(See also overview of dental emergencies.) Tooth fracture fractures are classified by their depth in those affecting only the enamel, the dentin Expose Expose the pulp If the fracture affects only the enamel, patients notice rough or sharp edges, but are otherwise asymptomatic. A dental treatment to smooth the edges and to improve the appearance is optional. If the dentin, but not the pulp is exposed, patients are usually sensitive to cold air and water. As a treatment, a light analgesic and a referral to a dentist out of the question. The dental restoration includes the tooth by a composite (white filling) or when the fracture is extended, a dental crown, to cover the exposed dentin. If the pulp is exposed (indicated by a bleeding out of the tooth) or if the tooth is movable, the transfer to the dentist is urgent. Dental care typically includes a root canal with one. Root fractures and alveolar fractures are not visible, but the tooth (or a plurality of teeth) can be eased. A referral to the dentist is also strongly when it comes to the stabilization of applying an orthodontic arch wire or a polyethylene string on a plurality of adjacent teeth. Zahnavulsion dislocated milk teeth are not replaced because they are typically necrotic then infected. You can also ankylosieren and then do not fail, so it affects eruption of the permanent tooth. If a permanent tooth is completely dislocated, the patient should immediately reset it into the socket and consult a dentist to be stabilized him. If this is not possible, the tooth in milk should be dipped or wrapped in a damp Paiertuch and taken to a dentist who uses it again and stabilized. The tooth may in cold water for 10 seconds, gently rinsed, when it is dirty, but it should not be brushed off because characterized viable fibers of the periodontal ligament to be removed, which aid in reattachment. A patient with a dislocated tooth should an antibiotic for a few days (eg., Penicillin VK 500 mg po every 6 h) taking. If the chipped tooth can not be found, it may have been aspirated, pressed into soft tissue or swallowed. A chest x-ray may be necessary to preclude aspiration; a swallowed tooth, however, is no more important. A partially luxated tooth, which is rapidly reduced and stabilized, normally is maintained in the long term. A fully luxated tooth can be obtained in a period when he min up to 1 hour is reimplanted with minimal contact and manipulation in the socket within the thirtieth Both the partial and the Komplettluxation usually requires ultimately a root canal because the pulp tissue becomes necrotic. When the reimplantation of the tooth is delayed, the long-term maintenance rate decreases, and it eventually comes to a root resorption. Nevertheless, the tooth can possibly remain operational for a few years. Summary A tooth fracture, although not expose the dentin to the pulp, can with a filling or are sometimes treated a dental crown. A tooth fracture that exposes the pulp, is likely to require a root canal treatment. A avulsed primary tooth is not replaced. A avulsed permanent tooth is gently rinsed (not brushed) and immersed in milk or in a damp paper towel brought to the dentist for re-use in the alveolus. Avulsed teeth that are used quickly, often remain preserved, but ultimately require very likely a root canal treatment.