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Biomedical subjects

P R Krasner

Publications and source records attributed to P R Krasner.

9 recordsLinked to original sources

Management of tooth avulsion in the school setting.

Tooth avulsion is a widespread problem for school nurses and school health care personnel. Over two million teeth are avulsed every year in the United States, often during school activities. Almost all avulsed teeth can be saved if stored properly and then replanted by a dentist. All of the known methods and devices for the storage, preservation, and transportation of avulsed teeth are reviewed in this article. Based on this review, specific recommendations are made to the school nurse for saving avulsed teeth.

Emergency Nursing

Avulsed teeth. Management during anesthesia induction, surgery.

It is not known how often teeth are inadvertently knocked out in the operating room during intubation or surgery. When it occurs, it can be very disturbing to the operating room personnel and the patient when he or she recovers from the surgery. Research has shown that most avulsed teeth can be saved by replanting them within 15 to 30 minutes, aligning and splinting them into proper position, and instituting appropriate follow-up care. Because a dentist cannot easily be found in this time period, a system designed specifically to preserve the teeth can be used to provide optimum care in these situations. By using such a system, the physician can proceed with the surgery knowing that all the appropriate measures have been taken to save the knocked-out tooth.

Emergencies

Treatment of tooth avulsion in the emergency department: appropriate storage and transport media.

Teeth that have been accidentally avulsed can be preserved, reconstituted, and replanted with an excellent long-term retention prognosis. The mechanisms for this process are now well understood. The most biologic methods for preserving and storing avulsed teeth are presented so that the emergency physician can choose appropriate modalities for treating patients who present with this problem.

Emergency Service, Hospital

The treatment of avulsed teeth.

More than 2 million teeth are accidentally avulsed each year in the United States. Most of the victims are children. Almost all of these teeth can be saved if the proper treatment is instituted. Regardless of the frequency with which it occurs, every pediatric health care provider must be prepared for patients who have avulsed teeth. By instituting the proper treatment, the provider may help to save a victim's tooth, thus saving the family and child the expense of dental treatment and the possible psychologic problems associated with false teeth. Each health care provider should take the following steps: 1. Inform all health care personnel that avulsed teeth can and should be saved. 2. Teach all health care personnel what action should be taken if a tooth is avulsed. 3. Fabricate or purchase tooth-preserving devices such as the Emergency Tooth Preserving System, which can safely store, preserve, and transport avulsed teeth. 4. Place these tooth-preserving devices at strategic locations such as in emergency kits or at nurses' stations.

Animals

Treatment of tooth avulsion by nurses.

More than 90% of the 2 million teeth avulsed each year in the United States can be saved if the proper treatment is instituted. Storage in a tooth-preserving medium can sustain the life of the tooth for 12 hours. An avulsed tooth that has dried out should be soaked in Hank's solution before replantation to reconstitute degenerated cells.

Education, Nursing, Continuing