Posts for tag: dental injury

By Randall J. Bartoe, DDS, PLC
August 30, 2018
Category: Dental Procedures
DontBreakItLikeBeckham

During his former career as a professional footballer (that's a soccer star to U.S. sports fans) David Beckham was known for his skill at “bending” a soccer ball. His ability to make the ball curve in mid-flight — to avoid a defender or score a goal — led scores of kids to try to “bend it like Beckham.” But just recently, while enjoying a vacation in Canada with his family, “Becks” tried snowboarding for the first time — and in the process, broke one of his front teeth.

Some fans worried that the missing tooth could be a “red card” for Beckham's current modeling career… but fortunately, he headed straight to the dental office as soon as he arrived back in England. Exactly what kind of treatment is needed for a broken tooth? It all depends where the break is and how badly the tooth is damaged.

For a minor crack or chip, cosmetic bonding may offer a quick and effective solution. In this procedure, a composite resin, in a color custom-made to match the tooth, is applied in liquid form and cured (hardened) with a special light. Several layers of bonding material can be applied to re-construct a larger area of missing tooth, and chips that have been saved can sometimes be reattached as well.

When more tooth structure is missing, dental veneers may be the preferred restorative option. Veneers are wafer-thin shells that are bonded to the front surface of the teeth. They can not only correct small chips or cracks, but can also improve the color, spacing, and shape of your teeth.

But if the damage exposes the soft inner pulp of the tooth, root canal treatment will be needed to save the tooth. In this procedure, the inflamed or infected pulp tissue is removed and the tooth sealed against re-infection; if a root canal is not done when needed, the tooth will have an increased risk for extraction in the future. Following a root canal, a tooth is often restored with a crown (cap), which can look good and function well for many years.

Sometimes, a tooth may be knocked completely out of its socket; or, a severely damaged tooth may need to be extracted (removed). In either situation, the best option for restoration is a dental implant. Here, a tiny screw-like device made of titanium metal is inserted into the jaw bone in a minor surgical procedure. Over time, it fuses with the living bone to form a solid anchorage. A lifelike crown is attached, which provides aesthetic appeal and full function for the replacement tooth.

So how's Beckham holding up? According to sources, “David is a trooper and didn't make a fuss. He took it all in his stride." Maybe next time he hits the slopes, he'll heed the advice of dental experts and wear a custom-made mouthguard…

If you have questions about restoring damaged teeth, please contact our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Trauma and Nerve Damage to Teeth” and “Children's Dental Concerns and Injuries.”

By Randall J. Bartoe, DDS, PLC
March 13, 2018
Category: Oral Health
KrisDunnIstheLatestNBAPlayertoInjureHisTeethontheCourt

For lots of sports fans, March is the month to get caught up in basketball “madness.” But many people forget that basketball—whether it's played on a school court or a big-city arena—can be just as dangerous for your teeth as some “full-contact” sports. Just ask Chicago Bulls point guard Kris Dunn. In the last three minutes of the January 17 NBA game between the Bulls and the Golden State Warriors, Dunn stole the ball and went in for the dunk. But the momentum from his fast break left him tumbling head-over-heels, and his face hit the floor.

The game stopped as Dunn was evaluated by medical staff; they found he had dislocated his two front teeth. The next day, the Bulls announced that his teeth had been stabilized and splinted—but Dunn would be out indefinitely because of a concussion.

Teeth that are loosened or displaced are known in dental terminology as luxated. These are fairly common dental injuries in both children and adults—but surprisingly, they don't always produce painful symptoms. Treating luxated teeth generally involves repositioning them and then splinting them in place for stability. Depending on the severity of the injury, the outlook for splinted teeth can be quite favorable. However, it may involve several treatments over a period of time—for example, a root canal if the tooth's inner pulp has been damaged, and possibly additional restorative or cosmetic work.

If the injured teeth can't be saved, they can usually be replaced by dental implants or a bridge. Bridges rely on adjacent teeth (also called abutment teeth) for their support. These teeth must be prepared (reduced in size) to accommodate the dental crowns that will hold the bridge in place, as well as the ones that will replace the missing tooth or teeth. Dental implants, today's gold standard of tooth replacement, are supported by root-like inserts made of titanium that are set directly into the jawbone. These dental implants support lifelike crowns that look and feel like natural teeth, and can last for years with routine care.

Better still, many dental injuries can be prevented by wearing a protective mouthguard. We can provide a custom-fabricated mouthguard, made from an exact model of your bite, which offers the maximum in comfort and protection. This is a vital piece of safety equipment that should be part of every sports enthusiast's gear.

With good dental care, it's a sure bet that Kris Dunn will be smiling when he returns to the court. We wish him a speedy recovery.

If you have questions about treating injured teeth or obtaining a custom mouthguard, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Trauma and Nerve Damage to Teeth” and “Athletic Mouthguards.”