Dental Emergencies is a readily accessible guide to the treatment and management of dental emergencies for everyday use in clinical practice. Replete with clinical examples and step-by-step procedures, the book distills essential information on traumatic injuries, pain, and oral lesions into a succinct, highly valuable reference. Written by an expert in the field, the book covers the full range of the dental emergencies beginning with clinical examination and assessment of potential complications. Later chapters outline key considerations in pain management, including various presentations of dental and facial pain and commonly used methods of analgesia. Acute oral medical and surgical conditions and restorative dental emergencies are also discussed, highlighting practical instruction for immediate treatment as well as conditions for referral. Dental Emergencies concludes with fundamental chapters on special needs patients and medical emergencies, making it a comprehensive, must-have reference for all general dental practices.

InhaltsangabeList of Contributors ix Preface xi Acknowledgements xiii 1 Introduction, Infection Control and Prescribing 1 M. Greenwood Introduction to the dental emergency clinic 1 Infection and infection control 2 Prescribing 8 Conclusions 12 Further reading 12 2 History Taking and Clinical Examination of Patients on a Dental Emergency Clinic 13 I.P. Corbett, C.B. Hayward and M. Greenwood Introduction 13 History taking 13 Patient examination 18 Special tests 24 Record keeping 25 Consent 25 Conclusions 28 Further reading 28 3 Radiology and the Dental Emergency Clinic 29 R.I. Macleod Introduction 29 Patients in pain 33 Trauma radiology 35 Looking at radiographs 36 Conclusions 38 Further reading 38 4 Acute Oral Medical and Surgical Conditions 39 P.J. Thomson Introduction 39 Orofacial swelling 39 Blistering disorders of the oral mucosa 45 Oral ulceration 47 Disturbed oro-facial sensory or motor function 49 Haemorrhage 50 Other acute conditions 51 Bony pathology 52 Summary 55 Further reading 55 5 Restorative Dental Emergencies 57 A. Moufti and C.B. Hayward Introduction 57 General principles 59 Pain management 59 Infections and soft tissue problems 65 Crack, fracture and mobility of teeth and dental restorations 71 Fractured and loose implants 81 Fractures and swallowing of removable prostheses 82 Conclusions 83 Further reading 83 6 Acute Presentations of Chronic Oro-Facial Pain Conditions 85 J. Durham Introduction 85 Orofacial pain history 86 Examination of patients with oro-facial pain 89 Special investigations for oro-facial pain 90 Presentation, investigations and initial management of acute non-odontogenic oro-facial pain 92 Further reading 102 7 Traumatic Injuries to the Teeth and Oral Soft Tissues 103 U. Chaudhry and I.C. Mackie Assessment of the traumatised patient 103 Management of traumatic dental injuries 105 Injuries to the hard dental tissues and the pulp 105 Injuries to the hard dental tissues, the pulp and the alveolar process 112 Injuries to the periodontal tissues 116 Dentoalveolar fractures 127 Conclusions 127 Further reading 128 8 Pain Relief in the Dental Emergency Clinic 129 U.J. Moore Introduction 129 General mechanism of pain 129 Distribution of pain fibres in the mouth and jaws 134 Sources of pain in the mouth and jaws 135 Control of pain 136 Psychology of pain 137 Medication 139 The ladder of analgesia 144 Avoiding problems in prescribing analgesics 144 Further reading 147 9 Management of the Special Needs Patient 149 T. Nugent Introduction 149 Commonly seen conditions 151 Assessment 152 Medical history in the patient with special needs 153 Informed consent 154 Examination 155 Factors to consider in treatment 155 Conclusion 158 10 Making a Referral 159 I.P. Corbett and J. Greenley Introduction 159 When to refer 159 How to refer 160 Where to refer 161 The referral letter 161 Urgency 164 Cancer referrals 165 Copies of the referral letter 167 Summary 169 Further reading 170 11 Medical Emergencies in the Dental Emergency Clinic - Principles of Management 171 M. Greenwood Introduction 171 Contents of the emergency drug box 171 The 'ABCDE' approach to an emergency patient 174 Airway (A) 175 Use of defibrillation 180 Principles of management after the initial treatment of a medical emergency 181 Conclusions 182 Further reading 182 12 Examples of Specific Medical Emergency Situations 183 M. Greenwood Introduction 183 Vasovagal syncope (simple faint) 184 Hyperventilation 184 Asthma 185 Cardiac chest pain 187 Epileptic seizures 188 Diabetic emergencies 190 Allergies/hypersensitivity reactions 192 Adrenal insufficiency 196 Stroke 197 Local anaesthetic emergencies 197 Problems with

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