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John C. Koechley, DDS
420 South Batavia AveBatavia, IL 60510(630) 406-9441
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Posts for tag: dental injury

Act Quickly With a Knocked Out Tooth to Ensure Its Long-Term Survival

By John C. Koechley, DDS
September 28, 2020
Category: Dental Procedures
Tags: dental injury  
ActQuicklyWithaKnockedOutToothtoEnsureItsLong-TermSurvival

We Americans love our sports, whether as participants or spectators. But there's also a downside to contact sports like soccer, football or basketball: a higher risk of injury, particularly to the mouth and face. One of the most severe of these is a knocked out tooth.

Fortunately, that doesn't necessarily mean it's lost: The tooth can be reinserted into the empty socket and eventually return to normal functionality. But it must be done as soon as possible after injury. The more time elapses, the lower the chances of long-term survival.

That's because of how teeth are held in place in the jaw, secured by an elastic, fibrous tissue known as the periodontal ligament. When a tooth is knocked out some of the ligament's periodontal cells remain on the tooth's root. If these cells are alive when the tooth is reinserted, they can regenerate and reestablish attachment between the ligament and the tooth.

Eventually, though, the cells can dry out and die. If that has already happened before reinsertion, the tooth's root will fuse instead with the underlying bone. The tooth may survive for a short time, but its roots can eventually dissolve and the tooth will be lost.

Your window of opportunity for taking advantage of these live periodontal cells is only 5-20 minutes with the best chances in those earlier minutes. You should, therefore, take these steps immediately after an injury:

  1. Find the tooth, hold it by the crown (not the root end), and rinse off any debris with clean water;
  2. Reinsert the root end into the empty socket with firm pressure;
  3. Place clean gauze or cloth in the person's mouth between the tooth and the other jaw, and ask them to bite down gently and hold their bite;
  4. Seek dental or emergency medical care immediately;
  5. If you're unable to reinsert the tooth, place it quickly in a container with milk and see a dentist immediately.

You can also obtain an Android or IOS smartphone app developed by the International Association of Dental Traumatology called ToothSOS, which will guide you through this process, as well as for other dental emergencies. The quicker you act, the better the chances that the injured person's knocked out tooth can be rescued.

If you would like more information on what to do in a dental emergency, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “When a Tooth is Knocked Out.”

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Bobby Bones Dances His Way to Dental Damage

By John C. Koechley, DDS
September 18, 2020
Category: Dental Procedures
Tags: celebrity smiles   dental injury  
BobbyBonesDancesHisWaytoDentalDamage

The long-running hit show Dancing with the Stars has had its share of memorable moments, including a wedding proposal, a wardrobe malfunction, and lots of sharp dance moves. But just recently, one DWTS contestant had the bad luck of taking an elbow to the mouth on two separate occasions—one of which resulted in some serious dental damage.

Nationally syndicated radio personality Bobby Bones received the accidental blows while practicing with his partner, professional dancer Sharna Burgess. “I got hit really hard,” he said. “There was blood and a tooth. [My partner] was doing what she was supposed to do, and my face was not doing what it was supposed to do.”

Accidents like this can happen at any time—especially when people take part in activities where there’s a risk of dental trauma. Fortunately, dentists have many ways to treat oral injuries and restore damaged teeth. How do we do it?

It all depends on how much of the tooth is missing, whether the damage extends to the soft tissue in the tooth’s pulp, and whether the tooth’s roots are intact. If the roots are broken or seriously damaged, the tooth may need to be extracted (removed). It can then generally be replaced with a dental bridge or a state-of-the-art dental implant.

If the roots are healthy but the pulp is exposed, the tooth may become infected—a painful and potentially serious condition. A root canal is needed. In this procedure, the infected pulp tissue is removed and the “canals” (hollow spaces deep inside the tooth) are disinfected and sealed up. The tooth is then restored: A crown (cap) is generally used to replace the visible part above the gum line. A timely root canal procedure can often save a tooth that would otherwise be lost.

For moderate cracks and chips, dental veneers may be an option. Veneers are wafer-thin shells made of translucent material that go over the front surfaces of teeth. Custom-made from a model of your smile, veneers are securely cemented on to give you a restoration that looks natural and lasts for a long time.

It’s often possible to fix minor chips with dental bonding—and this type of restoration can frequently be done in just one office visit. In this procedure, layers of tooth-colored resin are applied to fill in the parts of the tooth that are missing, and then hardened by a special light. While it may not be as long-lasting as some other restoration methods, bonding is a relatively simple and inexpensive technique that can produce good results.

If you would like more information about emergency dental treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor articles “The Field-Side Guide to Dental Injuries” and “Knocked Out Tooth.”

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J-Lo's Unlucky Break: Chipping a Tooth on Stage

By John C. Koechley, DDS
January 27, 2019
Category: Dental Procedures
Tags: celebrity smiles   dental injury  
J-LosUnluckyBreakChippingaToothonStage

Whether she’s singing, dancing or acting, Jennifer Lopez is a performer who is known for giving it all she’s got. But during one show, Lopez recently admitted, she gave a bit more then she had planned.

“I chipped my tooth on stage,” she told interviewers from Entertainment Tonight, “and had to finish the show….I went back thinking ‘Can I finish the show like this?’”

With that unlucky break, J-Lo joins a growing list of superstar singers—including Taylor Swift and Michael Buble—who have something in common: All have chipped their teeth on microphones while giving a performance.

But it’s not just celebs who have accidental dental trouble. Chips are among the most common dental injuries—and the front teeth, due to their position, are particularly susceptible. Unfortunately, they are also the most visible. But there are also a number of good ways to repair chipped, cracked or broken teeth short of replacing them.

For minor to moderate chips, cosmetic bonding might be recommended. In this method, special high-tech resins, in shades that match your natural teeth, are applied to the tooth’s surface. Layers of resin, cured with a special light, will often restore the tooth to good appearance. Best of all, the whole process can often be done in just one visit to the dental office, and the results can last for several years.

For a more permanent repair—or if the damage is more extensive—dental veneers may be another option. Veneers are wafer-thin shells that cover the entire front surface of one or more teeth. Strong, durable and natural-looking, they can be used to repair moderate chips, cracks or irregularities. They can also help you get a “red-carpet” smile: brilliant white teeth with perfectly even spacing. That’s why veneers are so popular among Hollywood celebs—even those who haven’t chipped their teeth!

Fortunately, even if the tooth is extensively damaged, it’s usually possible to restore it with a crown (cap), a bridge—or a dental implant, today’s gold standard for whole-tooth replacement. But in many cases, a less complex type of restoration will do the trick.

Which tooth restoration method did J-Lo choose? She didn’t say—but luckily for her adoring fans, after the microphone mishap she went right back up on stage and finished the show.

If you have a chipped tooth but you need to make the show go on, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Artistic Repair of Chipped Teeth With Composite Resin” and “Porcelain Veneers.”

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Dental Injury Is Just a Temporary Setback for Basketball Star Kevin Love

By John C. Koechley, DDS
November 08, 2018
Category: Oral Health
Tags: celebrity smiles   dental injury  
DentalInjuryIsJustaTemporarySetbackforBasketballStarKevinLove

The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.

In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?

The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.

Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.

So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”

Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.

If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”

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World Cup Soccer Coach-Dentist Saves the Day!

By John C. Koechley, DDS
August 10, 2018
Category: Dental Procedures
Tags: celebrity smiles   dental injury  
WorldCupSoccerCoach-DentistSavestheDay

If you followed the 2018 FIFA World Cup Soccer games, you probably know that one of this year’s biggest surprises was the debut of the team from Iceland—the smallest country ever to earn a chance at the sport’s top prize. But here’s something you may not have known: When he’s not on the field, the team’s coach, Heimir Hallgrímsson, is a practicing dentist! Those two skill sets might not seem like a natural fit… but they came together dramatically at a recent contest.

At a local women’s game last summer, when a player was hit and her tooth was knocked out, Dr. Hallgrímsson took immediate action. “I jumped on the pitch and put the tooth back in, took her to a dental office and fixed it,” he said.

Not everyone has the special training or ability to fix a tooth that has been damaged or knocked out—but there are some simple things that you can do to help an adult who has suffered this kind of injury. Here’s a quick run-down:

  • After making sure the person is stable and not otherwise seriously injured, try to locate the tooth.
  • Handle it carefully, without touching root surfaces, and clean it gently with water if possible.
  • Try to open and gently rinse out the mouth, and find where the tooth came from.
  • Carefully place the tooth back in its socket, making sure it is facing the right way, and hold it in place with a soft cloth.
  • If the tooth can’t be re-implanted, place it in a bag with a special preservative solution, milk or saliva, or have the person hold it between the cheek and gum—but make sure it isn’t swallowed!
  • Rush to the nearest dental office or urgent care facility.

When these steps are followed and the person receives professional treatment as quickly as possible (ideally within minutes), their tooth will have the best chance of being saved. But even if it isn’t possible to preserve the tooth, receiving prompt and appropriate care can make replacing the tooth much easier.

Having Dr. Hallgrímsson on the sidelines was a lucky break for the injured soccer player—and as a coach, just getting to the World Cup is a remarkable achievement. But you don’t need to be a coach (or a dentist) to give first aid in a dental emergency. Taking the right steps can help ensure the best possible outcome… and might even save a tooth!

If you would like more information about emergency dental treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor articles “Knocked Out Tooth” and “The Field-Side Guide to Dental Injuries.”

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        • 4 Things You Can Do To Protect Oral Health During Cancer Treatment
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        • Far From a Safer Alternative to Smoking, Vaping Could Ruin Your Oral Health
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        • A RPD Could Be Your Answer to Replacing Missing Teeth
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        • Act Quickly With a Knocked Out Tooth to Ensure Its Long-Term Survival
        • Bobby Bones Dances His Way to Dental Damage
        • Call the Dentist Immediately If You Have a Loose Tooth
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        • Interceptive Orthodontics: Stopping Poor Bites Before They Develop
        • Studies Show Vaping May Not Be Safer for Oral Health Than Tobacco
        • Why Kathy Bates Chose This Alternative to Braces and so Might You
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        • Here Is How We May Be Able to Bring an Impacted Tooth Where It Should Be
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        • The Real Truth Behind Ed Helms' Missing Tooth in "The Hangover"
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        • Regardless of What You've Seen Online, Don't Fear a Root Canal Treatment
        • Janet Jackson: Even pop stars get insecure about their smiles!
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        • Dental Injury Is Just a Temporary Setback for Basketball Star Kevin Love
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        • How to Help Your Kids Form Good Oral Hygiene Habits
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        • Margot Robbie Knows: A Great Smile Is Worth Protecting
        • Stop Gum Disease Before it Gets Started with Daily Oral Hygiene
        • The Benefits of Having a Family Dentist
        • With Proper Care, you can Lower Your Risk of Tooth Loss as You Age
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        • World Cup Soccer Coach-Dentist Saves the Day!
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        • Chronic Dry Mouth Could be Increasing Your Risk of Dental Disease
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        • Common Cosmetic Procedures
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        • Expert Advice: Vivica A. Fox on Kissing and Oral health
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        • How a Lost Tooth Affects Your Health
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        • A Toothless Tiger?
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        • Local Anesthesia is a Key Part of Pain-Free Dental Work
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        • Jamie Foxx Chips a Tooth - This Time by Accident!
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        • In Today's NFL, Oral Hygiene Takes Center Stage
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        • Help Your Child Develop Good Oral Habits and Avoid Bad Ones
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        • Don't Keep Ignoring Your Toothaches
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        • Getting the Full Picture of Your Decay Risk Leads to Better Prevention Strategies
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        • Sedation Therapy can reduce Anxiety in Children during Dental Visits
        • Restore Your Teeth And Your Smile
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        • Johnny's Teeth Aren't Rotten Any More
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        • Erosion and Other Problems may be Signs of Bulimia
        • Even Celebrities Like Jennifer Lawrence Aren't Immune From Bad Breath!
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        • 3 Tips for Minimizing Enamel Erosion from Sports Drinks
        • Actor David Ramsey Discusses Baby Bottle Tooth Decay
        • Should I Consider Veneers?
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        • Treating a Baby Tooth with Inner Decay can be Complicated - but Still Necessary
        • Actor David Ramsey Says: Don't Forget to Floss!
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        • Cemented or Screwed: Which Implant Crown Attachment is Best for You?
        • Chrissy Teigen's Teeth-Grinding Troubles
        • Foods to Avoid This Holiday
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        • Gluten Sensitivity can Lead to Dental Problems
        • Beyonce Makes Flossing a Family Affair
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        • Neil Patrick Harris: What the Oscars Host Treasures Most
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        • Invisalign Straightens Teeth Under Everyone's Nose!
        • Pay Attention to Gum Disease Warning Signs for an Early Diagnosis
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        • Clear Aligners Provide a Less Embarrassing Orthodontic Choice for Teens
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        • Lamar Odom Rebounds From Dental Anxiety
        • The Type of Tooth Pain You Have Could be Telling You What's Wrong
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        • Root Canal Therapy Wipes Out Decay
        • America's (Dentists) Got Talent - for Fixing Damaged or Missing Teeth!
        • Determining the Right Whitening Approach is Key to Brightening a Dull Smile
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        • Dwight Howard: A Bright NBA Star With a Smile to Match
        • Is Traditional Flossing too Difficult? Consider Water Flossing
        • Dental Emergency? Rush Into Your Dentist's Office
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        • Florence Henderson Talks About Preventative Dentistry
        • Fast Food Chains Take One Small Step for Kids' Teeth
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        • Eden Sher and the Lost Retainer
        • Do You Need A Smile Makeover?
        • Sofia Vergara: 'Obsessed' With Oral Hygiene
        • How Dental Implants Secure Your Jaw Health
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        • Do You Want A "Perfect" Or "Natural" Smile? We Need To Know!
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        • TV Wellness Guru Jillian Michaels Discusses Breaking Her Two Front Teeth
        • When Should My Child Get Their First Dental Exam?
        • Leave Enough Time for Your Wedding-Day Smile Makeover
  • 2014
      • December (4)
        • Fixing that Gap in your Teeth
        • Sugar = Bad Oral Health
        • Your Dentist can Help Guide you in the Best Treatment Option for Sleep Apnea
        • Replacing Missing Back Teeth Is Important - Just Ask Christie Brinkley!
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        • Getting to the Root of Tooth Sensitivity
        • What Florence Henderson Learned From Her Impacted Teeth
      • October (2)
        • The Implant Process can be Shortened, Depending on the Tooth Type
        • Christie Brinkley's All-American Smile
      • September (3)
        • Dental Implants: A Permanent Solution
        • Be Extra Vigilant for Signs of Gum Disease During Pregnancy
        • Jane Fonda Chooses New Teeth Over a New Car!
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        • Giuliana and Bill Rancic Talk Tooth Decay
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      • May (3)
        • How Dentistry Saved Kathy Ireland's Smile
        • Choosing the Right Mouth Rinse that Matches your Oral Health Needs
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        • Saliva is a Key Ingredient in Oral Health
        • From Model to Mogul, Kathy Ireland Maintains a Sparkling Smile
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        • Jerry Rice's Advice on Protecting Your Children's Teeth
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