After fifteen minutes
Patient: Good afternoon, Doctor! We’ve spoken over a phone.
Doctor: Hello, please come into the office. I would like your son to take a sit in the chair. Can you give me the tooth, please?
After a while
Doctor: Well, I think it should be fine. Let me take a look inside your son’s mouth. Christopher, open your mouth wide, please. Well, I have good news for you. This is not a permanent tooth, it’s just a baby tooth.
Patient: Oh, I see. What a relief. And what’s going to happen next?
Doctor: We do not replant baby teeth. Anyway, a permanent tooth will appear soon, just as the adjacent one. And it will be an incisor tooth – mandibular lateral incisor. Mandibular central incisor has already erupted and the lateral one will cut through the gums soon. However I have to put stitches on his lip because it is torn. Because he was in contact with the ground you should go to your GP at once. This is very important. Your doctor will probably advise tetanus prevention.
Patient: I see. The GP is our good acquaintance, so I’ll call him immediately.
Doctor: I will also write you a referral letter for X-rays. Please have them taken by tomorrow. When you come with your son tomorrow, I will examine the adjacent teeth. Although they are not broken, I’d better check whether all of them are fine.
Patient: Very well, Doctor. I am very glad that this is just a primary tooth. My niece had a tooth knocked-out several years ago and although the dentist put it back in, she lost it after four years.
Doctor: Well, yes. Replantation of teeth often fail. Patient may lose a tooth sometimes immediately, sometimes after several years. But Christopher is not at risk.
Patient: Yes, yes. Thank you once again. And I’ll see you tomorrow.
Doctor: Good-bye. Let me give you some ice wrapped in a handkerchief. Christopher, hold it like this, please. Apply ice to his lips, until your son goes to sleep. But please be careful not to freeze it. Please wrap the ice in a handkerchief and apply for several minutes to his lip, then take a few minutes break and apply again.
Patient: I will do so. Goodbye.
VOCABULARY PRACTICE
Complete the text below with words from the table and then put the steps of replantation procedure in order
|
local |
present |
stream |
reposition |
|
force |
booster |
away |
administer |
|
socket |
contamination |
radiologically |
soil |
Background:
Extraoral dry time less than 60 min. The tooth has been kept in milk for less than 60 minutes.
___1_ Clean the root surface and apical foramen with a 1)______ of saline and soak the tooth in saline thereby removing 2)________ and dead cells from the root surface.
______ Suture gingival lacerations if 3)________.
______ Administer 4)________ anesthesia.
______ 5)______ systemic antibiotics. Tetracycline is the first choice.
______ Irrigate the 6)_______ with saline.
______ Apply a flexible splint for up to 2 weeks, keep 7)____ from the gingiva.
______ Examine the alveolar socket. If there is a fracture of the socket wall, 8)_________ it with a suitable instrument.
______ Replant the tooth slowly with slight digital pressure. Do not use 9)________.
______ If the avulsed tooth has been in contact with10)________, and if tetanus coverage is uncertain, refer to physician for a tetanus 11)__________.
______ Verify normal position of the replanted tooth both, clinically and 12)________.
__11__ Initiate root canal treatment 7‑10 days after replantation and before splint removal.
Rearrange the words to create pieces of advice you would give your patient following avulsed tooth replantation
- /to take/up/weeks/soft/only/food/two/
….....................................................................................................................
- (0.1%)/twice/a chlorhexidine/one/a day/use/rinse/for/mouth/week
…....................................................................................................................
- 1 year/and then yearly thereafter/radiographic/6 months/schedule/after/clinical and/four weeks/control/3 months/
…..................................................................................................................
- immediately/an antibiotic-corticosteroid/following/apply/paste/or shortly/replantation
…..................................................................................................................
- radiographic/I suggest/2 weeks/control/after
…...........................................................................................................
Find terms for the following definitions (all words are taken from this lesson) and complete the crossword puzzle
1. The forcible tearing away of a tooth due to trauma, accident or injury.
2. A dental appliance put on the teeth to protect them from moving out of place.
3. A tooth adapted for cutting or gnawing, located at the front of the mouth along the apex of the dental arch.
4. Adjective describing localization of something. Synonym of next to, nearby.
5. A solution that is isotonic with blood and is used in medicine and surgery.
6. An acute, often fatal disease characterized by spasmodic contraction of voluntary muscles, especially those of the neck and jaw, and caused by the toxin of the bacillus Clostridium tetani, which typically infects the body through a deep wound. Also called lockjaw.
7. The condition of being impure.
Lesson 57 - answers
