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BDS3 OSCE > Paediatrics - trauma > Flashcards

Paediatrics - trauma Flashcards

1
Q

What is the acute management of an enamel fracture?

A

Smooth sharp edges

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2
Q

What is the acute management of enamel-dentien fracture?

A

GI/composite bandage ± restoration

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3
Q

What is the acute management of a complicated crown fracture?

A
  • partial pulpotomy
  • XLA
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4
Q

What is the acute management of a crown-root fracture?

A
  • remove loose fragments
  • if restorable with no pulp exposure, GI bandage
  • if restorable with pulp exposure, pulpotomy or RCT
  • if unrestorable, remove loose fragments
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5
Q

What is the acute management of a root fracture?

A
  • coronal fragment not displaced, no treatment
  • coronal fragment displaced but not mobile, no treatment
  • coronal fragment displaced/mobile/occlusal interference, XLA fragment or reposition with splint
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6
Q

What is the acute management of concussion?

A

No treatment

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7
Q

What is the acute management of subluxation?

A

No treatment

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8
Q

What is the acute management of lateral luxation?

A
  • minimal occlusal interference, no treatment
  • severe displacement, XLA or reposition with splint
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9
Q

What is the acute management of intrusion?

A

Allow to reposition and counsel re permanent tooth prognosis

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10
Q

How does a labial intrusion present?

A

Foreshortened in radiograph away from permanent tooth germ

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11
Q

How does an intrusion towards the permanent tooth germ present?

A

Elongated in radiograph

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12
Q

What is the acute management of extrusion?

A
  • no occlusal interference, no treatment
  • occlusal interference/>3mm, XLA
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13
Q

What is the acute management of avulsed primary teeth?

A

Do not replant - radiograph to confirm avulsion

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14
Q

What is the acute management of avulsed permanent teeth?

A
  • if already replanted, radiograph to check position and splint
  • if not replanted, history, clean tooth, replant under LA, splint
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15
Q

What is the acute management of alveolar fracture?

A
  • reposition segment
  • stabilise with splint (4 weeks)
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16
Q

What should you tell a parent who has phoned about their child’s avulsed tooth?

A
  • hold tooth by crown and do not touch root
  • rinse tooth with milk or water
  • replant ASAP if they feel comfortable and child is cooperative
  • if unable to replant, store tooth in milk, saliva or water and attend dentist ASAP

BDS3 OSCE (28 decks)

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