dental emergency


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dental emergency

an acute disorder of oral health that requires dental and/or medical attention, including broken, loose, or evulsed teeth caused by traumas; infections and inflammations of the soft tissues of the mouth; and complications of oral surgery, such as dry tooth socket.

dental emergency

An acute condition affecting the teeth, such as inflammation of the soft tissues surrounding teeth or post-treatment complications of dental surgery. It is best treated by a dentist. Nevertheless, the primary care physician and other health care professionals must be familiar with these emergency conditions and their management.
See: table SOURCE: Adapted from Comer, RW, et al: Dental emergencies. Postgrad Med 85(3):63, Feb. 1989.
ConditionSigns and SymptomsManagement
Periodontal disease
Periodontal abscessLocalized pain; swelling of gingivae; possible sinus tract; lack of response to percussion; periodontal pocketingCurettage to establish drainage; antibiotics; warm saline rinses; soft diet; referral to dentist
PericoronitisPain and generalized soreness; inflamed operculum over partially erupted toothIrrigation; warm saline rinses; gentle massage with toothbrush; antibiotics for fever and lymphadenopathy; referral to dentist for possible tissue excision or tooth removal
Necrotizing ulcerative gingivitisGeneralized pain; bleeding gums; fetid odor; generalized gingival inflammation; necrotic tissue; loss of interdental papillae; feverGeneral débridement; daily saline rinses; hydration; referral to dentist; antibiotics if necessary; dietary recommendations; rinse twice daily with 1.2% chlorhexidine; brushing and flossing after resolution
Primary herpetic gingivostomatitis (highly infectious)Gingival ulceration; fever; punctate lesions of gingivae and possibly dorsum of tongue; buccal mucosa, floor of mouth, lips; malaise; headache; irritability; lymphadenopathyRest; diluted mouthwashes; increased fluid intake; soft diet; topical analgesics; referral to dentist
Pulpitis and periapical problems
Reversible pulpitisSharp, transient pain response to cold stimuli; recent dental restorationAnalgesics; avoidance of thermal stimuli; referral to dentist
Irreversible pulpitisSpontaneous pain; persistent or lingering pain response to thermal stimuliReferral to dentist for removal of pulp and root canal therapy or extraction of tooth
Periapical inflammationAcute pain on percussionExamination for lymph node involvement, intraoral and extraoral; swelling; fever; analgesics; referral to dentist
Periapical abscessTooth sensitive to touch; tooth mobile; fever; swelling or sinus tract; possible fever if systemic involvementThorough systemic examination; incision and drainage; antibiotics; analgesics; warm water rinses; referral to dentist
Post-treatment complications
Alveolar osteitis (dry socket)Throbbing pain 2–4 days after extractionIrrigation of extraction site; sedative dressing (eugenol); analgesics; gauze packs, bone wax, ; referral to dentist
Tooth sensitivityImbalance when teeth contact; thermal sensitivity; pain on closing mouthReferral to dentist
References in periodicals archive ?
At the same time, dental emergency room visits are on the rise according to the Georgia Dental Association.
In studying county-level rates of emergency room visits for nontraumatic dental conditions in 29 states in 2010, researchers found that a higher density of dental providers was associated with lower rates of dental emergency room visits among Medicaid patients in rural counties, but not among Medicaid patients in urban counties, which is where the majority of dental-related emergency room visits occur.
I had a lady contacting me today and we are planning on setting up a small van for dental emergency in Calais in October.
Assist The State In Arranging For Back-up Dental Emergency Services Through Cooperative Agreements With A Dental Service, A Health Department Or Dentists In The Community.
Manal Al Halabi, Programme Director, Paediatric Dentistry, HBMCDM, explained that dental emergency care providers can ensure better outcomes for young patients when school nurses and physical education teachers are trained.
Dakota Dental provides comprehensive dental services including, but not limited to, preventative dental work, dental implants, dental care for kids, cosmetic dentistry, and dental emergency services.
For dental emergency cases on these days, patients can visit Umm Ghawlina Health Centre.
With regards to the knowledge of availability of dental emergency services, most of the respondents were aware of the "during working hours" services, however after-hour services were only known by the minority.
Ideally, we want to prevent this kind of dental emergency from ever happening, by educating parents about protocols for prevention and getting every child established in a dental home no later than by age one.
Dental Emergency Kit: During an earthquake a former EMT with a volunteer fire department fell through his buckled bedroom floor to his ground floor.
Historically, theater-wide dental emergency and dental treatment data had not been collected from a deployed environment.
A fully ready status means the Sailor is current in all medical categories and is not considered at risk to experience a dental emergency, thus deployable worldwide.