Avulsed teeth should be placed in:
A- Normal saline.
B- Cold water.
C- Milk.
D- Warm water.
Correct Response: C
Avulsed teeth should be immediately placed in milk. An avulsed tooth is the traumatic loss of a tooth. In addition to placing the tooth in milk, the tooth should only be handled at the crown and not the root of the tooth. These interventions preserve the tooth for reimplantation.
Dental avulsion can be induced (therapeutic avulsion) or spontaneous, following a shock (traumatic avulsion).
THERAPEUTIC DENTAL AVULSION:
This is the surgical procedure commonly called tooth extraction, during which the tooth is removed in its entirety (crown and roots).
Indications and progress:
This radical intervention, now rare, can be realized:
- when the usual therapies are inoperative (extensive carious lesions, coronary artery fractures, advanced periodontal disease, etc.);
- When the teeth are responsible for congestion or malocclusion (poor imbrication between the teeth of the upper and lower jaws interfering with chewing or causing infectious complications or aesthetic problems). Thus, in children, the definitive tooth can erupt when the milk tooth is still on the arch.
The extraction of the latter will often allow the correct repositioning of the evolving tooth;
- in case of orthodontic treatment;
- To prevent an infectious risk, before a surgical operation of the heart or a radiotherapy of cancers of the face, on the teeth constituting infectious centers.
Local anesthesia is usually performed. Anesthesia can be general when it comes to removing difficult included wisdom teeth, multiple teeth at the same time, or in front of too anxious patients or young children.
The gum around the tooth to be extracted is peeled off, then the tooth is removed.
The filling of the cell takes place from the clot. Depending on the complexity of the procedure, the condition of the tooth and the patient, antibiotics and anti-inflammatory drugs may be associated with the usual painkillers and mouthwashes.
Complications:
Uncommon in general, they can take the form of alveolitis (inflammation of the alveolus) or haemorrhage.
The teeth that have been extracted can be replaced by fixed (bridges) or removable prostheses, or by implants.
TRAUMATIC DENTAL AVULSION:
It is the dislodgement of a tooth after a shock.
In this case, the avulsion is sometimes accompanied by other lesions: fracture of the alveolar rim, injury of the lips.
The upper incisors of children aged 7 to 10 years are particularly exposed, especially if they occupy a position too anterior.
In an accident, it is always necessary, if possible, to recover the avulsed teeth; indeed, attempts are often made to re-implant them, although the prognosis is very uncertain.
It depends on the survival of the periodontal ligament, conditioned by 3 elements: the root of the avulsed tooth should not be scraped or cleaned; the tooth must be re-implanted very quickly (less than 1 hour) and kept in the meanwhile in physiological saline or milk; the treatment performed by the dentist must include restraint and preventive care of the root.
Adherence to these conditions as well as serious radiological monitoring for one year promotes the long-term maintenance of the reimplanted tooth.
A- Normal saline.
B- Cold water.
C- Milk.
D- Warm water.
Correct Response: C
Avulsed teeth should be immediately placed in milk. An avulsed tooth is the traumatic loss of a tooth. In addition to placing the tooth in milk, the tooth should only be handled at the crown and not the root of the tooth. These interventions preserve the tooth for reimplantation.
Dental avulsion can be induced (therapeutic avulsion) or spontaneous, following a shock (traumatic avulsion).
THERAPEUTIC DENTAL AVULSION:
This is the surgical procedure commonly called tooth extraction, during which the tooth is removed in its entirety (crown and roots).
Indications and progress:
This radical intervention, now rare, can be realized:
- when the usual therapies are inoperative (extensive carious lesions, coronary artery fractures, advanced periodontal disease, etc.);
- When the teeth are responsible for congestion or malocclusion (poor imbrication between the teeth of the upper and lower jaws interfering with chewing or causing infectious complications or aesthetic problems). Thus, in children, the definitive tooth can erupt when the milk tooth is still on the arch.
The extraction of the latter will often allow the correct repositioning of the evolving tooth;
- in case of orthodontic treatment;
- To prevent an infectious risk, before a surgical operation of the heart or a radiotherapy of cancers of the face, on the teeth constituting infectious centers.
Local anesthesia is usually performed. Anesthesia can be general when it comes to removing difficult included wisdom teeth, multiple teeth at the same time, or in front of too anxious patients or young children.
The gum around the tooth to be extracted is peeled off, then the tooth is removed.
The filling of the cell takes place from the clot. Depending on the complexity of the procedure, the condition of the tooth and the patient, antibiotics and anti-inflammatory drugs may be associated with the usual painkillers and mouthwashes.
Complications:
Uncommon in general, they can take the form of alveolitis (inflammation of the alveolus) or haemorrhage.
The teeth that have been extracted can be replaced by fixed (bridges) or removable prostheses, or by implants.
TRAUMATIC DENTAL AVULSION:
It is the dislodgement of a tooth after a shock.
In this case, the avulsion is sometimes accompanied by other lesions: fracture of the alveolar rim, injury of the lips.
The upper incisors of children aged 7 to 10 years are particularly exposed, especially if they occupy a position too anterior.
In an accident, it is always necessary, if possible, to recover the avulsed teeth; indeed, attempts are often made to re-implant them, although the prognosis is very uncertain.
It depends on the survival of the periodontal ligament, conditioned by 3 elements: the root of the avulsed tooth should not be scraped or cleaned; the tooth must be re-implanted very quickly (less than 1 hour) and kept in the meanwhile in physiological saline or milk; the treatment performed by the dentist must include restraint and preventive care of the root.
Adherence to these conditions as well as serious radiological monitoring for one year promotes the long-term maintenance of the reimplanted tooth.
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