Traumatic dental injuries can occur at any time but are often associated with sports activities or accidents. Chipped teeth are the most common type of dental injury and are easily remedied. However, more severe traumatic dental injuries such as teeth that are displaced or “knocked-out” are a real cause for concern. At Endodontic Consultants of San Antonio, we recommend patients get any type of dental injury checked out so that we can assess the severity of the situation and recommend appropriate treatment options, if needed. As experienced endodontists, we have the knowledge, advanced skills and technology necessary to save injured teeth in most cases.
Cracked Teeth
While chipped teeth can often be repaired with dental bonding, cracked teeth require more extensive care. Individuals with cracked teeth may experience symptoms such as pain and tooth sensitivity. These symptoms may be constant or come and go while eating and drinking. When left untreated, cracks can lead to infection of the tooth, surrounding gum tissue and bone.
Treatment for cracked teeth depends on the severity of the crack. If the crack extends into the pulp (nerve), the tooth may require a root canal procedure followed by the placement of a crown (cap) to prevent it from worsening. If the crack is severe, surgery may be necessary to save the tooth.
Teeth that are Avulsed (Knocked Out)
Did you know that even if you have a tooth knocked out, there is a possibility of saving it? When it comes to avulsed teeth, time is crucial, and some quick thinking and emergency action can often save the day.
If a tooth is avulsed, it is important to follow these steps:
- When you pick the tooth up, hold it by the crown portion only, being careful to not touch the root.
- If the tooth was on the ground or a dirty surface, gently rinse it off. Saline is best if available, but milk or plain water will do.
- If you can, place the tooth gently back into the socket and hold it in place
- If it’s not possible to put it back in the socket, put it in a saline solution or milk. Many sports facilities stock “Save-a tooth” jars containing a saline solution for just this purpose
- Call our office immediately and come over as quickly as possible, ideally in less 30 minutes. We will see the injured party right away, assess the situation and provide appropriate treatment.
At Endodontic Consultants of San Antonio, Drs. Rick Davis and Rick Schwartz are experts in dealing with traumatic dental injuries. There are specific protocols that must be followed to the letter to achieve a favorable outcome. If you have any questions, call us today at (210) 405-0473.
Dr. Richard Davis, DDS
Richard D. Davis, DDS, graduated from high school in Japan, attended the
University of Washington dental school, and joined the Air Force as a general dentist in 1978. He completed the Air Force one-year AEGD residency, a two-year Advanced General Dentistry Residency, and a fellowship in biomaterials at the
University of Indiana. Dr. Davis was a clinical instructor, research director, and lecturer at the Air Force. He has published many scientific articles and research papers, and has lectured on many topics. Following retirement from the Air Force in 1999, he completed the graduate program in endodontics at the
University of Oregon in 2001, and joined Dr. Schwartz and has been in private practice in endodontics since then.
Dr. Richard Schwartz, DDS
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Richard S. Schwartz, DDS, graduated from the
University of Minnesota dental school in 1977. He was a restorative dentist for 19 years: Early in his career, he attended a two-year general dentistry residency while in the US Air Force, and then did a combination of private practice, teaching, and dental materials research before entering endodontic post-graduate training in 1996. He has authored over 100 articles and abstracts in scientific journals and lectured extensively in the US and in 21 other countries, including 12 times at the American Association of Endodontists’ national meeting. Since 1998 Dr. Schwartz has been in full-time private practice in endodontics in San Antonio, TX, and has practiced with Dr. Davis since 2001. He was a founding member and first secretary/treasurer of the
International Association of Endodontics. He is also a member of the
American Dental Association and
International Association of Dental Specialists.
Dr. Zhangrui Liang, DDS, MS
Dr. Zhangrui “Zac” Liang, DDS, MS, grew up in China and has been in the US since 2015. He attended dental school in China and did his endodontic training at
UCLA, where he also received a Masters of Science degree. He has practiced with Dr. Davis and Dr. Schwartz since 2022.
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