re-implanting an avulsed permanent incisor Flashcards
What is the most appropriate strategy for an avulsed permanent incisor.
Re-implantation.
How would you remove a coagulant within the socket?
Using gauze or saline.
How should the avulsed tooth be cleaned?
Any debris should be removed via gentle irrigation with saline.
What kind of pressure should be used when re-implanting the tooth?
Firm, digital pressure.
What could be used following re-implantation to help hold the tooth in the correct position?
Silicone putty.
Besides holding the tooth in the correct position, what are 3 other advantages of the use of silicone putty when re-implanting?
- Moisture control.
- Isolation
- Prevents pt from picking at the tooth /contaminating the surface during bonding.
Which 2 alternatives to silicone putty could help isolate the tooth during bonding?
Sterile cotton wool rolls or gauze.
Where should excess wire be disposed of?
In the sharps bin.
What kind of adhesive should be used to bond the titanium splint?
Scotch Bond Universal
(+ airdry and light cure)
Instead of Scotch Bond Universal, what other technique could be used to bond the splint to the tooth?
Traditional etch and bond (prime + bond) technique.
Following the application of the bond, what should be placed next?
Composite on the labial surfaces which should be adapted to the tooth surface.
Which shade of composite should be used for the application of a titanium splint and why?
Dark shade as this will allow for identification when removing the composite from the tooth.
What oral health considerations should be accounted for when placing the composite to fit the splint?
Do not place in the interdental region to not compromise oral health.
After the initial placement of composite, what would be the next step to ensure the splint is well bonded / not able to cause trauma.
Place additional composite over the brackets.
What should be used to check for any sharp aspects on the splint?
A cotton wool run over the surface (check for catching).
