Dental Trauma 1: Dental Injuries and Child Patient Flashcards
Prevalence of primary tooth trauma
16 - 40 %
Male or female for primary tooth trauma
M > F
Most affected in primary tooth trauma?
Maxillary primary incisor teeth
What is the peak incidence of primary tooth trauma?
2 - 4 years
Common causes of primary tooth trauma?
- falls
- bumping into objects
- non- accidental - child abuse
Classification of injuries
Examples of crown fracture
- enamel
- enamel - dentine
- complicated which involves pulp exposed
Differentiation of Crown- root fracture
- Complicated: pulp involved
- Uncomplicated: pulp not involved
What is concussion?
- tooth tender to touch - has not been displaced
- PDL injury
- tooth has normal mobility
- no bleeding into gingival sulcus
What is subluxation?
- tooth tender to touch
- increased mobility
- has not been displaced
- bleeding from gingival crevice is present
What is lateral luxation ?
- tooth displaced usually in palatal/ lingual/ labial direction
What is intrusion?
- tooth usually displaced through labial bone plate
- impinge on permanent tooth bud
What is extrusion?
partial displacement of tooth out of socket
What is avulsion?
- tooth completely out of socket
What is alveolar fracture?
- involves alveolar bone (labial/ palatal/ lingual)
- may extend to adjacent bone
Prevalence of luxation in primary dentition?
62- 69%
Prevalence of avulsion & ED fracture?
7 - 13 %
Prevalence of root fracture
2 - 4%
Prevalence of crown - root fracture
2%
How to manage pt with trauma?
- reassurance
- history
- examination
- diagnosis
- emergency tx
- important info
- further tx and review
What to ask for trauma history? About injury
- when?
- where?
- how?
- any other symptoms? eg: concussion, headache, vomitting, amnesia -> brain injury
