Traumatic Dental Injuries Elizabeth, NJ
When people think of accidents resulting in physical trauma, they think of broken bones and other bodily injuries. People rarely picture or think about dental trauma. However, dental trauma can happen during motor vehicle accidents, falls, and any other type of accident that directly impacts the mouth and the surrounding area.
Suffering dental injuries can be incredibly painful and traumatic. When you need exceptional medical care and services, it’s essential to be confident in your medical team. Elizabeth Oral Surgery Group is the top choice for oral care in Elizabeth, New Jersey. We are committed to our patients, providing them with unmatched personalized care that adjusts to fit their needs.
Types of Traumatic Dental Injuries
Dental traumas are categorized depending on the degree of severity of the injury. The injury’s severity depends on the type of tissue damaged and the extent of the damage the tissue sustained. Traumatic dental injuries can fall into the following categories.
One hears “concussion” and thinks of a brain injury. However, teeth can also suffer concussions. A tooth concussion is the mildest type of traumatic injury that the teeth can suffer. The fibers of the periodontal ligament become strained or damaged but with enough support to keep the tooth intact in the socket. The tooth may exhibit slight sensitivity to touch or diagnostic tapping, and the gums surrounding it may become slightly swollen. The gums may also bleed slightly, but the neurovascular tissue in the dental pulp remains intact.
Subluxation is considered to be an aggravated concussion. There is greater damage to the periodontal ligament. The tooth still remains intact and in its socket, but there is a notable movement that occurs. Interstitial bleeding from within the tooth-gum boundary is evident. Pain is felt when the tooth is touched or tapped, and there may be slight damage to the neurovascular bundle.
Extrusion or Extrusive Luxation
Luxation involves a trauma sufficient enough to dislodge the tooth from its socket. In the event of a luxation, there is always partial or total rupture of the periodontal ligament and considerable damage to or total severance of the blood vessels and nerve fibers of the dental pulp.
Extrusion luxation is when the tooth is dislodged outwards away from the tooth socket in a direction typically parallel to the tooth root orientation. The tooth will appear to have lengthened as part of the tooth root has been exposed.
Lateral luxation is when the tooth is displaced from its socket in any direction that is roughly perpendicular to the axial or longitudinal axis of the tooth. In this type of luxation, fracture of the alveolar socket bone is always present. There is often partial or complete laceration of the periodontal ligament and pulpal neurovascular connections. The periodontal ligament on the side of the fracture may also undergo traumatic compression.
In this type of luxation, rather than a tooth is dislodged, a tooth is driven further into the alveolar socket. This causes the alveolar bone to fracture and become compressed. The periodontal ligament, the pulp blood, and the nerve connections are torn off and crushed. In some cases, the tooth becomes completely submerged in the jawbone and can even penetrate the nasal cavity. Nearly all intrusive luxations lead to pulpal necrosis.
This type of dental trauma is when the tooth is totally displaced out of the socket. When the tooth root is fractured, a portion of the root may remain inside the socket. However, the pulp neurovascular supply and the periodontal ligament are completely ruptured. Tooth loss is highly lightly in the event of an avulsion. Even if the tooth can be preserved, there is a risk of the tooth not being recognized by the body’s immune system and may be rejected. A rejected tooth will fuse to the bone and be resorbed.
Broken teeth are dental traumas that involve damage to the teeth but do not involve dislocations. Teeth may be cracked, chipped, fractured, or torn off. The severity of the broken tooth is described according to the Ellis fracture classification system. The system assigns levels of severity based on whether the enamel, dentin, and pulp were affected. These include:
- Ellis Class 1 Fracture: Broken teeth only affect the enamel layer
- Ellis Class 2 Fracture: The enamel and the dental layers were affected
- Ellis Class 3 Fracture: The enamel, dental, and pulp were all affected
Class 1 fractures are not considered medical emergencies and can be treated with cosmetic dental treatments. Class 2 fractures require direct or indirect dental restorations. Class 3 fractures are medical emergencies due to the bleeding and extreme pain experienced with these fractures.
Traumatic Dental Injury Treatment
Time is of the essence when it comes to saving a damaged tooth when a person suffers traumatic dental injuries. A quick response time and diagnosis can substantially improve the outcome of dental trauma treatment. Therefore, it’s important to contact an oral specialist as soon as possible. Once you have seen an oral doctor, they can begin to administer care. The most common dental trauma care procedures consist of the following:
- Consultation: This process allows the dentist and patient to establish the basic information needed to move forward with a treatment plan
- Clinical Examination: This allows the dentist to assess the teeth, the soft tissue, and the areas that may have been affected to determine the extent of the damage
- Special Investigation: Extensive investigations (such as radiotherapy) may be necessary when a patient has suffered severe trauma
- Diagnosis: Based on the data collected and other aspects of the patient’s medical history, the dentists can reach a diagnosis.
- Treatment: A dentist will prescribe a suitable treatment plan personalized to your needs.
Suffering dental trauma can have substantial impacts on your health and quality of life. It’s important to contact an experienced oral doctor as soon as possible to ensure you get the treatment you need.
Need Help with Dental Trauma? Contact Elizabeth Oral Surgery Group
Elizabeth Oral Surgery Group in Elizabeth is committed to providing our patients with the exceptional care and support they need. Our offices are equipped with state-of-the-art equipment, and we practice the best oral techniques to ensure our clients receive the best of the best.
Experiencing any kind of physical injury can be a traumatic experience. At Elizabeth Oral Surgery Group, we understand that our patients need our support and are proud to help them find the best treatment plans that meet their needs. Contact our offices today by completing our online contact form or by calling (908) 774-8196.