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Did anyone here have a good rotation to learn the basics of emergency dentistry (pulling teeth, etc)? Or was that all on the job learning for you guys?
Only dental procedures within our scope of practice are nerve blocks, splinting subluxed teeth ( I don’t know anybody who does that), sealing of fractured teeth, and incision of obvious dental abscesses.
Pulling teeth is well outside our scope of practice
, splinting subluxed teeth ( I don’t know anybody who does that
Learned that on an EM rotation in OKC. Little dermabond and the metal strip off a non-rebreather or out of a surgical mask does the trick
They do better if you use 0 silk suture. Try multiple pieces together. The less stiff splint allows for better healing.Learned that on an EM rotation in OKC. Little dermabond and the metal strip off a non-rebreather or out of a surgical mask does the trick
Do you have a dental box/cart, and does it have those little abrasive stick things to help scuff up the tooth first? Gives the adhesive something to grab.I have tried this but I was unsuccessful. I had a very tough time getting the metal piece to adhere to the tooth, even with drying and using dermabond. Am I missing a crucial step? Any tricks or tips?
You have to get the teeth very dry. Use a nasal cannal with the O2 cranked way up to dry it out before dermabond placement then during adherience. You may need an extra hand to help.I have tried this but I was unsuccessful. I had a very tough time getting the metal piece to adhere to the tooth, even with drying and using dermabond. Am I missing a crucial step? Any tricks or tips?