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NoahGallowaysDentallyDangerousDancing

For anyone else, having a tooth accidentally knocked out while practicing a dance routine would be a very big deal. But not for Dancing With The Stars contestant Noah Galloway. Galloway, an Iraq War veteran and a double amputee, took a kick to the face from his partner during a recent practice session, which knocked out a front tooth. As his horrified partner looked on, Galloway picked the missing tooth up from the floor, rinsed out his mouth, and quickly assessed his injury. “No big deal,” he told a cameraman capturing the scene.

Of course, not everyone would have the training — or the presence of mind — to do what Galloway did in that situation. But if you’re facing a serious dental trauma, such as a knocked out tooth, minutes count. Would you know what to do under those circumstances? Here’s a basic guide.

If a permanent tooth is completely knocked out of its socket, you need to act quickly. Once the injured person is stable, recover the tooth and gently clean it with water — but avoid grasping it by its roots! Next, if possible, place the tooth back in its socket in the jaw, making sure it is facing the correct way. Hold it in place with a damp cloth or gauze, and rush to the dental office, or to the emergency room if it’s after hours or if there appear to be other injuries.

If it isn’t possible to put the tooth back, you can place it between the cheek and gum, or in a plastic bag with the patient’s saliva, or in the special tooth-preserving liquid found in some first-aid kits. Either way, the sooner medical attention is received, the better the chances that the tooth can be saved.

When a tooth is loosened or displaced but not knocked out, you should receive dental attention within six hours of the accident. In the meantime, you can rinse the mouth with water and take over-the-counter anti-inflammatory medication (such as ibuprofen) to ease pain. A cold pack temporarily applied to the outside of the face can also help relieve discomfort.

When teeth are broken or chipped, you have up to 12 hours to get dental treatment. Follow the guidelines above for pain relief, but don’t forget to come in to the office even if the pain isn’t severe. Of course, if you experience bleeding that can’t be controlled after five minutes, dizziness, loss of consciousness or intense pain, seek emergency medical help right away.

And as for Noah Galloway:  In an interview a few days later, he showed off his new smile, with the temporary bridge his dentist provided… and he even continued to dance with the same partner!

If you would like more information about dental trauma, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Trauma & Nerve Damage to Teeth” and “The Field-Side Guide to Dental Injuries.”

By Richard Viagrande DMD & Associates
September 05, 2017
Category: Dental Procedures

When it comes to missing teeth, restoring your smile may seem like an unattainable task. Luckily, there are various options available for dental implantsreplacing your missing teeth and renewing your smile. Dental implants provide a permanent and natural-looking solution to your missing teeth. Find out more about dental implants with Dr. Richard Viagrande and Associates in Kensington, CT and serving the Berlin, CT area.

What can dental implants do for my smile? 
Dental implants replace a missing tooth and its root. Due to their design, the benefits of implants versus other tooth replacement techniques are numerous. Implants are the closest you can get to real, natural teeth. Since they lie within your jawbone, which integrates them into your smile, implants do not move or fall out while you speak or eat. Their high-quality materials mean they will blend right into your smile and can last a lifetime with proper care. Unlike other tooth replacement options, dental implants prevent bone atrophy by adequately stimulating the bone beneath your missing tooth to keep it healthy.

Types of Dental Implants 
Your dentist can use dental implants to replace one, several, or all of your teeth, depending on your situation. If you have a single gap in your smile, your dentist will replace it using one implant, covered with a dental crown to replace the tooth itself. Several teeth in a row will use two implants on either side of a porcelain dental bridge. Implant-supported dentures replace all of the teeth by using four or more implants along the arch of the smile which hold a full, non-removable denture in place.

Dental Implants in Kensington, CT
Dental implants are a safe, effective, and natural-looking option for replacing your missing teeth. A good candidate for dental implants must have minimal bone atrophy at the implant site. If there is significant atrophy present, the patient may require a bone graft before placing the implants.

For more information on dental implants, please contact Dr. Richard Viagrande and Associates in Kensington, CT and serving the Berlin, CT area. Call (860) 828-8781 to schedule your appointment with your dentist today!

Back-to-SchoolShoppingforOralHealth

What's the most fun thing about back-to-school time? For many of us, it's the shopping! Those cool backpacks and colorful sneakers put smiles on a lot of young faces. While you're out buying new school supplies and freshening up your kids' wardrobes, why not freshen up their oral health supplies as well?

For example, it might be time for a new toothbrush. The American Dental Association recommends replacing toothbrushes every three to four months, or more frequently if the bristles are frayed. A worn toothbrush won't do as good a job cleaning teeth. And with all of the cartoon characters and superheroes available on toothbrushes, picking one out can be just as fun as choosing a new lunchbox or notebook!

While you're at it, check your kids' supply of dental floss as well. If they've run out, they might not have told you. As important as flossing is, it's not every kids' idea of fun. If you're having trouble getting your kids to use a spool of floss, why not try a disposable little tool made just for flossing? Flossers are super-easy to use, and these, too, come in all kinds of fun shapes and colors.

Here's an important item for the school athletes in your house: a mouthguard. Sports-related dental injuries account for more than six hundred thousand emergency room visits each year. If your child wears braces, a mouthguard may be particularly important. So please contact us about a custom-made mouthguard for your child — or if you have any other questions about oral health and hygiene. And have a safe and healthy return to school!

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.”

HowtoHandle3CommonInjuriestoYourChildsMouth

Once they learn to walk, there's no stopping most children. Sometimes it can be a little jarring, as when you discover your toddler on top of the kitchen counter reaching in the cupboard on tip-toes for a snack!

Fortunately, children are fairly resilient. Unfortunately, they're not invincible — some of their adventures could result in physical injuries, especially to the highly vulnerable area of the mouth.

Even if you've carefully “child-proofed” your home, it's still best to be prepared for mishaps. Here are 3 common dental injuries and how to handle them.

Soft tissue injuries. Making contact with the ground or hard objects like furniture can injure the lips, tongue, cheeks or gums and cause bleeding, cuts or bruising. First, clean the area with clean water and a cloth or gauze as best you can, making sure there aren't any trapped pieces of tooth or dirt. Apply gentle, continuous pressure with a clean cloth to control bleeding, and apply ice packs or cold compresses for swelling. Don't apply bleach, aspirin or similar medications to open wounds. If the bleeding won't stop or the wounds look serious or deep, go to an emergency room.

Chipped or displaced tooth. A blunt force mouth injury can chip or push (displace) teeth out of position. In this case try to save any chipped pieces you find — your dentist may be able to re-bond them to the tooth. A displaced tooth is a dental emergency, so contact your dentist immediately. Don't try to re-position the tooth yourself unless it's completely knocked out.

Knocked-out tooth. Actions to take with a knocked-out tooth depend on whether it's a permanent or primary (baby) tooth. If permanent, rinse the tooth with clean water. Handle it by the crown (never by the root) and gently place it back in the empty socket. If that's not possible, place the tooth between your child's cheek and gum (if the child is old enough not to swallow it by mistake. You can also place it in a glass of cold milk. Get to a dentist or an emergency room as soon as possible — minutes count for a successful reattachment. Conversely, don't try to put a primary tooth back in its socket — you could damage the developing permanent tooth beneath the gum line. But do see a dentist as soon as possible for an examination.

If you would like more information on responding to mouth injuries in children, please contact us or schedule an appointment for a consultation.





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