L3 Flashcards
Intrusion
Alveolar compression fracture to accommodate new position
metallic sound upon percussion
Intrusion options
Passive eruption for deciduous teeth
Ortho traction
Stabilize for 2-3 months and soft diet
Extrusiona nd lateral displacement
Reposition fullyat socket and splint 1-3 weeks
Alveolar fractures
Reduction + stabilization+ s point or wires
RCT within 1-2 weeks to prevent inflammatory root respiration and infection
Immediate shock syndrome
False vitality reading immeditaly after trauma. Take another in 1-2 weeks
Avulsion goal
Maintain periodontal attachment
Success high less than 2 hours then decreases
Do not scrape manipulate or sterilize root
<2 hour closed apex
Slpint 7-10
RCT at splint removal
FInal GP 6-12 months
<2 hour open apex
Doxycline LA socket irrigation tetanus abx Replant splint 7-10 days apexificaiton CaOH replaced monthly to help mature apex
> 2 hour closed apex
Bathe in sodium hypochlorite Extra oral RCT Bathe in citric acid then stannous fluoride Docycline bath LA irrigation tetanus abx if needed replant splint
Stabilization period displaced tooth
3-4 weeks
Stabizlation period root fracture
2-4 months
Stabilization period re-implanted tooth
7-10days
Abrasions
remove epithelial layer and papillary dermis leaving raw bleeding reticular dermis exposed
debridement critical