Permanent Teeth Flashcards
what is infraction
incomplete fracture of enamel without loss of tooth structure
what is the treatment of infraction
etch and seal with resin to prevent discolouration if there are marked infraction lines
what is enamel fracture
complete fracture of enamel
loss of enamel
no sign of dentine
not TTP
normal mobility
positive sensibility
what are the radiographic findings of enamel fracture
enamel loss visible
what is the treatment of enamel fracture
bond tooth fragment back or composite restoration
what is the follow-up for enamel fracture
6-8weeks
1 year
for any crown fracture what is the favourable outcome
asymptomatic
positive response to pulp testing
continuing root development in immature teeth
what is an enamel dentine fracture
fracture confined to enamel and dentine
not TTP
normal mobility
positive sensibility
what are the radiographic findings from enamel dentine fracture
enamel and dentine loss if visible
what is the treatment of enamel dentine fracture
bond tooth fragment back on
provisional treatment by covering exposed dentine with GI
permanent restoration with composite
if can see pulp place CaOH
what is the follow-up for enamel dentine fracture
6-8 weeks
1 year
what is enamel dentine pulp fracture
fracture involving enamel and dentine with loss of tooth structure and exposure of pulp
normal mobility
not TTP
sensitive to stimuli
what is the radiographic findings of an enamel dentine pulp fracture
loss of enamel and dentine
what is the treatment of enamel dentine pulp fracture in immature teeth
pulp capping or partial pulpotomy with CaOH placement
what is the treatment of enamel dentine pulp fracture in mature teeth
root canal treatment
what is the follow up for enamel dentine pulp fracture
6-8 weeks
1 year
what is crown-root fracture without pulpal exposure
fracture involving enamel, dentine and cementum not exposing pulp
crown fracture below gingival margin
TTP
coronal fragment mobile
positive sensibility
what is the emergency treatment of crown-root fracture without pulpal exposure
temporary stabilisation of loose segment to adjacent teeth
what is the non-emergency treatment of crown-root fracture without pulpal exposure
fragment removal only
fragment removal and gingivectomy
orthodontic extrusion of apical fragment
surgical extrusion
root submergence
extraction
what is crown root and pulp exposure fracture
fracture with enamel, dentine, cementum and pulp
TTP
coronal fragment mobile
what is the emergency treatment of crown root fracture with pulp
stabilise mobile parts
preserve pulp vitality in young patients
RCT in mature patients
what is root fracture
crown may be mobile
TTP
bleeding from sulcus
negative sensibility
crown discolouration
what is the treatment of root fracture
reposition coronal fragment
check position radiographically
stabilise with flexible splint for 4 weeks
monitor pulpal healing
what is the follow up for root fracture
4 weeks splint removal
6-8 weeks
6 months
1 year
5 years
what is alveolar fracture
segment mobility and dislocation with several teeth moving together
occlusal change
what is the treatment of alveolar fracture
reposition displaced segment and splint
suture gingival laceration
stabilise segment for 4 weeks
what is the follow up for alveolar fracture
4 weeks
6-8 weeks
4 months
6 months
1 year
5 years
what is concussion findings
tooth TTP
not displaced
not increased mobility
positive sensibility
what is treatment for concussion
no treatment
monitor pulpal condition for 1 year
what is follow up for concussion
4 weeks
6-8 weeks
1 year
what is subluxation findings
TTP
not been displaced
bleeding from gingival crevice
negative sensibility initially
what is treatment for subluxation
no treatment or flexible splint for 2 weeks
what is follow up for subluxation
2 weeks
4 weeks
6-8 weeks
6 months
1 year
what is extrusive luxation findings
elongated and mobile
negative sensibility tests
what is radiographic findings for extrusion
increased periodontal ligament space apically
what is treatment for extrusion
reposition in socket
stabilise tooth for 2 weeks with splint
if pulp necrosis then RCT
what is the follow up for extrusion
2 weeks
4 weeks
6-8 weeks
6 months
1 year
yearly for 5 years
what is lateral luxation
tooth displaced in palatal or lingual direction
mobile
high percussion note
alveolar fracture present
negative sensibility tests
what is the treatment for lateral luxation
reposition
stabilise for 4 weeks using flexible splint
monitor pulp
RCT if necrosis
what is the follow up for lateral luxation
2 weeks
4 weeks
6-8 weeks
6 months
1 year
yearly for 5 years
what is intrusion findings
tooth displaced axially into alveolar bone
immobile
percussion gives high note
negative sensibility
what is intrusion treatment for incomplete root formation
allow eruption spontaneously
if no movement within few weeks then orthodontically reposition
if more than 7mm intrusion surgically or orthodontically reposition
what is intrusion treatment for complete root formation
spontaneous eruption if <3mm
if no movement after 2-4 wks then reposition
if intruded 3-7mm surgical or orthodontic repositioning
if intruded >7mm surgical reposition
RCT 2-3 weeks after repositioning
flexible splint 4 weeks
what is the follow up for intrusion
2 weeks
4 weeks
6-8 weeks
6 months
1 year
yearly for 5 years
what is the emergency advice for avulsion
make sure it is permanent tooth
keep patient calm
dont touch root
rinse dirt
try to reposition
if cant reposition place in milk or spit
seek dental treatment
after how long are the PDL cells non-viable
60 minutes
if an avulsed tooth has a closed apex and has been reimplanted what is the treatment
leave in place
clean area
suture lacerations
radiograph
splint for 2 weeks
check tetanus
give instructions
RCT 7-10 days after replantation and before splint removal
what is the treatment of an avulsed closed apex tooth that is out of the mouth for less than 60 minutes
clean root surface and foramen
LA
irrigate socket
examine socket
replant tooth
suture lacerations
radiograph
splint 2 weeks
tetanus check
RCT 7-10 days after
what is the treatment of an avulsed closed apex tooth that is out the mouth for over 60 minutes
remove PDL with gauze
RCT
LA
irrigate socket
examine socket
replant tooth
suture lacerations
radiograph
tetanus
what is patient instructions after avulsion and re-implantation
avoid participation in contact sports
soft diet for 2 weeks
brush teeth with soft toothbrush
chlorhexidine mouth rinse for 1 week
