Dental Emergencies in the ED

Executive Summary * NSAIDs have been shown to be very effective analgesics for dental pain. While narcotics are often used, consider a dental injection with bupivacaine with epinephrine. This injection can last more than 7 hours. * Ludwig’s angina is a deep space infection of the submandibular space...

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Bibliographic Details
Published in:Emergency medicine reports 2015-10, Vol.36 (21)
Main Authors: Poznanski, Stacey L, Selvam, Prabu, Namboodiri, Arya
Format: Article
Language:English
Online Access:Get full text
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Summary:Executive Summary * NSAIDs have been shown to be very effective analgesics for dental pain. While narcotics are often used, consider a dental injection with bupivacaine with epinephrine. This injection can last more than 7 hours. * Ludwig’s angina is a deep space infection of the submandibular space, which can lead to airway compromise. Admit these patients to an ICU or equivalent unit to observe their airway. * The tooth layer involved (enamel, dentin, or pulp) factors significantly into the differential diagnosis and management of tooth fractures and non-traumatic tooth pain. * Primary tooth injuries generally do not require treatment. Do not replace an avulsed primary tooth. Primary teeth are generally white and smooth.
ISSN:0746-2506
2168-4332