Trauma to the teeth is a high risk for those who play sport where a custom made mouthguard is required, physically and mentally impaired patients, and those who have epilepsy.
Sometimes in epilepsy, prior to a seizure, people will see an aura, and we sometimes consider making a mouthguard for these moments to prevent or limit the extent of the damage that can occur.
Children who have bite problems, can also be at six times the risk of injury, because of issues like the top teeth sitting too far forward (an overjet) and the further out the teeth are, the more likely they are to suffer trauma. When the lips cannot close because of the bite (lip incompetence), it is known that the risk of trauma to the teeth is increased. In these cases, early orthodontic intervention can move the upper front teeth back to meet the lower teeth correctly and to allow the lip to close correctly, to provide protection from the top lip, and to make the vulnerable teeth less likely to be in harm's way.
WHAT TO DO IF A TOOTH IS KNOCKED OUT (AVULSED) !
The current guidelines state to
☞ immediately replant the tooth
☞ if it can't be immediately replanted, hold the part of the tooth that could be seen in the smile, not the root, try not to touch the root at all, and put it in some MILK as soon as possible. Call the dentist immediately.
☞ sports team, organisations and schools should have a storage medium, called SOS DENTOBOX, which has a 3 year shelf life, and which improves the chance of successful treatment
☞ if the tooth dries out, after 5 minutes the cells on the root are starting to die, and after 30 minutes there is 50% less of a chance that the tooth is going to be able to survive the trauma
In a younger patient, the chance of the nerve repairing and healing is much higher, but in an adult, there is limited ability to heal and it is likely that the tooth will need to be at least root treated, and this is best attended to by an endodontist ( root canal specialist dentist).