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Dental dislocation and root fracture


One can fracture root of the tooth at different height. There are 3 main types of fractures according to the one-thirds of teeth coronal, median, and apical fractures. Traumas of teeth are distinguished according to the anatomical organization of root of tooth. Fractures may affect neurovascular fascicle, cement and dentine. All these types of fractures demand specific treatment.

If the tooth is dislocated, its displacement as a result of trauma is observed. The first symptoms of dental dislocation are severe pain and change of the position of tooth. Patients usually experience the most severe pain in the first days after the trauma. Do not worry. It will soon subside. Still, one may experience unpleasant feelings while eating. The degree of mobility of dislocated tooth depends on the condition of the alveolar socket as well as the type of dislocation. If bigger part of bone tissue of alveolus was preserved after the trauma, the tooth will be less movable. However, resorption of bone tissue accompanied by lack of adjacent teeth can make the tooth moveable.

It will definitely cause discomfort and numerous problems and inconveniences.

Here is the list of the most widespread symptoms of dental dislocation: displacement of tooth in the denture, severe pain, pulp necrosis, inflammation of periodontal tissues, and pathological tooth mobility.

How to treat dental dislocation?

First of all turn to an experienced dentist. He will place the tooth where it should be. This operation can be painful. That is why anesthesia is used. Further actions of the dentist fully depend on the condition of the pulp. Traumas of neurovascular fascicle mean that the pulp will have to be removed and root canals filled. It is important to mention that it is not always possible to specify the state of pulp during the first visit to the dentist. In this case the state of pulp will be specified in three-five days after the elimination of changes in periodontal tissues. Then the dentist will be able to prescribe proper and the most effective treatment.

One can try to preserve the toot even in case of complete dislocation, but replantation will be effective only in case you turned to dentist not later than 2 days after the moment you had dental dislocation. Then the dentist will trepanize the tooth, treat it with antiseptics, and finally fill it. The next thing to be done is careful treatment and preparation of the alveolar socket. Then the tooth is being placed inside the socket and fixed with the help of a splint. If the tooth was plunged into the alveolar socket, dentist will immediately trepanize the tooth, then fill the root canals and fix the tooth.

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