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Operational Medicine 2001
Lost Teeth

 

Order the Dental Emergencies CD


Avulsed Tooth


Lingual Displacement (toward the tongue)


Facial Displacement (toward the cheek)


Intruded Displacement (into the socket)


Extruded Displacement (out of the socket)

Stomahesive Application


Cut the Stomahesive to the desired length.


Apply to the area needing support.


Inspect to assure proper splinting.

Teeth that are moved from their normal position but are still connected by soft tissue are called "extruded." These extruded teeth can be displaced:

Teeth that have been displaced should be manipulated back into their original position in the alveolus (socket) and then stabilized.

Stabilize the teeth using stomahesive. (See pictures)

Recommend a soft diet, and then refer the patient to a dental officer as soon as possible.

Teeth that have been moved completely out of the mouth are described as "avulsed."

A tooth can often be successfully reimplanted if the socket is generally intact and the tooth out of the socket for no longer than about 30 minutes.

If reimplantation seems like a good risk, rinse off any debris from the tooth, but don't scrape the roots. Remove the clot and any bone or tooth fragments from the mouth and socket. Position the tooth in the socket in what seems like the correct position. Press firmly enough to reseat it properly. Cut and apply stomahesive to hold the tooth in place.

Depending on the circumstances, you may need to control pain, hemorrhage and infection following extrusion or avulsion of a tooth.

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

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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.

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