Dr. T.Hari Hara Suthan

A chipped or knocked out tooth can be a very painful condition. Tooth injuries are most often caused during a sports activity or when you take a nasty fall. And such accidents can hamper your general well-being, your ability to enjoy food, your appearance and your precious smile. 

Different types of tooth injuries:

1. A minor chip: A minor tooth fracture usually involves chipping of the enamel only
2. A major chip: A deeper fracture can involve chipping of both the enamel and the dentin of a tooth
3. A serious fracture that exposes the nerve and blood vessels in the centre of the teeth
4. A fully displaced teeth: Here the tooth is forced upward, downward or to the side
5. A knocked off teeth: One that lands in your hand or shatters in the ground after impact
6. Trauma injuries: A more serious accident that involves head, neck and facial trauma
7. Wear and tear: Cavities or chewing and biting on hard objects like pencils, ice cubes, or hard chocolates can also lead to tooth injury 
8. Fighting the fight: When 'I'll break your teeth' ceases to be an empty threat

How are tooth fractures treated?

Treatment depends on the extent of your fractures. A knocked out teeth can be re-implanted in many cases. A permanent tooth that is re-implanted within 30 minutes has the highest chance of success. Here's what you can do to save your tooth:

1. Collect your broken tooth: Carefully collect the tooth fragments to not cause any additional damage which may prevent re-implantation. Avoid touching the root part of the tooth. Wash it gently in lukewarm water and keep it in a small bowl of milk. Avoid scrubbing or scraping to remove dirt. 
2. Reinsert your teeth if possible: Once you rinse your teeth, try to reinsert your teeth in the cavity. This may be a painful exercise, so proceed only if you think you can bear through it. You can store it between your cheek and gum to prevent drying or in a bowl of whole milk.
3. Take care of yourself: If there is bleeding, give your mouth a good rinse to clear off the blood that is blocking the view. Identify the source of bleeding and press in with a sterile gauze or cloth. 
4. Give yourself a treat: This is a great way to get your mind off the pain and works wonders for children. Treat yourself with an ice lolly/ frozen pop to ease out the pain. If there is any cut on your gums or lips, another equally tasty home remedy is to cover it with sugar which will temporarily stop the bleeding and the sweetness will help you to forget the pain for the time being. 
5. Go to a dentist: Even if it is a minor chip, it is always advisable to see a dentist, as the cut may be sharp and can eventually end up hurting your tongue. 

Your teeth need to last your lifetime, so take good care of them, especially when faced with an injury. If you wish to discuss about any specific problem, you can consult a dentist.

Dental Care!

A smile is said to be your best accessory. For a beautiful smile, it is important not only for your teeth to be pearly white, but they should also be well aligned. Just like a toothbrush and teeth whiteners, which can make your teeth sparkle, braces can align them efficiently.

If you're thinking of getting braces, here are six things you should know:

1. There is no age limit to braces: Braces are usually linked to the awkward teenage years, but there really is no age limit to straighten your teeth. It is no longer uncommon for adults to opt for orthodontic treatment to straighten their smiles. All you need to ensure is that your gums and teeth and are healthy. Even a senior citizen can wear braces!

2. Types of Braces: Traditional Metal Braces are made of the stainless steel brackets and wires that inspired the term, 'metal mouth' years ago. Fortunately, today's metal braces are noticeably smaller. And new heat-activated archwires move your teeth more quickly and less painfully as they respond to your body's heat.

• Ceramic Braces mock metal braces in shape and size, but they use tooth colored or clear ceramic brackets that blend more naturally into your teeth.
• Lingual Braces use the same metal brackets and wires used in traditional braces, but the brackets and wires are installed on the inside of your teeth to keep them hidden.
• Invisalign consists of a series of customized, clear BPA free plastic tray aligners that are removable and typically replaced every 2 weeks to keep your teeth moving in the desired direction.

3. Certain oral health conditions can prevent you from getting braces: Healthy teeth and gums are a prerequisite for braces at any age. In some cases, patients with exceedingly receded gums may not be eligible for braces. Another oral condition, which is commonly seen with people who cannot get braces, is the teeth with shallow roots.

4. You may feel a little discomfort: It does take a while to get used to wearing braces. The first week is usually the most uncomfortable or sometimes, there is no discomfort. If feeling discomfort, your mouth and teeth may feel sore and tender. A salt water gargle can help relieve this discomfort. Feeling your teeth get a little loose as the braces begin to work is normal. This is because, in order for the braces to straighten your teeth, they must first dislodge them from their current position and angle. As your teeth are repositioned, this looseness will disappear.

5. You will probably need to wear a retainer: Getting braces means signing up for a long term treatment. Even after the braces are removed and your teeth have been repositioned, you will probably need to wear a retainer for some time. This is to ensure that your teeth do not return to their original positions.

6. Be prepared to put more time into your teeth cleaning routine: Wearing braces means you can not neglect brushing and flossing. Teeth can become permanently stained if food and beverage debris is not cleaned away from all the nooks and crannies formed by your braces.

The sooner you treat your teeth, the faster you will be able to flash that million dollar smile.