Oral And Maxillofacial Surgeons
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Oral and maxillofacial surgeons are dental specialists who treat conditions of the mouth, face, and neck. They undergo extensive education and training, including 4 years of undergraduate study, 4 years of dental school, and 4-6 years of residency training, for a total of 12-14 years. Oral surgeons perform procedures like dental implants, wisdom tooth extractions, treatment of misaligned jaws, and surgery for issues like tumors, cysts, trauma, and oral cancer. They are also trained to administer different types of anesthesia.
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The document provides guidelines for managing traumatic dental injuries in primary teeth. It discusses special considerations for injuries in primary teeth including their close relationship to developing permanent teeth. Treatment guidelines are presented for different types of injuries like fractures, luxations, avulsions and alveolar fractures. Clinical and radiographic examinations are important. Potential sequelae are outlined. Splinting may be used for alveolar fractures or intruded teeth. Antibiotics are usually not needed unless other injuries require surgery. Crown discoloration is common after luxation but root canals are not indicated unless infection is present.
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1. Take a thorough patient history to understand symptoms.
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3. Tap teeth with a mirror to identify ones causing pain.
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An avulsed tooth is one that has been completely displaced from its socket. For permanent teeth, immediate replantation within 1 hour of avulsion has the best prognosis. The tooth should be gently rinsed and replanted in its socket, holding it in place until dental care can be received. If immediate replantation is not possible, the tooth should be transported in a moist environment like milk or saline to reduce the dry time before replantation by a dentist. Deciduous teeth should not be replanted due to risks of damage to the developing permanent tooth.
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