Tooth Decay - Near You

Child Dental Emergencies

Uh-oh! A Dental Emergency! If a dental emergency should happen to your child, please remember to act quickly. Stay calm - a parent's apprehension can be transmitted to the child. Bring the child to us with the tooth replanted or kept moist in transit. We'll take care of you immediately.

A child, learning to ride a two-wheeled bicycled, loses her balance, falls, hits a rock and knocks out a front tooth. What do you do?

If the tooth is replaced in the tooth socket immediately, the chances are good that this tooth can be maintained for many years.

Do something and do it now

The success of this replantation procedure is directly related to how soon the tooth is replaced in its socket. If possible, just rinse the tooth with tap water and gently replace the tooth in its socket and come to the office. Otherwise, wrap the tooth in a clean, moistened cloth-or put it in a cup of water or milk-and get to the dentist, now. Never scrape the tooth or allow it to dry out.

Remember, time is of the essence

If the tooth is left out of the mouth for more than 30 minutes, the chance for successful replantation drops significantly.

We consider replantation successful if we can keep the tooth in position at least during a child's growth period. By maintaining the space, the replanted tooth prevents tipping of adjacent teeth. If it's necessary to replace the injured tooth, it's much easier to do it when the child is older - when all the permanent teeth are in.

The good news is that we have bonding and dental implant techniques today for tooth replacement-and new materials to fill in for a lost tooth.

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Medical and Dental Care Emergencies

The primary purpose of a patient visit to the dental office is to allow their doctor and/or dental auxiliary to perform a dental treatment that will aid in the improvement of their overall oral health. The primary goal of the doctor is to perform this treatment as effectively and as safely as possible. Patients give little thought to the possibility that some unforeseen medical emergency might arise in the period of time during which they are in the dental office.

Many of the things done by the doctor and staff prior to, and during, the dental treatment are done to minimize the risk of a medical emergency. For example, the medical history questionnaire, recording of blood pressure, and discussion of a patient's health history help to determine what potential risks might be present and enables the doctor to modify the planned dental treatment to minimize the potential risks. In many instances, the use of conscious sedation will be indicated as a means of decreasing stress associated with dental care. This is especially important in persons with cardiovascular diseases (such as high blood pressure or angina) who might be somewhat fearful of visiting the dentist. The use of effective drugs for pain control (such as local anesthetics) is yet another means of minimizing the risk of medical emergencies developing during treatment.

In the unlikely event that a medical emergency does occur while a patient is in the dental office, one should know that (it is highly likely) the doctor has received training in the management of medical emergencies that develop frequently.

Amongst the more commonly observed medical emergencies in dental offices are fainting, seizures, acute asthmatic attacks, allergy, and chest pain (angina).

Virtually all of these emergencies occur as a result of fear and anxiety. Therefore, it becomes very important for the patient to advise their doctor if they are apprehensive about their dental treatment. Steps usually can be taken which will prevent these situations from occurring.

Additionally, in many states it is mandatory for all dentists to be certified in basic life support (CPR) on a regular basis. In many dental offices, additional staff personnel are also trained in this very important technique.

Dental offices maintain an emergency supply of oxygen, as well as commonly used emergency equipment and drugs.

And finally, most dental offices are located in close proximity to their community's Emergency Medical Services (EMS) system (9-1-1). A telephone call activating this system will provide well-trained life-saving medical assistance within a few minutes.

By Stanley F. Malamed, DDS