Emergency Management of Dental Traumas
MDS Member Researcher(s) Include: Isabelle Chase, DDS
Abstract:One of the most common oral injuries that occur in the child or adolescent involves the avulsed tooth. There has been an increase in the numbers of these injuries worldwide to sports activities, and some of the newer recreational activities (skate-boarding, trampoline jumping etc). Worldwide there are 5.8 million cases of trauma per year. Male patients are 2/3 of victims, hospitalizations have increased thirty-fold and emergency room visits have increased 300-fold.
Although this is a common problem for all types of dental practices, many injuries occur after hours or on weekends when most dental practices are shut. Therefore many cases present to the Emergency Room, where there are no dental staff present. It is incumbent on the medical staff to have an understanding on how to diagnose dental injuries, manage them and make the appropriate referral to a dental practitioner
There are several injuries that can occur to the oral area (soft tissue, fractures to the teeth, luxations, avulsions), this first resource will focus on how to deal with avulsions. An avulsion of a tooth occurs when the tooth gets knocked out the socket. Typically this occurs to the central incisors, and the maxillary teeth are affected more than the mandibular teeth.
The objectives of the resources developed (powerpoint, problem based learning case and video) are to teach the student/practitioner how to provide first-line management for stabilizing oral injuries, specifically the avulsed tooth, to the point of referral.
Full Article:MedEdPORTAL; 2013