Posts for tag: dental injury

By Sarah J. Morris, DDS, PLLC
June 16, 2018
Category: Oral Health
Tags: dental injury  
JuneIsNationalSafetyMonthBePreparedforDentalEmergencies

The National Safety Council has designated June as National Safety Month. A key component of staying safe is being prepared for emergencies, and this includes dental emergencies. Would you know what to do if you suffered any of the following dental mishaps?

Chipped tooth: One common dental injury is a chipped tooth. If this happens to you, save the missing chip if possible because we may be able to bond it back onto the tooth—but don’t be tempted to glue the chip back on by yourself! However, even without the missing chip, the tooth can most often be repaired with bonding material.

Cracked tooth: If you crack a tooth, rinse your mouth with warm water. If it is bleeding, hold a clean washcloth or gauze to the area until the bleeding stops, but don’t wiggle the tooth around or bite down hard. Keep in mind that the sooner your tooth is repaired, the better. Depending on how bad the crack is, if the tooth can be treated, it will most likely continue to function pain-free for years to come.

Displaced (“luxated”) tooth: If an injury causes your tooth to become loose, shoves it sideways or pushes it into or out of its socket, don’t try to force the tooth back into position on your own. Instead, call the dental office right away and leave it to us to bring the tooth back into its proper place and determine the extent of the injury.

Knocked out tooth: If a permanent tooth is knocked out of your mouth, pick it up without touching the root and rinse it off with cold water, but do not scrub. For the best chance of saving the tooth, place it firmly back in its socket within five minutes and hold it in position for a few minutes. If this is not possible, keep the tooth between your cheek and gum or in a glass of cold milk so that it doesn’t dry out. Call the dental office immediately.

If a baby tooth is knocked out, there is no need to place it back in the socket since baby teeth are not reattached. However, it is still important to have us examine the injury.

Being prepared for dental emergencies can help save a tooth as well as avoid more costly dental treatment down the road. But no matter what type of dental injury you have, it is important to come in for a consultation as the injury may extend beyond the part of the tooth that is visible. With today’s materials and technology, there’s a very good chance your smile can look as good as before—and often even better!

If you have questions about dental injuries, please contact our office or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Trauma and Nerve Damage to Teeth” and “Artistic Repair of Front Teeth with Composite Resin.”

By Sarah J. Morris, DDS, PLLC
June 09, 2016
Category: Dental Procedures
Tags: dental injury  
AChildsDamagedToothmayrequireaDifferentApproachthananAdults

A traditional root canal procedure can be a “life-saver” for a decayed or injured tooth. But while it’s usually the best course for a damaged adult tooth, variations of the procedure are advisable for a new permanent tooth in a child or young adolescent.

This is because the inner pulp, the focus of the treatment, plays an important role in a young tooth’s development. When it first erupts a tooth’s dentin layer, the living tissue that makes up most of the body and roots of the tooth, hasn’t fully formed. The pulp increases the dentin layer over time in conjunction with jaw development.

Because a full root canal treatment removes all of the pulp tissue, it could interrupt any remaining dentin development in a young tooth. This could lead to poorly-formed roots and a less healthy tooth. For an immature permanent tooth, then, we would use variations of a root canal treatment depending on the nature and extent of the injury, the patient’s overall health and medications they may be taking.

Our main objective is to expose or remove as little of the pulp tissue as possible when treating the tooth. If the pulp hasn’t been exposed by the decay or injury, we may only need to remove the softened decayed or injured dentin while leaving harder dentin nearer the pulp intact. If, however, the pulp has become partially exposed by disease or injury, we would then perform a pulpotomy in which we remove only the exposed tissue and then place calcium hydroxide or mineral trioxide aggregate (MTA) to stimulate dentin growth that will eventually patch the exposure site.

In cases where decay or injury has rendered an immature tooth’s pulp tissue unsalvageable, we may use a procedure known as apexification that seals off the open, cylindrical root end of the tooth. This will allow bone-like tissue to grow around the root to serve as added support for the tooth. Although it can save a tooth in the short run, the tooth’s long-term survival chances may be lower.

By using these and other techniques we may be able to save your child’s immature tooth. At the very least, such a technique could postpone replacing the tooth until a more opportune time in adulthood.

If you would like more information on treating damaged teeth in children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Saving New Permanent Teeth after Injury.”

By Sarah J. Morris, DDS, PLLC
October 21, 2013
Category: Oral Health
DentalInjuriesinSportsATrueFalseQuiz

Everyone knows that football players and boxers wear mouthguards to protect their teeth from injury — in fact, it's thought that this essential piece of protective gear was first developed, around a century ago, for the latter sport. But did you know that many other athletic activities carry a high risk of dental injury?

How much do you know about dental injuries in sports? Take this quiz and find out!

True or False: Of all sports, baseball and basketball are associated with the largest number of dental injuries.

True. While these games aren't categorized as “collision” sports, the damage caused by a flying elbow or a foul ball may be quite traumatic. Tooth damage or loss can create not only esthetic problems, but also functional problems, like difficulty with the bite. Missing teeth can also be expensive to fix — running up a lifetime tab of some $10,000 - 20,000 if they canâ??t be properly preserved or replanted.

True or False: In general, oral-facial injuries from sports decline from the teen years onward.

True. Sports-related dental injuries, like other trials of adolescence, seem to peak around the teenage years. It's thought that the increased skill level of participants in the older age groups reduces the overall incidence of injury. But there's a catch: when dental injuries do occur in mature athletes, they tend to be more serious. So, protecting your teeth while playing sports is important at any age.

True or False: Over 80% of all dental injuries involve the upper front teeth.

True. For one thing, the front teeth areâ?¦ in front, where they can easily come in contact with stray objects. An individual's particular anatomy also plays a role: The more the front teeth “stick out” (referred to as “overjet” in dental parlance), the more potential for injury. In any case, theyâ??re the most likely to be damaged, and most in need of protection.

True or False: Your chance of receiving a dental injury in non-contact sports is very slim.

False. Even “non-contact” athletes moving at high rates of speed can be subject to serious accidents. Activities like bicycling, motocross, skateboarding, skiing and snowboarding all carry a risk. The accidents that result can be some of the most complicated and severe.

True or False: An athlete who doesn't wear a mouthguard is 60 times more likely to suffer harm to the teeth.

True. This figure comes straight from the American Dental Association. So if you want to reduce your chance of a sports-related dental injury, you know what to do: Wear a mouthguard!

What's the best kind of mouthguard? Like any piece of sports equipment, it's the one that's custom-fitted just for you. We can fabricate a mouthguard, based on a precise model of your teeth, that's tough, durable and offers the best level of protection. And, as many studies have shown, that's something you just can't get from an off-the-shelf model.

If you have concerns about sports-related dental injuries and their prevention, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Athletic Mouthguards” and “An Introduction to Sports Injuries & Dentistry.”

By Sarah J. Morris, DDS, PLLC
January 13, 2012
Category: Oral Health
FootballStarJerryRiceDiscussesDentalInjuries

Athletic activity can boost your health, but many sports also carry some risk — especially to the teeth. This is something NFL wide receiver Jerry Rice well knows.

“Football can be brutal — injuries, including those to the face and mouth, are a common risk for any player,” Rice noted in an interview with Dear Doctor magazine. In fact, Rice himself chipped a couple of teeth, which were repaired with crowns. “There wasn't a lot of focus on protecting your teeth in high school,” Rice recalled.

You don't have to be a legend of the NFL to benefit from the type of high-quality mouthguard a dentist can make for you or your child. Consider that:

  • An athlete is 60 times more likely to suffer harm to the teeth when not wearing a mouthguard.
  • Mouthguards prevent an estimated 200,000 or more injuries each year.
  • Sports-related dental injuries account for more than 600,000 emergency room visits annually.
  • Each knocked-out tooth that is not properly preserved or replanted can cause lifetime dental costs of $10,000 to $20,000.

You and/or your child should wear a mouthguard if you participate in sports involving a ball, stick, puck, or physical contact with another player. Mouthguards should be used for practice as well as actual games.

It's also important to be aware that all mouthguards are not created equal. To get the highest level of protection and comfort, you'll want to have one custom-fitted and professionally made. This will involve a visit to our office so that we can make a precise model of your teeth that is used to create a custom guard. A properly fitted mouthguard is protective, comfortable, resilient, tear-resistant, odorless, tasteless and not bulky. It has excellent retention, fit, and sufficient thickness in critical areas.

If you are concerned about dental injuries or interested in learning more about mouthguards, please contact us today to schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Jerry Rice, please see “Jerry Rice.” Dear Doctor also has more on “Athletic Mouthguards.” and “An Introduction to Sports Injuries & Dentistry.”



Dentist - Fort Worth
2551 River Park Plaza
Fort Worth, TX 76116
817-732-4419

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