Long Term Challenges in Trauma Management Flashcards

1
Q

what are the outcome predictors for long term affects of dental trauma

A

severity of injury sustained
stage of root development
timing of treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is common with delayed or no treatment

A

pulp necrosis and root resorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the potential long term complications of dental trauma

A

discolouration
loss of vitality
inflammatory root resorption
unfavourable tooth positions
defects in hard and soft tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how is discolouration diagnosed

A

visual inspection during dental examination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is yellow discolouration indicative of

A

canal obliteration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is pink discolouration indicative of

A

rupture of blood vessels during trauma causing haemorrhage into pulp chamber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what would pink discolouration at the cervical margin of the crown indicate

A

cervical root resorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what would brown grey and black discolouration mean

A

accumulation of haemoglobin molecule or other haematin molecules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

when would pulp necrosis and apical periodontitis happen

A

following trauma if revascularisation fails

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what happens during pulp necrosis and apical periodontitis

A

pulp tissue undergoes sterile necrosis
bacterial infection occurs
after 3-4 weeks there are radiographic indications of pulp necrosis
development of apical periodontitis
apical radiolucency on radiograph

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the diagnostic indicators of pulp necrosis

A

periapical radiolucency
discolouration of tooth crown
infection related external root resorption
no response to pulp sensitivity test
TTP and palpation in vestibule
presence of fistula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how do you treat pulpal necrosis

A

primary endodontics
internal bleaching
extraction and prosthetic replacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what does treatment of infra occluded teeth depend on

A

prognosis of teeth
degree of infra occlusion
wishes of patient
lip line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are defects in hard and soft tissue due to

A

loss of tissue during acute injury
developing deficiencies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how can you manage bone deficiencies

A

bone grafting procedures
orthodontic extrusion therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how can you manage soft tissue deficiencies

A

mucogingival surgery
connective tissue grafting to increase volume of keratinised mucosa

17
Q

what requires specialist treatment

A

inflammatory root resorption
altered tooth positions
root fractures
loss of >1 tooth as a result of trauma