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Dental Trauma

Dental trauma is injury to any part of the mouth area including teeth, gums, tongue, jaw and lips. The common dental injury is broken teeth or even knocked out teeth. These can be caused by accidents, fights, scalding liquids and sports. The symptoms of dental trauma depend entirely on the type of injury that has occurred. Broken teeth can cause toothaches while a knocked out tooth can leave the gums swollen and bloody. Problems with the jawbone tend to be more serious and can sometimes lead to a misaligned jaw.

Classification of dental trauma:

  • Class I Primary (enamel fracture)
  • Class II Primary (dentin involved)
  • Class III Primary (pulp involved)
  • Class IV Primary (pulp necrosis)
  • Class V Primary (avulsion)
  • Class VI Primary (root fracture)
  • Class VII Primary (displacement)
  • Class VIII Primary - Coronal/Root Fracture

Treatment

Different types of dental trauma require different treatments. For soft tissue injuries such as cuts and swelling, cold compresses can reduce the swelling and the bleeding can be eased by putting pressure on the laceration. Sometimes stitches are required although with a lot of lip injuries, the lip has to be left to heal naturally. Painkillers can help with the pain. Broken teeth require the mouth to be rinsed out in order to clean the area. The sooner a dentist is visited, the greater the chance of saving the tooth. Dentists often advise people to hold on to the tooth or any broken bit after dental trauma, keeping them moist is essential. When the entire tooth has been knocked out, it is important to hold it by the crown rather than the root. After such a trauma, the dentist will try to save all of the teeth, although this is not always possible and sometimes an artificial crown or tooth is needed.

Dental trauma that leads to a broken jaw requires the jaw to be set back into its rightful position and may need wires to hold it into place. The healing process can take up to six weeks for this type of injury. It is important to see the dentist as soon as possible when the jaw has been broken as delays in treatment can result in a much longer and more painful recovery time. With any dental trauma, infections can easily set in and it is important to take care of the injured area and avoid further damage.

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