What is considered a dental emergency |
Posted: July 11, 2020 |
Acute pain, inflammation, injuries, and fractures in the teeth and neighboring tissues, and even uninterrupted bleeding are the complaints that can be considered dental emergencies. The concrete situations established as urgent They are listed below: acute periapical abscess; acute apical periodontitis; periodontal abscess; cellulitis; pericoronitis; peri-implantitis; Irreversible pulpitis; reversible pulpitis; dental trauma (except those that involve only enamel and are painless); oral bleeding; suspicion of malignant pathology injury; loose bridge or crown over the implant; restorative fracture or loss of temporary restoration with associated pain (vital teeth or endodontic treatment); removable prosthetic fracture that compromises masticatory function; crown or bridge fracture that compromises masticatory function with pain and infection; temporary or permanent loss of crown with associated pain; non-osseointegrated implant; loss of an implant healing screw; suture removal from a recent surgical procedure; sudden pain or limitation of the opening of the mouth (patients with temporomandibular disorders); and dislocation of the temporomandibular joint that needs reduction. Must always use a barrier and elimination elements for possible infections. In addition, all the material has to be sterilized, it must be disinfected with chemical agents, such as glutaraldehyde, all work surfaces and protective measures such as a mask, gloves and protective glasses must be used. The transmission control of the coronavirus in the dental clinic includes thorough hand washing, before and after each patient with soap; systematic use of mask, goggles and clinical clothing; and, before proceeding with the treatment, rinse the mouth for one minute with 1% hydrogen peroxide or 0.2% povidone. Chlorhexidine is not effective against the coronavirus. Whenever feasible, absolute rubber dam isolation should be used, which reduces the concentration of viruses in aerosols by 70%. In addition, the protocol involves using rotating instruments with a non-return valve and cleaning, disinfecting, and sterilizing the instruments with the usual methods. The virus is present in saliva. Therefore, in the dental context, it can be transmitted by inhalation of aerosols, contact with mucosa, and contaminated surfaces. Before treating a patient, it must be known if, in the last 14 days, he has had a fever (from 37.3 degrees), respiratory problems, has traveled to countries at risk, has been in contact with someone with confirmation of coronavirus or people with acute respiratory symptoms. In the event that any of the answers is affirmative, the recommendation is to delay treatment unless urgent. Dentist Edmonton can help prevent the virus from spreading by postponing non-urgent treatments and attending dental emergencies to prevent them from going to hospitals and collapsing them. In case of carrying out these treatments, take all the measures mentioned above to avoid spreading the virus. In addition, they can also collaborate through the donation of material that may be useful to the Ministry of Health.
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