In this report, we review the hospital course of four patients who presented with an acute pulmonary syndrome after inhaling freebase cocaine and compare them with previously described case reports. Two patients had prolonged inflammatory pulmonary injury associated with fever, hypoxemia, hemoptysis. Snapping hip syndrome, sometimes called dancer's hip, is a condition in which you hear a snapping sound or feel a snapping sensation in your hip when you walk, run, get up from a chair, or swing.
Whether your tooth cracks from an injury or general wear and tear, you can experience a variety of symptoms ranging from erratic pain when you chew your food to sudden pain when your tooth is exposed to very hot or cold temperatures. In many cases, the pain may come and go and your dentist may have difficulty locating the tooth causing the discomfort. If you experience these symptoms or suspect a cracked tooth, it’s best to see an endodontist as soon as possible.
Endodontists specialize in saving cracked teeth and will cater treatment to the type, location, and extent of the crack. The sooner your tooth is treated, the better the outcome. Once treated, most cracked teeth continue to function as they should, for many years of pain-free biting and chewing.
Endodontists are specialists in saving teeth. Learn more about why you should see an endodontist.
Explore more about the symptoms, causes, and treatments for cracked teeth.
Cracked teeth show a variety of symptoms, including erratic pain when chewing, possibly with the release of biting pressure, or pain when your tooth is exposed to temperature extremes. In many cases, the pain may come and go, and your dentist may have difficulty locating which tooth is causing the discomfort.
To understand why a cracked tooth hurts, it helps to know something about the anatomy of the tooth. Inside the tooth, under the white enamel and a hard layer called the dentin, is the inner soft tissue called the pulp. The pulp contains the tooth's nerves and blood vessels.
When the outer hard tissues of the tooth are cracked, chewing can cause movement of the pieces, and the pulp can become irritated. Eventually, the pulp will become damaged to the point that it can no longer heal itself.
The tooth will not only hurt when chewing but may also become sensitive to temperature extremes. In time, a cracked tooth may begin to hurt all by itself. Extensive cracks can lead to infection of the pulp tissue, which can spread to the bone and gum surrounding the tooth.
Chipped teeth account for the majority of dental injuries. http://www.dultherncabow1989.simpsite.nl/apple-pc-store. Most chipped teeth can be repaired either by reattaching the broken piece of tooth enamel or by bonding a tooth-colored filling or crown in place. See your dentist as soon as possible after the injury to treat your chipped tooth and keep it from worsening.
There are many different types of cracked teeth. The treatment and outcome for your tooth depend on the type, location, and extent of the crack.
Craze Lines
Craze lines are tiny cracks that affect only the outer enamel. These cracks are extremely common in adult teeth. Craze lines are very shallow, cause no pain, and are of no concern beyond appearances.
Syndrome Capgras
Fractured Cusp
When a piece of a tooth’s chewing surface breaks off, often around a filling, it’s called a fractured cusp. A fractured cusp rarely damages the pulp, and usually doesn’t cause much pain. Your dentist can place a new filling or crown over the damaged tooth to protect it.
If you've cracked a tooth and breathing through your mouth or drinking cold fluids is painful, bite on clean, moist gauze or cloth to help relieve symptoms until reaching your dentist’s office. Never use topical oral pain medications (such as Anbesol®) or ointments, or place aspirin on the affected areas to eliminate pain symptoms.
Cracked Tooth
A cracked tooth means a crack extends from the chewing surface of your tooth vertically toward the root. The tooth is not yet separated into pieces, though the crack may gradually spread. Early diagnosis is important in order to save the tooth. If the crack has extended into the pulp, the tooth can be treated with a root canal procedure and a crown to protect the crack from spreading.
However, if the crack extends below the gum line, it is no longer treatable, and the tooth cannot be saved and will need to be extracted. That’s why early treatment is so important. A cracked tooth that is not treated will progressively worsen, eventually resulting in the loss of the tooth. Early diagnosis and treatment are essential in saving these teeth.
Split Tooth
A split tooth is often the result of the long-term progression of a cracked tooth. The split tooth is identified by a crack with distinct segments that can be separated. A split tooth cannot be saved intact. The position and extent of the crack, however, will determine whether any portion of the tooth can be saved. In some cases, endodontic treatment may be performed to save a portion of the tooth.
Vertical Root Fracture
Crack Syndrome
Vertical root fractures are cracks that begin in the root of the tooth and extend toward the chewing surface. They often show minimal signs and symptoms and may, therefore, go unnoticed for some time. Vertical root fractures are often discovered when the surrounding bone and gum become infected. Treatment may involve extraction of the tooth. However, endodontic surgery is sometimes appropriate if a tooth can be saved by removal of the fractured portion.
Unlike a broken bone, the fracture in a cracked tooth will not heal. In spite of treatment, some cracks may continue to progress and separate, resulting in loss of the tooth. Placement of a crown on a cracked tooth provides maximum protection but does not guarantee success in all cases.
The treatment you receive for your cracked tooth is important because it will relieve pain and reduce the likelihood that the crack will worsen. Once treated, most cracked teeth continue to function and provide years of comfortable chewing. Talk to your endodontist about your particular diagnosis and treatment recommendations.
While cracked teeth are not completely preventable, you can take some steps to make your teeth less susceptible to cracks.
- Don't chew on hard objects such as ice, unpopped popcorn kernels or pens.
- Don't clench or grind your teeth.
- If you clench or grind your teeth while you sleep, talk to your dentist about getting a retainer or other mouthguard to protect your teeth.
- Wear a mouthguard or protective mask when playing contact sports.
Understanding Cracked Tooth Symptoms and Treatment
Learn about the symptoms and types of cracked teeth and how endodontists help patients avoid tooth extraction.
Visit the AAE YouTube Channel for more patient education videos to learn more about root canals and other endodontic procedures.
By: Dr. John Fatti, SOS Hand & Wrist Doctor
Being a practicing Hand Surgeon for 29 years, I have seen many, many different conditions affecting the hand. Today, I'll talk about the most common one and one that is really rare. The most common one is carpal tunnel syndrome (CTS)- everyone knows something about that! But, did you know that it happens much more commonly in women? Did you know that the symptoms mostly begin - at night? Waking up from sleep having to shake the numbness out of your hand to return to sleep is THE MOST COMMON PRESENTING SYMPTOM of CTS.
It can be caused by repetitive work conditions (especially keyboarding). But did you know that , by far, the majority of CTS patients do not work? Carpal tunnel syndrome eventually causes increasing numbness in your thumb, index, and middle fingers. Then the numbness becomes constant. Then you start to have your hand feel weak. You drop things inexplicably.
Worried about symptoms of Carpal Tunnel Syndrome? Contact our Hand & Wrist Specialists today!
CTS is diagnosed through a physical exam and a Nerve Conduction Study (NCS). Did you know that the NCS doesn't hurt? If the test says it's severe - then you need surgery. If the test says it's mild or moderate, did you know that we TREAT YOU WITHOUT SURGERY? Did you know that 85% of the CTS patients I see in the office are made better WITHOUT SURGERY?
The surgery these days is fairly noninvasive - one way to do it is through an endoscope that is placed through a 1 centimeter cut in the wrist, and the carpal ligament is released from the inside! No need to cut through the skin, and the muscle, to get to the ligament to cut it. Depending upon your job, you can be back at work rather quickly!! However, before you are doing push-ups, or water skiing - it's about 6 weeks.
The rarely seen thing that I want to talk about is something I have NEVER SEEN! That is - problems with cracking your knuckles! 'Doc, am I doing something harmful if I crack my knuckles a lot?' I get asked that question frequently because of my job - usually at parties, at the grocery store, etc. What actually is that snapping sound when one cracks their knuckles? I did some research into this. When someone hyperflexes or hyperextends their knuckles, they create negative pressure within their joint spaces. That causes the nitrogen molecules in the liquid form inside the joint to actually become gaseous - and those gas bubbles actually POP - thus causing the noise that you hear. There are no scientific studies that have ever been published linking popping nitrogen bubbles in your finger joints with deleterious effects (arthritis) on those joints.
In closing: be careful and take care of your hands! Keep them where they belong and where they are SAFE! It has been written that 25% of all Emergency Room visits are some form of hand trauma !!