Posts for: October, 2020
Boston Bruins defenseman Zdeno Chara had a rough Stanley Cup final against the St. Louis Blues this past June. Not only did the Bruins ultimately lose the championship, but Chara took a deflected puck shot to the face in Game Four that broke his jaw.
With the NHL season now over, the 42-year-old Bruins captain continues to mend from his injury that required extensive treatment. His experience highlights how jaw fractures and related dental damage are an unfortunate hazard in hockey—not only for pros like Chara, but also for an estimated half million U.S. amateurs, many in youth leagues.
Ice hockey isn't the only sport with this injury potential: Basketball, football (now gearing up with summer training) and even baseball players are also at risk. That's why appropriate protective gear like helmets and face shields are key to preventing injury.
For any contact sport, that protection should also include a mouthguard to absorb hard contact forces that could damage the mouth, teeth and gums. The best guards (and the most comfortable fit) are custom-made by a dentist based on impressions made of the individual's mouth.
But even with adequate protection, an injury can still happen. Here's what you should do if your child has an injury to their jaw, mouth or teeth.
Recognize signs of a broken jaw. A broken jaw can result in severe pain, swelling, difficulty speaking, numbness in the chin or lower lip or the teeth not seeming to fit together properly. You may also notice bleeding in the mouth, as well as bruising under the tongue or a cut in the ear canal resulting from jawbone movement during the fracture. Get immediate medical attention if you notice any of these signs.
Take quick action for a knocked-out tooth. A tooth knocked completely out of its socket is a severe dental injury. But you may be able to ultimately save the tooth by promptly taking the following steps: (1) find the tooth and pick it up without touching the root end, (2) rinse it off, (3) place it back in its socket with firm pressure, and (4) see a dentist as soon as possible.
Seek dental care. Besides the injuries already mentioned, you should also see a dentist for any moderate to severe trauma to the mouth, teeth and gums. Leading the list: any injury that results in tooth chipping, looseness or movement out of alignment.
Even a top athlete like Zdeno Chara isn't immune to injury. Take steps then to protect your amateur athlete from a dental or facial injury.
If you would like more information about dealing with sports-related dental injuries, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Athletic Mouthguards” and “The Field-Side Guide to Dental Injuries.”
Parents have been dealing with their children's teething pain for as long as parents and children have been around. Along the way, the human race has developed different ways to ease the discomfort of this natural process of dental development. While most are good, common-sense measures, one in particular needs to be avoided at all costs—applying topical oral products to the gums containing Benzocaine.
Benzocaine is a topical anesthetic often found in oral products like Anbesol, Orajel or Topex to help ease tooth pain or sensitivity. The agent can be found in gel, spray, ointment or lozenge products sold over-the-counter. As an analgesic, it's considered relatively safe for adults to use.
But that's not the case with infants or younger children. Researchers have found a link between Benzocaine and methemoglobinemia, a potentially fatal blood condition. Methemoglobinemia elevates the amount of a hemoglobin-like protein called methemoglobin, which in high concentrations can lower oxygen levels being transported to the body's cells through the bloodstream.
Because of their smaller anatomy and organ systems, younger children can have severe reactions to increases in methemoglobin, which can range from shortness of breath or fatigue to seizures, coma or even death. That's why you should never use products with Benzocaine or similar numbing agents to ease teething pain. Instead, follow these common sense practices:
- Give your child chilled rubber teething rings, wet washcloths or pacifiers to chew or gnaw on. The combination of cold temperatures and pressure from biting on them will help ease the pain. Just be sure the item isn't frozen, which could cause frost burns to soft tissues.
- For temporary relief from soreness, gently massage your baby's gums with a clean, bare finger or with it wrapped in a clean, wet cloth. The massaging action helps counteract the pressure of the incoming tooth.
- For intense episodes of teething discomfort, ask your healthcare provider about using an over-the-counter pain reliever like acetaminophen or ibuprofen. Be sure you use only the recommended dose size for your child's age.
Teething is in many ways like a storm—it too shall pass. Be sure you're helping your baby weather it safely.
The humble squirrel—darlings to some, bird feeder-robbing nuisances to others—has its own month. Since 1995, the Squirrel Lovers Club of Chicago has celebrated October as Squirrel Awareness Month to pay tribute to this diverse family of rodents with over 270 species. It's also an opportunity to indulge in our favorite “squirrelly” fact: Squirrels' teeth don't stop growing.
And we do mean grow. A squirrel's four front incisors increase about 6 inches a year—a good thing since squirrels put those teeth through their paces gnawing through hard-shelled nuts and seeds. If they didn't keep growing, you'd see plenty of squirrels with worn-to-nothing front teeth.
We humans have some cause to be envious because, unlike squirrels, our permanent teeth stop growing by the time we reach adulthood. That could be a problem since nearly all of us encounter tooth wear as we age.
And it could be even worse. Bad habits like crunching ice, biting into hard foods or using our teeth as tools can contribute to accelerated wear. Some people also involuntarily clench or grind their teeth, creating higher than normal pressure that can wear down teeth.
Suffice it to say, it's worth the effort to quit conscious bad dental practices to prevent your teeth from wearing faster than normal. A teeth-grinding habit, though, may require more than willpower: We'll need to look at other ways to reduce its effect on your teeth.
First, you may want to try to reduce chronic stress, the top contributor to adult teeth grinding. Better stress management with the help of counseling, relaxation techniques, biofeedback or group therapy can all help reduce the occurrence of this destructive habit.
Such efforts, though, can take time. In the meantime, we may be able to help you reduce the effect of a grinding habit with a custom-made mouth guard. This plastic guard worn in the mouth prevents teeth from making hard contact with each other during grinding, and so it reduces the damaging forces that can wear down teeth.
By the way, if you've already experienced excessive tooth wear, not all hope is lost. We may be able to restore your teeth to normal length with the help of bonded porcelain veneers or crowns. After a thorough evaluation, we can give you options for turning back the “age clock” on your smile.
Our teeth may not continuously grow like squirrels', but we can still protect them from the effects of excessive wear. Good dental practices and habits—and restorative measures when necessary—can keep your smile looking as young as ever.