Paeds - Trauma

Question 1

Name the diagnosis for: total displacement out of the socket?

Answer 1

Avulsion

Question 2

Name the diagnosis for: displacement, mobility and several tooth movement

Answer 2

Alveolar fracture

Question 3

Name the diagnosis for: displacement, mobility, single tooth with x-ray signs for root fracture?

Answer 3

Root fracture

Question 4

Name the diagnosis for: displacement, mobility, single tooth with no x-ray signs for root fracture?

Answer 4

Extrusion

Question 5

Name the diagnosis for: displacement, no mobility with protrusion/retrusion?

Answer 5

Lateral luxation

Question 6

Name the diagnosis for: displacement, no mobility with intrusion?

Answer 6

Intrusion

Question 7

Name the diagnosis for: no displacement but with loosening?

Answer 7

Subluxation

Question 8

Name the diagnosis for: no displacement, no loosening but +ve TTP

Answer 8

Concussion

Question 9

Name the diagnosis for: no displacement, no loosening but -ve TTP and no fracture?

Answer 9

No trauma

Question 10

Name the diagnosis for: no displacement, no loosening but -ve TTP and fracture below gingival margin?

Answer 10

Crown-root fracture

Question 11

Name the diagnosis for: no displacement, no loosening but -ve TTP and no fracture below gingival margin?

Answer 11

Crown fracture

Question 12

What is the treatment for an enamel dentine fracture?

Answer 12

Seal completely the involved dentine, with GIC to prevent microleakageIn larger fractures, the tooth can be restored with composite

Question 13

What is the treatment for enamel dentine pulp fracture?

Answer 13

Partial pulpotomyPlace CaOH over the pulp, then covered with a lining such as RMGIC, then restore with composite

Question 14

Follow-up procedure for enamel dentine crown fracture?

Answer 14

3-4 weeks

Question 15

Follow-up procedure for enamel dentine pulp crown fracture?

Answer 15

1 week6-8 week with radio1 year with radio

Question 16

What is the treatment for enamel dentine root fracture?

Answer 16

Fragment removal only, if fracture is only small part of root and fragment is large enough allows coronal restorationExtraction in other cases

Question 17

Follow-up procedure for enamel dentine root fracture?

Answer 17

Fragment removal only:- 1 week- 6-8 week with radio- 1 year

Question 18

What is the treatment for root fracture?

Answer 18

If coronal fragment not displaced no treatment is requiredIf coronal fragment displaced, extract the fragment, but apilca fragment left to be resorbed

Question 19

Follow-up procedure for root fracture?

Answer 19

No displacement:- 1 week- 6-8 week - 1 year radioExtraction:- 1 year radio

Question 20

What is the treatment for alveolar fracture?

Answer 20

Reposition any displaced segment and then splintStabilise segment for 4 weeks with splintMonitor

Question 21

Follow-up procedure for alveolar fracture?

Answer 21

1 week3-4 week radio with splint removal6-8 week with radio1 year with radio

Question 22

What is the treatment for concussion?

Answer 22

Observation

Question 23

Follow-up procedure for concussion?

Answer 23

1 week6-8 week

Question 24

What is the treatment for subluxation?

Answer 24

ObservationClean with chlorhexidine twice a day for a week

Question 25

Follow-up procedure for subluxation?

Answer 25

1 week6-8 weekCheck for discolouration

Question 26

What is the treatment for extrusive luxation?

Answer 26

Dependent on displacement, mobility, root formation and cooperationMinor extrusion (<3mm), reposition or leave tooth for spontaneous alignmentExtraction for severe extrusion

Question 27

Follow-up procedure for extrusive luxation?

Answer 27

1 week6-8 week radio6 month radio1 year radioDiscolouration may occur

Question 28

What is the treatment for lateral luxation?

Answer 28

No occlusal interference allow spontaneous repositionMinor occlusal interference, slight grinding necessaryMajor occlusal interference, needs to be gently repositioned with LASevere displacement, extraction is only choice

Question 29

Follow-up procedure for lateral luxation?

Answer 29

1 week2-3 week6-8 weeks radio1 year with radio

Question 30

What is the treatment for intrusive luxation?

Answer 30

If apex displaced towards or through labial bone plate, allow spontaneous repositionIf apex into tooth germ, extract

Question 31

Follow-up procedure for intrusive luxation?

Answer 31

1 week3-4 week with radio6-8 week6 month with radio1 year with radio

Question 32

What are the clinical findings for alveolar fracture?

Answer 32

Involves alveolar boneSegment mobility and dislocation are common

Question 33

What are the clinical findings for concussion?

Answer 33

Tender to touchNormal mobility and no sulcular bleeding

Question 34

What are the clinical findings for subluxation?

Answer 34

Increased mobility but not displacedBleeding from gingival crevice

Question 35

What are the clinical findings for extrusive luxation?

Answer 35

Partial displacement out of socketTooth appears elongated and excessively mobile

Question 36

What are the clinical findings for lateral luxation?

Answer 36

Tooth is displaced palatally/lingually or labillayUsually immobile

Question 37

What are the clinical findings for intrusive luxation?

Answer 37

Tooth is displaced through the labial bone plate or impinging on succeeding tooth bud

Question 38

What are the radiographic findings for intrusive luxation?

Answer 38

Apical tip can appear shorter

Question 39

What are the radiographic findings for lateral luxation?

Answer 39

Increases PDL space apically

Question 40

What are the radiographic findings for extrusive luxation?

Answer 40

Increases PDL space apically

Question 41

What are the radiographic findings for alveolar fracture?

Answer 41

Horizontal fracture line to the apices