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Injuries Soft Tissues of Mouth & Jaw


Select Your Current Condition:


Intro

Injuries to the inside of the mouth include tears, puncture wounds and lacerations to the cheek, lips or tongue. Dr Landers is a cosmetic dental surgeon and can correct minor gum tissue lacerations. If you have; deep lacerations, other head injuries, or if you suspect bone involvement take the injured person to the hospital emergency room. Call our office for advice on the way to the emergency room.

After they have taken care of your medical condition, then we can examine your teeth.

  • Rule out maxillary or mandibular bone fractures.
  • In all situations review or Check for tetanus immunization
  • Expect normal healing to exhibit white granulation tissues and edema.

 

 
 
#1 Gum Tissue Lacerations

Dr Landers is a cosmetic dental surgeon and can correct minor gum tissue lacerations. If you have; deep lacerations, other head injuries, or if you suspect bone involvement take the injured person to the hospital emergency room. Call our office for advice on the way to the emergency room.

After they have taken care of your medical condition, then we can examine your teeth.

If you have time review our emergency sections;
#1 Knocked Out or Loose Tooth
#2 Broken Chipped Tooth or Loose Filling

Treatment

  • The wound should be cleaned right away.
  • If possible manually approximate tissues and apply pressure to stop bleeding.
  • If there is bleeding, apply firm but gentle pressure with a clean gauze or cloth. If bleeding does not stop after 15 minutes and if it cannot be controlled by simple pressure, take the injured person to the hospital emergency room.
  • Apply ice to bruised areas.

Reasons to Consider A Trip for Emergency Medical or Dental Attention

  • Most intraoral lacerations benefit from suturing
  • If the would is deep
  • If gum tissue is moving freely and does not stay in place once pressure is removed
  • If you suspect that the altered or wounded tissue may heal and create a defect that will alter the gum tissue line when smiling
  • If bleeding will not stop

The above is intended only as a guide. You should call our office or go to the hospital if you or your child has a deep gum tissue laceration.

PATIENT INSTRUCTIONS:

  1. Soft diet for 5 days.
  2. Rinse 50/50 water & peroxide for 5 days followed by saline rinse twice/day.
  3. 0.12% chlorhexidine Peridex or PerioGard rinse for 2 weeks (for first few days dilute with 50% water).
  4. Return 5-7 days for suture removal if necessary.

 
 
#2 Palatal (roof of the mouth) Lacerations

TREATMENT
*Lacerations on the Roof of the mouth usually bleed a lot.

Dr Landers is a cosmetic dental surgeon and can correct minor gum tissue lacerations. If you have; deep lacerations, other head injuries, or if you suspect bone involvement take the injured person to the hospital emergency room. Call our office for advice on the way to the emergency room.

After they have taken care of your medical condition, then we can examine your teeth.

If you have time review our emergency sections;
#1 Knocked Out or Loose Tooth
#2 Broken Chipped Tooth or Loose Filling

Treatment

  • The wound should be cleaned right away.
  • If possible manually approximate tissues and apply pressure to stop bleeding.
  • If there is bleeding, apply firm but gentle pressure with a clean gauze or cloth. If bleeding does not stop after 15 minutes and if it cannot be controlled by simple pressure, take the injured person to the hospital emergency room.
  • Apply ice to bruised areas.

Reasons to Consider A Trip for Emergency Medical or Dental Attention

  • Most intraoral lacerations benefit from suturing
  • If the would is deep
  • If gum tissue is moving freely and does not stay in place once pressure is removed
  • If you suspect that the altered or wounded tissue may heal and create a defect that will alter the gum tissue line when smiling
  • If bleeding will not stop

The above is intended only as a guide. You should call our office or go to the hospital if you or your child has a deep gum tissue laceration.

PATIENT INSTRUCTIONS:

  1. Soft diet for 5 days.
  2. Rinse 50/50 water & peroxide for 5 days followed by saline rinse twice/day.
  3. 0.12% chlorhexidine Peridex or PerioGard rinse for 2 weeks (for first few days dilute with 50% water).
  4. Return 5-7 days for suture removal if necessary.

 
 
#3 Cheek & Vestibular Lacerations

TREATMENT
< 0.5cm — no treatment necessary > 0.5cm:

TREATMENT
Dr Landers is a cosmetic dental surgeon and can correct minor soft tissue lacerations. If you have; deep lacerations, other head injuries, or if you suspect bone involvement take the injured person to the hospital emergency room. Call our office for advice on the way to the emergency room.

After they have taken care of your medical condition, then we can examine your teeth.

If you have time review our emergency sections;
#1 Knocked Out or Loose Tooth
#2 Broken Chipped Tooth or Loose Filling

Treatment

  • The wound should be cleaned right away.
  • If possible manually approximate tissues and apply pressure to stop bleeding.
  • If there is bleeding, apply firm but gentle pressure with a clean gauze or cloth. If bleeding does not stop after 15 minutes and if it cannot be controlled by simple pressure, take the injured person to the hospital emergency room.
  • Apply ice to bruised areas.

Treatment for a Cheek bite – This is a common trauma and it can sometimes be helped by “rounding” off the corner of the opposing teeth so they can’t pinch the tissue in between the teeth. Placing a cotton roll or gauze in the cheek area will help push the cheek away so that you can let the area heal without additional trauma.

Reasons to Consider A Trip for Emergency Medical or Dental Attention

  • Most intraoral lacerations benefit from suturing
  • If the would is deep
  • If gum tissue is moving freely and does not stay in place once pressure is removed
  • If you suspect that the altered or wounded tissue may heal and create a defect that will alter the gum tissue line when smiling
  • If bleeding will not stop

The above is intended only as a guide. You should call our office or go to the hospital if you or your child has a deep gum tissue laceration.

For deep cuts:
During the healing process you can expect white granulation tissue and edema

PATIENT INSTRUCTIONS:

  1. Soft diet for 5 days.
  2. Rinse 50/50 water & peroxide for 5 days followed by saline rinse twice/day.
  3. 0.12% chlorhexidine Peridex or PerioGard rinse for 2 weeks (for first few days dilute with 50% water).
  4. Return 5-7 days for suture removal if necessary.

 
 
#4 Tongue Lacerations

TREATMENT

  • Small punctures (as from single tooth) — no treatment necessary
  • Large lacerations: Maintain forward traction of the tongue by holding with dry gauze.

Dr Landers is a cosmetic dental surgeon and can correct minor soft tissue lacerations. If you have; deep lacerations, other head injuries, or if you suspect bone involvement take the injured person to the hospital emergency room. Call our office for advice on the way to the emergency room.

After they have taken care of your medical condition, then we can examine your teeth.

If you have time review our emergency sections;
#1 Knocked Out or Loose Tooth
#2 Broken Chipped Tooth or Loose Filling

Treatment

  • The wound should be cleaned right away.
  • If possible manually approximate tissues and apply pressure to stop bleeding.
  • If there is bleeding, apply firm but gentle pressure with a clean gauze or cloth. If bleeding does not stop after 15 minutes and if it cannot be controlled by simple pressure, take the injured person to the hospital emergency room.
  • Apply ice to bruised areas.

Reasons to Consider A Trip for Emergency Medical or Dental Attention

  • Most intraoral lacerations benefit from suturing
  • If the would is deep
  • If gum tissue is moving freely and does not stay in place once pressure is removed
  • If you suspect that the altered or wounded tissue may heal and create a defect that will alter the gum tissue line when smiling
  • If bleeding will not stop

The above is intended only as a guide. You should call our office or go to the hospital if you or your child has a deep gum tissue laceration.

PATIENT INSTRUCTIONS:

  1. Soft diet for 5 days.
  2. Rinse 50/50 water & peroxide for 5 days followed by saline rinse twice/day.
  3. 0.12% chlorhexidine Peridex or PerioGard rinse for 2 weeks (for first few days dilute with 50% water).
  4. Return 5-7 days for suture removal if necessary.

 
 
#5 Lip Lacerations

Lip Wounds Extending Into The Subcutaneous Layers May Heal With Tissue Defects And Therefore Should Receive Medical Attention!

TREATMENT
Take the injured person to the hospital emergency room.

After they have taken care of your medical condition, then we can examine your teeth.

If you have time review our emergency sections;
#1 Knocked Out or Loose Tooth
#2 Broken Chipped Tooth or Loose Filling

Treatment

  • The wound should be cleaned right away.
  • If possible manually approximate tissues and apply pressure to stop bleeding.
  • If there is bleeding, apply firm but gentle pressure with a clean gauze or cloth. If bleeding does not stop after 15 minutes and if it cannot be controlled by simple pressure, take the injured person to the hospital emergency room.
  • Apply ice to bruised areas.

Reasons to Consider A Trip for Emergency Medical or Dental Attention

  • Most intraoral lacerations benefit from suturing
  • If the would is deep
  • If gum tissue is moving freely and does not stay in place once pressure is removed
  • If you suspect that the altered or wounded tissue may heal and create a defect that will alter the gum tissue line when smiling
  • If bleeding will not stop

The above is intended only as a guide. You should call our office or go to the hospital if you or your child has a deep gum tissue laceration.

PATIENT INSTRUCTIONS:

  1. Soft diet for 5 days.
  2. Rinse 50/50 water & peroxide for 5 days followed by saline rinse twice/day.
  3. 0.12% chlorhexidine Peridex or PerioGard rinse for 2 weeks (for first few days dilute with 50% water).
  4. Lip sutures may be covered with petroleum jelly or antibiotic ointment.
  5. Return for exam/suture removal in 5-7 days.
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