Avulsion I Juries In The Permanant Dentition Flashcards
What is the ideal immediate management of an avuled immature peermanant tooth?
Replant within 15 to 20 minutes
Visible contamination to be rinsed off with normal saline
If cant replant, use appropriate atorage medium
What factors can Influence the prognosis of an avulsed permanent tooth?
Severity of injury
Type of injury
Environment/location where injury occured
Immediate management/ storage of the tooth
What are some appropriate storage mdeiums?
Hanks balanced salt solution
Cold milk
Ice
Contact lens solution
In what cases is the replantation of teeth contraindicated?
Immature teeth with prolonged dry extaoral period
Avanced periodontal disease
Extensively damaged alveolar process
How should e socket be examined prior toreplantation?
Left undisturbed if possible
If theres fracture, can reposition with a blunt instrument
If there is contaminated coagulum in the socket, can be removed witha gentle flow of saline
How should teeth be splinted back into place?
Replant with digital pressure
Stabilise tooth for about 7-10 days and check occlusion and radiographically
Flexible splint ahould be used
What are some adjunctive therapy options?
Suturing to avoid microorganism ingress into periodontium Systemic antibiotics (tetracycline can reduce resorption but not for children under 8 years) Chx rinse 7-10 days
What ahould be carried out at the subsequent visit after adjunctive therapy?
Cease ab, chx rinse and remove splint
Start rct is the tooth is mature( carry out before removing splint)
How often should follow up appts be carried out and what should be assessed?
1 week, 2-3 weeks, 3-4 weeks, 6-12 weeks, 6 months and yearly for 5 years
Rtreatment and redisinfection of root canal system in the case of inflammatory root resorption
Sensitivity tests, percussion, palpation and probing
