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Posts for tag: dental injuries

Once they learn to walk, there's no stopping most children. Sometimes it can be a little jarring, as when you discover your toddler on top of the kitchen counter reaching in the cupboard on tip-toes for a snack!
Fortunately, children are fairly resilient. Unfortunately, they're not invincible — some of their adventures could result in physical injuries, especially to the highly vulnerable area of the mouth.
Even if you've carefully “child-proofed” your home, it's still best to be prepared for mishaps. Here are 3 common dental injuries and how to handle them.
Soft tissue injuries. Making contact with the ground or hard objects like furniture can injure the lips, tongue, cheeks or gums and cause bleeding, cuts or bruising. First, clean the area with clean water and a cloth or gauze as best you can, making sure there aren't any trapped pieces of tooth or dirt. Apply gentle, continuous pressure with a clean cloth to control bleeding, and apply ice packs or cold compresses for swelling. Don't apply bleach, aspirin or similar medications to open wounds. If the bleeding won't stop or the wounds look serious or deep, go to an emergency room.
Chipped or displaced tooth. A blunt force mouth injury can chip or push (displace) teeth out of position. In this case try to save any chipped pieces you find — your dentist may be able to re-bond them to the tooth. A displaced tooth is a dental emergency, so contact your dentist immediately. Don't try to re-position the tooth yourself unless it's completely knocked out.
Knocked-out tooth. Actions to take with a knocked-out tooth depend on whether it's a permanent or primary (baby) tooth. If permanent, rinse the tooth with clean water. Handle it by the crown (never by the root) and gently place it back in the empty socket. If that's not possible, place the tooth between your child's cheek and gum (if the child is old enough not to swallow it by mistake. You can also place it in a glass of cold milk. Get to a dentist or an emergency room as soon as possible — minutes count for a successful reattachment. Conversely, don't try to put a primary tooth back in its socket — you could damage the developing permanent tooth beneath the gum line. But do see a dentist as soon as possible for an examination.
If you would like more information on responding to mouth injuries in children, please contact us or schedule an appointment for a consultation.

Nearly everyone who has ever played a sport, or had a child participate in one, has had that panic-filled moment when they witness an injury. And when you consider that there are more than 22,000 dental injuries each year in children younger than 18 years of age, you see there is fact to backup this concern. This is just one reason why we strongly encourage all of our patients who are involved in activities such as football, soccer, hockey, wrestling, lacrosse, skateboarding, field hockey and more to wear one of our custom-fitted professional mouthguards. It is especially true for basketball and baseball, which are responsible for the largest number of dental injuries.
The following are some key issues to help you understand the importance and advantages mouthguards offer.
Is there a way to determine who is at the highest risk for sports injuries?
Yes there are several. Age, gender, dental anatomy, and the type of sports being played are the four categories used to measure the risks for dental injuries. Young male teens still top the list of most likely to be injured; however, the gap is closing with more females getting involved in sports. Learn which sports or exercise activities made the American Dental Association’s list of recommendations for using a custom mouthguard, when you continue reading “Athletic Mouthguards.”
What's the difference between a “boil and bite” mouthguard and a professionally made mouthguard?
We are often asked this very important question. While some over-the-counter (OTC) mouthguards provide what is advertised as a “custom-fit” to your teeth, it is nowhere near the fit — and thus protection — you receive from our mouthguards that are crafted from precise molds of your teeth. Additionally, because all aspects of our mouthguards are tailored to each specific mouth, they provide much more protection and comfort. This important fact can enhance performance as the athlete can literally breathe easier while wearing one of our mouthguards.
What can I do if I witness a dental injury?
The first important fact to know is that you do not have to be a dental or healthcare professional to assist. However, before jumping in to help out, consult Dear Doctor's Field-Side Guide to Dental Injuries. This pocket-sized, quick-reference guide details what you should do at the scene of a dental injury based on the type of injury. But best of all, it is available to you free of charge from Dear Doctor.
Want to know more?
Contact us today to discuss your questions or to schedule an appointment.

When you or a family member takes a traumatic hit to the mouth, what should you do? Besides immediate first aid, your next action will depend on the extent of damage to any teeth. What you do and when you do it may even determine whether an injured tooth is eventually saved or lost.
If a tooth has been completely knocked out, you have about five minutes to replace the tooth in the socket to give it the best chance of reattachment and long-term survival. While we can certainly perform this action in our office, getting to us within five minutes may not be possible. Fortunately, any person can perform this action on site (see the article linked below for basic instructions on replantation). If for some that's not possible, you should control bleeding at the tooth site with direct pressure, place the recovered tooth in milk or the patient's saliva, and see us as soon as possible.
If, however, the injured tooth has been obviously knocked out of line but not completely detached from its socket, you have a small cushion of time to seek dental treatment — but not much. For this degree of injury, you should see us within six hours of the incident. We will be able to determine the exact nature of the injury, and treat the condition by moving the teeth back into proper position and splinting them.
You have up to twelve hours for broken or chipped teeth still in their normal position. Try to locate and save any broken-off fragments — it may be possible to re-bond them to the teeth. Although it may not be as urgent as other situations, you should still seek treatment as soon as possible. A broken tooth could leave the inner pulp exposed — a situation that left untreated could lead to eventual tooth loss.
Traumatic injuries to the mouth can have serious consequences for your long-term dental health. With our consultation and treatment efforts, we can help you save an injured tooth.
If you would like more information on caring for dental injuries, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “The Field-Side Guide to Dental Injuries.”

Whether you are a serious or “weekend” athlete, you know the importance of protecting yourself against injury. While looking after your joints, ligaments and bones may garner most of your attention, you shouldn't neglect looking after your teeth and mouth as well. In fact, there are more than 600,000 emergency room visits each year for sports-related dental injuries. A knocked out tooth could eventually cost you $10,000 to $20,000 in dental treatment during your lifetime.
The best protection is really quite simple — wear a properly-fitted athletic mouthguard. Researchers estimate that mouthguards may prevent more than 200,000 dental injuries annually. Be aware, though — not all mouthguards are alike or provide the same level of protection.
Mouthguards generally fall into three types. Stock mouthguards are the least expensive of the three, and also the least effective at protection. They come in limited sizes and can't be customized to the wearer. “Bite and Boil” mouthguards are made of thermoplastic that becomes pliable when heated (as when boiled in water). In this state the mouthguard can be pressed into the wearer's teeth, which hardens to that fit once the thermoplastic cools. However, the fit isn't exact and they don't always cover the back teeth. Also during the heat of competition, the mouthguard softens and loses some of its stability and protection.
While more expensive than the other two types, a custom-fitted mouthguard made by a dentist provides the best level of protection. Made of a tear-resistant material, they are more comfortable to wear than the other types and cover more of the interior of the wearer's mouth.
A properly fitted and worn mouthguard protects the mouth and jaw area in a number of ways. It cushions the soft tissue of the lips and gums from cuts and abrasions caused by contact with sharp teeth surfaces after an impact. It absorbs and distributes forces generated in an impact that can cause tooth loss or even jaw fracture, and also cushions the jaw joint (TMJ) to reduce the likelihood of dislocation or other trauma.
A custom-fitted mouthguard can cost hundreds of dollars, but that price is relatively small compared with the physical, emotional and financial price you'll pay for an injury. This investment in your oral health is well worth it.
If you would like more information on the use of athletic mouthguards, contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Athletic Mouthguards.”

A recent study revealed that on average there are 22,000 dental injuries in children under the age of 18. This alarming reality makes it clear that parents, caregivers, and coaches need to understand the risks for dental injuries so that they are best equipped to prevent them...or at least be prepared to manage one should it occur. The four most common categories for measuring risks associated with sports injuries are:
- Age: Age is an important factor when accessing risk. Sports-related dental injuries tend to spike during the teenage years. Recent research shows that children under the age of 13 tend to not be injured as often.
- Gender: Gender is probably the second most influential factor. The facts are that males top the list for experiencing dental injuries during sports or vigorous activities. However, more and more females are playing highly competitive and contact sports or activities; thus, their risk of injury is increasing.
- Shape and position of your teeth: Both the condition and positions of the teeth affect their risk of injury. More prominent or “buck” teeth are considered a higher risk for injury than teeth in a more normal position. Furthermore, 80% of all dental injuries involve the upper front teeth.
- Sports type: This last category is the one most often asked about, as parents, caregivers and athletes want to know which sports or activities have the highest risks for dental injuries. And while baseball and basketball top the list, the American Dental Association (ADA) has put together a comprehensive list of sports and activities. To review this list, read the Dear Doctor article, “Athletic Mouthguards.” The ADA also urges athletes to wear professionally-fitted mouthguards to protect against dental and facial injuries.
Knowing the above categories can help you assess your risk for a dental injury while playing in a sport or recreational activity. To learn more about sports-related dental injuries, read, “An Introduction To Sports Injuries & Dentistry.” Or if you have a traumatized, damaged, chipped or missing tooth from a sports or any other type of injury, contact us to discuss your situation or to schedule an appointment.
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Edward C. Joseph, D.D.S.
Burbank, CA 91505
Our Blog
Archive:
- 2019
- January (6)
- Take a Look into Your Future with a Trial Smile
- Porcelain Veneers Might not be the Best Option for Teenagers
- Orthodontics Could be in Your Smile Makeover Plan
- Topical Fluoride is a Safe Way to Protect Your Child's Teeth from Decay
- Want to Keep Enjoying Winter Sports? Wear a Mouthguard!
- Enhance Your Smile for that Special, Once-in-a-Lifetime Day
- 2018
- December (6)
- Stop Smoking to Reduce Your Risk of Gum Disease
- Conscious Sedation Eases Treatment Anxiety for Young Dental Patients
- 4 Reasons Why You May Need to See a Periodontist for Your Gum Disease
- New Year, New Smile
- Crown Lengthening Might be Necessary for Seniors with Tooth Decay
- Don't Let GERD Ruin Your Teeth's Health
- November (6)
- Moderate Your Child's Juice Drinking to Lower Tooth Decay Risk
- Avoid Bone Loss around Tooth Roots through Regular Dental Care
- 4 Things to Know About Diabetes and Gum Health
- Dentures are Still a Viable Choice for Tooth Replacement
- Cosmetic Gum Surgery Can Help Restore Lost Tissues Around Teeth
- Gum Surgery Can Improve Your Smile and Save Your Teeth
- October (6)
- Try the Conservative Path to Jaw Pain Relief First
- Encourage Your Child to Stop Thumb Sucking by Age 4
- Five Tips for Top-Notch Tooth Brushing
- Ease Your Child's Teething Discomfort with these Tips
- 3 Factors That Could Affect the Success of a Root Canal Treatment
- How to Help Your Kids Form Good Oral Hygiene Habits
- September (6)
- Keep on Course during the 3 Phases of a Smile Makeover
- New Saliva Test may Help Identify Oral Cancer Earlier
- Cosmetic Questions to Ask to Get You on the Right Path to a Better Smile
- FAQs for National Gum Care Month
- Have Your Child's Chronic Mouth Breathing Checked to Avoid Bite Problems
- Look After Your Teeth During Cancer Treatment to Avoid Dental Disease
- August (6)
- Recreational Marijuana Could Increase Your Risk of Gum Disease
- 3 Reasons You Should Consider Tooth Whitening
- What to do if Your Child has a Toothache
- World Cup Soccer Coach-Dentist Saves the Day!
- Can't Afford Dental Implants? Consider Partial Dentures
- Be on the Alert for Gum Disease While Wearing Braces
- July (7)
- The Right Treatment for Your Child's Injured Tooth Increases its Survival
- Encourage Your Child to Stop Thumb Sucking Around Age 3
- You May Need Surgery to Repair the Damage of Gum Recession
- What Happens in a Root Canal Treatment and How it Can Save Your Tooth
- Don't Take a Vacation From Oral Hygiene This Summer!
- We'll Help You Maintain Your Oral Health After Gum Disease
- Tips to Brighten Your Summer Smile
- June (6)
- Good Reasons for Choosing Clear Aligners for Orthodontic Treatment
- What You Can Do to Support Your Child's Dental Development
- June Is National Safety Month: Be Prepared for Dental Emergencies
- Seek Immediate Treatment for this Advanced Form of Gingivitis
- Keep Alert for this Extreme Form of Gingivitis
- Gum Infection Around Tooth Roots Calls for Immediate Action
- 2017
- December (5)
- Extracting Certain Teeth can Boost Orthodontic Effectiveness
- Living with HIV includes Keeping a Close Watch on Your Oral Health
- 3 Ways You Can Help Your Child Feel at Home at the Dentist
- Your Age Won't Necessarily Decide Against Straightening Your Smile
- Air Abrasion Could be a More Pleasant Alternative to the Dental Drill
- May (5)
- Complications from Missing Teeth Could Limit Your Replacement Options
- Look at Your Options for Saving a Tooth First Before Replacing it
- Techniques for Keeping Impacted Canine Teeth from Spoiling Your Smile
- We can Fix a Smile Marred by Absent Front Teeth
- Lasers Could One Day be Commonplace for Treating Gum Disease
- April (5)
- An Affordable RPD Could be the Answer to Your Missing Teeth Problems
- Pediatric Dentists Specialize in Dental Care for Children and Teens
- Plan Ahead to Make Your Smile the Best it can be for Your Big Day!
- Practice Proactive Prevention to Enhance Your Child's Dental Development
- You may need a Periodontist to Fully Treat Your Gum Disease
- January (5)
- Simplify Your Toothpaste Purchase by Looking for These Ingredients
- Get Control of Dry Mouth to Protect Your Dental Health
- Restore a Flawed Tooth in as Little as One Visit with Composite Resin
- You Should Brush and Floss Around Your Implant to Ensure its Longevity
- Keep a Lookout for These Soft Tissue Conditions in the Mouth
- 2016
- November (5)
- 4 Reasons you may want Your Dentist to Whiten Your Teeth
- Clear Aligners Make it Easier for Teenagers to have Their Teeth Straightened
- Follow These Common Sense Steps When Your Child has a Toothache
- Don't Let the Acid in Sports and Energy Drinks Ruin Your Tooth Enamel
- Dental Implants can Replace Your Whole Tooth, Not Just What You See
- September (5)
- Make Efforts to Protect Your Teeth from Disease While Wearing Braces
- What to Expect Before, During and After Implant Surgery
- Lasers Adding New Precision and Efficiency to Root Canal Treatments
- Treating "Burning Mouth" Depends on What's Triggering it
- Take These Measures to Lower Your Child's Tooth Decay Risk
- June (5)
- Crown Lengthening Opens up New Teeth Restoration Possibilities
- Root Canal Treatment Alleviates Pain and Saves Your Tooth
- 4 Reasons Saving Your Child's Decayed Baby Tooth is a Good Idea
- Teens Benefit Most from A Temporary Solution to Missing Teeth
- The Risk for Gum Disease Increases While Wearing Braces
- May (5)
- Mild Pain Relievers may be all you need for Discomfort after Dental Work
- Here's What to Do if Your Child has a Toothache
- Your Case of Gingivitis Could Develop into Something More Harmful
- Sedation Therapy can reduce Anxiety in Children during Dental Visits
- Weigh a Poor Smile's Emotional and Social Cost when Considering Restorations
- March (5)
- Removable Dentures Remain a Viable Option for People with Total Tooth Loss
- Erosion and Other Problems may be Signs of Bulimia
- Is There a Link Between Gum Disease and Cardiovascular Health?
- Surgically Accessing Sinuses can Help Grow New Bone for Implants
- Test Out Your Future Look With a 'Trial Smile'
- 2015
- December (5)
- Dental Amalgam Continues to be a Durable and Safe Tooth Filling
- Sealants Provide a Little Extra Protection for Children at High Risk for Decay
- Saliva Performs Many Functions for Both Oral and General Health
- Three Considerations for Working with Your Dentist on Your Smile Makeover
- Simple or Surgical? Choosing the Right Kind of Tooth Extraction
- 2014
- August (5)
- Dental Hygienist - Your Partner in Preventing Disease and Maintaining Oral Health
- Major Benefits for Tooth Replacement With Dental Implants
- Replace Missing Teeth to Prevent Other Teeth From Moving Out of Place
- Taking Precautions Before, During and After Implants Will Help Ensure Success
- Conscious Sedation can Make Your Child's Dental Visit More Pleasant
- 2013
- December (5)
- Do Clear Orthodontic Aligners Really Work?
- Dental Amalgam Fillings Remain a Safe and Reliable Tooth Restoration Option
- Monitoring Blood Pressure is Important for Both Your General and Oral Health
- Consider all the Cost Factors When Deciding on a Crown Restoration
- New Permanent Teeth - Faster Than Ever!
- October (5)
- Are You an Athlete? Here Are Five Reasons You Should Wear a Mouthguard
- Dental Implant Maintenance: 5 Facts You Should Know
- Advances in Clear Aligners Make Them a Viable Choice for More Teens
- Frequently Asked Questions About Root Canals
- Implant Overdentures: a Marriage of Options for Lower Jaw Tooth Replacement
- 2012
- August (7)
- Tooth Brushing: Don't Overdo It!
- American's Obsession With Bad Breath
- Top 5 Advantages of Dental Implants
- Factors that Can Influence a Dental Implant
- Early Orthodontic Care Helped Child Star Nolan Gould Get Ready for Prime Time
- Child Star Nolan Gould Talks About Tooth Extractions, Orthodontic Treatment
- How Does Tooth Bleaching Work?
- 2011
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