Traumatic Injuries (Adults and Children)

Dislodged Teeth

Injuries to the mouth can cause teeth to be forcefully moved in various directions. It can be pushed back in the socket or forced partially out of the socket in any direction. Do not delay in seeking treatment. Your general dentist or endodontist may need to reposition and stabilize your tooth. Depending on the severity of the pulp damage from tooth movement or symptoms, root canal treatment is usually started 1-2 weeks after.

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Avulsed Teeth

This is an injury where the tooth is completely knocked out of the socket. If this were to happen, time is of the utmost importance. The first hour is the most critical with the highest success rate for saving the tooth. Every hour that passes by decreases the chance of saving it. If possible, place it back into the socket. When handling an avulsed tooth that has fallen out of your mouth, remember to hold it only by the crown. The root has viable ligament cells that die easily if touched. Keep the tooth moist by placing it in milk, saline, or even water. If none of that is available, keep it inside the cheek of your mouth. Contact your general dentist immediately to have the tooth repositioned and splinted. Root canal treatment will follow once the tooth is stabilized, generally within 1-2 weeks. Depending on the length of time the tooth was out of your mouth, how the tooth was handled, and how it was stored will influence the type of endodontic treatment needed.

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Apexogenesis, Apexification, Regenerative Endodontics.

Lehigh Valley Endodontics is also highly trained in diagnosing and treating various traumas in immature teeth (usually kids) as well as in mature teeth.10_0002_300_30012_002_300_300 14_001_300_300

 

Regenerative Endodontics

A relatively newer procedure called Regenerative Endodontics has emerged to restore a tooth and its pulp to its healthy state. It uses the concept of tissue engineering and one’s own stem cells to recreate parts of the root lost to infection.

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Resorption

Other disorders of the tooth include Resorption, which is a disruption of the body cells that aggress and destroy part of a tooth.  There are many factors and reasons why this happens.  There are a few types, including internal, external and apical root resorption.  We now have 3-D CBCT imaging to predictably diagnose, manage and treat these disorders.

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Internal Bleaching

Teeth that have turned a darker color, in most cases from trauma, can be whitened to match your neighboring teeth. The materials used although very effective, can be quite disruptive to the surrounding tissues. To prevent possible gum irritation and tooth erosion, this procedure is performed under a rubber sheet and the operating microscope for precise application to gain optimal success.

rubber dam Before-after