SmilER 102: Dental Trauma

The traditionally-taught Ellis classification system is falling out of favor. More recently, fractures of both primary and permanent teeth are classified as either uncomplicated or complicated fractures. A fracture is defined as complicated if it involves the pulp.

  Trick of the Trade: Dental Avulsion and Subluxation

Dermabond (2-octyl cyanoacrylate) and N95 Nasal Bridge Technique... Although originally described for dental avulsions, I have also used this technique to stabilize subluxations. This is temporizing fix until the patient can get to the dentist for a definitive repair.

 Dental Trauma… In a Rush

If this is a primary tooth… give it to the tooth fairy and have them follow up with a dentist for a space filler.

 EM in 5: Dental Fractures

Today we cover dental fractures, with more core concept readings provided with links at the end. Enjoy the video!

 Managing Dental Trauma in the Emergency Department

Dental trauma may include any of the following: a) Fracture, b) Sub-luxation (loose, but not displaced), c) Luxation (loose and displaced), d) Intrusion (driven apically into the socket), e) Complete Avulsion (separation from the socket/or alveolus).

 Mastering Minor Care: Dental Fractures

When evaluating dental trauma, the mouth and face should be thoroughly inspected so that other traumatic injuries are not missed.

 Pediatric Dental Trauma

Traumatic dental injuries occur with great frequency in today’s children. Reports show that 25% of school children experience dental trauma. One of the most common dental injuries in baby teeth are luxation injuries, when the teeth is displaced. Another common injury in permanent teeth is a fracture.

 Peds - Dental Trauma

Unlike an permanent tooth, an avulsed primary tooth should not be replaced! Most important question to ask: “Where is it?” If location isn’t know, consider Intrusion or Aspiration of it.

AAP’s New Dental Trauma Guidelines Help Parents And Physicians Before Dentists Step In

The new American Academy of Pediatrics guidelines on managing dental trauma are intended for doctors who need to be prepared when kids show up with serious dental injuries, but they also offer helpful information for parents who need to act quickly when a tooth is broken.

Athletic Mouthguards: Indications, Types, and Benefits

More than 5 million teeth are avulsed each year due to sports injuries and trauma,1 and in certain cases these avulsions can be attributed to the absence of a mouthguard or to improperly fabricated and fitted mouthguards.

First Aid for Common Tooth Injuries

Playing sports without a mouthguard, biting down on something hard, grinding your teeth…these are common ways you can chip, crack, loosen or lose a tooth. The steps you take following such a dental injury will depend on the type and extent of the damage...

N.C.A.A. Players Ignore Advice on Mouth Guards, Often at Their Own Peril

Dentists like Knowlton and Padilla have tried to emphasize that advice for decades. They explain that the risk of not wearing a mouth guard is greater than just losing a tooth or two. It could be bone damage to the jaw, tears in the gums and the lips or other tissue damage. Injuries often require a root canal or an implant procedure. All could be avoided with a simple polymer strip.

Quick Solutions for 7 Common Dental Injuries

You are with your family enjoying a day at the zoo and then it happens…your child trips running to see the prairie dogs and ends up with a mouth injury. What do you do?

Tongue Blade Test

Do you need to obtain a CT scan for every patient with a potential jaw fracture? Watch this quick video as Dr. Anand Swaminathan and Dr. Salil Bhandari teach how you can easily identify which patients to scan and which not to with this simple bedside test using a tongue blade. Fifteen seconds at the bedside will save you hours of patient care time.

Dental Emergencies: Management Strategies That Improve Outcomes

This issue provides a systematic review of the literature on common acute traumatic and atraumatic dental emergencies with a focus on the historical and physical examination findings...

Dental Injuries By The Numbers

Dental injuries are very common in sports, borderline inevitable, but they're also one of the easiest injuries to prevent.

Emergency Department Management of Dental Trauma: Recommendations for Improved Outcomes in Pediatric Patients

Nearly 50% of children will experience dental trauma by the age of 4 years. Timely and effective care is important in the management of dental injuries, as several studies have shown poor outcomes with delayed treatment.