Dental Emergencies

Description

This book is a clear and comprehensive guide to the treatment and management of dental emergencies in clinical practice. Written and edited by experts in the field, the book provides succinct step by step advice for dealing with a range of emergency situations. Beginning with examination and patient histories, it covers restorative emergencies, traumatic injuries and pain management with advice for treatment options including analgesia, surgery, and referrals.

Dental Emergencies also includes chapters that focus on the treatment of special needs patients and the management of medical emergencies in the course of dental treatment with reference to specific case examples. Providing practical, clear advice and highly illustrated throughout, this book is an invaluable reference for all dental practices.

Key Features

• A concise guide to managing dental emergencies in clinical practice
• Contains step-by-step procedures and clinical examples
• Provides thorough coverage of presentations of pain and pain management
• Includes key chapters on treating patients with special needs and dealing with medical emergencies occurring during dental treatment
• Fully illustrated throughout with colour photos

Table of Contents

• List of Contributors
• Preface
• Acknowledgements

1. Introduction, Infection Control and Prescribing
   M. Greenwood
• Introduction to the dental emergency clinic
• Infection and infection control
• Prescribing
• Conclusions
• Further reading
2. History Taking and Clinical Examination of Patients on a Dental Emergency Clinic
   I.P. Corbett, C.B. Hayward and M. Greenwood
• Introduction
• History taking
• Patient examination
• Special tests
• Record keeping
• Consent
• Conclusions
• Further reading
3. Radiology and the Dental Emergency Clinic R.I. Macleod
• Introduction
• Patients in pain
• Trauma radiology
• Looking at radiographs
• Conclusions
• Further reading
4. Acute Oral Medical and Surgical Conditions
   P.J. Thomson
• Introduction
• Oro-facial swelling
• Blistering disorders of the oral mucosa
• Oral ulceration
• Disturbed oro-facial sensory or motor function
• Haemorrhage
• Other acute conditions
• Bony pathology
• Summary
• Further reading
5. Restorative Dental Emergencies
   A. Moufti and C.B. Hayward
• Introduction
• General principles
• Pain management
• Infections and soft tissue problems
• Crack, fracture and mobility of teeth and dental restorations
• Fractured and loose implants
• Fractures and swallowing of removable prostheses
• Conclusions
• Further reading
6. Acute Presentations of Chronic Oro-Facial Pain Conditions
   J. Durham
• Introduction
• Oro-facial pain history
• Examination of patients with oro-facial pain
• Special investigations for oro-facial pain
• Presentation, investigations and initial management of acute non-odontogenic oro-facial pain
• Further reading
7. Traumatic Injuries to the Teeth and Oral Soft Tissues
   U. Chaudhry and I.C. Mackie
• Assessment of the traumatised patient
• Management of traumatic dental injuries
• Injuries to the hard dental tissues and the pulp
• Injuries to the hard dental tissues, the pulp and the alveolar process
• Injuries to the periodontal tissues
• Dento-alveolar fractures
• Conclusions
• Further reading
8. Pain Relief in the Dental Emergency Clinic
   U.J. Moore
• Introduction
• General mechanism of pain
• Distribution of pain fibres in the mouth and jaws
• Sources of pain in the mouth and jaws
• Control of pain
• Psychology of pain
• Medication
• The ladder of analgesia
• Avoiding problems in prescribing analgesics
• Further reading
9. Management of the Special Needs Patient
   T. Nugent
• Introduction
• Commonly seen conditions
• Assessment
• Medical history in the patient with special needs
• Informed consent
• Examination
• Factors to consider in treatment
• Conclusion
10. Making a Referral
    I.P. Corbett and J. Greenley
• Introduction
• When to refer
• How to refer
• Where to refer
• The referral letter
• Urgency
• Cancer referrals
• Copies of the referral letter
• Summary
• Further reading
11. Medical Emergencies in the Dental Emergency Clinic – Principles of Management
    M. Greenwood
• Introduction
• Contents of the emergency drug box
• The ‘ABCDE’ approach to an emergency patient
• Airway (A)
• Use of defibrillation
• Principles of management after the initial treatment of a medical emergency
• Conclusions
• Further reading
12. Examples of Specific Medical Emergency Situations
    M. Greenwood
• Introduction
• Vasovagal syncope (simple faint)
• Hyperventilation
• Asthma
• Cardiac chest pain
• Epileptic seizures
• Diabetic emergencies
• Allergies/hypersensitivity reactions
• Adrenal insufficiency
• Stroke
• Local anaesthetic emergencies
• Problems with haemostasis
• Conclusions
• Further reading

• Appendix 1 Normal Reference Ranges
• Appendix 2 Changes in Vital Signs in Patients with Infection
• Appendix 3 Warfarin Protocol
• Appendix 4 Aspects Relating to Local Anaesthetics
• Appendix 5 NICE Guidelines for the Removal of Wisdom Teeth
• Appendix 6 Protocol for Surgical Dental Treatment of Patients Taking Bisphosphonates
• Appendix 7 Common ‘Recreational’ Drugs

• Index

Author Information

Mark Greenwood is an NHS Consultant in Oral and Maxillofacial Surgery as well as Honorary Clinical Professor of Medical Education in Dentistry at at the School of Dental Sciences at Newcastle University. Qualified in both medicine and dentistry, he has been published in many peer reviewed journals and has co-authored two books on general medicine and surgery for dental practitioners.

Ian Corbett is a Clinical Lecturer in Oral and Maxillofacial Sciences and Honorary Specialist Registrar in Oral Surgery at the School of Dental Sciences at Newcastle University.