#长沙头条 ##湖南省人民医院#
Recently, 14-year-old Ming Ming (pseudonym) accidentally fell down while running 2 hours ago and lost his upper left front teeth, broke his right upper front teeth and lacerations on his lower lip, and suffered multiple abrasions on his face.
After careful examination and evaluation, Director Zhang Teh was treated with normal saline irrigation, manual reduction under local anesthesia, ligation silk was performed for tooth fixation, occlusion adjustment, and debridement and suture were performed under local anesthesia of the lower lip.
The family members of the child were informed that it was a typical dental trauma (tooth concussion, tooth fracture, tooth dislocation), due to the long time of tooth dislocation and improper treatment, there may be loosening and necrosis after reimplantation, and the long-term effect may not be good, and the affected tooth needs to be extracted if necessary.
Director Zhang Teh reminded everyone that there is no need to panic if the tooth is lost, and the replantation may be successful if you do these well. Complete prolapse of a permanent tooth is one of the most serious types of dental trauma, and prompt and correct emergency treatment is a prerequisite for a good prognosis.
Step 1: Rinse and clean
Quickly pick up the lost tooth, hold the crown of the tooth, rinse the dirt with milk or saline, if the above conditions are not available, you can rinse with purified water or tap water for about 10 seconds. *Note: If there is a contaminant sticking to the tooth, it must not be rough and scraped off, and the "granulation" tissue (periodontal ligament tissue) must be protected.
Step 2: Properly preserve the isolated tooth
Place the tooth back into the socket and carefully close the mouth (you can hold the tooth in place with gauze, napkins, etc.), or hold it under the tongue, or soak it in saline, milk, saliva (which can be spit in a glass). If none of the above liquids are available, you can also put your teeth in water, which is a poor medium but better than being exposed to air.
Step 3: See a doctor right away
When the isolated tooth is dried in the air for more than 30 minutes, the periodontal ligament cells are basically completely dead, so the golden time is within 30 minutes, preferably not more than 2 hours, the longer the delay, the lower the survival rate of tooth replantation.
Step 4: Regular follow-up visits
In the 3rd, 6th, and 12th months after surgery, follow-up visits and X-rays are required, and if the images show periapical opacities in the affected tooth, the tooth may have failed to replant, and extraction may be required if necessary.
Hunan Medical Chat Special Author: Huang Juan, Second Dental Ward, Hunan Provincial People's Hospital
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(Edited YH.) Image source network, invaded and deleted)