Dental Trauma Guide Flashcards
T/F: The emergency department is not designed for dental care
True- no definitive care will occur here
What is the FIRST step of an examination of a patient with a traumatic injury?
Take a short medical and dental history
Questions relating to the dental injury:
- Where did the injury occur?
- How did the injury occur?
- When did the injury occur?
- Was there a period of unconsciousness?
- Is there any disturbance in the bite?
- Is there any reaction in the teeth to cold and/or heat exposure?
For children, aged 0-6 years, oral injuries account for ______ of all physical injuries and the mouth are the _____ most common area of the body to be injured
18% ; second
List the most common reasons for traumatic dental injuries:
- unintentional falls
- collisions
- leisure activities
Concussion of the tooth means:
Basically the tooth was just bumped
Displacement of tooth into the alveolar. This injury is accompanied by communition or fracture of the alveolar bone
intruded tooth
Tooth intrusion is associated with potential risk of:
damage to the permanent tooth
What is the possible treatment for an intruded tooth?
If the apex is displaced toward or through the labial bone plate, tooth should be left for spontaneous repositioning
For the general typical case, what is the treatment choice for an intruded primary tooth?
Leave it alone
The tooth is completely displaced out of its socket:
avulsed tooth
For an avulsed primary tooth, should it be replanted?
NO- Do NOT replant primary teeth
T/F: It is not recommended to replant avulsed primary teeth:
True
A fracture confined to dental & enamel:
Enamel-dentin fracture
On primary teeth what is more common evulsion or fractures? What about permanent teeth?
Primary - evulsion are more common
Permanent - fractures are more common
Treatment for enamel dentin fracture:
If possible seal the involved dentin completely with glass ionomer to prevent micro leakage. In case of large lost tooth structure, the tooth can be restored with composite
A fracture involving the enamel and dentin with loss of tooth structure and exposure of the pulp:
enamel-dentin - pulp fracture
What type of x-ray is indicated for enamel-dentin-pulp fracture?
cookie bite
T/F: Sensibility tests on primary teeth are reliable tests
False- we go by percussion and visibility & x-ray
Treatment of enamel-dentin - pulp fracture:
If possible, preserve pulp by pulp capping or partial pulpotomy. The treatment depends on the Childs maturity and ability to cope. Extraction is an alternative option
Permanent tooth- Displacement of the tooth into the alveolar bone. This injury is accompanied by commimution or fracture of the alveolar bone socket:
Intrusion
Ris intruded permanent tooth:
Tooth intrusion is associated with potential risk of tooth loss due to progressive root resorption (ankylosis or infection related resorption)
Treatment of intruded permanent tooth with immature root development:
let it come down on its own; at four weeks if it hasn’t re-erupted we have to bring it down
Treatment of intruded permanent tooth with mature root development:
If the tooth is intruded less than 3mm you can kind of allow the tooth to spontaneously re-errupted; at four weeks if it hasn’t re-erupted surgical reposition or orthodontic repositioning
