Most Common Dental Emergencies among Kids

Yes, it is very distressing when your little child encounters a dental emergency. These accidents are extremely common among children at two points in their development. Firstly crucial is that period between 18 to 40 months when exploration begins, and the second being that of the preadolescent to adolescent stage when sports injuries happen.

So what are the most common emergencies to expect? Toothache is the most commonplace among children across all ages and doesn’t happen without reason. Most times, it’s due to tooth fractures, tooth decay, tooth trauma, and wisdom teeth eruption. A dental visit is in order. There’s what’s called a tooth avulsion or when a tooth gets knocked-out. Right away the dentist will attempt to reimplant the tooth if it’s a permanent one; otherwise not, if it is a primary (or baby’s) tooth, less it will only damage the emerging permanent tooth bud just after it.

Then there are occasions of tooth intrusion, or the tooth is pushed upwards into the jaw bone. The force might be great enough to tear the ligaments and fracture the socket. Whether it is a primary or a permanent tooth involvement, the dentist may perform root canal treatment to save the tooth.

Tooth luxation is a lateral displacement where the tooth remains in its socket but is unnaturally inclined.It might be due to trauma that could fracture the bone underneath. A primary tooth partially out of its socket will heal on its own. The dentist, though, should save a permanent tooth and prevent infection. A dental concussion occurs after a bang, knock or fall that may not displace any tooth and didn’t cause fracture. However, if it involves a toddler’s teeth, discoloration can occur.

Crown fractures, from enamel cracks to pulp exposure, are also common emergencies. The dentist will immediately treat according to the level of involvement. Root fractures are determined by X-rays and depending on the child’s discomfort, the dentist will monitor and treat, or extract the tooth in certain scenarios. Other conditions like fractured jaw, head injury or head trauma, and uncontrolled bleeding from cuts or injury to the cheek, lips or tongue require immediate medical attention. A trip to the Emergency Room of a hospital is in order.

Do You have a Child Dental Emergency?

Don’t be agitated or frightened. Just call your Issaquah dentist right away who will tell you what to do and properly guide you. Or drop by Meadow Creek Dental – emergencies are our priority.

Some people will never go to the dentist’s office unless they feel pain or sensitivity.

After all, people will think the pain will go away or take medication to decrease the pain. Why should they go through the effort if there’s nothing wrong with their teeth?

This is a very unhealthy mindset to have and is a concern for many dentists because this mindset, of many people, puts them at serious risk of debilitating dental problems.

Prevention is Key

The fact is that, when it comes to tooth decay, you’re most likely not going to feel any pain until your cavity has penetrated all the way to the soft pulp at the center of the tooth. Once this occurs, you’re past the point where you can benefit from a simple filling and will need a full root canal, which a bit more of a procedure, may cost more, etc.

Indeed, if you need a filling, the only way to know for sure is to have a dental x-ray. This is why it is so important to go in for a dental checkup every six months. Don’t make the mistake of assuming that your teeth are healthy just because you don’t feel pain, and always keep your routine appointments with our dentist in Issaquah.

Effects of Acid Reflux on Oral Health

Some patients have the common condition called GERD or gastroesophageal reflux disease, where stomach contents go up the esophagus from time to time usually caused by relaxation of the sphincter muscle of the stomach that prevents the escape. Doctors call it GERD or more informally as acid reflux. Some patients experience it several times a day while others, less often.

Stomach fluids are highly acidic and their passage up and down the esophagus causes some degree of burning sensation felt at the middle of the chest or the heart area. Hence, it is commonly called heartburn. Sometimes contents reach the top of the esophagus and into the mouth, referred to as a regurgitation. On the other hand, some patients don’t notice because they are symptom-free.

People who suffer from acid reflux also have tooth erosion and periodontal issues. Stomach acid, with a pH of 2 or 1, dissolves tooth enamel (pH of 5.5) on a day-to-day contact leading to thinning and weakening of the protective coating of teeth. It will soon expose the inner dentin and that is when a person with GERD will feel tooth sensitivity. If it goes on untreated, other symptoms can manifest, like bloating, burping, nausea, hiccups, difficulty swallowing, hoarseness and weight loss. It merits medical attention. Even brushing, flossing or mouthrinses may be unable to protect teeth.

Patients will feel tooth sensitivity to hot, cold and sweet drinks, gum and mouth irritation, sharp tooth edges, shortened or darkened teeth, especially the back molars. And even if you don’t notice the symptoms, and hence not go to your doctor-specialist, your dentist certainly will notice.

Regular Dental Visits Matter in Issaquah

That is why regular dental visitations can do you a lot of good. Over at Meadow Creek Dental, your regular visits can tell you not just the state of your oral health but your overall well-being as well. This comes from fresh oral examination every time you see us. Our experienced Issaquah dentist can tell you more about systemic conditions seen in your mouth.

Modifying Dental Treatment for the Mom-to-be

During a patient’s first trimester, the dentist resorts to a preventive care program. This means plaque control and oral hygiene instruction. Only cleaning can be done at this time, elective procedures are better postponed, though emergency needs can be considered. If it is absolutely necessary to have radiographs, the lowest dose possible exposure is allowed with no harm to the developing fetus. At this time its organs are forming and are most sensitive to radiation and chemicals.

From the second trimester through the first half of the third is the safest time for dental treatment. If the patient is under periodontal maintenance and preventive care, those can be continued. Simple restorative procedures may be done. No complex or elective dental care at this time.

To minimize hormonal gingival changes, scaling and prophylaxis may be repeated in the third trimester. Caution must be taken when seating the patient in the dental chair. Supine position can lead to loss of consciousness, not elevating the right hip will cause blood pooling in the legs. She must position herself on her side if feeling faint. Emergency dental treatment should be provided.

As far as medications go, lidocaine with epinephrine is safe, penicillin, clindamycin, and cephalosporins are safe antibiotics, acetaminophen is alright for most patients for pain, oxycodone is considered safe for severe pain. For analgesia, nitrous oxide is controversial but probably safe as long as there is oxygen administered as well.

Expectant Mom and Baby in Issaquah

Over at Meadow Creek Dental, we show concern for our pregnant patient’s well-being as well as her baby’s. It matters that the mother feels relaxed and have confidence in the treatment. It is best to avoid any dental emergency, but efficient, compassionate care reduces stress, says our Issaquah dentist.