IADT #'s and luxations Flashcards
state the clinical and radiographic follow up dates for a uncomplicated crown #
6-8 weeks
1 year
when do we consider indirect pulp cap for uncomplicated crown #?
when within 0.5mm of dental pulp
if rebonding dentine-enamel fragment what should we do before
soak in water/saline for 20 mins
state the clinical and radiographic follow up dates for a complicated crown #
6-8 weeks
3,6 months
1 year
what is the tx for a complicated crown #
immature/mature
partial pulotomy
unless post needed: in this case RCT needs to be done
state the clinical and radiographic follow up dates for an uncomplicated crown-root #
1, 6-8 weeks
3, 6 months
1, 2, 3, 4, 5 years
state immediate management for an uncomplicated crown-root #
temp stabilsation of loose fragment
will removal of loose fragment expose pulp? If not can remove & restore
name some tx options for an uncomplicated or complicated crown-root #
- ortho extrusion of non-loose/apical fragment & restore (w or w/o perio recontour)
- surgical extrusion
- rct and restore if pulp affected
- root submergence
- intentional replantation
- xla
- autotransplantation
dependant on age & cooperation
state the clinical and radiographic follow up dates for a complicated crown-root #
6-8 weeks
3, 6 months
1, 2, 3, 4, 5 years
state immediate management for a complicated crown-root #
temp stabilisation of loose fragment
immature? partial pulpotomy and restore
mature? RCT and restore
state the clinical and radiographic follow up dates for a root #
4 weeks post splint removal
6-8 weeks
6 months
1, 2, 3, 4, 5 years
cervical 1/3rd #? + 4 months splint removal
state immediate tx of a root #
fracture located in mid
- resposition if displaced asap, check radiographically
- stablise with passive, flexible splint for 4 weeks
- monitor endo at next coming review appts, let pt know of risks
state immediate tx of a root #
fracture located cervically
- resposition if displaced asap, check radiographically
- stablise with passive, flexible splint for (up to) 4 months
- monitor endo at next coming review appts, let pt know of risks
how dow we tx pulpal necrosis/infection post root #?
tx only coronal segement endodontically
RCT WL can be challenging if fracture line is oblique; apexification approach may be needed
if a root # in a mature tooth is located above alveolar crest & is very mobile, how can we tx this?
remove mobile coronal segment
RCT & restore
Post retained crown
other procedures like ortho/surgical extrusion, crown lengthening, or extraction can be considered
state the clinical and radiographic follow up dates for an alveolar #
4 weeks post splint removal
6-8 weeks
4, 6 months
1, 2, 3, 4, 5 years
How do we tx alveolar #’s
Reposition displaced segment
Splint w passive & flexible splint for 4 weeks
Suture lacerations
Monitor pulp on upcoming appointments, warn pt of complications
state the clinical and radiographic follow up dates for an extrusive luxation
2 weeks splint removal
1, 2, 3, 6 months
1, 2, 3, 4, 5 years
how do we tx extrusive luxations?
reposition under LA
passive, felxible splint for 2 weeks
monitor pulp
If there is breakdown/fracture of marginal bone, then splint for 4 more weeks
state the clinical and radiographic follow up dates for a concussion dental injury
4 weeks
1 year
state the clinical and radiographic follow up dates for a subluxation dental injury
2 weeks post splint removal
3, 6 months
1 year
what is the tx for a subluxation dental injury?
passive & flexible splint for 2 weeks
this is only if mobility excessive & tenderness on biting present
state the clinical and radiographic follow up dates for a lateral luxation dental injury
2 weeks
4 weeks post splint removal
2, 3, 6 months
1, 2, 3, 4, 5 years
what is tx for lateral luxation #?
reposition with digital pressure
splint w passive, flexible splint for 4 weeks
2 weeks post injury: make endo decision
these injuries are associated with alveolar socket wall fracture/compression
state the clinical and radiographic follow up dates for a intrusive luxation dental injury
2 weeks
4 weeks splint removal
2, 3, 6 months
1, 2, 3, 4, 5 yrs
what is the tx for intrusive luxation dental injury for an immature tooth
monitor for spontaneous eruption no matter how severe
4 weeks and this does not occur? -ortho repositioning
monitor pulp, endo if needed
what is the tx for intrusive luxation dental injury for an mature tooth
- <3mm? allow for spontaneous eruption (if this doesnt occur after 8 weeks, go to number 2)
- 3-7mm? reposition surgically/orthodontically
- > 7mm? reposition surgically
4 weeks passive & flexible splint
after 2 weeks/as soon as position allows- START ENDO TX
