Dental

Question 1

Classification of dental fractures & mgt

Answer 1

Ellis 1: Enamel # - FU dent in days (48h)
Ellis 2: Dentin # - FU dent in days (48h)
Ellis 3: Pulp # - FU dent ASAP <24h
Alveolar # - FU dent ASAP <24h

Question 2

What are non fracture injuries to teeth (ie ligamentous)

Answer 2

1- concussion. - routine dental FU
2- subluxation - primary routine, permanent ASAP days
3- intrusion- primary - mild days, severe NOW, Perm: <12h
4- extrusion :Primary: <3mm reposition, >3mm: dent <12h to remove
Permanent: reinsert dent <12h
4- Lateral Luxation:
- primary: reposition/remove
- permanent: reposition <24h
5- avulsion :
- primary : nothing, routine FU
- perm: Reinsert, dent NOW, ABx

Question 3

5 techniques to reduce TMJ dislocation

Answer 3

1) Intra-oral: Traditional/Hippocratic
2) Intra-oral: wrist pivot
3) Extra oral
4) Syringe technique : roll
5) Gag technique

Post reduction: Barton Bandage or c-colar