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.
- 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 & Implant Centre
I – 101, Ashok Vihar,
New Delhi -110052
Clinic: 011-42464041, +918527017175