PRIMARY TEETH Trauma Flashcards
How is an enamel only fracture managed?
- Smooth sharp edges
- Restore/ bandage with comp restoration
How is an enamel-dentine fracture managed?
Restore/ bandage with comp restoration
DO NOT use GI
How is an enamel-dentine-pulp fracture managed?
Pulp therapy or extract
How are crown and root fractures managed?
Extract coronal fragments
Leave any root fragments for physiological resorption
How is an alveolar bone fracture managed?
- Reposition
- Splint 4 weeks (ONLY case of splint in primary teeth trauma)
- Teeth may need extr after bone stabilised
How is a concussion/ subluxation injury managed?
Monitor
How is a lateral luxation injury managed?
- Radiograph = PDL space increased apically
NO occlusal interference
- Allow spontaneous repositioning
Occlusal interference
- Extract
How is an intrusion injury managed?
- Radiograph = only one image required (PA/ lat premaxilla)
- -> Shorter root, tooth displaced buccally/ labially (away from successor)
- -> Elongated root, tooth displaced palatally, towards successor
LABIALLY displaced
- Leave to spontaneously re-erupt
- If no progress after 6 months –> extract
PALATALLY displaced
- Extract
How is an extrusion injury managed?
Extract
How is an avulsion injury managed?
Radiograph to confirm tooth has avulsed –> leave, do not replan
What are the long-term effects on the primary tooth following trauma?
- Discolouration
- Discolouration & infection
- Delayed exfoliation
What is the treatment for a discoloured primary tooth following a traumatic injury?
VITAL
- Monitor
NON-VITAL
- Sinus/ PAP = pulp tx or extract
- No sinus/ PAP = monitor
OPAQUE
- Monitor
What is the treatment for delayed exfoliation of a primary tooth following a traumatic injury?
Extract
How may permanent successors of traumatised primary teeth be affected?
- Enamel defects (hypomineralisation, hypoplasia)
- Abnormal morphology (tooth/ root)
- Delayed eruption (thickened mucosa)
- Ectopic tooth
- Arrest in tooth formation
- Complete failure for tooth to form
- Odontome formation
