DENTAL TRAUMA Flashcards
What Dx/TX
minor injury to the tooth supporting structures without abnormal loosening or displacement of the tooth
Concussion
Usually no treatment required
What Dx/TX/Disp?
traumatic injury that results in a tooth, that is, to varying degrees, loose in the socket
Subluxation
-Gentle manipulation of the tooth into its proper position.
DIsp: Refer to dental
What Dx/TX/Disp?
traumatic injury where the tooth has been removed from the socket
Avulsion TX -Rinse the tooth gently with saline. Do NOT scrub! -Administer local anesthesia or a regional intraoral nerve block. -Replace the tooth in the socket -Immediately consult dental Disp Refer to dental
A completely avulsed tooth may be retained if replaced in the socket with minimal handling within how long?
30 min to 1 hour
If re-implantation is unsuccessful where should you put the tooth?
in an isotonic media such as Hank’s solution, milk, saline, or saliva (the patient’s mouth)
What type of fx, what tx?
patients notice rough or sharp edges but are
asymptomatic.
enamel fx
Treatment involves smoothing the edges and improving appearance
What type of fx, what tx?
patients usually exhibit sensitivity to cold
air and water.
Dentin FX
TX
-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
What type of fx, what tx?
indicated by bleeding from the tooth or if the tooth is mobile
pulp Fx
dental referral is urgent!
TX
usually involves a root canal
How would you treat a mandibular fx?
(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)
