Long term trauma management Flashcards
what are the outcome predictors for long term affects of dental trauma
severity of injury sustained
stage of root development
timing of treatment
what is common with delayed or no treatment
pulp necrosis and root resorption
what are the potential long term complications of dental trauma
discolouration
loss of vitality
inflammatory root resorption
unfavourable tooth positions
defects in hard and soft tissues
how is discolouration diagnosed
visual inspection during dental examination
what is yellow discolouration indicative of
canal obliteration
what is pink discolouration indicative of
rupture of blood vessels during trauma causing haemorrhage into pulp chamber
what would pink discolouration at the cervical margin of the crown indicate
cervical root resorption
what would brown grey and black discolouration mean
accumulation of haemoglobin molecule or other haematin molecules
when would pulp necrosis and apical periodontitis happen
following trauma if revascularisation fails
what happens during pulp necrosis and apical periodontitis
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
what are the diagnostic indicators of pulp necrosis
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 do you treat pulpal necrosis
primary endodontics
internal bleaching
extraction and prosthetic replacement
what does treatment of infra occluded teeth depend on
prognosis of teeth
degree of infra occlusion
wishes of patient
lip line
what are defects in hard and soft tissue due to
loss of tissue during acute injury
developing deficiencies
