DENTAL TRAUMA

Question 1

________ is a minor injury to the tooth supporting structures without abnormal loosening or displacement of the tooth.

Answer 1

Concussion

Question 2

Treatment for dental concussion

Answer 2

Usually none

Question 3

_______ is a traumatic injury that results in a tooth, that is, to varying degrees, loose in the socket.

Answer 3

Subluxation

Question 4

Treatment Subluxation

Answer 4

-Treated with gentle manipulation of the tooth into its
proper position.
-Splint if necessary

Question 5

Subluxation Disposition

Answer 5

Refer to dental

Question 6

_______ is a traumatic injury where the tooth has been removed from the socket and necessitates immediate action.

Answer 6

Avulsion

Question 7

Avulsion Treatment

Answer 7

-Rinse the tooth gently with saline Do NOT scrub!
-Administer local anesthesia or a regional intraoral nerve block.
-Replace the tooth in the socket (Re-implantation
success rates decrease by 1% every minute the tooth is out of the socket).
-Administer antibiotics.
-Splint tooth.

Question 8

True/False

Re-implantation success rates decrease by 1% every minute the tooth is out of the socket.

Answer 8

True

Question 9

If re-implantation is unsuccessful

Answer 9

place the tooth in an isotonic media such as

Hank’s solution, milk, saline, or saliva (the patient’s mouth)

Question 10

True/FAlse

For an avulsion you don’t have to Immediately consult dental

Answer 10

FALSE

Immediately consult dental

Question 11

True/False

A partially avulsed tooth that is repositioned and stabilized quickly usually is permanently retained

Answer 11

True

Question 12

A completely avulsed tooth may be retained if replaced in the socket with minimal handling within how long?

Answer 12

30 min to 1 hour

Question 13

Avulsion Disposition

Answer 13

Refer to dental

Question 14

_____ is a traumatic injury where a portion of the tooth or bone has cracked or separated from itself.

Answer 14

Tooth fracture

Question 15

What type of FX

patients notice rough or sharp edges but are asymptomatic

Answer 15

enamel fracture

Question 16

Treatment

dentin is exposed but not the dental pulp,

Answer 16

Provide mild analgesic and referral to a dentist

Treatment consists of restoration of the tooth by a composite (white filling) or, if the fracture is extensive, a dental crown, to cover the exposed dentin

Question 17

What does it mean if there is bleeding from the tooth

Answer 17

pulp is exposed

Question 18

True/False

If the pulp is exposed (indicated by bleeding from the tooth) or if the tooth is mobile, dental referral is urgent

Answer 18

True

Question 19

What type of treatment

If the pulp is exposed (indicated by bleeding from the tooth) or if the tooth is mobile.

Answer 19

Treatment usually involves a root canal

Question 20

Mandible and Maxillary fractures may require extensive force. Therefore patients should be evaluated for what?

Answer 20

other facial fractures, C-spine, and traumatic brain injury

Question 21

______ fractures may present with localized pain, malocclusion and mobility, trismus, and mucosal laceration

Answer 21

Mandible fractures

Question 22

TX for mandibular fracture

Answer 22

(a) Tetanus prophylaxis to patients with open fractures with immunization <5 years
(b) PCN 2-4 million units IV, or clindamycin 600-800 mg IV, or erythromycin 500- 1000 mg IV
(c) Reposition/reduce jaw if dislocated.
(d) Local Anesthetic
(e) Re-approximate fracture.
(f) Immobilize jaw (Barton Bandage)