How Your Complete Survival Dental Kit Should Look

Homesteading & Country Living Forum

Help Support Homesteading & Country Living Forum:

This site may earn a commission from merchant affiliate links, including eBay, Amazon, and others.

Sentry18

Thrivalist
Neighbor
Joined
Nov 26, 2017
Messages
19,105
Location
US of A
https://www.survivopedia.com/how-your-complete-survival-dental-kit-should-look-like/

How Your Complete Survival Dental Kit Should Look Like

By
Fred Tyrell
October 20, 2019

As part of their emergency preparations, survivalists typically get their dental work caught up and prepare a dental first aid kit to help them deal with dental emergencies.

We don’t do this because it may be hard to find a dentist during the zombie apocalypse. We more often do it to save money and to be able to handle the odd dental emergency.

Investing in the capability to treat dental emergencies gives you a valuable skillset that makes you useful to your community. Even if dental professionals are available to render treatment in an emergency, you may need to provide your own supplies.

Keep your dental work current. It’s better to treat dental problems now, when professional help is available if needed. Because dental problems can become very serious, even life threatening, wisdom teeth are often removed around the age of eighteen before lengthy military or missionary service. This is done to prevent patients from having to deal with a swollen, infected jaw in an austere setting. Even after dental work is done, attention should be paid to dental hygiene. I’m sure it must be very disappointing to pass special forces selection and then to go combat ineffective because you failed to take care of your teeth, but this happens to scores of military personnel every year. Learn from their mistakes by getting your teeth in shape and keeping them that way.

I enjoy traveling and camping in austere settings, so it’s important to be able to handle dental emergencies in these settings. But, even if you never leave the city, most dentists don’t treat patients an emergency basis like a hospital emergency room, so most folks are on their own to handle dental emergencies until they are able to schedule an appointment.

Another reason people make alternative plans for dental work is that they don’t trust our bloated, overpriced dental healthcare system. Excessive regulation, pharmaceutical patents and shady politics mean Americans pay many times the prices citizens of other nations pay for the same procedure. Because of this, many Americans duck across the border to Canada or Mexico where they pay a fraction of the price for the same dental work. If you travel someplace that does quality dental work inexpensively, you might as well take advantage of it.

Although teeth are a part of a healthy human body, the US government doesn’t seem to think you need them. When it comes to dental care most of us are on our own.

Improvised Emergency Dental Care & Instruments
If you saw the movie Castaway, you probably remember the scene where the protagonist extracted a tooth with a rock and an ice skate that he liberated from a FedEx package. A dental emergency in an austere survival ordeal can be a daunting proposition. Here are a few ideas on improvising dental instruments and care from pocket survival kit contents.

  • Wax – A candle stub of paraffin is something you may already carry in a pocket survival kit that can be a lifesaver if you break a tooth or loose a filling exposing a nerve to air. Heat the wax enough that it can be molded, roll a small piece into a little ball and tamp it into place with piece of wood carved for the purpose. The fix is only temporary, but wax can put a stop to the mind-numbing pain of an exposed nerve and prevent a broken tooth from cutting the mouth, lips or tongue which could soon become infected. Wax is also useful in preventing discomfort from orthodontic braces.
  • Dental Mirror – It’s tough to diagnose what you can’t see, much less fix it, so a small inspection mirror is worth packing. In a pinch, a larger glass mirror can be broken into smaller pieces (about ¾” or 2cm). Grind down the sharp edges on any rock that contains quartz and glue it or affix it to a tongue depressor or stick and give it shallow bend.
  • Sewing or Suture Needle – A sewing or suture needle can be bent into a hook and hafted to a short handle of wood or plastic for use as a dental pick.
  • Lockpicks – Lock picks are the right size and shape to craft into emergency dental instruments and lockpick kits often include useless models to bump up the number of picks in the set and dupe inexperienced consumers. Stainless steel lockpicks are generally pretty cheap, so if your lockpick kit includes double or single ball picks, I wouldn’t hesitate to heat, bend and grind one them into anything useful, including a dental probe, spoon excavator, filling tool or a cement spatula.
  • Medical Cotton – Medical cotton comes in many different forms. I prefer zig-zag folded sheets. Some instructors use makeup pads and still others use dental rolls. It really doesn’t matter too much because it’s easy to turn it into what you need.
  • Potassium Permanganate – This potent chemical is very multiuse and is useful in tiny amounts, suiting it for inclusion in pocket survival kits. Diluted in water until the color is bright pink, potassium permanganate is an effective oral antiseptic to reduce infection. A slightly more concentrated red solution can be dabbed on canker sores.
  • Dental Floss – Sure, depending on the spacing between your teeth, you may be able to use some type of thread as dental floss, but they aren’t nearly as effective. Because dental floss is so useful as cordage, you might as well carry a tiny spool. You can break open the plastic boxes that house dental floss, remove the tiny spool, apply a little vinyl tape (electrical tape) to it and toss one in your pocket survival kit. As you may know, strong cordage, such as dental floss, can also be used to extract teeth. Just tie a slip knot, place it around the tooth and tie the other end to a doorknob and shut the door. Lacking a door, any object that provides sufficient inertia will do.
  • Toothbrush – A toothbrush can be improvised from any fibrous, non-toxic twig. Carve a toothpick on one end and chew the other into a brush. Barrel cactus spines can also be carved to make outstanding toothpicks.
  • Toothpaste – Toothpaste is not necessary to clean your teeth. Charcoal or ash made from non-toxic species of wood, salt, baking soda or just plain old water can help.
  • Z-pak – Azithromycin stands along amongst antibiotics as an entire course is just a half dozen or so small pills and can easily fit into a pocket survival kit. It’s also effective against dental infections and abscesses.
  • Bandana – A cravat or bandana can be used to immobilize the jaw and hold a hot or cold compress in place.
 
Emergency Dental Kit
While it’s nice to know how to improvise dental tools in a dire emergency, a proper emergency dental kit will make treatment more effective and less painful. Many of the supplies and instruments needed for emergency dentistry are also useful in emergency medicine, making them doubly important. Review the following contents and customize them to your needs:

Reference
  • Emergency Dental Text – I recommend Where There Is No Dentist by Murray Dickson of the Hesperian Foundation (now Hesperian Health Guides). Much of the material in this article comes from this text.
  • Emergency Medical Text – There are many good ones, but Where There is No Doctor by David Werner is particularly useful for use by laymen in austere settings.


Medicines
  • Aspirin 300mg Tablets – To control pain.
  • Acetaminophen, 500mg Tablets – To control pain.
  • Penicillin, 250mg Tablets – An antibiotic used to treat infection.
  • Erythromycin, 250mg Tablets – An antibiotic used to treat infection.
  • Nystatin Cream or Solution – Antifungal creme used to treat thrush and diaper rash.
  • Epinephrine – Have on hand to counter allergic reactions to antibiotics and aspirin.
  • Injectable Lidocaine 2% – Apply topical lidocaine, wait 5 minutes, inject, wait another 5 minutes and then test to ensure that the tooth is numb. If not, repeat the injection. The lower jaw is more difficult to numb than the upper jaw. Study injection sites carefully. Never inject an area that is swollen as it may spread the infection.
  • Topical Lidocaine – To numb gums and injection sites.
  • Injectable Procaine Penicillin, 300K Units per ml – For very severe infection. Injected into the buttocks or arm.
  • Injectable Crystalline Penicillin, 1M Units per ml – A short-acting form of penicillin used to treat very severe infections such as septicemia, gangrene and meningitis and to prevent infection in compound fractures. Injected into the buttocks or arm.
  • Oil of Cloves – Also known as eugenol, used to soak small pieces of cotton to relieve pain. Squeeze so the cotton is damp, but not wet. Too much will cause a burning sensation.
Instruments


General/Diagnostic – The following three instruments are needed for every dental procedure so buy extras if you may treat more than one patient at a time and bundle them in sets of three.

  • Dental Mirror – Used to see the back sides of teeth and to retract and protect the cheeks, tongue and gums.
  • Sickle Probe – Also known as a dental explorer, this probe is the most commonly used dental tool and its sharp point enhances tactile sensation and helps dentists feel the difference between healthy and unhealthy material and better diagnose dental maladies.
  • Cotton Forceps – Used to handle cotton gauze and apply dressings in the confines of a mouth.
Injections
  • Aspirating Dental Syringe – For injected medicines. Learn to give injections from an experienced healthcare worker.
Scaling Teeth
  • Posterior Sickle Scaler – Use to scrape tartar from teeth. If your scaler is not sharp enough to cut into your fingernail, it must be sharpened.
  • Periodontal Curette – For removing tartar below the gums.
Cement Fillings – Without the specialized tools and dental drills required for permanent fillings, you will be limited to less definitive treatments such as temporary fillings.

  • Spoon Excavator – Used to excavate some (but not all) of the soft decay and break away weak material in preparation for a filling. If you dig too deep, you may damage the nerve and kill the tooth. All decay must be removed from the edge of the cavity, however.
  • Filling Instrument – Used to place and smooth the filling.
  • Cement Spatula – Used to mix the filling material.
Extracting Teeth – Most teeth can be extracted using the first three tools below and a spoon excavator. The other tools are useful in removing firmly rooted back molars.

  • Straight Elevator – Use to lever teeth up. Use the jawbone as a fulcrum to lever teeth, not adjoining teeth or you may loosen or even break them.
  • Upper Universal Forceps – Gently rock teeth back and forth to loosen them.
  • Lower Universal Forceps – Don’t grip teeth too firmly with forceps. Teeth needing to be extracted are usually severely damaged and can break if too much pressure is applied.
  • Left & Right Upper Molar Forceps
  • “Hawk’s Bill” Lower Molar Forceps
  • “Cow Horn” Forceps – Useful to get down in between the roots of molars.
  • Curved “Cryers” Elevators – Useful to extract broken roots. If a root breaks off and is difficult to get out, stop and try again a week later.
Supplies
  • Cotton Gauze – To make dressings. Also moistened with water to keep permanent teeth for replacement when knocked out.
  • Dental Gauze Rolls – To make dressings and control bleeding. To dry teeth in preparation for a filling. Change cotton when it becomes wet.
  • Zinc Oxide Powder – Mixed with oil of cloves to make temporary fillings for cavities. Practice mixing cement ahead of time. Teeth with temporary fillings are weak, so the patient must avoid exerting too much pressure on them when chewing.
  • Concentrated Fluoride Water – Diluted and applied to gauze and packed around sensitive teeth to harden them. Do not swallow.
  • Disposable Needles, 27ga Long – For injections.
  • Wooden Tongue Depressors – To retract and protect the tongue, cheeks and gums.
  • Salt – Used to make warm saltwater rinse to treat gum disease.
  • 20ga Ligature Wire – Used to wire teeth together to hold them in place and to stop bleeding from fractures of the jaw between the teeth.
  • Smooth Piece of Glass – For mixing fillings.
  • Hydrogen Peroxide – Antiseptic.
  • Concentrated Benzalkonium Chloride Solution – Topical antiseptic also used to clean instruments.
  • Sharpening Stone – To sharpen instruments.
  • Brush – To clean instruments before sterilization.
  • Pressure Cooker – To sterilize instruments and gauze. Dry instruments after boiling and never store them wet. Sterilizing with heat is necessary any times instruments touch blood. Otherwise instruments can be sterilized with alcohol or bleach solution.
 
I saw this post on a blog today, and thought it would be something to consider adding to our dental emergency kits. This is a blog written and maintained by two gay men, so be advised of that, but the story about the relief of pain from a tooth ache is worth noting. It basically says that the package, shown below is clove oil. I have never had a toothache that came up like that, because I have mostly maintained my teeth and had regular dental visits. But the day could be coming for me and others.

http://twomenandalittlefarm.blogspot.com/2019/12/red-cross-toothache-medication.html

RED CROSS TOOTHACHE MEDICATION

So…2nd Man had a toothache at Thanksgiving. We tried everything. 3 Advil. 4 Advil. Aleve (that helped). Still, he said it was the worst pain he’s had. It was a holiday weekend so he wanted to get through it until he could get to the dentist.

The pain was unbearable. In fact, Thursday night/Friday morning, he said he felt like he might need to go to the ER or Urgent Care. I did some checking online (others had asked the same question) and the general consensus was that they don’t give strong pain meds, they just give you Extra Strength Tylenol or Advil and tell you to go to the dentist as soon as you can (and charge you $$$).

2nd Man said he had to do something, the pain was a 10. So on those same forums where I was reading about people wanting to go to the ER, people would say “so I found a miracle treatment...”

It was this:



It’s basically a packaged version of clove oil. So at 3am on Friday morning after Thanksgiving, I was driving around trying to find a place open that had it. It was our only hope. Walgreens were closed. Only two CVS’s were open and they didn't have it. Then I remembered Walmart. It was 3am but it was like a Saturday with people shopping for Black Friday deals. I bypassed the flat screen TVs and found it.




Got home, he put it on and I kid you not, in 5 minutes he said the pain went from 10+ to 1. Now the only problem I had was reminding him to do it periodically, even if there was zero pain. After doing some research, I found that clove oil has all sorts of antibiotic properties, anti-inflammatory, and can actually help eliminate an infection. Once he started using it every few hours, the pain has now gone completely. Many people said after using it for a few days their tooth/nerve got better. Now he still has to see the dentist of course at some point soon but for now, it’s letting him go back to a normal life (and letting me get a full night of sleep as well).

Red Cross Toothache Medication Drops
(Amazon link but also available at Walmart)

I guess it goes to show that nature sometimes knows better. This has really gotten us interested in medicinal herbs and their use. I know essential oils are a big thing now as well and this is basically clove oil that has saved the day. What else lies out there that we need to learn about?



I’ve always told 2nd Man that when we plant stuff, we should plant things that are beneficial, not just for cooking but for other uses. I need to look up some medicinal garden designs and ideas. I know a lot of medicinal herbs are perennials so I can’t just stick them anywhere, need to make a plan. Start simple with the basics and move forward from there.
 
That's interesting. I have a dental kit in my go-bag that I crudely put together. It contains the basics like floss, a small tooth brush, tooth paste, little mirror, plastic tooth picks, etc. But it also has a few containers of Orajel and a few temporary caps & fillings kits. I am sure it could be a lot better. I have OTC medication and gauze in my first aid kit which could also come into play.
 
I like these kits. They are not necessarily high end tools, but I like having the pick, mirror and tongue scraper. They can outlast the toothbrush, which can then be replaced. I believe I have seen these sold in packets at Dollar Tree, but I could be wrong. Maybe Walmart?

toothbrush and dental kit.jpg
 
That's interesting. I have a dental kit in my go-bag that I crudely put together. It contains the basics like floss, a small tooth brush, tooth paste, little mirror, plastic tooth picks, etc. But it also has a few containers of Orajel and a few temporary caps & fillings kits. I am sure it could be a lot better. I have OTC medication and gauze in my first aid kit which could also come into play.
I am house sitting now, but when I get back home, I am going to re-visit my dental kit. I don't think I have ever had Orajel, but I will get some to add to my kit. I did not now you could buy temporary caps and fillings. They could go a long way in a SHTF situation.

I keep a stash of toothbrushes on hand. I also have several packages of floss and toothpaste. I have been trying to keep stuff sorted into a multi-drawer plastic cabinet, because there can be so much of this stuff, and all the small stuff needs to be kept together in categories to help make it easier to find, but I definitely want a dental to go kit as well.
 
If anybody read or saw "The Marathon Man", there was the Nazi dentist torture using exposed nerves in teeth, and the relief of clove oil. A more "official: version here: https://journals.lww.com/em-news/pa...=2005&issue=09000&article=00007&type=Fulltext

"The first, and most important, trick I learned was from the actor Dustin Hoffman in the movie Marathon Man. This movie should be required viewing for every emergency medicine resident. After a maniacal Nazi dentist drills holes in Hoffman's teeth in a quest for information, he completely relieves the pain with a dab of over-the-counter oil of cloves. This miracle medicine works wonders for dental pain from cavities, cracked teeth, or any process that exposes the nerve ending. The active ingredient, eugenol, is still used in modern dentistry, and a bottle of oil of cloves should be part of every emergency physician's tool kit. (Don't forget to take this on the road with you, especially when traveling to distant lands.)"
 
Some interesting stuff here.
  • Pressure Cooker – To sterilize instruments and gauze. Dry instruments after boiling and never store them wet. Sterilizing with heat is necessary any times instruments touch blood. Otherwise instruments can be sterilized with alcohol or bleach solution.
It really never occurred to me to use a pressure cooker for sterilization. lightbulb

Yes Weedy - I have seen those kits at the dollar store. I have a couple stocked in my med cabinet.

I also have a more complete kit as well that I believe I got from Amazon. That said, I don't really have the expertise to use it, but I do have the "Where there is no Dentist" book but haven't read it.

Dademoss - I just read that book this past year. However, I didn't see the movie. Still, dental torture......gaah

Thankfully I have found that Advil works excellent for me for dental pain. However, I know that's not the case for everyone. Keep a good stock of what works for you.
 
Having once dealt with a abcessed tooth that flared up on a Saturday morning and not being able to get into the dentist until Monday. I can say without a doubt, if S had hit the fan during that time I may well have welcomed death. Pain went from a dull ache to a 10 within just a few hours. Tried over the counter stuff to no avail. Wife ended up buying me a bottle of wild turkey which I promtly drank. That tamed it down for a few hours, but woke up early Sunday morning hurting even worse, sick to my stomach, UGH gives me chills just thinking back on that.
I would have been ZERO use to anyone in a crisis, couldn't even think about anything else.
 
Back
Top