Hammel Jean M, Fischel Jason
Department of Emergency Medicine, Norwalk Hospital, 34 Maple Street, Norwalk, CT 06850, USA.
Department of Emergency Medicine, Norwalk Hospital, 34 Maple Street, Norwalk, CT 06850, USA.
Emerg Med Clin North Am. 2019 Feb;37(1):81-93. doi: 10.1016/j.emc.2018.09.008.
Dental emergencies present frequently to the emergency department and urgent care centers. Trauma to the teeth includes fractures, luxations, and avulsions, which can be reduced in most cases. Avulsed primary teeth should never be replaced. Mouthguards should be worn in most youth sports to prevent many dental injuries. Dental caries can progress to worsening infection and should be diagnosed and promptly referred. More severe infections may require antibiotics, imaging, or incision and drainage. Dental blocks can assist with analgesia and patient comfort during other procedures.
牙科急症经常出现在急诊科和紧急护理中心。牙齿创伤包括骨折、脱位和牙脱落,大多数情况下这些情况都可以得到复位处理。脱落的乳牙绝不应该再植。大多数青少年体育运动都应该佩戴护齿器以预防许多牙科损伤。龋齿会发展成更严重的感染,应进行诊断并及时转诊。更严重的感染可能需要使用抗生素、影像学检查或切开引流。在其他操作过程中,牙科阻滞可以帮助镇痛并提高患者舒适度。