fracture of the root portion is called a root fracture & treatment options vary based on the location, type & extent of injury.

 

 

Dislodged Teeth

disloged-teethInjuries to the mouth can cause teeth to be pushed back into their sockets. We may need to reposition and stabilize your tooth. Root canal treatment is usually started within a few weeks of the injury and a medication, such as calcium hydroxide, will be placed inside the tooth. Eventually, a permanent root canal filling will be placed.

Sometimes a tooth may be pushed partially out of the socket. Again, we may need to reposition and stabilize your tooth. If the pulp remains healthy, then no other treatment is necessary. Yet, if the pulp becomes damaged or infected, root canal treatment will be required.

 

Avulsed Teeth

avulsed-teethIf an injury causes a tooth to be completely knocked out of your mouth, it is important that you are treated immediately preferably in the first 30 min to 1 hour! If this happens to you or your child, keep the tooth moist.

Best storage medium for the tooth is Hank’s Balanced Salt Solution (HBSS)/Save a tooth which is part of most emergency kits in schools & athletic facilities. If not instantly available it can also be stored in cold milk before rushing to your dentist or us. Other storage mediums include contact lens solution, saline or even Gatorade. Water & saliva are not the most favorable options but can used to keep the tooth moist if none of the above mediums are available. If the local school nurse feels confident & knowledgeable with avulsion injuries, they could reposition the tooth back into the socket to limit the time the tooth is outside of the mouth. We may start root canal treatment based upon the stage of root development. The length of time the tooth was out of your mouth and the way the tooth was stored, hugely influences the type of treatment & it’s outcome.

* Pictures reproduced with permission from the American Association of Endodontists