Acute dental emergencies are a common chief complaint presenting to ambulatory healthcare settings, and they are increasing substantially in frequency. The diagnosis and management of dental emergencies is a core competency of frontline clinicians, 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; it focuses on the historical and physical examination findings that must be uncovered to identify dangerous infections, relieve pain, salvage natural teeth, and communicate with the specialists who will assume care of these patients at follow up.
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Following are the most informative references cited in this paper, as determined by the authors.
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18. * Malmgren B, Andreasen JO, Flores MT, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol. 2012;28(3):174-182. (Guidelines) DOI: 10.1111/edt.12576
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36. * Day PF, Duggal M, Nazzal H. Interventions for treating traumatised permanent front teeth: avulsed (knocked out) and replanted. Cochrane Database Syst Rev. 2019;2(2):CD006542. (Systematic review; 4 studies, 183 patients) DOI: 10.1002/14651858.CD006542.pub3
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Keywords: dental emergency, dentoalveolar, tooth, tooth fracture, periodontium, periodontal, alveolar ridge, alveolar osteitis, subluxation, luxation, avulsion, Ellis, gingiva, gingivitis, necrotizing stomatitis, pericoronitis, operculum, wisdom teeth, alveolar osteitis, dry socket, odontogenic abscess, Ludwig angina, Hanks' balanced salt solution, HBSS, mandibular dislocation, nerve block, syringe technique
Keith Pochick, MD, FACEP
Ivan Koay, MD, MBChB, MRCS, FRNZCUC
Brad Laymon, PA-C, CPC, CEMC
May 1, 2023
May 1, 2026   CME Information
4 AMA PRA Category 1 Credits™. 4 AOA Category 2-A or 2-B Credits. Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 3 Trauma, 2 Pain Management, 1 Infectious Disease, and 1 Pharmacology CME credits