PAEDS - dental trauma Flashcards
what questions would you ask over the phone regarding a child with trauma?
what happened?
when did it happen?
where did it happen?
how did it happen?
who witnessed it?
age of child?
medical history? immunocompromised/ bleeding disorder?
primary or permanent tooth?
how long has tooth, if avulsed, been out of the mouth?
what advice would you give over the phone regarding child trauma, avulsion?
reassurance
hold tooth by the crown, avoid touching root
ensure tooth is correct way round if replanting and child can bite down on tea towel
can store the tooth in milk, your own buccal sulcus
see dentist ASAP
what is the treatment of an avulsed tooth that has been out of the mouth for over 60 minutes?
remove attached non-viable soft tissue
consider RCT prior to implantation
must warn pt of ankylosis
explain the treatment of reimplanting an avulsed tooth?
administer LA
if dirty, rinse tooth with saline
burnish around the socket walls if they have collapsed in
why is the prognosis poor if an avulsed tooth is left out of the mouth >60mins?
PDL cell death
what is the risk of reimplanting a tooth with dry time >60 mins?
ankylosis
how often do you review trauma?
2 weeks
4 weeks
3 months
6 months
yearly for 5 years
in what cases must a splint be left on for 4 weeks?
when bone is involved
- lateral luxation
- intrusive luxation
- root fracture
- avulsion dry time >60mins
in what cases must a splint be left on for 2 weeks?
subluxation
extrusive luxation
avulsion
in what cases must a splint be left on for 4 months?
cervical root fracture
