|
A patient with a fractured restoration or a hole in his
tooth may present complaining of tooth pain when eating.
Sometimes the patient presents
with the restoration in hand or complaining of a "hole" in his tooth - - those
situations are easy to recognize and treat.
Other times, the diagnosis is not as straightforward. You must be sure of your
diagnosis, because fractured/lost restorations may be confused with other diagnoses,
particularly dental caries, fractured tooth, and pulpitis (reversible and irreversible).
These patients typically complain of pain with sensitivity to hot, cold, sweets, and on
biting. Check to see if any part of an existing
filling is missing. Feel carefully to determine if any section of the tooth is mobile.
As you examine the affected tooth, check for tooth-colored filling
materials. These will appear more opaque if you transilluminate the tooth.
If the patient's filling is lost, replace it with a zinc oxide and
eugenol (IRM temporary) restoration.
If the patient has a cracked restoration, do not leave any mobile pieces
in the mouth.
If the pieces which cannot be removed do not fill the tooth, place the
patient on a soft diet and have him avoid the tooth.
If there is partial or total loss of a filling, then mix and apply IRM
restoration.
If the filling is cracked with pieces intact, then remove the mobile
pieces, mix and apply IRM restoration.
If the pieces cannot be removed, then apply stomahesive, place the
patient on a soft diet and have the patient avoid the tooth.
If the pain is severe, give analgesics as need.
In all cases, you should refer the patient to a dental clinic as soon as
possible. From "Dental Emergencies" Volume 803673 DN
Naval School of Health Sciences, December, 1995 For additional information, read:
"Dental
Emergencies" in the General Medical Officer Manual.
"Oral
Diseases and Injuries" in the Hospital Corpsman 1 and C Manual.
Approved for public release; Distribution is unlimited.
The listing of any non-Federal product in this CD is not an
endorsement of the product itself, but simply an acknowledgement of the source.
Operational Medicine 2001
Health Care in Military Settings
Home
·
Military Medicine
·
Sick Call ·
Basic Exams
·
Medical Procedures
·
Lab and X-ray ·
The Pharmacy
·
The Library ·
Equipment
·
Patient Transport
·
Medical Force
Protection ·
Operational Safety ·
Operational
Settings ·
Special
Operations ·
Humanitarian
Missions ·
Instructions/Orders ·
Other Agencies ·
Video Gallery
·
Phone Consultation
·
Forms ·
Web Links ·
Acknowledgements
·
Help ·
Feedback
Bureau of Medicine and
Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300 |
Operational
Medicine
Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
January 1, 2001 |
United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323 |
*This web version is provided by
The Brookside Associates Medical Education
Division. It contains original contents from the official US Navy
NAVMED P-5139, but has been reformatted for web access and includes advertising
and links that were not present in the original version. This web version has
not been approved by the Department of the Navy or the Department of Defense.
The presence of any advertising on these pages does not constitute an
endorsement of that product or service by either the US Department of Defense or
the Brookside Associates. The Brookside Associates is a private organization,
not affiliated with the United States Department of Defense.
Contact Us · · Other
Brookside Products
|
