Dental Trauma
 While dental trauma is more common with children and teenagers, accidents can happen to anyone! As endodontic specialists, the doctors at West Valley Endodontics specialize in a number of treatments designed to address dental trauma, such as a tooth that is cracked, fractured, or displaced. In most instances, injury or trauma to the face requires immediate attention from a dentist or endodontist.
Crown and Root Fractures
A crack or fracture to the crown (the visible portion of the tooth) may or may not be a dental emergency, depending on its severity and location. If the fracture only affects the enamel layer, and no pain is present, treatment is not usually necessary. Deep cracks that leave the dentin and pulp exposed to bacteria, on the other hand, should be addressed as soon as possible.
If the crack remains untreated for a significant amount of time, an infection in the pulp is all but guaranteed. If infection does occur, we typically perform a root canal to stop it from spreading to other areas. In most instances, we also restore the damaged tooth with a tooth-shaped cap known as a dental crown.
A fracture to the root structure, whether vertical or horizontal, is generally a serious issue. We may be able to stabilize the tooth with a splint or alternative restoration. Often times, however, we need to extract and replace the tooth.
Alveolar Fracture
Your teeth are situated in a boney part of the jaw known as the alveolar ridge. Injury or trauma to the alveolar ridge can threaten the life of a tooth and affect your facial appearance. A fracture or break near the root of a tooth may require care from an endodontist.
We generally treat alveolar fractures by repositioning any displaced segments with a splint. We may also suggest regenerative endodontics, which involves the use of bioactive substances that restore damaged tissues with improved safety and effectiveness. The type of treatment we recommend depends on your individual situation.
Dislodged or Knocked Out Tooth
A dislodged tooth occurs when a blow to the face pushes the tooth into or out of its socket. This is considered one of the more serious injuries. Ultimately, the goal is to place the tooth back in its correct position and avoid the need for an extraction.
Unfortunately, a dislodged tooth may result in damaged pulp as well. Once it has been properly stabilized, we may suggest a root canal or regenerative endodontics to further protect the tooth. If there is no damage to the pulp, additional treatment beyond stabilization may not be necessary.
A tooth that is completely knocked out, or avulsed, constitutes a dental emergency. The faster the tooth is reinserted the more likely it is to reattach to the bone. 30 minutes can make the difference between saving and losing the tooth.
If your tooth becomes knocked out, give us a call as soon as possible, so we can get you in for an immediate appointment. In the meantime, be sure to pick up the tooth by its crown, never the root. You should then gently wash it with room temperature water, and avoid removing any soft tissues still present on the tooth.
If you can, place the tooth back in its socket as soon as possible. If not, you can place it in between your cheek and teeth. A glass of water or milk is also an acceptable option. Endodontic treatment of this issue usually involves placing a stabilizing splint for a few weeks.
FAQs
What should I do if I experience dental trauma?
If you experience dental trauma, such as a cracked, fractured, or displaced tooth, seek immediate attention from a dentist or endodontist. Prompt care can prevent further damage, reduce pain, and increase the likelihood of saving the tooth.
What happens if a tooth is dislodged but not completely knocked out?
A dislodged tooth occurs when a blow pushes the tooth into or out of its socket. Treatment involves repositioning the tooth and stabilizing it with a splint. If the pulp is damaged, a root canal or regenerative endodontics may be required.
What should I do if a tooth is completely knocked out?
If your tooth is knocked out, handle it by the crown, rinse it with water, and avoid touching the root. Place it back in its socket if possible, or store it in milk or between your cheek and teeth. Contact a dentist or endodontist immediately, as reinsertion within 30 minutes greatly improves the chances of saving the tooth.
How are root fractures treated?
Root fractures can be vertical or horizontal and are serious dental issues. Treatment options include stabilizing the tooth with a splint or, in some cases, extracting and replacing the tooth if it cannot be saved. Early evaluation is critical to determine the best course of action.
What are alveolar fractures, and how are they treated?
An alveolar fracture involves damage to the bony ridge that holds your teeth in place. Treatment may include repositioning displaced segments with a splint or using regenerative endodontics to repair tissue. The specific treatment depends on the severity and location of the fracture.
How can I protect my teeth from dental trauma?
To protect your teeth from trauma, wear a mouthguard during sports, avoid biting hard objects, and practice caution to prevent falls or facial injuries. Regular dental check-ups can also help detect and address vulnerabilities in your teeth.
Schedule Your Appointment Now!
If you just experienced dental or facial trauma, you should reach out as soon as possible! Call (208) 936-4674 to schedule an immediate appointment now! |
