Dental Emergencies: Management Strategies That Improve Outcomes (Trauma CME)

Dental Emergencies: Management Strategies That Improve Outcomes -

Dental Emergencies: Management Strategies That Improve Outcomes
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Publication Date: June 2017 (Volume 19, Number 6)

No CME for this activity

Ryan Anthony Pedigo, MD
Director of Undergraduate Medical Education, Harbor-UCLA Medical Center, Torrance, CA; Assistant Professor of Emergency Medicine, David Geffen School of Medicine, Los Angeles, CA
Peer Reviewers
Boyd Burns, DO, FACEP
George Kaiser Foundation Chair in Emergency Medicine, Associate Professor and Program Director, Department of Emergency Medicine, University of Oklahoma School of Community Medicine, Tulsa, OK 
Marlaina M. Norris, MD, MBA
Assistant Professor, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Emergency Trauma Care Current Topics And Controversies, Vol I (Trauma CME)
Acute dental emergencies are a common chief complaint presenting to emergency departments, and they are increasing substantially in frequency. The diagnosis and management of dental emergencies is a core competency of the emergency clinician, and proper therapeutic strategies can significantly improve cosmetic and functional outcomes for patients. This issue provides a systematic review of the literature on common acute traumatic and atraumatic dental emergencies with a focus on the historical and physical examination findings that must be understood to identify life-threatening infections, relieve pain, salvage natural teeth, and communicate with specialists in the further management of patients after emergency treatment.
Excerpt From This Issue
Your first patient of the shift is a 20-year-old man who was involved in an altercation. On physical examination, you note that he is missing 2 teeth and has chipped another. EMS found 1 of the teeth on the scene and has stored it in milk. You wonder, “Was milk the best storage medium? Do I need to worry about the missing tooth or other injuries? How do I replant a tooth? Does the chipped tooth need any specific intervention?”

As you ponder these questions, your next patient arrives. She is an 18-year-old woman complaining of severe, dull pain 3 days after wisdom-tooth removal. Upon inspection, the socket that previously held her right mandibular third molar is devoid of any blood clot. You recognize this as “dry socket,” or alveolar osteitis, but think, “What can I even do about this?”

Product Reviews

Concise presentation of material. high yield.
Todd Kessinger, MD - 07/23/2018
As a result of this article, I have more accurate descriptions of dental pathology and traumatic injuries, as well as greater confidence in managing dental emergencies.
David Zimcosky - 04/18/2018
This article will improve dental care
James Yates, MD - 02/01/2018
Great article. I will do some resident and mid level training on this
Hannah Evans, MD - 01/30/2018
Great review of blocks!
Brenda Barnes, DPM - 11/15/2017
This article helped me feel more comfortable treating dental complaints
Heith Pumphrey, NP - 11/11/2017
I now have a better understanding of the types of blocks; I had never been taught about splinting.
Margaret Carman, NP - 11/08/2017
This article will help me provide better care of dental conditions
Donald Correll, DDS - 11/07/2017
Great article. I will now be able to describe to students the types of blocks.
Christine Gisness, NP - 11/06/2017
After reading this article, I can use the various dental blocks for pain relief.
Angela Cooey, PA-C - 09/21/2017
Excellent pictures and description of blocks.
Burnette Sharon, NP - 09/21/2017
Great content! This gave me increased confidence with performing nerve blocks.
Philip Guzzetta III, PA-C - 09/18/2017
Great review of dental emergencies. I feel more comfortable with reimplantation.
Michael Menowsky, MD - 09/18/2017
Excellent article on nerve blocks and anatomy.
Michael A Kutmas, DO - 09/07/2017
I now have a better understanding of how to treat these problems.
Bill Vermilion, MD, FACEP - 09/07/2017
I will have a better evaluation and care of dental emergencies.
Kimber Ward - 09/05/2017
I now feel more competent with minor dental trauma and infection.
Erica Waterman, MD - 09/05/2017
Excellent article. Really enjoyed reading it!
Javaid Abbasi, DO - 08/17/2017
I feel more confident about doing blocks after reading this article.
Laura Lee Helfman, MD - 08/14/2017
After reading this article, I will have better communication with specialist and more confidence in caring for dental emergencies in the ER.
Scarlett Michael, DO - 08/10/2017
Good article. Very informative.
Matthew A Wakeley, DO - 07/21/2017
Based on this article, I will consider nerve blocks when treating patients with acute vs. chronic dental pain.
Wayne Wayt, PA - 07/06/2017
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