IADT Guidelines for Dental Trauma (2012) Flashcards
What are the clinical signs of an enamel fracture ?
Complete loss of enamel.
No exposed dentine.
No tender.
No mobility.
+ sensibility test.
Why is a radiograph recommended in enamel fracture ?
Rule out possible root fracture or luxation injury. Possible root fragments in lip or cheek.
What is the treatment for enamel fracture ?
Composite resin restoration or contouring.
When should an enamel fracture be reviewed ?
6-8 weeks.
1 year.
Describe clinical findings for enamel-dentine fracture.
Fracture confined to enamel dentine with loss of tooth structure without exposing the pulp.
Not TTP.
Normal mobility.
+ sensibility test.
Why are radiographs indicated in enamel-dentine fracture ?
Rule out tooth displacement or root fracture. Check for tooth fragments in cheek or lip.
What two radiographs are recommended in enamel-dentine fracture ?
Occlusal and PA.
What treatment options can be offered for enamel-dentine fracture ?
If fracture within 0.5mm of pulp, CaOH then restore.
When should an enamel-dentine fracture be reviewed ?
6-8 weeks.
1 year.
Describe clinical findings for an enamel-dentine-pulp fracture.
Exposure of the pulp.
Normal mobility.
Not TTP.
Exposed pulp sensitive to stimuli.
What are the treatment options for an enamel-dentine-pulp fracture ?
Immature apical development - pulp cap or partial pulpotomy with CaOH.
Mature apical development - RCT needed.
When should a enamel-dentine-pulp fracture be reviewed ?
6-8 weeks.
1 year.
Describe clinical findings for crown-root fracture without pulp exposure.
Fracture involving enamel, dentine and cementum without exposing the pulp.
Crown fracture extending below the gingival margin.
TTP.
Coronal fragment mobile.
+ sensibility testing.
