Mouth Laceration
A mouth laceration is a deep cut in the lining of your mouth (mucosa). The laceration may extend into your lip or go all the way through your mouth and cheek. Lacerations inside your mouth may involve your tongue, the insides of your cheeks, or the upper surface of your mouth (palate).
Mouth lacerations may bleed a lot because your mouth has a very rich blood supply. Mouth lacerations may need to be repaired with stitches (sutures).
CAUSES
Any type of facial injury can cause a mouth laceration. Common causes include:
• Getting hit in the mouth
• Being in a car accident.
SYMPTOMS
Bleeding that fills the mouth is the most common sign of a mouth laceration.
DIAGNOSIS
Your health care provider can diagnose a mouth laceration by examining your mouth. Your mouth may need to be washed out (irrigated) with a sterile saltwater (saline) solution. Your health care provider may also have to remove any blood clots to determine how bad your injury is. You may need X-rays of the bones in your jaw or face to rule out other injuries, such as dental injuries, facial fractures, or jaw fractures.
TREATMENT
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Treatment depends on the location and severity of your injury.
Small mouth lacerations may not need treatment as long as bleeding has stopped. You may need sutures if:
• You have a tongue laceration.
• Your mouth laceration is large, deep, or continues to bleed.
If sutures are necessary, your health care provider will use absorbable sutures that dissolve as your body heals. You may also receive antibiotic medicines or a tetanus shot.
HOME CARE INSTRUCTIONS
• Take medicines only as directed by your health care provider.
• If you were prescribed an antibiotic medicine, finish all of it even if you start to feel
better. • Eat as directed by your health care provider. You may only be able to eat liquid or soft foods for a few days. • Rinse your mouth with a warm, saltwater rinse 4–6 times per day or as directed by your health care provider. You can make a saltwater rinse by mixing one tsp of salt in two cups of warm water. • Do not poke the sutures with your tongue. This can loosen them. • Check your wound every day for signs of infection. It is normal to have a white or gray patch over your wound while it heals. Watch for: ○ Redness. ○ Swelling. ○ Blood or pus. • Maintain regular oral hygiene, if possible. Gently brush your teeth with a soft, nylon-bristled toothbrush twice a day. • Keep all follow-up visits as directed by your health care provider. This is important. SEEK MEDICAL CARE IF: • You got a tetanus shot and have swelling, severe pain, redness, or bleeding at the injection site. • You have a fever. • Your pain is not controlled with medicine. • You have redness, swelling, or pain that is getting worse. • You have fresh bleeding or pus coming from your wound. • The edges of your wound break open. • You develop swollen, tender glands in your throat. SEEK IMMEDIATE MEDICAL CARE IF: • Your face or the area under your jaw becomes swollen. • You have trouble breathing or swallowing. ExitCare® Patient Information ©2012 ExitCare, LLC.
Education of the patient will begin. Depending on the size of the abscess and how extensive the procedure was the patient may need a relative or friend to drive them back home. Not only would the patient need a ride back home, they may need to be watched for 24 hours. As part of pain management pain medication may be given to the patient to decrease pain. Antibiotics may be given to fight or prevent infection caused by the bacteria. The patient will also need to list all medications that they are taking so there will not be any contraindications with the medications that the patient is given. Advise the patient that more than one follow-up appointment will be necessary in order to properly treat the wound. Before the end of the appointment, the medical assistant should give the patient written instructions along with an emergency number and the number to the practice incase the patient has any questions or concerns. Advise the patient to return to the practice if they experience any fever, chills, or the abscess returns. If red streaks appear around the wound tell the patient to call the emergency department immediately. After the the procedure and patient education has been completed, make sure all the step of the procedure has been documented in the patient’s record and all follow-up procedures have been
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• If you were prescribed an antibiotic medicine, finish all of it even if you start to feel better.
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