Dental

Question 1

most common teeth to break

Answer 1

maxillary central incisors

Question 2

school age ___ are twice as common to have tooth injury

Answer 2

boys

Question 3

dental injury can be to ____ or _____ teeth

Answer 3

primary vs permanent

Question 4

permanent teeth are usually more ____ and _____

Answer 4

yellow and scalloped

Question 5

tooth fractures (3)

Answer 5

1. crown fractures–enamal and/or dentin broken
2. root fractures–+/- crown–mobile crown
3. alveolar fractures–fracture of alveolus dislocates teeth

Question 6

crown fracture types (2)

Answer 6

1. Uncomplicated–enamel and/or dentin–pain and/or sensitivity
2. Complicated–pulp involved

Question 7

• Key to dental injuries (3) History

Answer 7

1. Mechanism of injury
2. Time of injury
3. associated symptoms

Question 8

tongue depressor test for jaw fx

Answer 8

low likelihood of jaw fx if pt can hold onto tongue blade btwn molars while twisted and broken

Question 9

alveolar fracture consult and f/u

Answer 9

emergent consult and prompt follow-up

Question 10

root fx consult and f/u

Answer 10

prompt follow-up (w/in 24 hrs), epoxy, analgesics

Question 11

for any bleeding dental injury–consider ______ status

Answer 11

tetanus

Question 12

• reimplantation of avulsion tooth should be done _________–prognosis is _______ -_____ to amount of time spent out of oral cavity

Answer 12

immediately,

inversely related

Question 13

infections of the dental and periodontral structures caused by invasion and proliferation of microorgs

Answer 13

pariapical/periodontal infx/abscess

Question 14

dental infx and abscess tx (5)

Answer 14

1. I&D – may not need ABX
2. ABX if diffuse systemic findings
   
   • Pen VK, aug
3. Dental F/U 1-2 days
4. analgesics
5. Hospital admission, surg, and ABX for Ludwig’s angina