Family Dentistry of Ocean City
Robert W. Yaskin, D.M.D. LLC
421 15th Street
Ocean City, NJ 08226
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There's nothing quite like watching your son or daughter compete on the athletic field. It's a mixture of anticipation, pride — and occasionally, anxiety. Despite all the protective gear and training, kids are sometimes injured playing the sports they love. In fact, when it comes to dental injuries, teens are the most susceptible of any age group. Here's what you should know about preventing sports-related dental injuries in kids.
Of course you know that football and hockey players should always wear mouthguards, both at games and during practice. But don't forget about kids who play soccer, do gymnastics, wrestle or play basketball. According to the American Dental Association (ADA) these athletes — along with participants in about 20 other sports — also need to wear this important piece of protective gear. In fact, the ADA states that not wearing a mouthguard makes an athlete 60 times more likely to sustain dental injury!
In selecting a mouthguard, there are three basic options to choose from: the “off-the-shelf” type, the so-called “boil and bite” protector, and the custom-fitted mouthguard that we can fabricate. Let's look briefly at all three.
The first type, available at many sporting goods stores, comes in a limited range of sizes, and an unknown range of quality. It's the least expensive option, offering a minimal level of protection that's probably better than nothing.
The second type, although popular, is also limited in its protection. This one is designed to be immersed in hot water, and then formed in the mouth using finger, tongue and bite pressure. If it can be made to fit adequately, it's probably better than the first type — though it often lacks proper extensions, and fails to cover the back teeth. Also, upon impact, the rubber-like material will distort and not offer as much protection as you would like to have.
The third is a piece of quality sports equipment that's custom-made for your child's mouth (or your own). To fabricate this mouthguard, we first make a model of the individual's teeth, and then mold the protector to fit just right. Made from tough, high-quality material, it's designed to cover all teeth, back and front, without being excessively bulky. It can even be made to accommodate growing teeth and jaws. And, it's reasonable in cost.
To paraphrase the ADA's recommendation, the best mouthguard is the one you wear. A comfortable, correctly-fitted mouthguard is easy to wear — and it can help prevent dental injury, giving you one less thing to worry about. Now, if you could just get you child to keep her eye on the ball.
If you have questions about mouthguards or sports-related dental injuries, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Athletic Mouthguards” and “An Introduction to Sports Injuries & Dentistry.”
One went over the handlebars of his mountain bike. Another got an elbow going for a lay-up. For a third, it was that tricky maneuver on her new snowboard...
These are just a few of the ways that kids' teeth can be injured. (No doubt, parents can think of plenty more.) The good news is that modern dentistry offers more options than ever for treating the injury and restoring the appearance and function of the teeth.
Teeth that are fractured or dislodged are a serious condition that requires immediate, comprehensive treatment. The majority of dental injuries, however, are less severe: most often, they involve chipped teeth. If chips occur in the upper front teeth — as some 80% of dental injuries do — even small flaws can have a big affect on the appearance. And, especially in the teenage years, appearance can mean everything.
In many cases, small chips in the teeth can be repaired effectively using a procedure called “bonding.” In this treatment, we use a tooth-colored material made by mixing a plastic matrix and a glass-like filler, which provides adequate strength and aesthetic qualities similar to the natural teeth. In fact, this composite material can be matched to an individual's tooth color so accurately that it's hard to notice any difference.
Composite resins can be successfully bonded to most healthy teeth — and they offer some advantages over other restoration methods, particularly for children and teenagers. The bonding procedure avoids making tiny “undercuts” in the natural substance of the tooth, while metal fillings need to “lock in” to the tooth's structure. This means that bondings generally require less tooth preparation, which usually makes bonding a quick and relatively easy method of restoration.
It's true that, over time, some bonded restorations may not stand up to the tremendous biting forces of the jaw as well as porcelain restorations — but in young people whose permanent teeth have large pulp (nerve) chambers, the removal of too much tooth structure could compromise the long-term health of the tooth. Later on, we can look at performing a different type of restoration.
If you have questions about cosmetic bonding or sports-related dental injuries, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Repairing Chipped Teeth” and “An Introduction to Sports Injuries & Dentistry.”
As the Boy Scouts say, it's best to be prepared. You may never have a traumatic injury to your teeth. But what if you do? Here are four questions and answers about such injuries and their treatment that may be helpful some day.
What are traumatic injuries?
We are talking about physical damage caused by a fall, an accident, or a blow to the face. The word trauma comes from the Greek root meaning “wound.”
A traumatic injury can also cause broken, cracked, or split teeth, or a fracture to the root of the tooth. A tooth may be dislodged from its proper position, pushed sideways, out of or deeper into its socket. It may even be completely knocked out of your mouth.
What should you do if your tooth is knocked out?
With proper treatment, the tooth can be restored to its original place. You must handle the tooth gently and seek professional help as soon as possible. Rinse the tooth in cold water if it is dirty, but do not use any cleaning agent. Avoid touching the root. While hurrying to your dentist, keep the tooth from drying out by keeping it in a container of milk or of your saliva, or by holding it in your mouth between gum and cheek. It is vital to keep the tooth's living tissues moist until it can be professionally assessed and replanted in its socket. If a tooth has been dislodged but not knocked out, it must be repositioned in its socket and may be stabilized with a splint.
Who can treat a tooth that is damaged by a traumatic injury?
A general dentist, an oral surgeon or an endodontist is trained to treat such injuries. An endodontist is trained to treat the root canal(s) inside a tooth. The word comes from “endo” the Greek word for “inside,” and “odont,” the word for “tooth.” After a tooth is replaced in its socket and stabilized, root canal treatment is often needed.
What is root canal treatment?
A tooth is composed mostly of dentin, a living tissue. The top part or crown is covered by hard mineralized enamel. The soft tissue inside the tooth, the pulp, contains blood vessels, nerves and connective tissues. It extends from the crown to the tip of the roots. Treatment of dental pulp injuries is called root canal or endodontic treatment and is usually needed to treat teeth that have been dislodged or fractured.
Contact us today to schedule an appointment to discuss your questions about injuries to teeth and related nerve damage. You can also learn more by reading the Dear Doctor magazine article “Trauma & Nerve Damage to Teeth.”