Tooth Trauma and Infections

Question 1

what is a concussion to the teeth

Answer 1

minor injury without abnormal loosening or displacement of the tooth.

Question 2

what is the treatment of a tooth concussion

Answer 2

no treatment required.

Question 3

what is a tooth subluxation

Answer 3

a traumatic injury that results in a tooth that is to varying degrees loose in the socket.

Question 4

what is the treatment for a tooth subluxation

Answer 4

gentle manipulation of tooth into position.
splint

refer to dental.

Question 5

what is a tooth avulsion

Answer 5

injury where tooth is removed from the socket and necessitates immediate action.

Question 6

what is the treatment for a tooth avulsion

Answer 6

rinse with saline.
intraoral nerve block 
replace tooth in socket. 
(success is reduced 1% by every minute left out) 
administer penicillin 500 mg PO
splint

Question 7

if re implantation of a tooth avulsion is unsuccessful place in what type of solution

Answer 7

Hanks solution
Milk
Saline
Saliva (of patients mouth)

Question 8

do you need an immediate consult to dental for a tooth avulsion?

Answer 8

yes

Question 9

what is the timeline for replacement of an avulsed tooth back into the socket

Answer 9

30 min to 1 hour

Question 10

how are fractures of the tooth divided up?

Answer 10

affect only the enamel
expose the dentin
expose the pulp
include the root

Question 11

what does the patient notice if the fracture involves only the enamel?

Answer 11

rough and sharp edges but are asymptomatic

Question 12

what does the patient exhibit if the fracture has dentin involved.

Answer 12

sensitivity to cold and air and water

Question 13

treatment for exposed dentin fracture

Answer 13

mild analgesic and referral to a dentist

dentist treatment consists of the restoration of the tooth by a composite (white filling) or a dental crown.

Question 14

if the fracture leaves pulp exposed what are the indications

Answer 14

bleeding from the tooth or if the tooth is mobile, dental referral is urgent.

Question 15

what is the treatment for exposed pulp fracture

Answer 15

treatment usually involves a root canal

Question 16

are root fractures and alveolar fractures always visible?

Answer 16

no

Question 17

if there is a tooth fracture has dentin exposure is the patient put SIQ?

Answer 17

No

Question 18

treatment for a mandibular fracture

Answer 18

tetanus
PCN
Anesthetic 
re approximate fracture
Barton Bandage

Question 19

what is pulpitis

Answer 19

inflammation of the dental pulp resulting from untreated caries, trauma, or multiple restorations.

Question 20

how is reversible pulpitis recognized

Answer 20

pain occurs when a stimulus is applied to the tooth. (percussion, cold, or sweets)

Question 21

how is irreversible pulpitis recognized

Answer 21

pain occurs spontaneously or lingers minutes after the stimulus is removed.

Question 22

why would pain cease for several days with irreversible pulpitis

Answer 22

the pain may then cease for several days because of pulpal necrosis.

Question 23

what happens as irreversible pulpitis infection develops and extends through the apical foramen

Answer 23

the tooth becomes exquisitely sensitive to pressure and percussion.

Question 24

what are some infections sequelae of pulpitis

Answer 24

apical periodontitis, periapical abscess, cellulitis, and osteomyelitis of the jaw

Question 25

if infections pulpitis spreads from the mandibular teeth, it may cause what?

Answer 25

ludwigs angina

Question 26

what is the treatment of reversible pulpitis

Answer 26

carries are removed and then restored

Question 27

what is the treatment for irreversible pulpitis

Answer 27

requires endodontic (root canal) therapy. or tooth extraction

Question 28

what is required after a root canal?

Answer 28

a crown

Question 29

what is periapical periodontitis

Answer 29

an acute or chronic inflammatory lesion around the apex of a root, which usually caused by bacterial invasion from the pulp of a necrotic tooth.

Question 30

what is the treatment for periapical periodontitis

Answer 30

symptomatic
antibiotics
referral to dental

Question 31

what is a tooth abscess

Answer 31

an abscess is a collection of pus within the periodontium caused by the bodies immune response to a bacterial infection.

Question 32

what is a periapical abscess

Answer 32

pus at the apex of a tooth, caused by an infection from the apical foramen of a tooth with irreversible pulpitis to the surrounding tissue (can extend to the cheek)

Question 33

what is a periodontal abscess

Answer 33

a collection of pus that occurs alongside a tooth as a result of an infection not caused by its root.

Question 34

what is the treatment for a periapical abscess?

Answer 34

pain relief
drainage via I and D
antibiotics
refer to dental for root canal therapy or tooth extraction (as a last result)

Question 35

what is gingivitis?

Answer 35

inflammation of the gingiva, producing bleeding with swelling, redness, exudate, a change of normal contours, and occasionally, discomfort (such as superficial gingival pain)

Question 36

what is the most common cause of gingivitis

Answer 36

poor oral hygiene

Question 37

what plays a secondary role in causing gingivitis

Answer 37

malocclusion, dental calculus, food impaction, faulty dental restorations, and xerostomia play a secondary role.

Question 38

what may chronic gingivitis evolve into?

Answer 38

periodontitis