Ep 186 Traumatic Dental Emergencies

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 22 August 2023

⏱️ 48 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this part 2 of our 2-part podcast series on dental emergencies we cover traumatic dental emergencies. Dental trauma is common and often associated with facial trauma. In this episode Dr. Chris Nash and Dr. Richard Ngo answer questions like: at what age is it safe to attempt reimplantation of an avulsed tooth in the ED? What are the 3 most time-sensitive dental trauma emergencies? When is Panorex X-ray or CT indicated in dental trauma? What is the preferred solution to transport an avulsed tooth in? What are 3 dental splinting methods we should consider for dental subluxations and avulsions? How should we handle an avulsed tooth to maximize the chances of a successful reimplantation? When are antibiotics indicated after dental trauma? What role does chlorhexidine rinses play in preventing infection after dental trauma? What are the recommended first and second line treatments for persistent dental hemorrhage? and many more...

Transcript

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0:00.0	Welcome to the Emergency Medicine Cases podcast. I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC studios in Toronto.
0:12.7	EM cases is part of SREMI, Schwartz-Risman Emergency Medicine Institute, the nonprofit organization dedicated to improving EM care through research and education.
0:21.5	The opinions expressed on this podcast are intended for information and education purposes only
0:23.5	and should not be used to diagnose treat or prevent any medical condition, nor should they be used
0:25.6	as a substitute for medical advice and qualified practice and physician.
0:28.9	Before we get going with traumatic dental emergencies, Hans Rosenberg, who masterfully does our
0:34.1	best of CGM EM Quick Hit series series made me aware of a very important clarification
0:40.8	from our at traumatic dental emergencies episode 185, and it's about periapical dental abscesses.
0:50.3	In that episode, we lumped together periapical abscess with periodontal abscess and said that they
0:57.2	both present with swelling and fluctuance, but alas, we were wrong. It's really only the periodontal
1:03.7	abscesses that typically present with a fluctuant swelling. So here's Hans Rosenberg to help
1:09.0	clarify what we need to know about periapical abscesses.
1:12.9	Hey Anton, hope you're well. It was great to hear the latest EM cases with doctors
1:18.0	Ngo and Nash. I really enjoyed what they had to say about non-traumatic dental emergencies.
1:22.6	However, I would like to raise a minor concern regarding the podcast depiction of peripical
1:28.3	abscesses.
1:29.6	The guests frequently alluded to the presence of periapical abscesses being manifested
1:33.8	through fluctuations or swelling.
1:35.9	While this can indeed be the case, it is more likely that there will be little swelling
1:40.2	or fluctuations at all.
1:41.9	For this reason, I think it's crucial to delve a little deeper
1:44.8	into the anatomical aspects of this condition when considering its presentation.
	...

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