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Fractured tooth? If it’s just the enamel, no worries. Just smooth it out. Once it gets to the dentin or pulp, the shield is down and bacteria can have their way.
Todd C. - May 4, 2015 7:37 AM
Splinting avulsed teeth in the ED is actually quite rare. I'd say I have to do at most once a year. Because of this, I doubt many EM physicians have much experience using dental compounds, even if your ED has them available.
Ilene touched on this, but I've had great experiences using tissue adhesive with the metal bar from an N95 mask as per this article: http://dx.doi.org/10.1016/j.annemergmed.2010.06.004
My only tip is to make sure the metal edges are rounded to prevent irritation. In my experience, the glue holds fine. I've done it 4-5 times total at this point.
ilene c. - May 4, 2015 8:15 PM
I love it! This sounds like a great idea for a frustrating situation. Keep the tips coming!
scott g. - May 18, 2015 5:47 AM
what are your thoughts on using a Dermabond like adhesive to cover tooth fractures to keep the dentin and pulp covered instead of Kopac?
ilene c. - June 16, 2015 9:53 PM
I found one case report of doing this (Hile LM, Ann EM 2006). I suppose it may be a bit harder for the dentist to remove, but sounds like a cleaver and safe option for the patient and, in this case, fixed her pain.