Dry Socket

After Teeth Extractions

ALVEOLAR OSTEITIS or Dry socket is a complication where wound healing is altered that may occur following extraction of teeth if the initial blood clot is not formed or lost.

dry-socket

An improper wound healing results in exposed bone in the socket which is devoid of normal healing tissues (Clot), hence the name “dry socket.”It occurs three to five days after an extraction and is characterized by an increase in severe and throbbing pain.

Dry socket is treated by temporarily packing the site with eugenol, antibiotics and oral rinses. As the socket forms a new layer of the healing tissue the pain will gradually subside and the socket slowly fills in over the next 2-3 months.

  • In patients the risk for dry socket increases who smoke after extractions, too early vigorous rinses, forceful spitting, or use a straw to drink within the first 24 hour, which can disturb the initial blood clot formation.
  • Another major risk factor for dry socket is traumatic surgical procedures such as tearing the gum tissue, excessive manipulation of the extraction socket and aggressive drilling of the bone which ultimately will result in devitalized tissue with poor blood supply.

While the possible incidence of dry socket is between 1-3% data shows that no dry sockets were recorded after performing more than 150,000 extractions over the past 20 years.

THE SECRETS TO AVOID DRY SOCKET AFTER TEETH EXTRACTIONS:

  • Non-traumatic surgical techniques and procedures: This means no or minimal gum tissue flap, no or minimal removal of bone, use of irrigation, gentle handling of the tissues and atraumatic removal of teeth with ease.
  • Avoid rinsing or brushing: Any forceful rinsing or brushing immediately following a tooth extraction can cause dislodging of the blood clot leading to a dry socket. Do not rinse or brush within 24 hours of extraction then rinse gently for the next 1-2 days and more vigorously in the following days.
  • Do not use a straw: The use of a straw in the first 24 hours can also cause suction and dislodge the blood clot. Use a glass following liquid consumption.
  • Avoid smoking: Smoking creates suction in the mouth that can dislodge the blood clot. It also directly inhibits the normal healing physiology.
  • Do not spit: With blood and saliva accumulating in the mouth following an extraction you may be urging to spit that out. This action can disrupt the formation of blood clot and dislodge it. Instead of spitting let the accumulated blood and saliva drool down and wipe it gently with a gauze or tissue.
  • Keep firm pressure on the extraction site: The gauze should remain in place for at least 30-45 minutes after extraction. Constant and firm pressure helps to slow down the bleeding and stabilizes the formed blood clot.

HOW TO PREVENT DRY SOCKET

Dry socket (alveolar osteitis) is a wound healing complication that can occur following teeth extractions if the initial blood clot is lost. This results in exposed bone in the socket devoid of normal healing tissues, hence the name “dry socket.” It usually occurs three to five days after an extraction and is characterized by a sudden increase in severe and throbbing pain. Dry socket is treated by temporarily packing the site with eugenol, antibiotics, and oral rinses. As the socket forms a new layer of healing tissue the pain gradually subsides and finally the socket slowly fills in over the next 2-3 months.

The risk for dry socket increases in patients who smoke after teeth extractions, vigorously rinsing too early, spitting, or using a straw to drink within the first 24 hours—all of which can disturb the initial blood clot.

While the possible incidence of dry socket is between 1.5-2%, here at   Dr. Sachdeva’s Dental Implant Institute, Delhi, we have experienced no dry sockets after performing more than 6500 extractions over the past 13 years.

Platelet Rich Fibrin (PRF) as healing aid in extraction socket:

Platelet rich fibrin (PRF) is a fibrin matrix in which platelet cytokines, growth factors, and cells are trapped and may be released after a certain time and that can serve as a resorbable membrane, regulate inflammation and increase the speed of healing process.

It is a simple, natural and inexpensive technique for the production of leukocyte- and PRF (L-PRF) concentrates. It includes collection of whole venous blood (around 5 ml) in each of the two sterile vacutainer tubes (6 ml) without anticoagulant and the vacutainer tubes are then placed in a centrifugal machine at 3,000 rpm for 10 min, after which it settles into the following three layers: Upper straw-colored acellular plasma, red-colored lower fraction containing red blood cells (RBCs), and the middle fraction containing the fibrin clot. The upper straw-colored layer is then removed and middle fraction is collected, 2 mm below to the lower dividing line, which is the PRF. The mechanism involved in this is; the fibrinogen concentrated in upper part of the tube, combines with circulating thrombin due to centrifugation to form fibrin. A fibrin clot is then formed in the middle between the red corpuscles at bottom and acellular plasma at the top. The middle part is platelets trapped massively in fibrin meshes. The success of this technique entirely depends on time gap between the blood collection and its transfer to the centrifuge and it should be done in less time.

Tips: How To Get Your Child To Brush Teeth

Here we present you with few tricks to encourage your children to enjoy brushing:

  1. Let your child pick his toothbrush. They may be attracted by Color, cartoon theme or with those toothbrushes that light up when squeezed, so there are plenty of choices available in the market.
  2. Practice makes them perfect. Let your child enjoy the brushing of teeth of his favorite animated toothbrush. When he’s done with brushing, give him a chance to brush his teeth by himself. Make sure his teeth and gums are thoroughly cleaned.
  3. Show your child the brushing technique. You should show them how you brush your teeth if they refuse to brush. Children enjoy copying what their parents do and they can get engaged in taking care of his oral health.
  4. Add spice to the brushing routine. While they try to brush their teeth, sing and dance along!
  5. Give your kids chewable tablets that turn plaque into pink color, and playfully convince them to brush away the color with their toothbrush.
  6. Make him understand that each tooth of his pearls is important. Let your child give a nickname to each tooth and remind not to leave any tooth alone without brushing.
  7. Don’t forget to praise your child after he learns slowly to brush properly and reward him for a well done job.
  8. Let them choose the flavor of the toothpaste that appeal to their taste and be sure to use toothpaste that is specially made for kids.

 For more information, you can book an appointment at Dr Sachdeva’s Dental Aesthetic & Implant  Center I 101 Ashok Vihar Phase 1, Delhi- 110052

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Why Did My Dentist Recommend a Root Canal?

Inside the tooth, under the white enamel and a hard layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves and connective tissue, and helps to grow the root of your tooth during development. In a fully developed tooth, the tooth can survive without the pulp because the tooth continues to be nourished by the tissues surrounding it.

A root canal is a procedure that is recommended by your dentist in order to repair & save a badly damaged or infected tooth. This procedure involves removal of inflamed or infected pulp, careful cleaning & disinfecting it & then filling & sealing it with a material called gutta percha. The causes that affect pulp are a deep cavity approaching pulp, repetitive trauma to the tooth, a cracked tooth, faulty restoration.

Root canal is essentially a term that refers to the natural cavity that occurs within the core of a tooth. The nerve i.e. the pulp which is removed in the root canal treatment has no role in health & function of a tooth. Its only core function is to provide sensitivity towards hot & cold.

Why root canal treatment is recommended?

Pain: A toothache is the most common symptom of needing a root canal. The tooth may start to hurt spontaneously, in the middle of the night, or sometimes when the patient isn’t even using the affected tooth to eat or drink. The pain can progress to a very severe generalized headache that may cause the person to even forget what initially caused the pain. If the tooth is dead and has become abscessed, the patient will feel pain when he or she chews food or puts pressure on the tooth.

An Abscess:  may or may not produce swelling or bleeding around the tooth, and sometimes it causes significant swelling of the cheek, jaw, or throat. If this swelling is noticed, treatment needs are urgent.

It is very important, when feeling some pain around a tooth, to get a thorough examination with pulp vitality testing by a licensed dentist for a proper diagnosis.

What to expect during a root canal procedure?

  1. X-ray: If a dentist suspects you may need a root canal, he will first take x-rays to be certain of decay location.
  2. Anesthesia: Procedure is initiated with the administration of local anesthesia to the affected tooth.
  3. Pulpectomy: an opening is made & the diseased tooth pulp is removed.
  4. Filling: The roots that have been opened to get rid of the diseased pulp are filled with gutta-percha material & sealed off with cement.

 

Why Root Canal??

Saving the natural tooth with root canal treatment has many advantages:

  1. Efficient chewing
  2. Normal biting force and sensation
  3. Natural appearance
  4. Protects other teeth from excessive wear or strain

Modern endodontic treatment is very similar to having a routine filling and usually can be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances.

You can expect a comfortable experience during and after your appointment at Dr. Sachdeva’s Dental Institute.

Understanding Nursing Bottle Tooth Decay

  Understanding Nursing Bottle Tooth Decay

baby

 

Your baby teeth are important, but are also vulnerable to decay, so special care in their oral hygiene maintenance is must. Dentists recommend that parents should start brushing their baby’s teeth as soon as the first teeth erupt in their oral cavity.

 

Causes of Nursing Bottle Tooth Decay

baby-1

Nursing bottle tooth decay often affects upper front teeth, but other teeth may also be affected.

There are many factors which lead to tooth decay. One of the most common causes is prolonged exposure to sugar containing drinks. For our convenience, we often put our baby to bed with milk bottle or pacifiers especially at night, bacteria in the mouth thrive on this sugar & produce acids which eventually results in teeth decay.

 

Prevention of Nursing Bottle Tooth Decay

Baby teeth are very important for your baby to fulfill the form & function of teeth like smiling, chewing, & speaking also they are the placeholders for their permanent teeth. So it’s very important to implement good oral hygiene to prevent decay & lead a normal healthy life.

  • Parents must take care of their infants when it comes to bottle feeding & nutrition. Bottle & breast feeding must be refraining while the kid is in bed. Nocturnal bottle & breast feeding increases the likelihood of developing caries. However, parents must be certain that their infant finishes bottle feeding before going to bed.
  • After each feeding, parents must clean baby’s gums with a clean gauze pad.
  • In order to maintain proper oral hygiene, parents should begin brushing their child’s teeth, without toothpaste, as soon as the first tooth erupts in their oral cavity. Even if parents use toothpaste, use a fluoride-free one.
  • When all the deciduous/ baby teeth have come in, do not forget to floss them.
  • Parents must make sure that their child is getting enough fluoride, in order to prevent dental caries. In order to confirm whether you need a supplement, you can visit your dentist.
  • Schedule regular dental visits for interception & prevention of decay.

Proper preventive practices & heed towards infants & children can affix a halt to teeth decay.    

Written By Dr.Rajat Sachdeva                                 

10 Frequently Asked Questions about Caries

The world has almost 60–90% of teenagers and about 100% of adults suffering from dental cavities.

People often get confused about what to follow for their dental health and hygiene so here we present you some answers for the most often asked queries.

  1. None of my teeth hurt; does that mean I don’t have cavities?

There is no such evidence that proves relation between pain and cavity, which means that even though you might not experience any pain but cavities still are present. Smaller cavities are generally associated with sensitivity to cold or sweet as similarly with the wrong brushing techniques, teeth grinding, abrasive food or beverages etc. these conditions are present without any painful symptom but already in queue for dental care attention.

These conditions are treated with minimally invasive restorations at an early stage but if ignored, it is always going to deteriorate into a much painful and worse condition. It is always preferred to ask help from a dentist when a person suspects anything unusual and better get it treated earlier before you get more problems.

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  1. What happens inside cavity?

A cavity always starts with the enamel damage that gradually grows deeper into dentin. It takes a long time for an enamel damage to develop into a cavity. There is always time to prevent decay at initial stage.

When the decay reaches the deeper layers, it will form a cavity which needs to be cleaned and filled before it reaches pulp. If the pulp is affected, a person is going to have every symptom from sensitivity to cold, sweet, hot food to severe pain on biting.

  1. Does a decayed tooth ever heal by itself?

A cavity is a permanent destruction to the tooth surface caused by bacteria which will never heal by it-self. There’s one and only one thing a person can do is to visit your dentist and get it cleaned and filled to stop the further decay of the tooth. If a person wishes to wait to decide for the treatment, the caries would be progressing towards the pulp therefore creating more damage to the tooth.

In case if decay reaches the pulp, only one treatment is left which is root canal treatment in which the dentist removes the infected pulp and filling is done. If the damage is even more, then it goes for extraction.

  1. How a dentist treats a cavity?

Firstly the dentist cleans the decayed portion on the surface of tooth, after the surface is cleaned, the dentist fills the cavity with the filling material which are either self-hardening or cures (hardens) by light. Then the surface is shaped, finished and adjusted to a height which doesn’t hinder in biting.

  1. What does a dentist do to relive the pain?

A dentist always tries to num the pain using topical gel and sprays, followed by injections if needed. It is always advisable to tell your dentist about your discomforts and anxiety so that he could address them properly.

  1. What if a person has more than one cavity? How many appointment a person generally needs?

A filling normally takes about 20-30 minutes depending upon their size. It also depends on how a person is comfortable with opening their mouth for the time required for filling. The longer a person is comfortable with their mouth open, the less time it will take to fill the cavity

Also it depends on the number of cavities. A dentist always evaluates about the damage teeth has and the most damaged tooth is given the priority in such cases.

When crowns are concerned, they always take more than one appointment. In first appointment the tooth is shaped and prepared for the crown, and the impression is taken in that sitting and a temporary crown is given. One week later the new customized crown is ready to e bonded over the prepared tooth. Adjustments are done and patient is called for a follow-up and the patients if have any discomfort is corrected.

  1. Who needs a filling?

When a tooth has small fractures, it usually doesn’t require filling. May be polishing and minor shape adjustments are enough for that. Bigger fractures may require fillings and in some cases, crowns.

  1. Is the filling is as strong as natural tooth?

Small and mediums fillings are generally strong enough to withstand some amount of force. Bigger damaged tooth may require crown if adequate strength is needed. A big filling may also provide some strength but may not work well under tremendous pressure and might end up breaking and is some cases it breaks along with tooth. In such cases, the tooth is even more damaged than before. Therefore dentists generally prefer crown in such cases.

  1. Fillings last for how long?

Researches show that amalgam filling has survived over 12 years and composite fillings up to 9-10 years. Crowns and veneers can survive for at least 10-20 years and even longer depending upon the care taken. Studies have shown that a filling is safe after 8-12 years and crowns lasting for 30-40 years depending on the situation and the precautions taken.

  1. Should one expect soreness or pain after the treatment?

A person may feel slight discomfort for a few days after your tooth has gone under drilling and filling. The symptoms only last for few days or less.

The tooth may feel more sensitive if the cavity was large than usual. The symptoms will gradually fade away after certain time. In such cases monitoring the cavity is recommended for the symptoms and the healing.

Therefore it is important to visit your dentist regularly for dental check-ups and when you feel any discomfort and pain so that you can control the situation at the earliest to avoid the risk in future.

Soft Tissue Grafting

This is in preposition of a treatment planning of an appropriate surgical technique for increasing the width of the attached mucosa in order to maintain Peri-implant health.

The soft tissue around gingival being divided into gingival and mobile alveolar mucosa, the gingival width varies individually as 2-9 mm.There is a time-point to distinguish the peri-implant mucosa from the gingival around the teeth:  The peri-implant connective tissue has less number of fibroblasts & more collagen fibers’ as compared to gingiva.  The junctional epithelium is more permeable with scarce number of blood vessels than that of around the tooth. 

The peri-implant connective tissue fibers’ run in a parallel direction to the implant or abutment surface without being attached rather being perpendicular to the root cementum.

It has been concluded that presence of non-elastic collagen fibers’ in the connective tissue is responsible for keratinization. Based on findings, >2 mm of keratinized tissue is required for maintenance of healthy gingival tissues.However,around the dental implants, the crucial role of an adequate width of keratinized /attached mucosa for the clinical success is still controversial.

Recent studies have shown that lack of adequate width of Keratinized alveolar mucosa around dental implants is associated with more plaque accumulation, inflammation, soft tissue recession, attachment loss.

Since implant surgery includes one or two stage bone augmentation procedures, displacement of the mucogingival Junction does occur.hence, in order to regulate the width of keratinized attached mucosa, two different peri-implant soft tissue augmentation procedures can be concluded:

Increase in soft tissue volume using a sub epithelial connective tissue graft or soft tissue replacement graft

Enlargement of keratinized mucosa width by means of an apically repositioned flap/vestibuloplasty.

MAXILLARY SINUS LIFT

The tendency of the alveolar ridge to progressively resorb after tooth loss & typically poor quality of posterior maxillary bone, rehabilitation of this region with implant supported prosthesis has been challenging.

Anatomically maxillary sinuses are largest paranasal air cavities limited by six walls, separated from the nasal cavity, containing the neurovascular bundle & covering the tooth root by a Schneiderian membrane. The blood supply of the maxillary sinus is derived from the branches of maxillary artery, posterior superior artery, infraorbital artery & descending palatine artery. Anatomical knowledge of sinus vascularization is necessary to prevent bleeding complications during the sinus lift procedure.

Therefore, the surgical procedure of maxillary sinus lift has undergone considerable development & different variations with autogenous bone regarded as the preferred option.

Factors to satisfy the criteria for sinus augmentation are:-

-residual bone <10mm in height

-absent pathological condition/fibrous scars

-absence of multiple maxillary teeth & need for strong sinus floor for multiple implants

Preexisting local pathological conditions is an absolute contradiction to sinus lift procedure as grafting procedure can lead to fluid stagnation & exacerbated sinusitis.

At present there are two surgical approaches for maxillary sinus floor lift procedure.

First the lateral antrostomy (traumatic) being classical one described by tatum.The transcrestal approach has less morbidity but nevertheless it requires enough residual bone height for primary stability of implants i.e. prerequisite residual bone height should be >6mm to enable placement of implant 10mm in height. It is indeed a one stage procedure & less time consuming but as every procedure has its own pros & cons, its drawback is that only 2-4mm of bone height can be increased & its highly technique sensitive.

More recently, second approach i.e. crestal one (atraumatic or conservative) has been advocated by Summers using osteotomes.It includes same procedure as that of lateral approach with a crestal incision followed by full thickness flap raised & implant site prepared 1-2mm shorter than the subantral bone height using drills & osteotomes while in lateral approach antrostomy is performed using a round bur to create a U-shaped trapdoor on a lateral buttress of the maxilla.

The main advantage of this approach being less invasive procedure, improves the density of the maxillary bone allowing greater stability of implants which can be unproven if the residual bone height is <6mm.

Restoring edentulism with dental implants needs careful treatment planning especially in the posterior maxilla where the pneumatized maxillary sinuses can limit the amount of alveolar bone for implant placement. Hence maxillary sinus floor lift offers the most common & predictable preprosthetic procedures to address this problem.

Regards: Dr. Prof. Rajat Sachdeva

Director & Mentor

Dr.Sachdeva’s Dental Institute

www.sachdevadentalcare.com 

www.dentalcoursesdelhi.com

+919818894041, 01142464041

Occlusion is the key in Implants

Osseo integrated implant being the most sought after modality of treatment, optimal occlusion plays a key role in implant supported prosthesis. The probable reason for peri-implant disease or crestal bone loss & failure of implant prosthesis is occlusal overloading of implants.

This is a review to discuss the clinical guidelines for various occlusal schemes like balanced, group function, mutually protected occlusion. Appropriate occlusion is the foremost mandatory for long term survival of implants in absence of sound clinical situations. This is because poor occlusion increases the magnitude of mechanical stress & strains at the crestal bone.

Misch proposed implant-protective occlusion which states that by decreasing the occlusal forces increases the clinical success of implants & its prosthesis.

Keeping aside the conventional occlusal concepts, refinements proposed to reduce stress at the implant interface are

Ø Mutually protected articulation

Ø Implant body angle to occlusal load

Ø Crown height

Ø Quality of implant crowns

Ø Timings of Occlusal contacts

The biggest question of the hour is why occlusion is the most important factor? Since the periodontal ligament – mediated proprioception doesn’t occur with implants as in natural teeth; occlusal forces are to be carefully accomplished in order to regulate mandibular displacement.

Each of the prosthesis i.e implant supported prosthesis, tooth or tissue supported prosthesis exerts different range of forces in both the functional & resting movements. The implant supported prosthesis is designed as that of tooth supported single fixed partial prosthesis with an adequate interarch space with bilateral stability in centric occlusion & no interferences between retruded & centric position. In terms of posterior fixed implant prosthesis reduced inclination of cusps, narrow occlusal table, and increased proximal contacts provides stability to the restorations.

The current accepted paradigm shift is mid retrognathia-flat lingual incisal platform in skeletal class II div II, raise vertical dimension at occlusion to flatten anterior guidance in skeletal class II Div II, to slightly disocclude posterior or mild anterior disocclusion in skeletal class III.

In cases of natural dentition little degree of flexibility is acceptable but in implants the flexibility degree is supposed to be decreased to zero for the success of prosthetic rehabilitation.

Dr. Prof. Rajat Sachdeva

Director & Mentor

Dr.Sachdeva’s Dental Institute

I-101 Ashok Vihar Phase 1 Delhi 110052

www.sachdevadentalcare.com

www.dentalcoursesdelhi.com

+919818894041,01142464041

FROM NO TEETH TO CHEWING WITHIN 72 HRS

Nowadays increase in patient’s demand in terms of good quality of life & appearance makes it necessary for the dentists to aim for a dental prosthesis which restores the speech, health, functional, esthetic requirements. Dental implants have surfaced as a promising option for this objective.

Firstly introduced into the market evolving from conical to cylindrical surface, self drilling to sand-blasted and acid etched surface treatments, immediate implants and loading in fresh sockets after extraction has a success rate proportionate to that of implants introduced under mainstream protocols, if the surgical site meets the prerequisites.

 Immediate implants prefer precise preparation of the osteotomy site. The required primary stability allows vital  bone  to  be  in  contact  with  the  implant  surface  facilitating  immediate  loading. With new age advancements in implant designs and surface modifications treatment time have been reduced.

Henceforth the beau ideal has thus repositioned from “No load on implants during osseointegration” to “No micro movements of implants”. Immediate loading loads the implant with a provisional crown at the same appointment or shortly later eliminating the second stage implant surgery. The advantages of placement of a temporary restoration as an immediate loading of dental implants include:  greater acceptance of patients, better esthetics, function, most importantly reduced treatment time. Immediate loading of implants refers to a superstructure being attached to the implants no later than 72 hours after implant placement. Misch stated immediate occlusal loading within 14th days of implant insertion. The terminology ‘non-functional immediate loading’ and ‘immediate restoration’ are used when prosthesis is fixed to the implants within 72 hrs without establishing full occlusal contact with the opposing tooth.

 The criterion for success of Implants includes primary implant stability, quality & quantity of cortical & trabecular bone, surgical technique, occlusal factors, implants design surface textures & design.

As per the procedure at the time of first stage of surgery, the implant is inserted into the socket.  After implant insertion the final abutment is positioned. Final abutments are formulated intraorally for appropriate height & parallelism. The transitional prosthesis is accessed for harmonious occlusal contact in centric occlusion. This is followed by impression with additional silicone to record implant body position. After the impression, the abutments are removed from the implant body and replaced with gingival former/healing abutment/healing cap. The laboratory inserts the implant body analogs into the impression, pours the impression with die stone, and prepares the abutment to fabricate a transitional prosthesis.

Further, the surgical procedure can be accomplished without flap, decreasing morbidity and surgical procedures patients require reducing undermining esthetics.

Regards :

Dr. Prof. Rajat Sachdeva

I-101 Ashok Vihar Phase 1 Delhi 110052

http://www.sachdevadentalcare.com/institute.html

WHAT TO DO- IN DENTAL EMERGENCIES FOR CHILDREN

                                                                      By.Dr Rajat Sachdeva

Mouth injuries are common, especially in children, and may involve the teeth, jaw, lips, tongue, inner cheeks, gums, roof of the mouth (hard or soft palates), neck, or tonsils. Teeth may be injured during a fall or a sport activity. A tooth may be knocked out (avulsed). You may be not able to replace a permanent tooth in its socket (reimplant) if it has been knocked out or torn away from the socket. Immediate first aid and dental care are needed when a permanent tooth has been knocked out.

  An injury could crack, chip, or break a tooth, or make a tooth change color. A tooth also may be loose or moved in position (dental luxation) or jammed into the gum (intruded). Even a small cut or puncture inside the mouth may bleed a lot because there are many blood vessels in the head and neck area. Home treatment of minor mouth injuries can help stop bleeding, reduce pain, help healing, and prevent infection.

 Symptoms to be noticed

  • Presence of any cut or punctures or tears of soft tissues inside your mouth.
  • Change in colour of tooth after injury.
  • Any knocked out, loose or moved tooth.
  • Check for any crack, break or chip tooth or dental appliance.
  • Any sign of infection.

 FIRST AID AT HOME

Call your doctor and arrange for an appointment and ask what steps to be taken in the meantime.

  • Bleeding in your mouth;
  • Return any skin flap to its normal position. If necessary, hold the flap in place with a clean cloth or gauze. Apply acold compress to the injured area, or suck on a piece of ice or a flavored ice pop, such as a Popsicle, as often as desired.

 If your tooth that has been completely knocked out:

  • The best results occur if a dentist puts the tooth back in the socket within 30 minutes. Chances of successful reimplantation are unlikely after 2 hours.
  • Never touch the tooth root, hold it with its crown portion.
  • Media used to carry an avulsed tooth: best media is patient’s own oral cavity but this is not possible in children as they may swallow.
  • Milk is other good option to carry tooth to the dentist or you may collect child’s own saliva in a container and put a knocked tooth.
  • Check for any broken tooth piece or dental appliance:
  • Find any pieces of tooth or the broken dental appliance and take them with you when you go to see your dentist. Your dentist will want to check for missing pieces of tooth or dental appliance that may have been left in a wound, swallowed, or inhaled into the lungs (aspirated).

 Try a nonprescription medicine to help treat your pain:

  • Talk to your child’s doctor before switching to painkillers, like acetaminophen or ibuprofen.
  • To protect a slightly loose tooth:
  • Teeth that are slightly loose but still in their normal position should tighten up in 1 to 2 weeks.
  • PREVENTION
    • Eat a diet of soft foods for 1 to 2 weeks.
    • Be gentle when you brush or floss.
    • Wear a mouth guard or face protection if you participate in sporting activities.
  • To remove objects or food stuck between teeth
  • Use dental floss to remove objects or food stuck between your teeth. Guide the floss carefully between your teeth and avoid “snapping” the floss, which can cut your gums.
  • Do not use anything sharp to remove an object that is stuck between your teeth or under your gums.

GUIDELINES TO PREVENT YOUR CHILD FROM MOUTH AND DENTAL INJURIES:

  • Have regular dental checkups. If your gums and teeth are healthy, you are more likely to recover from an injury quickly and completely. For more information, see the topic Basic Dental Care.
  • Use a seat belt to prevent or reduce injuries to the mouth during a motor vehicle accident. Always place your child in a child car seatto prevent injuries.
  • Wear a mouth guard while participating in sports. A mouth protector can be made by a dentist or purchased at a store that sells athletic supplies.
  • Wear a helmet and face guard in sports during which a face, mouth, or head injury could occur.
  • If you wear an orthodontic appliance, such as a retainer or headgear, follow your orthodontist’s instructions about proper wear and care of it. Learn as much about your orthodontic appliance as you can.

Dr. Rajat Sachdeva
Dr. Sachdeva’s Dental Aesthetic &amp; Implant Centre
I – 101, Ashok Vihar,
New Delhi -110052
Mobile: +919818894041

Clinic: 011-42464041, +918527017175

http://www.sachdevadentalcare.com/