Primary Tooth Trauma Flashcards
How treat concussion in primary teeth?
No treatment, monitor
How treat subluxation in primary teeth?
No treatment, observe
How treat lateral luxation in primary teeth?
Minimal occlusal interference
- spontaneous repositioning
Severe displacement
- repositioning under LA and splint for 4 weeks if unstable
- extraction
How treat extrusion in primary teeth?
No interference with occlusion
- spontaneous repositioning
Excessively mobile or extruded >3mm
- extract
Treatment of avulsion in primary teeth?
Not recommended to reimplant
- ensure all avulsed teeth accounted for and organise chest x-ray if not
- radiograph area to rule out other trauma
- clean area and review
Treatment of infraction in primary teeth?
No treatment necessary
Treatment of enamel fracture in primary tooth?
Search for tooth material if soft tissue lesions
- Smooth sharp edges
- consider restoration
How treat enamel dentine fracture in primary teeth?
Seal involved dentine with GIC to prevent microleakage
Restore with composite
How treat enamel dentine pulp fracture in primary tooth?
Preserve vitality with pulp cap or partial pulpotomy
- extraction is alternative option in poor cooperation patient
How treat crown root fracture without pulpal involvement, in primary tooth?
Radiographic examination to view fracture line
Fragment removal only
- if fracture involves only small part of root and it is stable enough to allow coronal restoration, remove mobile fragment and cover exposed dentine with GIC
Extract in all other instances
How treat crown-root fracture with pulpal involvement in primary tooth
Localised fracture line
- fragment removal only if fracture involves small part of root and stable fragment large enough to allow coronal restoration
- extract in all other instances
How treat root fracture in primary tooth?
No treatment
- no displacement of coronal fragment
- displacement but not excessively mobile
Repositioning
- excessively mobile and interfering with occlusion
- reposition and splint for 4 weeks
Extraction
- only loose coronal fragment
How treat alveolar fracture in primary dentition?
Manual repositioning, under GA often indicated
Stabilise with splint for 4 weeks and monitor all teeth
