Then have a look and try and work out what is wrong with it. See what it looks like. See if it's sore. See if it wobbles.
- no obvious displacement. Tender to touch.
- not wobbly.
- soft food for a week
- Increased mobility and pain
- Some associated bleeding
- Increased mobility
- Soft food, clean carefully, chlorhexidine mouthwash.
- Partial displacement of the tooth out of its socket
- Partial or total separation of the peridontal ligament resulting in loosening and displacement of the tooth.
- Tooth appears elongated
- If <3mm in an immature developing tooth, needs careful repositioning.
- May or may not intersect the secondary tooth bud.
- May penetrate into the nasal cavity.
- Often associated with alveolar fracture.
- Needs repositioning and careful advice.
- Empty socket
- Do not replace
- Consider x-ray to check not aspirated. Soft food for a week.
- Wash briefly
- Bite on a hankerchieft to hold it in position
- Glass of milk for storage.
- Flexible splint for two weeks
Crack - No follow up needed
Smooth sharp edges
Manual repositioning + stabilising of the segment
These need things done to them. You can catagorise them using the Ellis staging system. I'm going to refer them all to max fax/ a dentist.
Post Extraction Problems
Bleeding - rolled up piece of gauze in the socket for 10min. May need horizontal matress suture - use lidocaine + adrenaline.
Dry socket pain - if bone exposed. Typically 3- 8 days later. Irrigate with warm saline, oral antibiotics, analgesia and dentist.http://www.annemergmed.com/article/S0196-0644%2809%2901141-X/abstract