Ask The Dental Hygienist

Fractures are a common thing in the world of dentistry. Fractures or cracks occur with all ages, although they are more present in those above the age of 25. They can be very painful, hard to diagnose, yet sometimes easy to treat. There are several types of fractures, which we will look at below.

The first type of crack is known as an oblique supragingival fracture. This fracture is found above the gums, and normally happens when you bite down too hard on something. Normally, this fracture doesn’t involve the nerve. Once the fractured area of the tooth breaks off, the pain will go away. Although the exposed dentin may cause you some pain, you can visit the dentist and have it repaired. If the fracture is large, you may need to have a crown placed on the tooth to prevent further fractures from occurring in that tooth.

The second type of crack exceeds way below the gum line, and is known as an oblique subgingival fracture. Once the fractured piece of tooth breaks off, it normally remains attached to the gums and cause result in terrible pain until you get it removed. Once you have had the piece of tooth removed from the gums, the tooth will be similar to the supragingival fracture. It normally doesn’t affect the nerves, although as a result of the tooth area being lost, you may need to have a root canal to clean out the tooth before having a crown put on it.

The seriousness of this fracture depends on how far it has went beyond the gum line. If it has made it’s way deep into the gum line, you may not be able to save the tooth. The crack can be present for many years, before you start to feel any pain. To be on the safe side, you should go to your regular checkups with your dentist, as he can check for cracks and other problems.

The oblique root fracture is next, although it doesn’t involve the tooth crown at all. This type of fracture is almost always found below the gums, normally under the bone. If a root fracture is found near the crown of the tooth, it will normally prove to be fatal. Sometimes, you can save the tooth with a root canal, even though it is normally lost later on due to an abscess of the bone that surrounds the fracture.

The last type of fracture is the most difficult to deal with. Vertical apical root fractures occur with the tip of the root, and can cause you severe to intense pain, even if you’ve had the nerve removed with a root canal. Even though the nerve may not be present, vertical apical root fractures cause a lot of pain, which occurs in the tooth.

Normally, vertical apical fractures will cause you more pain than any other type of fracture. The resulting pain comes from the fragments putting pressure on the bone, causing the fractured pieces to strain. Just about the only way to get relief from this type of fracture is to get a root canal, as it will ease the pain and get the dead pulp out of the tooth that’s affected with the fracture.

Even though fractures are very common and very painful, you should never put off going to the dentist. Fractures can become more and more serious if you don’t do something about them, which is why you should never hesitate to go to the dentist. Your dentist will be able to diagnose the problem, and fix it before it has the chance to get any worse.

Even though they aren’t life threatening like bleeding or abscesses, dry sockets can be extremely painful. They are very common following surgery, and happen to be one of the most painful post extraction problems. Dry sockets are more common with removal of the lower teeth than they are with removal of upper teeth. No matter what type of extraction you have performed, a dry socket can occur with any type.

Although there is really no way to prevent a dry socket, you can help to reduce the risk by following your after surgery directions. Even though you may be following the directly precisely, you could still end up with a dry socket. They are known as a quirk of nature, and will make you feel like you are on your death bed – although you really aren’t. Those who are more at risk to dry sockets include those who smoke following extractions, and those who like to grind their teeth frequently.

A dry socket is a condition where the blood clot that forms after an extraction detaches itself from the socket walls. Sometimes, the clot will dissolve, leaving the bone exposed to food, the weather, and even saliva. Once the bone is exposed, it can become inflamed. The inflammation that occurs is very painful, often times being a deep pain that makes you feel as if you are dying.

If you leave it alone, the dry socket will heal. It will normally take around a month or so, although the pain won’t let up during the healing period. If you have a dry socket, you’ll find that antibiotics and even the strongest of prescription drug won’t cure it. An antibiotic will normally cure infections, although a dry socket isn’t considered to be an infection.

The best way to fight a dry socket is to go back to your dentist and have him pack the socket. Packing the socket is done without any anesthesia and can be quite painful. It doesn’t take long to complete, and it can provide relief from the pain. Once you have a dry socket, you won’t care about anything but stopping the pain. The pain can be so intense at times that you will be willing to do anything to stop the pain – even for a few minutes.

Once the socket has been packed, you will be relived from pain for a day or so. If you go back to your dentist, he will remove the old packing, wash the socket out, and place a new packing in. This way, you can get relief from the pain and help the socket heal. Keep in mind that it will take time to heal – and the best way to stop the pain is to do your best to avoid a dry socket at all costs.