#119 Zahnmedizinische Notfälle bei Kindern – Dental Emergencies in Children

00:00:03: Sabine Nemec: Herzlich willkommen zu Dental English to go. Ich bin Sabine Nemec und lade Euch ein, mit diesem Podcast Euer Englisch aufzufrischen. Ich möchte Euch zeigen, dass es ganz leicht ist, sich im Praxisalltag auf Englisch zu verständigen. Jede Woche schauen wir uns eine bestimmte Situation in der Zahnarztpraxis an und trainieren/üben die passenden Vokabeln und die richtige Aussprache. So here is your weekly dose of language refresher.

00:00:33: In today’s lesson, we will talk about one of the most demanding situations in a pediatric dental office: the emergency. So, let’s start! Dental emergencies in children generally fall into three categories: traumatic dental injuries, acute pain and infection, and soft tissue injuries. Zahnärztliche Notfälle bei Kindern lassen sich im Allgemeinen in drei Kategorien einteilen: traumatische Zahnverletzungen, akute Schmerzen und Infektionen sowie Weichgewebeverletzungen. Whether it's a knocked-out tooth, a severe toothache at midnight, or a fractured front tooth from a cycling accident — dental emergencies in children require fast thinking, calm communication, and appropriate Dental English.

00:01:44: Number 1 – Knocked Out Tooth also called Avulsion. To the parent on the phone: "Stay calm — I know this is frightening, but the most important thing right now is time. Every minute counts with a knocked-out tooth." "Pick the tooth up by the white part — the crown — and please do not touch the root. The root has tiny fibres on it that we need to keep intact." "If the tooth is dirty, rinse it very gently under cold water for no more than ten seconds — but please do not scrub it or wrap it in a tissue." "If you can, try to place the tooth back into the socket straight away and hold it there with a clean cloth. If that isn't possible, pop it in a Tooth Rescue Box, a glass of cold milk to keep it moist. Do not store it in water and do not let it dry out." "Come straight to us — please do not stop on the way." To the child in the chair: "I know that was really scary — you've been so brave. I'm going to take good care of your tooth and we're going to try our very best to put it back where it belongs." "I just need to take a quick photo and an X-ray first so I can see exactly what's going on. Then we'll get started — okay?"

00:03:47: Number 2 – Tooth Pushed Out of Position also called Luxation. To the parent: "The tooth hasn't come out completely, but it has been pushed out of position. We call this a luxation injury." "The tooth looks crooked, I know — but please don't try to push it back yourself. We need to assess it carefully first before we do anything." "We're going to take an X-ray to check the root and make sure the adult tooth underneath hasn't been affected." To the child: "Your tooth has had a bit of a bump and moved out of its usual spot. I'm going to take a little picture of it first, and then we'll decide the best way to help it." "It might look a little wonky right now, but we're going to sort that out for you — don't worry!"

00:05:06: Number 3 – Chipped or Fractured Tooth. To the parent when it’s a minor fracture: "The good news is that the nerve is not involved. The chip is limited to the outer layers of the tooth, so we can smooth the sharp edge and place a tooth-colored filling to restore the shape. It's a straightforward procedure and shouldn't take long at all." To the parent when it’s a fracture involving the nerve: "Unfortunately, the fracture has reached the nerve of the tooth — we can see a tiny pink spot at the center of the break, which tells us the nerve is exposed. We need to treat the nerve today to relieve the pain and protect the tooth." "We have two options — we can either do a procedure to cover and protect the nerve, or if the damage is more extensive, we may need to do a more thorough nerve treatment. I'll be able to tell you more once I've taken an X-ray." To the child: "Your tooth got a little crack in it — like when a cup chips. We're going to fix it and make it look just like before!" "Did you manage to find the piece that broke off? If you brought it with you, we might even be able to stick it back on — how cool would that be?"

00:07:33: Number 4 – Toothache and Dental Abscess. To the parent when it’s an acute toothache: "The decay in this tooth has reached the nerve, which is why your child is in so much pain. The nerve is inflamed and needs to be treated today." "We have two options — we can either treat the nerve and save the tooth, or if the tooth is too badly damaged, we may need to remove it. I'll explain the pros and cons of each option so we can decide together what's best." To the parent when it’s an abscess: "There's an infection at the tip of the root that has formed a small abscess — you might be able to see a little swelling on the gum, almost like a pimple. This tells us that the infection needs to be drained and the source treated." "I'm going to prescribe antibiotics to help bring the swelling down, but please remember — the antibiotics will help with the infection, but they won't fix the tooth itself. We still need to treat or remove the tooth to solve the problem properly." "If the swelling spreads to the face, the eye, or the neck — or if your child has any difficulty breathing or swallowing — please go straight to the emergency room. That would be a sign that the infection is spreading and needs urgent hospital treatment." To the child with a toothache: "I can see your tooth has been giving you a hard time — that must have been very sore. We're going to make it feel much better today!" "First I'm going to put some sleepy cream on your gum, so you don't feel anything while I fix it. You've been so patient — you're doing amazingly."

00:10:06: Number 5 – Soft Tissue Injuries such as Cuts to the Lip, Tongue or Cheek. To the parent: "Cuts inside the mouth always bleed a lot because the mouth has an excellent blood supply — it looks much worse than it usually is, so please try not to worry." "Apply firm pressure to the area with a clean cloth or gauze for ten full minutes without peeking — I know it's tempting to check, but lifting the cloth interrupts the clotting process." "If the bleeding doesn't stop after twenty minutes of firm pressure, or if the wound is very deep or wide open, please come straight in and we'll assess whether it needs a stitch." "Give your child some children's ibuprofen for the pain and swelling and offer cool soft foods today!" To the child: "You've got a little cut on your lip — it's bleeding because lips are very good at making lots of blood when they get hurt, but it's going to be okay!" "I'm going to press gently on it with a soft pad to help it stop bleeding. Can you be super still for me for just a few minutes? You can squeeze my hand if you need to."

00:12:02: Here is your overview of the vocabulary of this week’s lesson: to squeeze – etwas drücken, zusammendrücken; to chip – abplatzen; to peek – nachsehen; to interrupt – unterbrechen; wonky – schief, wackelig; extensive – ausführlich, umfangreich; cup – Tasse; pros and cons – Vor- und Nachteile; blood supply – Blutversorgung; swallowing – Schlucken; cuts – Schnittverletzungen; clotting process – Gerinnungsprozess.

00:13:08: Das war unsere Lesson für diese Woche. Nächste Woche befassen wir uns mit der Kommunikation mit Patientinnen und Patienten an der Rezeption. Wenn Ihr noch mehr Dental Englisch trainieren wollt, empfehle ich Euch mein Buch „Dental English“, erschienen im Quintessenz Verlag, oder auch die Fachzeitschrift „Team Journal“ – hier findet Ihr in jeder Ausgabe eine Übung. Vielen Dank fürs Zuhören. Wenn es Euch gefallen hat, dann abonniert diesen Podcast. Es gibt jeden Montag eine neue Folge – überall, wo es Podcasts gibt. Wenn Ihr Fragen habt, dann schreibt auf Instagram oder an podcast@quintessenz.de. Alle Links und Adressen findet ihr auch in den Shownotes. Ich sage: Goodbye and see you next time! Das war Dental English to go mit Sabine Nemec: der Englisch-Podcast für den Praxisalltag – ein Quintessence Podcast.