In an emergency, a hospital emergency department can be contacted. For specialist assessments and treatments, on the other hand, a dentistry department is needed
For dental emergencies (acute infection, bleeding, trauma, pain that gets worse) all citizens have the right to be assisted immediately by resorting to the emergency room (Ps). What is different, however, are planned treatments for dental pathologiesthat the National Health Service (NHS) guarantees only to certain categories of subjectsi.e. minors from 0 to 14 years, those with diseases that can worsen due to dental problems (patients with cancer treated with chemo or radiotherapy, awaiting transplantation or already transplanted, with severe immunodeficiency states), those affected from conditions associated with dental complications (such as some rare diseases) but only in the presence of a state of indigence, in addition to all those who are in a situation of poverty (the access criteria are established at the regional level).
Path
In every hospital emergency room, the health personnel immediately stop the bleeding in the mouth and manage the dental pain (by administering drug therapy), giving relief to the patient. But to have specialist evaluation and treatment It is necessary to contact a dental ps, usually present in hospitals equipped with a dentistry department. Service active during surgery hours, in the morning (or until the afternoon), from Monday to Friday (sometimes even on Saturdays). In rare cases available 24 hours a day, such as at the Asst Spedali Civile in Brescia and at the Umberto I polyclinic in Rome.
Outside the time slot
Outside the time slot guaranteed by the specialists, the staff of the general emergency room can avail themselves of the assistance of the maxillofacial surgeon if the problem is not exclusively of a dental nature and also concerns the jaw or jaw. Edoardo Stellini, director of the Odontostomatology Clinic of the University Polyclinic of Padua. In some cases, generalist PSs send us patients who need a specialist intervention directly, he says Livio CordoneHead of the Dental Emergency Department of the Civil Hospital Asst.
Once the most urgent symptom has been resolved, the patient who is one of the beneficiaries of the services guaranteed by the NHS is taken over and put on the list for the necessary subsequent treatments, such as fillings, prostheses and dental repairs, which may require the payment of a ticket – resumes Stellini -. If, on the other hand, the citizen does not fall within the vulnerability target due to pathology or economic hardship, he should contact the private dentist and pay for the treatment yourself. Including tooth replacement after trauma.
In which cases should the PS be used?
In the presence of a pulpitis, that is a throbbing pain in the teeth of increasing intensity and generally caused by a caries – he answers Andrea Sardella, head of the complex operating unit of Dentistry and Stomatology of the Asst Santi Paolo e Carlo in Milan -. In case of haemorrhage after a tooth extraction or trauma, a fracture to the teeth, the breakage of a prosthesis or orthodontic appliance to avoid spontaneous ingestion, an infection of the mucous membranes, a dental abscess that causes swelling of the cheek, or gum abscess, a dislocation of the jaw that can leave the patient wide open, or painful and widespread ulcers caused by the Herpes simplex virus, especially in children, which make it difficult to eat and drink.
Tumor Diagnosis
Last recommendation: To avoid improper access to the PS, when you do not know whether to go there or not, the citizen is invited to first consult the family doctor or the continuity assistance service in the moments when the closed doctor’s office concludes Sardella. This also applies in the (important) case of early diagnosis of oral cancer: If you notice persistent changes in the mucous membrane of the mouth, for example red or white lesions, you must be checked without delay and if there is a suspicion of cancer proceed with a histological examination underlines Stellini.
August 17, 2022 (change August 17, 2022 | 10:12)
© REPRODUCTION RESERVED
#dental #emergency #room #toothache