Dental emergency & urgency and elective treatment
Dental emergency & urgency and elective treatment
Emergency treatment
A dental emergency is an issue involving the teeth and supporting tissues that is of high importance to be treated by the relevant professional .
Dental emergencies, according to the ADA
“are potentially life threatening and require immediate treatment to stop ongoing tissue bleeding [or to] alleviate severe pain or infection.” Conditions include uncontrolled bleeding; cellulitis or a diffuse soft tissue bacterial infection with intraoral or extraoral swelling that potentially compromises the patient’s airway; or trauma involving facial bones that potentially compromises the patient’s airway.
Dental emergencies do not always involve pain, although this is a common signal that something needs to be looked at. Pain can originate from the tooth, surrounding tissues or can have the sensation of originating in the teeth but be caused by an independent source (orofacial pain and toothache). Depending on the type of pain experienced an experienced clinician can determine the likely cause and can treat the issue as each tissue type gives different messages in a dental emergency.
Dental emergencies examples :
Dental Pain
Dental Trauma
Fractures (dental trauma) can occur anywhere on the tooth or to the surrounding bone, depending on the site and extent of fracture the treatment options will vary.
Restorative emergencies
Dental restoration falling out or fracturing can also be considered a dental emergency as these can impact on function in regards to aesthetics, eating and pronunciation and as such should be tended to with the same haste as loss of tooth tissue.
Acute oral medical and surgical conditions
suddenly presenting disorder, usually with only a short history of symptoms, but with a degree of severity that causes significant disruption to the patient as orofacial swelling , cellulitis , pericoronitis, trismus and others .
Orthodontic emergencies
Orthodontic emergencies can be classified as urgent problems relating to the maintenance of orthodontic appliances, or excessive pain caused by orthodontic appliances .
All dental emergencies should be treated under the supervision or guidance of a dental health professional in order to preserve the teeth for as long as possible.
By contrast, a medical emergency is often more precisely defined as an acute condition which presents an immediate threat to life, limb, vision or long term health. Consequently, dental emergencies can rarely be described as medical emergencies in these terms.
Some define a dental emergency in terms of the individual's willingness to attend for emergency dental treatment at any time at short notice, stating that persons who are fussy about when they are available for treatment are not true emergency cases. There are often divergent opinions between clinicians and patients as to what constitutes a dental emergency. E.g. a person may suddenly lose a filling, crown, bridge, etc. and although they are completely pain-free, still have great cosmetic concerns about the appearance of their teeth and demand an emergency treatment on the basis of perceived social disability.
Other emergency dental care includes extensive caries or defective restorations causing pain; suture removal; denture adjustments on radiation/oncology patients; denture adjustments or repairs when function impeded; replacing temporary filling on endo access openings in patients experiencing pain; and snipping or adjustments of an orthodontic wire or appliances piercing or ulcerating the oral mucosa.
Urgency treatment
Some classify urgency under emergencies as dental emergencies doesn't threat the life ..
As part of the emergency guidance, the Association added urgent dental care which “focuses on the management of conditions that require immediate attention to relieve sever pain and/or risk of infection and to alleviate the burden on hospital emergency departments.”
Examples of urgent dental care treatments, which should be treated as minimally invasively as possible, include:
• Severe dental pain from pulpal inflammation.
• Pericoronitis or third-molar pain.
MN MN• Abscess or localized bacterial infectioln resulting in localized pain and swelling.
• Tooth fracture resulting in pain or causing soft tissue trauma.
• Dental trauma with avulsion/luxation.
• Dental treatment cementation if the temporary restoration is lost, broken or causing gingival irritation.
Some may need anterior esthetic restoration urgently due to psychologic effect so may classified as urgent treatment.
Elective treatment
An elective dental procedure is one that you choose to have completed, even if you don’t need it for health purposes. For example, if your teeth are free of decay or disease, but you don’t like the way they look, having them enhanced would be an elective procedure.
Elective dental procedures, according to the American Dental Association, include but are not limited to :
• Initial or periodic oral examinations and recall visits, including routine radiographs.
• Routine dental cleaning and teeth whitening and other preventive therapies.
• Orthodontic procedures other than those to address acute issues (e.g., pain, infection, trauma).
• Extraction of asymptomatic teeth.
• Restorative dentistry including treatment of asymptomatic carious lesions.
• Aesthetic dental procedures as cosmetic bonding
, veneers and White Spot Lesion Removal .
• Implants
Notes : this idioms are controversial as some refer dental procedures not emergent because no real life threatening is found ..
Some say that emergent and urgent cases are the same
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Thanks for the overview of dental emergency treatment. To know more information, Visit the dental clinic in Coimbatore
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