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You are working the sidelines as team physician for your local high school hockey team. George, a 14 year old freshman forward, has his facemask dislodged in a scuffle and is subsequently struck in the face by another player’s elbow. After the blood is cleaned up, he presents to you a few minutes later appearing as he does in this image.
The first priority in management of this situation is:
After a search by other members of the hockey team, the missing tooth is found in a dusty corner of the boards resting underneath a stray puck.
What is the next most appropriate step in management?
A month later George returns to play with his team. He and his parents are obviously quite concerned about preventing another oral injury. He has a mouth guard, but seldom wears it. He explains that the culture on his team and school in general is one of “mouth guards are for sissies,” and he finds his school-supplied stock mouth guard bulky and uncomfortable.
George’s mouth guard
What advice could you give them?