Traumatic Dental Injuries
While children are the ones who mostly suffer traumatic dental injuries, it can affect anybody regardless of their age. These injuries usually occur as a result of bad falls, automobile accidents, or sports mishaps. If you’ve suffered from a traumatic dental injury you are advised to see your endodontist in order to assess the situation and determine the type of treatment. Any dental injury (severe or mild) needs to be immediately assessed by an endodontist or a dentist. Sometimes, surrounding teeth could suffer an additional, unnoticed injury that can only be detected during a dental checkup or dental exam.
Fractured Teeth or Chipped
Chipped teeth are responsible form most dental injuries. Most fractured or chipped teeth can be fixed by either placing a tooth-colored filling or reattaching the broken piece. If a significant part of the tooth crown is broken and has fallen off, the tooth may be repaired using an artificial crown.
Most of the time, injuries that occur in the back teeth include cracked teeth, fractured cusps, or a more severe split tooth. For cracks that extend deep into the root, a full coverage crown and root canal treatment may be required to restore the tooth. Extraction may be needed to treat split teeth.
Dislodged (Luxated) Teeth
A tooth may be pushed into its socket or sideways during an injury. Your endodontist can help you stabilize and reposition your tooth. For dislodged permanent teeth, root canal treatment is often required and should commence a couple of days after the injury.
Children between seven and twelve years of age may not require root canal treatment, as teeth are not fully developed. Your endodontist will keep an eye on the healing process and take necessary action if there is any unfavorable change.
Knocked-Out (Avulsed) Teeth
If a tooth gets knocked out of your mouth completely, it should be handled with a sense of urgency. You should quickly handle the tooth carefully and make sure you do not touch the root surface. Quickly rinse it in water if it is dirty. Never brush the tooth and do not clean it with soap or any other cleaning agent. Try placing the tooth back into its socket quickly if possible. The more time the tooth spends outside its socket, the lower the chance of it being saved.
After placing the tooth back in its place, it will be assessed to see if there are any other facial or dental injuries. On the other hand, if the tooth has not been returned to its socket, it will be cleaned and replaced by your endodontist, who will also place a stabilizing splint for a couple of weeks. Your endodontist may commence root canal treatment within the next two weeks depending on the stage of root development.