Effect of alcohol during dental treatment

The most common symptom of any dental problem is “ pain”. It could be range from mild to severe, sharp and  throbbing to diffuse and dull kind of sensation. As the dental tissue possess only the pain receptors, it is the only way of expressing the insult. Unfortunately it is tougher to handle though.

In my practice i have seen a few patients who have the habit of consuming alcohol just to mask the pain. I have a question !!! Will you do the same if consuming alcohol may cause death during the procedure ??? Yes, to your surprise, there is a strong correlation between alcohol, local anesthesia and death. Here we go in detail.

It is a known fact that Alcohol in general has a major effect on the central nervous system (CNS). Apart from the other consequences, the major one includes CNS toxicity and CNS depression. This effect inturn reduces the smooth muscle activity, causing respiratory depression and to a little extend on cardiovascular depression.

Anaesthesia on the other hand, also exhibit the similar effect on the nervous system. Thereby it relax the respiratory tract and dilates the blood vessels. For a healthy normal person, the effects produce from the local anaesthesia are minimally invasive and much under control.

But when a person goes for a dental procedure after consuming alcohol ( even if it was taken to tolerate the pain), whose respiratory tract and other smooth muscles are already in the relaxed/ depressed / reduced tone , by giving anaesthesia will further decreases the tonicity of smooth muscle. Thus causing shallow breath and respiratory arrest. On such condition, there are more chance for the person to die on spot on the chair without being aware of what had happened.

Pain can be controlled by other means, but death is an irreversible process.Always better to make a wiser decision and stay healthy 🙂

 

 

 

Tooth avulsion and its management

What if a tooth gets knocked in an accident??? Is that so we lose that tooth permanently??? No, there are still ways to save those from further damage by acting promptly. Trauma can occur anytime. Depend on the amount of injury occured, it can be treated from the conservative way to an advanced procedures.

Irrespective of the level of injury, from mild blow to the massive tear, it is a must to visit your dentist immediately. This helps a lot to prevent from massive damage to the tooth and its supporting structures.

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Now, what can we do if a tooth completely comes out of the socket due to a heavy blow or an accident!!!! Can we fix our own natural tooth into our socket as before and give a rebirth to it???? Yes offcourse we can…But this is highly depends on how fast we act and how effectively we handle the avulsed tooth.

yes, there are certain procedures to be followed to preserve the structure from further damage so as to get the proper fixation of the same tooth without losing its quality and function.

It includes,

  • Hold the tooth only on the crown portion and DO NOT touch or scrap the root portion of the tooth ( touching the root portion will damage the periodontal ligament )
  • wash the tooth in the running water or milk for about 10 seconds. ( this ensures the wash off of infection)

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  • Rinse your mouth as well
  • Try to replace the tooth back into the socket using gentle, steady finger pressure ( do only if the person can able to tolerate the pain). Align the tooth properly and insert into the socket and hold it for 5 minutes

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If the tooth cannot be replaced into the socket, then care in transporting that tooth to the dentist becomes essential. The tooth must be carried in a moist vehicle to maintain the viability of the torn periodontal ligament.

The tooth SHOULD NOT be wrapped in a dry handkerchief or paper tissue because the periodontal ligament will become dehydrated.

Commonly available transport medium for the avulsed tooth includes,

  • Raw milk ( either place the tooth in the cup of milk or in a plastic bag with milk and place it in the cup of ice cubes)

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  • Tender coconut
  • own saliva ( simply place the tooth in the mouth inbetween the cheeks and the gums)
  • Least preferably plain water

Other solutions includes,

  • HBSS (hanks balanced salt solution)
  • physiological saline solution

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It is to be noted that extraoral time for an avulsed tooth optimally should not exceed 20 minutes for proper re plantation without quality degradation, the person must be taken to dentist immediately. The sooner the replantation, the better the prognosis.

 

References:

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