Dental Trauma Flashcards
complicated fracture
enamel, dentine and pulpal involvement
crown - root fracture
enamel dentine and root
classed as complicated or uncomplicated depending on pulpal involvement
concussion
‘bruised’
tooth tender to touch but not displaced
subluxation
tender to touch AND increased mobility but not displaced
lateral luxation
tooth displaced
usually labial or lingual
intrusion
tooth displaced towards alveolar bone
can damage permanent tooth bud
extrusion
partial displacement of tooth out of socket
avulsion
tooth completely out of socket
alveolar fracture
fracture involving alveolar bone
what vaccination status would you enquire about if a child came do you with a re-implanted avulsed tooth that had been in contact with soil
tetanus
what 3 medical conditions would you enquire about if a child presented to you with trauma that posed an infection risk
congenital heart disease, history of rheumatic fever (inflammation/ swelling of heart, joints and brain) and history of immunosuppression
what technique may be utilised to check for fracture lines and pulpal degeneration
transillumination
what does a dull note upon percussion suggest
root fracture
what 6 things are included within a trauma stamp for a examination of primary tooth trauma
mobility: +/-
colour: normal/grey/yellow/pink
TTP: +/-
Sinus: +/-
radiograph: +/-
Percussion note: normal/ dull
what homecare advice should be given post deciduous trauma
take analgesia as required - ibuprofen , paracetamol
soft diet for 10-14 days, cut normal foods small and chew with molars
brush teeth with a soft bristled toothbrush after every meal
use chlorhexidine mouthwash twice a day for one week
Treatment on deciduous teeth: enamel fracture
smooth sharp edges - soft flex discs
Treatment on deciduous teeth: enamel/dentine fracture
cover exposed dentine with GI/composite
can restore lost structure immediately or at a later date
Treatment on deciduous teeth: enamel/dentine/pulp fracture
pulpotomy or extraction
Treatment on deciduous teeth: crown/root fracture (restorable)
cover exposed dentine with GI and restore
if pulpal involvement pulpotomy
Treatment on deciduous teeth: crown/root fracture (unrestorable)
extract loose fragments
Treatment on deciduous teeth: root fracture (3 scenarios)
- coronal fragment not displaced - no tx
- coronal fragment displaced but not mobile - no tx, leave to spontaneously reposition
- coronal fragment displaced, mobile and interfering with occlusion - extract only loose coronal fragment OR reposition fragment and splint
Treatment on deciduous teeth: concussion
no tx
Treatment on deciduous teeth: subluxation
no tx
Treatment on deciduous teeth: lateral luxation
minimal/no occlusal interference : leave to spontaneously reposition itself
interference: extract or reposition and splint for 4 weeks
Treatment on deciduous teeth: intrusion
severe injury
leave to spontaneously reposition - can take up to 1 year
Treatment on deciduous teeth: extrusion
no interference with occlusion: leave to spontaneously reposition
occlusal interference/ extrusion >3mm - extract
Treatment on deciduous teeth: avulsion
radiograph to confirm
DO NOT replant primary teeth
Treatment on deciduous teeth: alveolar fracture
reposition segment and splint for 4 weeks
may still extract after alveolar stability achieved
