Dental Emergencies
The divide between medical and dental care exacerbates inequity in access to care. Bridging this gap between medicine and dentistry is an imperative step to creating a more equitable health care system - Alexa Curt and Margaret Samuels-Kalow MD
image by: Genesis Dental Group
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How Should Emergency Department Clinicians Respond to Unmet Dental Needs?
The division between medical and dental care exacerbates health inequity and forces many with compromised access to seek oral health care in emergency departments (EDs). Since dentists are best positioned to offer quality care for most patients’ oral health problems, this commentary on a case suggests why ED clinicians should offer appropriate oral health referrals and resources to those they serve and why all health professionals should advocate for systems-level policy and organizational changes to increase patients’ access to oral health care.
Resources
Dental Postextraction Complications
Here, we discuss post-extraction complications — namely pain, dry socket, and bleeding.
Do It Yourself: Dental Emergencies
How to take care of dental emergencies in the ER without a dental consultant...
A True Dental Emergency
The treatment of patients with NTDP is often a nerve block and/or an opiate prescription. However, untreated (or under-treated) dental conditions can progress to serious infections, such as Ludwig's angina and cavernous sinus thrombosis. Despite the possibility of progression to these dangerous conditions, the EM literature is focused on curtailing opiate prescriptions, rather than focusing on interventions to treat the associated disease.
Dental Emergencies
Good reference... non trauma and trauma conditions
Episode 40.0 – Dental Emergencies
This week we delve into dental emergencies from infections to trauma as well as discussing dental anesthesia.
Management of severe acute dental infections
Antibiotics are ineffective in the treatment of pulpal pain evoked by hot and cold and are not appropriate in the absence of signs of spreading infection or systemic upset as they do not prevent the development of severe complications.
Management of severe acute dental infections
Antibiotics are ineffective in the treatment of pulpal pain evoked by hot and cold and are not appropriate in the absence of signs of spreading infection or systemic upset as they do not prevent the development of severe complications.
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).
Medical and Dental Emergencies
The combination of pain, stress, infection, and anesthesia use in the dental setting may contribute to medical emergencies.
Oral Nerve Blocks
Talk it up, but Don’t Sell it as a Cure All - I offer dental blocks to nearly all of my patients that present with dental pain. I think it is a highly effective way to immediately take care of the patient’s pain. When you are talking to your patient’s about the procedure, let them now that they could have up to 8 hours of pain relief but that every patient is different in the way they metabolize the anesthetic and the blocks themselves will have variable effectiveness
How Should Emergency Department Clinicians Respond to Unmet Dental Needs?
For example, when a patient sprains an ankle, the ED physician could refer the patient to a sports medicine clinic they frequently work with. Cultivating and reinforcing similar connections with dental practices would not only allow for better care for the patient, but also streamline the referral process.
EM Rounds
Dental fracture, avulsions, caries and postextraction bleeding... 70% of dental fractures in adults... Cover exposed dentin with temporary dental cement (Denttemp)
FOAMcast
We delve into core content on dental injuries using Rosen’s Emergency Medicine (8th edition) Chapter 70 “Oral Emergencies” and Tintinalli’s Emergency Medicine (8th edition) Chapter 245 “Oral and Dental Emergencies” as a guide.
Teaching Shift Series- Dental Emergencies
All possible intraoral/dental abscesses will rarely progress to Ludwig’s Angina, cavernous sinus thrombosis, or Lemierre’s Disease. Treatment is drainage and antibiotics are often recommended to cover oral flora but not well supported by evidence...
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