Chapter 2 Dental Trauma Flashcards
Minor injury to the tooth supporting structures without abnormal loosening or displacement of the tooth
Concussion
Treatment for tooth concussion
None
Traumatic injury in a tooth
Loose in the socket.
Subluxation
Treatment and disposition of subluxation
Gentle manipulation of the tooth into its proper position
Splint if necessary
Refer to dental
Traumatic injury where the tooth has been removed from the socket and necessitates immediate action
Avulsion
Treatment of avulsion
Rinse tooth with saline
Intraoral nerve block
Place the tooth in socket
Avulsion:
Re-implantation success rates decrease by __% every minute the tooth is out of the socket
1%
Traumatic injury where a portion of the tooth or bone has cracked or separated from itself
Fracture
Treatment for fracture involving only the enamel
Smooth the edges and improving appearance
Treatment for fracture involving dentin but not dental pulp.
Patients usually exhibit sensitivity to cold air and water.
Mild analgesic and referral to a dentist.
Treatment consists of restoration of the tooth by a composite or a dental crown.
Treatment for fracture involving the pulp (indicated by bleeding from the tooth).
Root canal
Treatment for fractures involving the root
Urgent dental referral
Stabilizing with wire or polyethylene line
What classifies mandible fractures as open?
Teeth are separated or the TMJ is involved
Treatment for mandibular fracture
Tetanus prophylaxis
IV antibiotics
Local Anesthetic
Reposition jaw/re-approximate fracture
Immobilize jaw with Barton Bandage
Treatment for maxillary fractures
Tetanus prophylaxis
Analgesics
PCN VK 500mg QID
Tx for epistaxis
Sudafed 60mg TID
