IADT guidelines Flashcards
what is infraction
incomplete fracture (crack) of the enamel without loss of tooth structure
General recommendations to rinse with
antibacterial such as chlorhexidine gluoconate 0.1% alcohol free for 1-2 weeks
treatment of infraction
etching and sealing with resin to prevent discolouration
otherwise no tx necessary
follow up for infraction
no follow up generally needed
what is enamel fracture
complete fracture of enamel
tx for enamel fracture
it fragment available, can be bonded to tooth
contouring or restorations with comp resin
enamel fracture follow up times
6-8 weeks
1 year
what is enamel dentine fracture
fracture confined to enamel and dentine with loss of tooth structure but not exposing the pulp
tx for enamel dentine fracture
if fragment available, can be bonded to tooth
otherwise, provisional tx by covering exposed dentine with GI or permanent restoration
if exposed dentine within 0.5mm of pulp, place CaOH and cover with GI
follow up for enamel dentine fracture
6-8 weeks
1 year
enamel dentine pulp fracture tx
in young pt with immature teeth, advantageous to preserve pulp vitality by pulp capping or partial pulpotomy
in patients with mature apical development, rct is tx of choice
enamel dentine pulp fracture follow up
6-8 weeks
1 year
crown root fracture without pulp exposure
emergency tx - temp stabilisation of loose segment to adjacent teeth
non-emergency tx
- fragment remvoval only
fragment removal and gingivectomy
orthodontic extrusion of apical fragment
surgical extrusion root submergence
extraction
root fracture tx
reposition if displaced
check position radiographically
flexible splint for 4 weeks
follow up of root fracture
4 weeks
6-8 weeks
4 months
6 months
1 year
5 years
alveolar fracture tx
reposition
suture gingival laceration if present
stables for 4 weeks
alveolar fracture follow up
4 weeks
6-8 weeks
4 months
6 months
1 year
5 years
concussion tx
no tx needed
monitor pulp condition at least once a year
subluxation tx
normally no tx
flexible splint for 2 weeks can be used
subluxation follow up
2 weeks
4 weeks
6-8 weeks
6 months
1 year
choice of tx for avulsed permanent tooth factors
maturity of root (open or closed apex)
condition of the PDL cells
