Having an accident that causes a tooth to come out (avulsed) is definitely a dental emergency. An avulsed tooth may be experienced by a child or an adult on a primary (baby) or permanent adult tooth. If avulsion occurs on a permanent tooth, it is sometimes possible to save it, but it is important to act quickly. A Mountain View area dentist should be located as soon as possible. Some patients who have had an avulsed tooth re-implanted within 30 to 60 minutes of their accident have successfully maintained the tooth. When a tooth is out of the mouth for a long period of time it is likely to dry out and not be salvageable. Mountain View patients who have had an accident and lost a tooth are invited to call Dr. Antonious for the treatment of their dental emergency.
A visit to a Mountain View area emergency room may be necessary if an open dental office cannot be located in time. This may be the case at night, during weekend hours, or during a holiday.
Common causes of tooth avulsion are sports related injuries, fighting/combat, falls, and auto accidents.
If your tooth comes out, avoid touching its root. Hold the tooth by the crown only. If there is dirt or debris on the tooth, it may be gently wiped with a clean, wet piece of cloth, gauze, tissue, or paper towel. Placing the tooth in a container with milk, or saline, or water may prevent it from drying out.
Some dentists want their patients to leave the wound alone until they arrive at their dental emergency appointment, while other dentists suggest that patients place the tooth back into the socket themselves, and then immediately leave for their dental appointment. If you do attempt to re-insert your avulsed tooth, be sure to wash your hands first. A dental emergency visit to a Mountain View area dentist will still be necessary in this case. Feel free to call us.
If the avulsed tooth is unbroken, and the surrounding bone is not damaged, the dentist will try to re-insert the tooth. A splint will be placed that will attach the avulsed tooth to the teeth on each side. The splint will stabilize the tooth and give it the best chance of healing. Filling material like composite resin and wire are frequently used to splint teeth. You should avoid eating with the splinted tooth. Biting on it would likely be uncomfortable and would jeopardize its ability to heal.
Root canal therapy most likely will be necessary on the tooth after the implantation is proved to be successful. Once anesthetic is given and you are numb, the dentist will remove the blood vessels and nerve from the tooth. The inside of the tooth will be cleaned. The canal of the tooth can then be filled. A strong filling will be placed to seal the area used to access the tooth. A crown is frequently recommended for root canal treated teeth.
During future examinations, the dentist will continue to monitor the health of the re-implanted tooth. X-rays will periodically be taken to evaluate the integration of the tooth back into the surrounding bone.