Dislocation of teeth: types, treatment, photo
Almost every time in my life I was a patient of a dental office. Most often, we turn to doctors when caries reaches such a development that pain starts that can not be tolerated. We visit dentists and, if necessary, perform prosthetics or cosmetic care for the oral cavity. But there are situations when patients come to the reception, because there was a dislocation of teeth. What is this pathology, for what reasons arises and whether it is possible to cope? We will try to answer these questions.
What is a dislocation of teeth
If the tooth deviates from its axis relative to the location of other teeth, then we can talk about such a pathology. During dislocation, the ligamentous apparatus is damaged, which leads to tooth dislocation.
The most common dislocation of teeth is observed on the upper jaw, sometimes it can be on the lower jaw.
Provoking factors of
dislocation Many factors may serve as the causes of such trauma. Dislocations and tooth fractures in both children and adults can occur for the following reasons:
- Strong blow. It is not necessary for someone to give in the jaw, you can get such an injury, falling from a bicycle, during an accident or any accident. Often suffer from such an injury professional athletes, for example, hockey players. Most often affected are the front teeth.
- If the teeth are not distinguished by their strength as a result of some pathologies, for example, periodontitis, the accidental ingestion of a hard object onto the tooth during chewing may result in a dislocation.
- Unprofessional dentists can meet, who overdo it during treatment and tools provoked dislocation of teeth.
- The presence of bad habits can also lead to pathology, for example, if you use your own teeth as a bottle opener or crack walnuts.
Varieties of dislocation
Such an injury can be of several varieties:
- Incomplete dislocation of the tooth. Characterized by a violation of the integrity of the periodontal, injuring the pulp. With such a trauma, there is still a chance to bring the tooth back into place. It does not drop out of the hole, it simply deviates from its axis.
- Full dislocation of the tooth. It happens most often on the upper jaw, when the tooth is almost dropped from the alveoli. With a strong impact, in addition to such a trauma, there may be a fracture of the jaw or tooth.
- Impact of tooth dislocation. This dislocation is considered the most dangerous, since multiple tissue damage is observed. As a result of the impact of a large force, the tooth penetrates deep into the socket. It will take a lot of effort to return a beautiful smile.
Dislocation can be observed as an independent trauma, and can also be accompanied by a fracture of the crown or root, and in serious cases a jaw fracture is diagnosed. Given the type of injury, the doctor will take action and choose the tactics of treatment.
Symptoms of dislocations
Various injuries differ between themselves and their manifestations. Incomplete dislocation of the tooth symptoms manifests usually the following:
- There is a sharp pain, which can worsen during eating.
- If you look at the tooth, then the crown has an atypical location, it is deflected to the side. When trying to stagger the tooth, the root movement is observed.
- It is impossible to close the jaw properly and close your mouth, there is a sharp pain.
- At the site of the injury, hematomas can be seen on the skin. According to this symptom, parents may suspect dislocation of a baby's tooth from a child. If the baby has fallen, then it is worthwhile to examine the oral cavity, especially when performing blood.
- The tooth becomes excessively mobile. Some will try to wrest it, but it should not be done.
- There is swelling of the lips, gums, if you touch them, you feel pain.
- If you take a picture, you can see the shortened root of the damaged tooth.
If the dislocation is complete, the signs will be as follows:
- Such a dislocation of the tooth( photo can be proof) is accompanied by bleeding from the alveolus, where the tooth was.
- Pain in the area of injury.
- A speech defect appears.
- There is a transformation of the gums, so it is visible puffiness, bruises.
If a dislocated dislocation of the tooth takes place, then the symptomatology is as follows:
- Severe pain in the site of injury.
- There is a small bleeding from the socket of the damaged tooth.
- It is difficult for a patient to squeeze teeth.
- Without any adaptations it is clearly seen that the tooth has decreased in height in size.
- The mobility is completely absent, because the jaw bone firmly fixes the tooth. If you try to shake it, the pain is not felt.
- The gums become swollen.
This dislocation is especially dangerous for children with milk teeth, as, penetrating deep into the jaw, the crown can injure the rudiments of permanent teeth. They then grow damaged or may not appear at all.
Danger of dislocation of teeth in children
Children are very mobile, so these injuries are not uncommon for them. And if you consider that this can happen in early childhood with milk teeth still present, then it is not at all surprising.
If such a trauma happened, many parents believe that it is necessary to immediately put the tooth in place. But experienced dentists do not always agree with this, especially if the tooth is dairy, and the dislocation does not interfere and does not harm the child.
Moms and dads should know that it is not recommended to correct such a defect on their own. You can make it worse and cause great pain to the baby. If it concerns a baby tooth, then even more, because in the gum there are already rudiments of permanent teeth, which can cause irreparable harm.
It is better to visit a specialist and decide with his help how to help a child.
First aid after dislocation of the tooth
After getting such an injury( no matter whether it's a child or an adult), it is necessary to be in the dentist's chair as soon as possible, but the first steps are very important:
- If possible, eliminate bleeding.
- Do not apply pressure to the injury site or directly to the tooth. Do not try to put the tooth on your own.
- Attach something cold to the cheek on the side of the injured tooth.
- If the dislocation is complete, then attach a tampon, but not cotton wool.
- When applying a pressure bandage, do not hold it for more than 15 minutes.
Some believe that once such an injury occurred, you will have to remove the tooth. But a competent specialist resorts to such a measure rather rarely, only if there are serious indications, which will be discussed below.
Treatment of dislocation of teeth
If a dislocation of the tooth is diagnosed, the treatment will depend on the type of injury, the age of the patient, and also, if it concerns the child, the degree of damage and the formation of a permanent tooth in the gum. For a specialist, the first priority is the preservation of the tooth, but this will depend on many factors and includes several mandatory measures:
- Return of the tooth to its original position. For this, different methods can be used, depending on the dislocation.
- If a dislocated dislocation of the tooth takes place, the treatment implies an initial return to its original location, if possible. If such a trauma occurs in a baby tooth, then most often, if the child is more than 2 years old, it is removed.
- Incomplete dislocation of the tooth is easiest to return to its place. To do this, use different designs, and then fix.
Get rid of incomplete dislocation of
Treatment of incomplete dislocation of the tooth reduces to the following procedures:
- Reposition the tooth, that is, return it to its place.
- Fixation to prevent bias.
- Compliance with hygiene.
After the tooth is placed in its rightful place, it must be fixed. To do this, use various devices:
- Binding of teeth with fine soft bronze-aluminum wire. This manipulation is possible if the victim has the right bite and the adjacent teeth are firm. This method has its drawbacks: the laboriousness of the process and the absence of a rigid fixation.
- Overlapping the tire from the wire. Also important is the presence of a permanent bite and stable adjacent teeth.
- Use of the bus-kappa, it is made of plastic.
- It is possible to use studded-naresnevye tires if there are no reliable reliable supporting teeth.
- In some cases, dentists use composites to fix wire arcs or tires.
After fixation, this design, as a rule, is in the oral cavity for about a month. The doctor will explain that during this period it is important to maintain oral hygiene in order to prevent the infection process.
Therapy of a complete dislocation of
If the trauma leads to a complete dislocation of the tooth, then the following treatment is to be performed:
- Removal of pulp and sealing of canals.
- Tooth Replacement.
- Compliance with a gentle diet.
During the examination, the doctor carefully examines the tooth socket and assesses its integrity. Whether or not replantation is possible depends on several factors:
- The age of the patient.
- Tooth states.
- The tooth is temporary or permanent.
- The root is well formed or not.
After the filling of the canals, they begin to re-implant the tooth. It can be one-stage, when immediately the tooth is put in place and splints it. But there is a delayed surgery, then the tooth is placed in a special solution and sent to the refrigerator. A few days later, they begin to return to his place.
The process of re-implantation consists of the following stages:
- Preparation of the tooth.
- Treatment of wells. Tooth Replacement and Fixation.
- Therapy after surgery.
After the procedure of tooth implantation is performed, after about 1.5-2 months, engraftment may be performed according to several scenarios:
- Engraftment by the type of primary tension. This type is most favorable for the tooth and the patient, but it will depend on the viability of the periodontal tissues.
- Bone engraftment. This is observed if the death of periodontal tissue occurred, of course, this is not a very favorable result.
- A mixed type of periodontal-fibrous-bone engraftment may be observed.
Usually, if the tooth is repaired after an injury almost immediately, then the root is minimally destroyed and the tooth can be kept for a long time. But if it takes a lot of time from the moment of getting a dislocation, then, as a rule, the implantation ends with the gradual dissolving of the root and its complete destruction.
Treated beat dislocation of tooth
If the incomplete dislocation of the permanent tooth is basically easy to treat, it's difficult to cope with the injected tooth. Some experts prefer to wait a while, hoping that there will be a spontaneous return of the tooth to its place. But this, if possible, it is only in the presence of milk teeth, when the extension is due to the continuing formation of the root.
At a young age, if a shallow piercing is observed, self-propagation is also possible, provided that the root formation has not ended and there is a growth zone. The first signs of this phenomenon can be observed no earlier than 2-6 weeks after the injury.
If there are signs of the development of the inflammatory process, it is necessary to trepan the tooth and remove the pulp.
If the punctured dislocation almost completely immersed the crown of the tooth in the gum, then self-promotion is unlikely, as well as in the presence of inflammation and foci of infection in periapical tissues.
After injury, the repositioning of the inserted tooth can be performed almost immediately or within 3 days. Trephination of the crown and purification of the pulp is carried out after the tooth is securely installed in the hole.
If the crown is shallowly submerged, then you can use orthodontic devices to extend it. With deeply beaten teeth, one must resort to surgical techniques, so that you can then apply the device. This manipulation should be carried out as soon as possible after an injury, as on the 5th-6th day ankylosis develops.
You can go the other way: remove the beaten tooth, and then perform a re-implantation.
In which cases the only way out is to remove the tooth
If the patient consults a dentist with a tooth dislocation, the doctor decides to remove it if the following predisposing factors are present:
- A serious inflammatory process is found. To solve the problem, implants are used, if it concerns a child, they will be temporary, and adults will choose permanent ones.
- After injury, severe bone damage is observed.
- If a dislocation of the milk tooth is observed. But even here there is disagreement between the doctors, some think that it is useless to keep a tooth, while others are sure of the need for the opposite.
In any case, the decision to remove the tooth will only be made by the doctor after a thorough study of the situation, determining the severity of the injury and the state of the dental system.
Is it possible to prevent such injury
Of course, you can not completely insure yourself against tooth dislocation, because boys who prove their case in a fight can not guarantee that they will not get a strong blow to the jaw. But it is possible to take other measures that will reduce the risk of injury:
- Take a closer look at the choice of foods that you eat.
- Go to the store and buy a bottle opener, do not test your teeth for strength.
- You do not have to chop the nuts with your teeth, you can use the tools you need.
- Personal hygiene of the oral cavity has not harmed anyone yet, and its absence leads to weakening of bone formations. Dental plaque leads to the gradual destruction and weakening of tooth enamel.
- Eat more fresh fruits and vegetables, they not only cleanse teeth well of plaque, but also strengthen them.
Beautiful teeth are not only health, but also beauty. Damaged or crooked teeth make us embarrassed by our smile. To prevent this, it is necessary to observe the hygiene of the oral cavity and take care of your teeth. At first glance it seems that they are so strong and nothing to them is not scary, but it turns out that one bottle opening can end badly. It is important to teach children from early childhood to take care of their teeth, then, becoming adults, they will not sit in the queue at the dentist's office for hours. Protect your teeth from dislocations, let your smile shine!