Emergency field dental skills

Discussion in 'Survival Medicine' started by Paradoc, Feb 27, 2007.


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  1. Here is the most comprehensive dental kit that I have found. It even includes universal extractors. Here is the link:
    Doom and Bloom (TM) Marketplace
     
  2. Kelly Marie

    Kelly Marie Monkey

    Xylitol is natural from trees. Nothing else added. Not as scary as the bullshit in sodas. Xylitol actually helps prevent tooth decay, do not eat too much, it will give you the shits.
     
  3. Kelly Marie

    Kelly Marie Monkey


    Eugenol definitely is part of the medicine in a temporary filling that sedates a tooth. If you happen to have some or can get it, or just want to use clove oil (not too much), that can help a bit. As for regular dental pain, you can use Chlorhexidine which is used as a mouth rinse. It can be used to clean out wounds (was used in wars for cleansers before surgeries), can be used on animals if they have a gash. If you get this from your Dentist, keep it. Is good for a long time. They now make an alcohol free one also.

    For filling materials, you can purchase an emergency dental fix kit at ChinaMart, most likely in their Pharmacy area.



    Chlorhexidine
    From Wikipedia, the free encyclopedia


    Uses
    Chlorhexidine is used in disinfectants (disinfection of the skin and hands), cosmetics (additive to creams, toothpaste, deodorants, and antiperspirants), and pharmaceutical products (preservative in eye drops, active substance in wound dressings and antiseptic mouthwashes). [1]

    Antiseptic
    At physiologic pH, chlorhexidine salts dissociate and release the positively charged chlorhexidine cation. The bactericidal effect is a result of the binding of this cationic molecule to negatively charged bacterial cell walls. At low concentrations of chlorhexidine, this results in abacteriostatic effect; at high concentrations, membrane disruption results in cell death.[2]

    Chlorhexidine is active against gram-positive and gram-negative organisms, facultative anaerobes, aerobes, and yeast.[2] It is particularly effective against gram-positive bacteria (in concentrations ≥ 1 µg/L). Significantly higher concentrations (10 to more than 73 μg/mL) are required for gram-negative bacteria and fungi. In the presence of blood or protein the efficacy is reduced by a factor of 100 to 1000. Chlorhexidine is ineffective against polioviruses and adenoviruses. The effectiveness against herpes viruses has not yet been established unequivocally. [3]

    Chlorhexidine, like other cation-active compounds, remains on the skin. It is frequently combined with alcohols (ethanol and isopropyl alcohol).

    Dental use[edit]
    Chlorhexidine is often used as an active ingredient in mouthwash designed to reduce dental plaque and oral bacteria. It has been shown to have an immediate bactericidal action and a prolonged bacteriostatic action due to adsorption onto the pellicle-coated enamel surface.[4] If it is not deactivated, chlorhexidine lasts longer in the mouth than other mouthwashes and this is partly why it is to be preferred over other treatments for gingivitis.[5] To treat periodontal pockets equal or greater than 5mm; chlorhexidine is also available in high concentration (36%) in a gelatine-chip.

    There are oral pathologic conditions in which the maintenance of oral hygiene with the twice-daily use with 0.12% chlorhexidine gluconate solution (in which a salt of chlorhexidine and gluconic acid has been dissolved) is required for healing and regeneration of the oral tissues. These conditions included gingivitis, periodontitis, dental traumas[6] (such as subluxation), oral cysts,[7] and after wisdom tooth extraction. The clinical efficacy of the application of chlorhexidine as a component of oral rinses is well documented by many clinical studies that are summarized by review articles.[8]

    Continued use of products containing chlorhexidine for long periods can cause stains on teeth, tongue, and gingiva, also on silicate and resin restorations; prolonged use can also reduce bitter and salty taste sensations - this latter symptom can be reversed by ceasing use of chlorhexidine.[9] The brownish discoloration of teeth and tongue are due to the fact that the disintegration of bacterial membranes leads to the denaturation of bacterial proteins.[10] At the same time, disulfide functions are reduced to thiol functions[11] that form dark complexes with iron(III) ions found in saliva.[12]

    A version which stains the teeth less has been developed.[13]

    According to the prescribing information,[14] chlorhexidine gluconate has not been proven to reduce subgingival calculus and in some studies actually increased deposits. When combined with xylitol, a synergistic effect has been observed to enhance efficacy.[15]

    Chlorhexidine's role in preventing tooth decay (dental caries) is controversial and "the clinical data are not convincing".[16]

    Chlorhexidine is neutralized by common toothpaste additives such as sodium lauryl sulfate (SLS) and sodium monofluorophosphate (MFP). Although data are limited, to maximize effectiveness it may be best to keep a 30-minute to 2-hour interval between brushing and using the mouthwash.[17]

    Topical[edit]
    Chlorhexidine gluconate is used as a skin cleanser for surgical scrub, cleanser for skin wounds, preoperative skin preparation and germicidal hand rinse.[2]

    Chlorhexidine does not meet specifications established nowadays in Europe for a hand disinfectant. Under the test conditions of the European Standard EN 1499 there was no significant difference in the efficacy between a 4 % solution of chlorhexidine digluconate and soap.[3]

    Use in animals[edit]
    For use in animals, it is used as a topical disinfectant of wounds. Some common brand names are ChlorhexiDerm, ResiChlor, Savinox plus (Bioshields), Germi-STAT Antimicrobial Skin Cleanser, Nolvasan Skin and Wound Cleaner, and Nolvasan Ointment. It is also more beneficial to wound healing than using saline solutions alone.[18] Problems[19] including deafness[20]have been associated with the use of chlorhexidine products in cats. It is commonly used to manage skin infections in dogs. In addition to this it is an active ingredient in teat disinfectant products used within the dairy farming industry.
     
    Last edited by a moderator: Jan 29, 2015
  4. Kelly Marie

    Kelly Marie Monkey


    The dental kit advertised there for too much money is seriously a joke. If you want gloves or masks, buy them or ask at your Dentist if you can have a few. Put them in your kit. The other items would most likely not be used, as most people don't have a clue what to do with them! If you need to pull out a tooth, are you seriously going to get someone numbed up? Either buy cheapo forceps online or at a flea market or use pliers and sterilize the hell out of them before using. Most teeth that are broken off are not accessible. They do need to have the gums opened up and the root tips taken out. Not that easy without knowing the basics.

    Find people that know this stuff, get a group, a community, someone that knows each skill needed. That is the best way. I can just see someone taking a 15 blade to their own mouth. Uh Huh. Actually would be OK to do for an abscess, only in an emergency, spit out the exudate (pus) and just don't swallow that stuff. Rinse with Chlorhexidine.
     
  5. Crazy

    Crazy Monkey

    This thread is interesting to me. I am a dentist. I have removed thousands of teeth, and I have a dental kit for doing dentistry away from my office that cost the same as a nice car. However if life as we know it ended, and I got hit in the face with a piece of fire wood, shattering a tooth. I would not be doing the extraction myself. You have to trust some one else. I do not say that as some one that runs to the Dr. Every time something hurts. I stitched up my own face after a nasty bike crash.

    Having a bottle of clove oil and forceps is not going to make going to a dentist a thing of the past. That said, you should have a dental emergence kit. You would definitely want clove oil, IRM or some thing like it, wax, anbesol, cotton, tongue depressors ( for mixing the IRM), wooden Q-tips, cotton pliers (funky tweezers), a dental spoon (looks a little like an explorer with flat ends). This would help deal with emergencies until you can get to a dentist. This will not fix problems as much as stabilize the patient. Remember Castaway, you do not want to do that to yourself.

    Do what you can your self and have a support structure for the rest.
     
    Ganado likes this.
  6. kellory

    kellory An unemployed Jester, is nobody's fool. Banned

    so....this is you?;)

    [​IMG]
     
    Last edited by a moderator: Jan 29, 2015
  7. melbo

    melbo Hunter Gatherer Administrator Founding Member

    Good stuff, thread revival
     
    Yard Dart likes this.
  8. RangerRick

    RangerRick RangerRick-North Idaho Oath Keeper

    Also remember, dental health goes hand in hand with heart health.
    RangerRick
    Disaster Medicine Instructor
    5th Grp SF old school Medic
     
    Ganado likes this.
  9. RangerRick

    RangerRick RangerRick-North Idaho Oath Keeper

    I heard doing the shock thing for snake bites. A friend who handles lots of poisonous snakes he keeps in his shed, keeps a Taser like device and said he has used it for copperhead and cotton mouth bites on himself.

    Drunk, young and stupid and does not have to be in that order, I may try it with a copperhead bite, the rest I don't know.
    When I first met him I was playing with some copperheads in the back of the shed - not a big shed either and he said hey look at these. He dropped a door and 2 very big king cobras came out and looked me in the eye from about 12 feet.
    Yes, I did meet Jesus and asked him nicely to put the girls up as I pulled my Glock 19. I informed him the 9 was for him and I was going out the back window.

    I don't think I would want to get drunk with him, bad things would happen. Glad I moved 2000 miles away from him.
    RangerRick
     
  10. kellory

    kellory An unemployed Jester, is nobody's fool. Banned

    Evolution’s Most Effective Killer: Snake Venom

    Given how snake venom kills, I see absolutely no use for electricity as an effective treatment. I can, however, see it shortening what little time you have to live, by excellerating your heart. Don't try it, you will only die faster.
     
  11. Bandit99

    Bandit99 Monkey+++ Site Supporter+

    Whoa! I forgot all about 'Oil of Cloves' that my grandma use to always have...I have a good med kit but nothing for dental.
    What about this for temp filling a lost filling hole or etc. ?

    DenTek - Dental First Aid Kit
    http://www.amazon.com/gp/product/B0062N5R8O/?tag=survivalmonke-20

    Rick
    PS. Reference Super Glue...we were taught that in an emergency it could also be used to close a wound so it is good to keep around for a number of things.
     
  12. arleigh

    arleigh Goophy monkey

    I have a product called Dentemp I use for lost fillings and such, but for the most part I use colloidal silver as it is an antibiotic nothing is immune to.
    It is easy to make and will last indefinitely .
    If you abuse any thing, it will have consequences ,
    so don't let the naysayers deter you from the benefits of colloidal silver.
    If you take it internally , remember to take a probiotic a while afterwords, because it will neutralize all the bacteria in your digestive tract.
    I use to use cider vinegar which is another antibiotic ,especially if one has eaten something not quite right.
    Dental issues ,burns and serious cuts and abrasions Colloidal silver covers them all.
    Pain due to bacterial infection deal with a antibacterial.
    Pain due to nerve ,bone ,muscle injury, every thing else.
    I am learning more about oil of clove and Like every thing else will stock up on it for the future .
    Thanks for the info gang .
     
  13. Motomom34

    Motomom34 Monkey+++

    A Warm Teabag Quells a Toothache
    Placing a warm, wet teabag—steep a teabag in hot water and let it cool first—directly on an abscessed or infected tooth can alleviate the pain quite a bit and often keep you relatively comfortable until you can get professional care. Black tea works best, but peppermint tea provides a mild numbing effect, too. The astringent tannins in the tea help draw out the toxins and provide a calming effect. But remember: It’s a temporary fix until you can get (as quickly as possible) to the dentist.
     
    kellory likes this.
  14. arleigh

    arleigh Goophy monkey

    Last night I just pulled a bad tooth with my large forceps ,flawless.
    Having the tool, and using the tool, are two different things.
     
    Ura-Ki and Ganado like this.
  15. Ganado

    Ganado Monkey+++

    ouch! I cringe just thinking about having to pull my own tooth @arleigh
     
  16. arleigh

    arleigh Goophy monkey

    Actually is had abscessed and I used colloidal silver to deal with the infection, then after it was basically healed I removed the broken tooth and reapplied the silver . All is good .
    Imagined pain, is worse then the real thing.
     
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