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Teeth loss: dos and don'ts for optimal care
It often happens in just a few seconds. Once crashed unhappily and a piece of the tooth breaks off or is completely lost. Important: Don't panic now. "Experience shows that those who act thoughtlessly make subsequent treatment success more difficult," notes Dr. Lutz Spanka, Master of Science for Implantology and Dental Surgery as well as Orthodontics at the ZahnZentrum Dr. Spanka & colleague in Hude.
In no case should those affected burden loosened teeth. Because pressure leads to additional damage. If there is a complete failure, many tend to touch the tooth at the breaking edge or clean it in the sink. It is important to avoid both. "Even the slightest pressure of a water jet partially or completely destroys the sensitive cells at the tooth root," explains the expert. In the best case, sufferers take hold of the tooth on the upper part and take it to a doctor as quickly as possible. This not only increases the chances of a full recovery, but also plays a role in reimbursing costs. Depending on how quickly affected people react to the damage, the subsidy from the health insurance companies is higher or lower.
First of all, those affected must stop the bleeding. For smaller wounds, cooling with a wet washcloth is enough. If this does not achieve the desired effect, it is advisable to bite carefully on a tissue. The next step is to keep the fragments or the entire tooth as well as possible. “So-called rescue boxes are suitable for safekeeping. These contain cell cultures and culture media in which tooth parts survive between 24 and 48 hours. If these are not available, UHT milk or isotonic saline from the pharmacy helps, ”emphasizes Dr. Spanka.
However, the tissue only lasts half a to a maximum of two hours, so those affected should not waste any time. The dental emergency service enables fast treatment at night and on public holidays. In many places it can also be read that those affected best keep the tooth in the oral cavity. Experts advise against this: saliva protects the root for up to 30 minutes, but there is a risk of choking, especially in younger patients.
Rescue by the specialist
If those affected keep the biological material well, medical professionals can easily stick small tooth pieces back on using a plastic adhesive and a blue light lamp.
If this can no longer be achieved, crowns create an aesthetic front. Optionally, so-called veneers serve as a gentle alternative. With these wafer-thin ceramic shells, medical professionals have to grind the tooth material far less than with a crown. In the event of complete tooth loss, specialists usually place an implant, a kind of artificial root. Here, titanium and all-ceramics have established themselves as suitable materials, since they generally do not trigger any allergies or rejection reactions and are in no way inferior to real teeth. (sb)