Ch.4 Dental

Question 1

What causes a toothache?

Answer 1

inflammation of the dental pulp, the living center of a tooth.
A lost crown or filling
or tooth decay or cavity

Question 2

Signs and symptoms of a toothache

Answer 2

1. difficulty eating or drinking due to pain

2. sensitivity to air temperature or sweets

Question 3

Treatment principles for a toothache

Answer 3

1. dental hygiene. Brush teeth and flush mouth with disinfected water
2. cover/fill holes with CAVIT, wax or sugarless gum
3. consider pain management 3-3-3 rule. 3 Advil, 3 times a day, for 3 days.
4. evacuate if the pain is persistent or debilitating

Question 4

signs and symptoms of a broken tooth

Answer 4

1. pain when exposed to air
2. obvious cracked or broken tooth
3. bleeding and possible exposed pulp

Question 5

treatment principles for a broken tooth

Answer 5

1. assess the inside of the mouth with a light
2. assess bite, if teeth done come together, there might b a jaw fracture
3. look for broken off dental fragments, they could be bound together by a dentist.
4. seal painful exposed nerves from air and temperature changes with Cavit, wax or sugarless gum
5. if biting down causes pain, consider rolled up gauze on back molars
6. consider pain medications
7. consider evacuation

Question 6

Treatment principles for a knocked loose or out tooth

Answer 6

1. irrigate but do not scrub tooth
2. attempt to replace the avulsed tooth in the socket
3. if tooth cannot be replaced, it should be kept in an appropriate storage medium. Save-A-tooth. Milk. Saliva and water. wrapping in sterile gauze and having patient carry the tooth their cheek
4. pain medications 3-3-3 rule
5. evac for dental care

Question 7

signs and symptoms of third molar/impacted wisdom teeth

Answer 7

1. pain
2. swelling
3. possible swelling and tenderness in jaw

Question 8

treatment principles for impacted third molars/wisdom teeth

Answer 8

1. assess the inside of their mouth with a light
2. use a syringe to irrigate under flaps of skin, firmly and gently
3. brush and floss the area
4. patient can additional use mouthwash or water to rinse and spit
5. pain will increase because of irritation but should diminish in 3-4 hours
6. if biting down causes pain consider rolled up gauze on back molars.
7. consider pain medications 3-3-3 rule
8. consider evac if pain does not improve

Question 9

what is Periodontal Abscess?

Answer 9

An infection between the gumline and the tooth, commonly a result of trapped food

Question 10

signs and symptoms of periodontal abscess tooth

Answer 10

1. pain and swelling
2. redness or darkening of the skin
3. pocket of puss
4. fever

Question 11

treatment principles for periodontal abscess tooth

Answer 11

1. clean and floss teeth to remove trapped food
2. gargle with warm water 3-4 times daily
3. consider pain medications
4. consider antibiotics
5. consider evacuation