(Survival Manual/6. Medical/a) Dental/Temp filling & crown repair)
A. Temporary filling
Temporary tooth filling compounds can either hold displaced crown in place or fill a tooth for up to about two weeks. They are a great thing to have if you cannot consult a dentist right away – like when you’re camping in the middle of nowhere and have a dislodged crown.
The typical sign of a dislodged crown or a lost filling is when you feel pain when cold liquids, food, your tongue, or cold air touches the delicate area that was previously protected with a filling.
What you need for the temporary filling or repair
Use the mixture available with a few first aid kits or stand alone dental repair kits, i.e., Dentemp. In a case where this is not available, you could roll a ball of sugarless gum or use candle wax or ski wax instead.
• Premixed compounds/kit i.e.; Dentemp OS, Refilit, Temparin, Recapit
• Antiseptic soap
• Latex gloves
• Some disinfected water, and
• Oil of cloves to act as a painkiller.
Procedure for applying a temporary tooth filling
__1. Clean your hands with the antiseptic soap and put on the pair of latex gloves.
__2. Prepare the temporary filling – roll a ball of sugarless gum ( or wax ) or if you have it – use the premixed compound.
__3. Use the disinfected water to thoroughly rinse the mouth.
__4. Apply a drop of oil of cloves (or eugenol ) to the spot in the mouth where the filling or crown was earlier. This should ease the pain in the mouth.
__5. Place the temporary filling carefully into the hole and be sure to cover exposed tissues if any.
__6. Gently bite down and line the tooth with the one either below or above it.
__7. You might want to wait before the filling hardens in case you are using either the premixed compound or the one from a first aid kit.
More about tooth fillings
• Fillings are very common with dental work, as they present a way to repair a tooth that has suffered from decay or a cavity back to its original shape. When performing a filling, the dentist will remove the decayed area of the tooth, clean around it, then fill in the area that he has removed with a special material that will cater to the shape and form of the tooth.
• Fillings work by closing out the area where the bacteria enters into teeth, helping to prevent any type of decay in the future. The materials used for fillings include porcelain, gold, composite resin, and amalgam. There is really no best type of filling, as several factors come into play. Your reaction to different material, the shape of the tooth, extent of repair, and where the filling is needed will be determining factors as to what material is used with your filling.
• The gold fillings that are used are made in a laboratory, then cemented into place by the dentist. Gold material fits well with the gums, and can last you for many years. Gold is considered by many to be the best, although it is also the most expensive and will require you to visit the dentist several times before the filling will be complete.
• Silver fillings on the other hand, are less expensive than gold materials and they can be quite resistant to wear. With their color being dark, they are easier to notice than composite or porcelain fillings, and aren’t recommended for visible areas of the mouth, especially the front teeth. Composite fillings are a common type of material, as they match the color of your teeth. The material that makes up the composite filling is mixed then placed directly in the cavity, where it hardens. They last several years, although composite isn’t recommended for large cavities, or areas where they may chip.
• The final type of filling is porcelain. Porcelain is very common, and produced in lab where it will be matched to your teeth then bonded to the affected tooth. Porcelain fillings match the color of your teeth, and are resistant to any type of staining. The costs for porcelain fillings can be very expensive, some costing as much as gold fillings.
If a cavity, decay, or even a crack has managed to damage a large area of the tooth, you may need a crown or a cap. If the decay has managed to get to the nerve, you may end up needing a root canal to get rid of the dead pulp. When the dentist decides he can fill your tooth, he will remove the cavity then fill the hole with a material listed above. Depending on your insurance and what you can afford, you can choose which one you want or take his recommendation. In most cases, porcelain or composite fillings will be recommended. Gold fillings are popular, although most people want a filling that will match the natural color of their teeth.
Keep in mind that only a dentist can make the decision regarding fillings. When you visit for your routine checkup, the dentist will look in your mouth and use instruments that will let him examine the surfaces of your teeth. If he finds any cavities, he will usually recommend a filling. You won’t feel anything, as he will numb the area he is going to be filling. It normally takes less than an hour, and you’ll be up and at ‘em before you know it. A filling is great for cavities, as most look natural and they won’t result in the loss of your tooth.
Pasted from <http://www.loveableface.com/teeth%20includes%20files/TemporaryToothFilling.htm>
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B. How to temporarily fix a loose dental crown
Buy a Dental Repair Kit at Walgreen’s or Amazon.com that consists of the adhesive and a little stylus.
This procedure is easy.
Things You’ll Need:
• Dental Repair Kit
• pointed knife or other sharp pointy object
• Dentemp or other dental temporary adhesive
1. For a loose crown. Remove crown and clean the crown and your tooth with a toothbrush.
2. Take a pick or pointy knife and carefully remove all tooth and old dental adhesive product from the inside of the crown.
3. Press crown back on tooth to make sure it will still fit. If it does not you are stuck and must wait till you can see your dentist. If it fits remove it and lightly fill inside of crown with the Dentemp or other temporary dental adhesive material.
4. Press crown back on the wet tooth, press firmly. Then bite down a few times to make sure that it is a comfortable fit.
5. If any of the Dentemp or dental adhesive material leaked out of the sides of the crown you will want to clean it up and remove it. Rinse mouth well with water.
6. Most dental repair kits require that you do not eat anything for at least 1 hour after applying.
7. For a lost filling or broken tooth. Brush tooth to remove any debris. Wash hands.
8. Open canister of Dentemp or other temporary dental adhesive. remove a small amount of the Dentemp or other dental adhesive and form it into a small ball.
9. Firmly press the little ball of Dentemp or other dental adhesive into the tooth that lost the filling and make sure to fill hole, bite down to insure it is comfortable.
10. Remove any excess Dentemp or other dental adhesive, rinse mouth thoroughly, then Do Not eat for one hour to allow it to set firmly.
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