common dental problems.pptx dental topics very good for professional and students

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1. DENTAL EMERGENCIES

2. DENTAL EMERGENCIES Dental emergency is a broad, umbrella term used to describe an issue involving the teeth and supporting tissues that is of high importance to be fixed/treated by the relevant professional.

3. COMMON DENTAL EMERGENCIES TOOTHACHE CHIPPED OR BROKEN TOOTH KNOCKED OUT TOOTH LOST FILLING OR CROWN BROKEN ORTHODONTIC WIRES ABSCESS BLEEDING AND PAIN AFTER TOOTH EXTRACTION

4. TOOTH PAIN Majority originates in the teeth or peridontium Treatments starts in the Dental clinic and dental referral is required Dental problems do NOT “cure themselves” Treating the pain without addressing the underlying problem only prolongs the problem. Why?

5. TOOTH PAIN DENTAL CARIES

6. ACUTE TOOTH PAIN PULPITIS   • Inflammation of the pulp • Dental caries extending into dentine causes a sharp pain with hot and cold 2 TYPES IRREVERSIBLE REVERSIBLE

7. CLINICAL CASES CASES OF ROOT CANAL TREATMENT

8. CLINICAL CASES CASE OF SINGLE SITTING ROOT CANAL TREATMENT

9. ACUTE TOOTH PAIN DENTAL ABSCESS   • A dental abscess is a build-up of pus in the teeth or gums caused by an infection. It needs urgent treatment by a dentist • Result of decay and infection extending into pulp of tooth • Pain is severe, persistent, & throbbing • Tooth is tender to touch • If not treated pus tracks to surface inside or outside the mouth EXTRAORAL INTRAORAL SINUS

10. ACUTE TOOTH PAIN DENTAL ABSCESS  

11. ACUTE TOOTH PAIN DENTAL ABSCESS   “ drainage ” 1. Open tooth into pulp chamber 2. Antibiotics 3. Extraction of tooth

12. CLINICAL CASES ROOT CANAL TREATMENT UNDER PROCESS

13. CLINICAL CASES

14. TOOTH AND ALVEOLAR TRAUMA Fractures of teeth Luxation Intrusion or concussion Avulsion Fracture of Jaw

15. CLINICAL CASES CASE OF AESTHETIC RESTORATION ( LIGHT CURE COMPOSITE) BEFORE AFTER

16. TOOTH AVULSION

17. TOOTH AVULSION

18. TOOTH AVULSION

19. TOOTH AVULSION

20. TOOTH AVULSION TRANSPORT MEDIA HBSS OWN SALIVA COLD MILK COCONUT WATER VIASPAN

21. CRACK TOOTH SYNDROME

22. CRACK TOOTH SYNDROME

23. CRACK TOOTH SYNDROME

24. CRACK TOOTH SYNDROME

25. CRACK TOOTH SYNDROME

26. CRACK TOOTH SYNDROME

27. HEMATOMA Hematoma   The effusion of blood into extravascular spaces can be caused during administration of local anesthesia . The patient will notice development of swelling and discoloration of a bruise.

28. HEMATOMA

29. HEMATOMA

30. HEMATOMA

31. HEMATOMA Causes Arterial or venous puncture following IANB and PSA nerve block. Hematoma rarely develops after a palatal injection, because of density of tissue in the hard palate and its firm adherence to bone. 7 to 14 days the hematoma will be presented . Management When swelling becomes evident during or immediately following local anesthetic injection, direct pressure should be applied to the site of bleeding for 2-4 minutes. This will effectively stop bleeding. Ice pack Symptomatic treatment

32. BLEEDING AFTER EXTRACTION

33. SOMETHING MISSING ?

34. MEDICAL EMERGENCIES SYNCOPE

35. MEDICAL EMERGENCIES SYNCOPE ANXIETY INCREASED CATECHOLAMINE RELEASED PERIPHERAL VASCULAR RESISTANCE DECREASED POOLING OF BLOOD DECREASED ARTERIAL BLOOD PRESSURE HR INCREASED FEELING OF WARMTH PALLOR PERSPIRATION RAPID BREATHING DECOMPENSATION REFLEX BRADYCARDIA, NAUSEA, WEAKNESS REDUCED CEREBRAL BLOOD FLOW SYNCOPE

36. SYNCOPE MANAGEMENT Terminate all Dental Treatment Position the patient in supine position with leg raised Check for breathing ABSENT Start BLS Medical support team Rule out hypoglycemia,cardiac dysrhthmia PRESENT Crush ammonia Monitor vital signs Plan anxiety control measures

37. HYPOGLYCEMIA MILD Hunger Nausea Mood change Weakness MODERATE Anxiety Behaviour change Confusion Tachycardia Pallor SEVERE Hypotension Seizure Unconsciouness

38. HYPOGLYCEMIA MANAGEMENT MILD Glucose such as sugar or fruit by mouth Monitor vital signs Medical referral MODERATE Glucose such as sugar or fruit juice Monitor vital signs SEVERE 50 ml 50 % glucose or 1mg glucagon IV IM Monitor vital signs Administer oxygen Transport to medical care facility Symptoms persists 50 ml 50 % glucose or 1mg glucagon IV IM Monitor vital signs Medical referral

39. ANAPHYLAXIS IgE mediated rapidly developing systemic allergic reaction Causes Drugs- Antibiotics( Penicillin,Cephalosporin etc ) Local anesthetics Diagnostic agents Foods( sea food, nuts etc ) Pollen extracts Insect bites Vaccine preservative( Thiomerosal ) etc

40. ANAPHYLAXIS

41. ANAPHYLAXIS Management Drugs Adrenalin Airway mgmt Iv Fluids and dobutamine Skin reactions Diphenhydramine Hydrocortisone

42. JAI HIND