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Dental injuries are one of the more common reasons for endodontic treatment. At Contemporary Endodontics, our Team of Endodontists specialize in the treatment of teeth with dental injuries. Some of the more common traumatic injuries are explored in-depth below.
Treatment depends on the type, location, and severity of each injury. When any dental injury occurs, the most important thing is to see your dentist or endodontist immediately. The success and prognosis of treatment for your specific injury is often time-sensitive.
Chipped teeth account for the majority of all dental traumas. The remaining conditions represent more serious problems, including dislodged and knocked-out teeth. Treatment depends on the type, location, and severity of each injury. When any dental injury occurs, the most important thing is to see your dentist or endodontist immediately. The outcome or prognosis for your specific injury often depends on how quickly you see your dentist.
Most chipped teeth can be repaired with a simple filling. Sometimes a chip will expose the pulp of the tooth when this occurs; root canal therapy is indicated. Injuries to the back teeth often include fractured cusps, cracked teeth, and the more serious split teeth. Cracks may or may not extend into the root. If the crack does not extend into the root, the tooth can usually be restored by your dentist with a full crown. If the crack does extend into the root and affects the pulp, root canal treatment is usually necessary for an attempt to save all or a portion of your tooth.
Your endodontist or general dentist may reposition and stabilize your tooth. Root canal treatment is usually started within a few weeks of the injury, and medication, such as calcium hydroxide, may be put inside the tooth. A permanent root canal filling will be placed at a later date. You should continue to have the tooth monitored periodically by your dentist to assure proper healing.
Sometimes a tooth is pushed partially out of the socket. Repositioning and stabilization of the tooth are usually necessary. If the pulp is injured, your dentist or endodontist may need to start root canal treatment. Medication, such as calcium hydroxide, may be placed inside the tooth and should be followed by a permanent root canal filling at a later date.
Injuries to the mouth can cause teeth to be pushed back into their sockets. Your endodontist or general dentist may reposition and stabilize your tooth. Root canal treatment is usually started within a few weeks of the injury and medication, such as calcium hydroxide, will be placed inside the tooth. Eventually, a permanent root canal filling will be implanted.
Sometimes a tooth may be pushed partially out of the socket. Again, your endodontist or general dentist may reposition and stabilize your tooth. If the pulp remains healthy, then no other treatment is necessary. Yet, if the pulp becomes damaged or infected, root canal treatment will be required.
If an injury causes a tooth to be completely knocked out of your mouth, it is important that you are treated immediately! If this happens to you, keep the tooth moist. If possible, put it back into the socket. A tooth can be saved if it remains moist. You can even put the tooth in milk or a glass of water (add a pinch of salt.) Your Endodontist may start root canal treatment based upon the stage of root development. The length of time the tooth was out of your mouth and the way the tooth was stored, may influence the type of treatment you receive.
An injured immature tooth may need one of the following procedures to improve the chances of saving the tooth: