Reeds First Aid Handbook by Thomas Martin;Davies Olivia; & Olivia Davies
Author:Thomas, Martin;Davies, Olivia; & Olivia Davies
Language: eng
Format: epub
Publisher: Bloomsbury Publishing Plc
Published: 2023-12-30T00:00:00+00:00
Teeth
Visit a dentist before setting out on a long voyage. In the medical kit include a dental mirror, tweezers, a first aid dental kit such as Dentanurse and a temporary filling material like Cavit.
Toothache without infection is usually caused by a cavity (a hole in the enamel). The treatment is to dry the hole and apply oil of cloves (eugenol) then fill the hole using a temporary filling material. Semi-melted candle wax can suffice.
A tooth abscess gives rise to an intense throbbing pain and tenderness, sometimes with swelling of the face or neck. Antibiotics must be given (metronidazole and co-amoxiclav). That may be enough but if the pain is associated with an old filling, remove what you can and clean the resultant hole with antiseptic. Leave the hole to drain.
If a tooth is knocked out by facial trauma, it should be replaced in under an hour so that it may survive. Handle the tooth by the crown. Gently rinse the root but do not abrade it. To keep the tooth, perhaps for another attempt to implant it, store it in a container with milk. Should the tooth socket continue to bleed, roll up a piece of gauze, place it in the empty socket and ask the patient to bite on it for 20 minutes or so.
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