Friday, 25 March 2016

What to do if your tooth is knocked out??...

WHAT TO DO IMMEDIATELY ,IF YOUR TOOTH IS KNOCKED- OUT OF YOUR SOCKET??


 In dental terminology ,we call it as Avulsed tooth.

This is one of the most serious dental emergencies for permanent tooth.

CAN MILK TEETH BE RE IMPLANTED INTO SOCKET?

NO,milk tooth cannot be re implanted,and there is no need for re implantation of milk teeth .
if re implanted it affects the permanent tooth bud.

No worries,here are some tips to preserve your teeth, if your teeth comes completely out of your socket.

CAN YOU REPLACE THE KNOCKED OUT TEETH AGAIN INTO SOCKET???

YES,you can replace the knocked out teeth again into the socket.you have to visit your nearby dentist within 30 min of the injury.


Steps to be followed immediately if your tooth is knocked out

 Your tooth gets knocked out due to an accident or trauma.

STEP 1 : Care should be taken while picking up your teeth from the spot
Pick the tooth with the head/crown portion,do not touch the root,to minimize injury to the root

STEP 2: If dirty rinse the tooth with milk ,if you dont have milk rinse it with water

  • Do not use chemicals
  • Do not use soap water
  • Do not scrub you teeth
  • Do not wrap the tooth in cloth
Regular tap water is not recommended because root cells are injured

STEP 3: Re- position the tooth in the socket immediately, if possible.
The sooner the tooth is replaced the greater the likelihood to survive


  • To reinsert,carefully push the tooth into the socket with your finger or position above the socket and close your mouth slowly.
  • Do not force the knocked out tooth into the socket.

STEP 4:IF NOT,KEEP THE TOOTH MOIST ALL TIME

  • If you place the tooth outside your mouth ,the tooth becomes dry.So place the tooth in any one of this solution.

STORAGE MEDIA FOR AVULSED TOOTH:
  • Milk
  • Hanks balanced salt solution (HBSS)
  • Mouth in between gums and cheeks

STEP 5: See nearest available dentist within 30 min or 1 hour of the injury.

WHAT WILL YOUR  DENTIST DO??







  • Dentist will first clinically examine your mouth (whether the bone or tooth is broken)
  • Arrest bleeding
  • Relieve your pain with local anaesthesia
  • Tetanus immunization
  • Dentist will flush your dirt in socket with saline
  • Clear the dirt in knocked out teeth with saline




  • Re-position or Re- implant the tooth in socket within 1 hour





  • Dentist will splint your knocked out teeth with adjacent tooth 
  • Dentist will advise you to intake cold and soft diet
  • Dentist will provide you mouthwash










WHEN CAN THE SPLINTING BE REMOVED??

  • Once root is firmly attached to bone,Splint removal is decided by your dentist depending upon the range of injury,
  • normally, if bone around the tooth was not fractured then your dentist will advise you to remove splint in about 3 to 4 weeks
  • If bone around the tooth is damaged, then your dentist will advise you to remove splint in about 6 to 8 weeks.
DOES ALL AVULSED TEETH REQUIRE ROOT CANAL TREATMENT (RCT)?

  • YES,When a tooth has been knocked out of the socket,the blood vessels,nerves and supporting tissues are damaged,which cannot be repaired.Hence all knocked out teeth requires root canal treatment.
  • After splinting root canal treatment is completed within 2 months.

WHAT HAPPENS IF THE TOOTH IS NOT REPLACED WITHIN 1 HOUR?

  • Within 1 to 2 hours the cells will begin to die.
  • Rejection of the tooth by the body at a later time is a usual process.
  • Once the root cells are dead our boy immunological response begins to reject it, by eating the dead root cells along with root.hence root gets resorbed. It is slow,non painful,cannot be viewed in x rays for years.
  • This can cause development problem in growing children,attaches the tooth firmly to the jaw bone,stops normal tooth eruption and impedes normal jaw growth.


                                                  Total resorption of root in a avulsed tooth

For more details visit us at www.gumsandteeth.in
427/200B Gums and teeth laser dental clinic
Mambakkam main road
Medavakkam
Chennai 600100

Ph 9962497766