Kathleen S. Boyd, DDS, MS

640 Statesville Blvd., Suite 3
Salisbury, NC 28144

(704) 637-3636
(704) 637-3184 fax
kboyd@kbendo.com

Traumatic Endodontic Injuries

Traumatic_Endodontic_Injuries

Cracked Tooth

With the advancements in modern medicine, people are living longer, thus exposing their teeth to more years of chewing, clenching and grinding. Cracks and fractures are becoming more common, but unfortunately these cracks do not show up well on X-rays, making them harder to discover. Typical symptoms of a cracked tooth include pain while chewing, sensitivity to hot and cold temperatures or release of biting pressure.

All cracked teeth do not hurt, but there are many reasons why one does. When chewing, the cracked or broken part of the tooth moves separately from the tooth, and this agitates the tooth’s pulp. The pulp tissue can also be damaged because of the depth of the crack, causing the tooth to constantly hurt. Pain can also be a result of the tooth coming in contact with hot or cold foods and beverages.

A cracked tooth can be saved and repaired, but it depends on the depth of the crack. Repairs includes anything from a restoration or crown being placed to a root canal procedure coupled with the placement of a crown.

Dislodged Teeth

Mouth traumas can cause teeth to be moved. Teeth can be pushed further into the tooth socket or pulled farther out of the socket. When either of these things happen, please call your general dentist immediately. Your tooth will need to be repositioned properly as soon as possible. If there is significant pulp damage, you might be recommended to our office for a root canal.

Avulsed Teeth

An avulsed tooth is one that has been completely knocked out of its socket. With this injury, the first hour afterward is critical, having the best chance of saving the tooth. The chance of saving the tooth decreases with each passing hour.

After the tooth has been knocked out, recover the tooth, making sure to hold it by the crown (top) and not the root end. Rinse, but do not clean or handle the tooth more than necessary. Reinsert the tooth in the socket and hold it in place using a clean piece of gauze or cloth. If the tooth cannot be reinserted, carry it in a cup containing milk or water. Because time is essential, see a dentist immediately. He or she will reinsert the tooth, and after 1-2 weeks, you will need endodontic therapy.

Apexogenesis, Apexification, Resorption

Endodontists are highly trained and have specialized in treating various traumas to both immature teeth in children and mature teeth in teens and adults. Accidents that have caused holes in a tooth can be repaired, and the patient will not lose his or her tooth.

Non-vital Bleaching

When teeth have darkened because of a trauma, we can whiten them to match the rest of your teeth! The materials we use are highly effective at bleaching, but can also cause damage to the gum tissue around your teeth. To prevent irritation, we put a rubber sheet over your mouth and expose only the teeth that need whitening. We use an operating microscope to precisely apply the whitening material to keep your gums safe!