Adult Consequences Of Childhood Trauma Flashcards
What are some predictors for outcome of childhood trauma
Severity of injury - IADT DENTAL TRAUMA GUIDE
Stage of root development
Timing of tx
Recommended timing for avulsion?
Immediate reimplantation or acute/subacute
Recommended timing for alveolar fracture?
Acute phase
Timing for extrusion or lateral luxation?
Acute or subacute
Timing for root fracture
Acute or subacute
Timing for concussion or subluxation?
Subacute
Timing for crown or crown-root fractures?
Subacute or delayed
What timing is acute, subacute and delayed?
Acute 0-3hrs
Subacute 3-24hrs
Delayed >24hrs
What are some potential long term complications of childhood trauma to a tooth?
Discolouration
Loss of vitality
Inflammatory root resorption
Unfavourable tooth positioning
Hard / soft tissue defects
Why might a tooth be yellow? What would you do?
Indicative of canal obliteration
Monitor for signs or symptoms of loss of vitality
Consider local external bleaching
Why might a tooth be pink? How treat?
Haemorrhage in pulp chamber with blood flowing into dentinal tubules
Cervical root resorption may occur
If tooth is not necrotic may recover in 2-3 months as it revascularises
If necrotic then discolouration will worsen
Why might tooth be brown/grey/black?
Non infected traumatised tooth with accumulation of haemoglobin
Hydrogen sulphate produced by bacteria concert iron to dark iron sulphate
Possible loss of vitality
Why might pulp necrosis and apical periodontitis follow trauma?
When revascularisation fails
Pulp tissue necrotises and bacterial infection occurs
3-4 week time period necrosis will show radiographically
What indicates a tooth may be necrotic?
Loss of the lamina dura
Widening of the PDL
Grey/brown tooth discolouration
Periapical radiolucency
Infection related root resorption
No response to pulp sensitivity testing
TTP
Draining sinus
How treat pulp necrosis?
Primary endodontic treatment with internal bleaching
XLA and replace