Managing Dental and Oral Trauma

Managing Dental and Oral Trauma

Dental and oral traumas are relatively common occurrences. The most common causes are physical injury due to a fall, sports related injury, and motor vehicle accident.

For a pediatric (child) patient, falls are common when first learning how to walk. Most coffee tables happen to be about the height of a child of that age, making it a common point of contact. This can cause injury to either the soft tissue, such as the lip, gingiva (gum) and tongue, or the hard tissue, such as the bone or teeth.

Dental and oral injuries differ in their severity and their management. Therefore, a professional evaluation is needed. The dentist is usually the first point of contact to proper management of these injuries. Generally speaking, when a dentist feels that the extent of injury requires a higher level of intervention, the patient is referred to an Oral and Maxillofacial Surgeon for definitive treatment.

Important things to know about dental and oral injury:

1. If there is bleeding, applying pressure to the bleeding area will help to slow and stop the bleeding. Pressure can be applied using sterile gauze, which are usually available commercially at the pharmacy.

2. Timing of injury is important. The sooner the patient seeks care, the less blood loss and the better the outcome of the intervention will be.

Management of a tooth:

  • If a tooth is injured and has some mobility (loose tooth), do not attempt to remove it. A tooth’s natural environment is the oral cavity. However, the patient needs to be very careful as having a loose tooth can make it a risk for swallowing it by the patient.
  • If the tooth is dislodged out of the mouth, attempt to find the tooth. The tooth should be kept in the appropriate environment to be able to rescue it. There are many commercially available products to place a tooth in if it gets dislodged, such as Save – A – Tooth preserving system. If no solution is present, keeping a tooth in a small container in the patient’s own saliva is reasonable until the patient receives care.
  • Do not dry the tooth! Some patients may hold the dislodged tooth and dry it with a tissue; this will dehydrate the tooth and minimize the chances of its survival.
  • Do not place the tooth in water. The tooth requires an electrolyte balanced solution, such as saliva or commercial products designed to help preserve the vitality of tooth. Water is NOT an adequate environment for this.

Management of the patient:

  • The oral health provider will perform an evaluation of the patient’s injury and review the patient’s medical history. Based on this evaluation, a unique plan for the proper management of the patient should be developed.
  • In the case of a dental injury, generally speaking, a determination to know if a tooth is salvageable or not is needed. If the tooth is salvageable then it may require some form of fixation to keep it in the proper position for healing to occur. Time of fixation should be determined by the oral health provider. Primary teeth (baby teeth) are not usually repositioned if they are dislodged.
  • If a tooth is not salvageable then it may require extraction and possible management of adjacent tissues in preparation of future replacement.
  • Soft tissue injury usually requires careful inspection to remove any debris and determine the layers involved. After proper debridement and cleansing of the tissue and management of any bleeding, the tissue may require suturing for healing to occur.
  • The oral health provider will determine the need for any pharmacologic agents, such as antibiotics, analgesics, ointments, or mouth rinses.
  • Patients are usually instructed to remain on a soft diet to prevent repeat trauma to the tissue to allow proper healing to occur. There are usually detailed instructions provided by the oral health provider on how to do that.

Long term follow-up and future intervention may be required, such as root canal therapy, restorations, and management of occlusion or discoloration.

4 Reasons to Get Dental Implants

4 Reasons to Get Dental Implants

Four Ways Dental Implants Can Improve Your Life

Although there are several treatment options for damaged or missing teeth, dental implants provide a number of benefits that make for a better long-term investment overall.

1. Dental implants are a long-term solution.

Because dental implants are anchored directly to the jawbone, they provide greater stability and can last long-term with proper care.

2. Dental implants help preserve your natural smile.

Dental implants help preserve facial structure, preventing bone deterioration that occurs when teeth are missing.  Implants are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth.

3. Dental implants restore function more effectively.

Because implants actually fuse with your bone over time and act like tooth roots, they provide a solid foundation to regain the ability to eat your favorite foods.  Dental implants aid in the replacement of missing teeth without the need to involve other natural teeth, such as that of a bridge, or the possibility of losing a removable appliance.

4. Dental implants offer greater lifestyle convenience.

After proper healing, you can care for dental implants just like your natural teeth.  With healthy dental hygiene habits and regular flossing, dental implants can last a long time and lessen your dental care worries.

If you are interested in replacing your tooth with a dental implant, please contact Bay Oral Surgery & Implant Center at 920-499-0471 to schedule a consultation.

 

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Natural Tooth Pain Relief

Natural Tooth Pain Relief

 

Natural Remedies for Tooth Pain Relief

Toothaches don’t keep regular business hours. Unfortunately, it seems that oral discomfort often strikes at the most inconvenient times. However, you can take matters into your own hands when it comes to dealing with the pain. In fact, you may have solutions right in your own pantry or at your local health food store.

Clove

As discussed in a previous post, Wisdom Tooth Pain Remedies,  one of the most effective natural remedies for tooth pain is clove. Not only is it an anti-inflammatory and antiseptic agent but it also serves as an anesthetic.  While you can use whole cloves by placing them in your mouth near the pain until they soften and then gently grinding them with your teeth to release the clove oils in your mouth; you can also prepare a paste of ground cloves and olive oil or even purchase clove oil to apply to the affected area.

Garlic

Whether you love garlic or don’t care for it, this aromatic plant is renowned for its health benefits. It has been used to treat everything from high blood pressure to coronary heart disease. If you’re suffering from tooth pain, garlic also can help kill harmful bacteria and dull the ache. Try crushing a garlic clove into a paste and apply to the affected tooth and gum or gently chew a fresh clove of garlic.

Tea

Tea is not only a soothing drink; it can also help ease the pain of sensitive gums. A used tea bag applied to an aching gum may provide relief. You can use a still-warm tea bag, or put a used one in the freezer.

Whiskey or Vanilla Extract

Neat or on the rocks, whiskey is a guilty pleasure for many. However, whiskey is good for more than an old-fashioned. There’s a good reason for why generations of grandparents have suggested this unlikely cure for teething babies. When swished around a painful tooth, whiskey may help kill bacteria and numb the ache. Vanilla extract also contains alcohol and has similar healing and numbing properties. Dab a bit on a cotton ball or your fingers and apply to the painful area.

Yarrow

Yarrow is an herb that has been used medicinally for centuries. It is an anti-inflammatory and has been used to treat high blood pressure and improve circulation. It also contains the same pain-relieving properties found in aspirin. Rub yarrow oil on your tooth and gum to soothe a toothache.

Capsaicin / Cayenne Oil

Not for the faint of heart, capsaicin, which gives chili peppers their heat, can help numb nerve pain in your teeth. Add a few drops of cayenne oil to a cotton ball and rub it around the affected tooth. Just be sure to not get any of the burning oil on your tongue.

Activated Charcoal

For a less spicy cure, try mixing activated carbon, or charcoal, into a paste and apply to gauze and bite down on it.

 

If you have a toothache, there’s a good chance there’s a problem that needs to be treated professionally. While these natural remedies can provide relief at home, it’s still important to schedule an appointment with your dentist when pain strikes.

 

Considering Dental Implants? Here’s What You Need To Know

Considering Dental Implants? Here’s What You Need To Know

what to know about dental implants

For many people, the decision to get dental implants may seem daunting. Some may think dental implants are purely cosmetic and costly. For others, the procedure may sound frightening with a long and painful recovery period.

The truth is that dental implants provide much more than a great smile. In fact, dental implants can play an integral role in maintaining oral health. When a tooth is missing, implants can help preserve facial structure and prevent bone deterioration. Also, after the loss of a tooth, adjacent teeth can shift, creating a gap that becomes a potential breeding ground for bacteria.

Cost is another factor when considering dental implants. Although the procedure is usually more expensive than a bridge or a crown, the results are permanent. The implants are actually anchored directly to the jaw bone, creating a strong foundation for artificial teeth. This means that the implant will not require additional maintenance or replacement.

Finally, for some, the fear factor may be the biggest consideration for dental implants. In reality, dentists use an anesthetic during the procedure and patients experience little to no discomfort. For most patients, over-the-counter medications are effective in managing pain following the procedure. This means that dental implants aren’t nearly as painful as many would expect.  And, having a winning smile doesn’t hurt either.

2018 Salute to Smiles Program

2018 Salute to Smiles Program

The Salute to Smiles Program

Bay Oral Surgery & Implant Center is pleased to announce the return of Salute to Smiles, a program designed to connect area dentists with military backgrounds and local veterans in order to provide necessary dental procedures. Salute to Smiles began in 2015 and was inspired by Bay Oral Surgery’s three ex-military oral surgeons, Dr. David LeMoine, Dr. Bradley Koch, and Dr. Charles Ellis as a way to give back to area veterans. This year, 7 veterans will receive much needed dental care at no charge as a result of this program.

 Thank you message from this year’s recipients.

Unfortunately, many veterans cannot afford the dental care they need. As a result, they can suffer from health complications due to missing teeth – such as bone deterioration in the jaw and malnourishment from the inability to chew nutritious foods. Salute to Smiles doesn’t just restore the dental health of these veterans, but it also restores their confidence by giving them their smile back!

Rayne Smith

Master Sergeant in the US Army for 21 years. Rayne was stationed all throughout the continental US, Alaska, and Germany.

Watch Rayne’s Story

Dr. Zach Graf, Dental Arts Associates

Dr. Graf served three years in the First Dental Battalion at Camp Pendleton, CA. He was deployed with the 15th Marine Expeditionary Unit to fight the war of terrorism (Operation Enduring Freedom). Dr. Graf joined Dental Arts in 2002. After completing a Bachelor of Science degree from the University of Wisconsin-Madison, Dr. Graf obtained his Doctor of Dental Surgery degree from Marquette University School of Dentistry in Milwaukee, Wisconsin.

Dr. Vijay Parmar, Bay Oral Surgery & Implant Center

Dr. Parmar has been in practice in Green Bay since 1999. He has been married to his wife since 1999, and they have three children together. Dr. Parmar enjoys golfing and skiing in his free time.

Team Ken

Ken Corry

Ken is an Air Force veteran, currently working with veterans across Northeast Wisconsin through the WI Department of Veteran Affairs and attending school full-time.

Watch Ken’s Story

Dr. Brian Koch, Oral Health Associates

A Green Bay native, Dr. Koch attended Premontre High School, UW-Stevens Point for undergraduate studies and the University of Minnesota for Dental School. Feeling that he needed to gain greater experience, Dr. Koch entered the United States Air Force to complete a general practice residency. His duty stations included Scott AFB, IL and Ellsworth AFB, SD over a three year period. He then practiced with his father for five years before joining Oral Health Associates in 1995.

Dr. Bradley Koch, Bay Oral Surgery & Implant Center

Dr. Koch obtained his D.D.S. from the University of Minnesota School of Dentistry in 1988. He then entered the United States Navy and performed general dentistry until 1994. In 1998, he completed a four year oral & maxillofacial surgery residency at the National Naval Medical Center in Bethesda, MD. He served as an oral & maxillofacial surgeon in the United States Navy until coming to Green Bay in 2002.

Team Don

Don Sigl

Don served with the Marines in 1969 during The Vietnam War.

Watch Don’s Story

Dr. Sara Weber, Bellevue Family Dentistry

Dr. Sara Weber, a graduate of Marquette Dental School, has returned back to Northeast Wisconsin after completing a rural outreach residency in Eau Claire, WI. Dr. Sara grew up in Neenah, WI. Dr. Sara has a true passion for dentistry, which she demonstrates by her involvement with the community, and her ability to provide the highest level of care to patients in a manner that allows them to be comfortable.

Dr. Jason LeMoine, Bay Oral Surgery & Implant Center

Dr. Jason LeMoine is a native of Green Bay; he attended grade school in De Pere, WI and attended high school at Abbot Pennings High. After high school, he attended college at UW-Madison where he earned a bachelor’s degree in Zoology and where he also met his wife. Dr. LeMoine moved back to Green Bay in 2002, and he has been in private practice since then. He has been married since 1994 and has five children. In his free time, Dr. LeMoine enjoys water skiing, snow skiing, and playing drums.

Team Arnie

Arnie Pichette

Arnie served in the Navy from 1958 to 1962 as a machine repairman.

Watch Arnie’s Story

Dr. Mark Broadhagen, Broadhagen Dental Care

A Marquette University graduate, Dr. Mark has served his patients and community for over 30 years, bringing innovation and an undeniable level of kindness to the profession. Dr. Mark enjoys and embraces the ever-changing industry and prides himself on staying current with the latest techniques and technology through continuing education. Dr. Mark’s ultimate goal is to provide his patients with the best dental care, taking the time to listen and understand the wants and needs of his patients, providing all treatment options and guidance to make the best possible decision for their overall oral health and wellness.

Dr. Charles Ellis, Bay Oral Surgery & Implant Center

Dr. Ellis has been in an oral & maxillofacial surgery practice in Mebane, North Carolina since 2010. Prior to that, he was an Oral & Maxillofacial Surgeon for the United States Navy since 2000. Dr. Ellis and his wife Marcia have relocated to Green Bay as of September 1, 2014.
Dr. Ellis and Marcia have been married 28 years and have a son, a daughter and a wonderful son-in-law. They lived in Japan for five years while Dr. Ellis was forward-deployed on the USS Kitty Hawk. Dr. Ellis loves to bicycle and Marcia loves any activity on or near the water.

Team Joe

Joseph Parley

Joe served in the military from 1967 to 1971.

Watch Joe’s Story

Dr. Bob Villwock, Bellevue Family Dentistry

Dr. Bob Villwock, a native of Green Bay is a 1980 graduate of Marquette Dental School. Dr. Bob shares his allegiance with UW-Madison, his undergraduate alma mater. GO BUCKY! Dr. Bob has a great perspective on family, tradition, and and a strong sense of community. He brings these values to his practice where he treats every patient as though they were members of his own family.

Dr. Michael Miskella, Bay Oral Surgery & Implant Center

Dr. Miskella was born in Green Bay and returned to Green Bay after his residency to start his practice in 1974. He has been married to his wife since 1972, and they have four grown children and four grandchildren together. Dr. Miskella enjoys tennis, cycling, and golf in his free time.

Team Herb

Herbert Olson

Herb served in the US Army for  two years during The Vietnam War.

Watch Herb’s Story

Dr. Bob Villwock, Bellevue Family Dentistry

Dr. Bob Villwock, a native of Green Bay is a 1980 graduate of Marquette Dental School. Dr. Bob shares his allegiance with UW-Madison, his undergraduate alma mater. GO BUCKY! Dr. Bob has a great perspective on family, tradition, and and a strong sense of community. He brings these values to his practice where he treats every patient as though they were members of his own family.

Dr. Bradley Koch, Bay Oral Surgery & Implant Center

Dr. Koch obtained his D.D.S. from the University of Minnesota School of Dentistry in 1988. He then entered the United States Navy and performed general dentistry until 1994. In 1998, he completed a four year oral & maxillofacial surgery residency at the National Naval Medical Center in Bethesda, MD. He served as an oral & maxillofacial surgeon in the United States Navy until coming to Green Bay in 2002.

Team Zach

Zachary Holt

Zach served in the US Army from 2005 – 2011.

Dr. Matthew Hallas, Bay Lake Center for Complex Dentistry

Matthew Hallas, DMD, joined Bay Lakes Center for Complex Dentistry after several years working with University Associates in Dentistry in Chicago, Illinois. His extensive training in the specialty of prosthodontics gives him advanced skills and knowledge of the latest technologies and utilization of dental materials including all ceramic restorations, CAD-CAM restorations, and computer guided implant surgery. Additionally, Dr. Hallas is an active lecturer for dental study groups and continuing education programs, which keeps him on the leading edge of new developments in the field of prosthodontics.

Dr. Jason LeMoine, Bay Oral Surgery & Implant Center

Dr. Jason LeMoine is a native of Green Bay; he attended grade school in De Pere, WI and attended high school at Abbot Pennings High. After high school, he attended college at UW-Madison where he earned a bachelor’s degree in Zoology and where he also met his wife. Dr. LeMoine moved back to Green Bay in 2002, and he has been in private practice since then. He has been married since 1994 and has five children. In his free time, Dr. LeMoine enjoys water skiing, snow skiing, and playing drums.