Trauma Flashcards

1
Q

What is included in a trauma stamp?

investigations (8)

A
  • sinus
  • colour
  • mobility
  • TTP
  • percussion note
  • ethyl chloride test (ECL)
  • electric pulp test (EPT)
  • radiograph
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2
Q

What should be looked at during trauma review appointments?

significant findings

A
  • continuation of root formation
  • loss of pulp vitality
  • breakdown of the perdiodontal ligament
  • resorption (types and process)
  • types of root fracture healing
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3
Q

Which trauma type has the poorest prognosis?

A
  • intrusion
  • avulsion/replantation
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4
Q

What is the % incidence of resorption after 5 years for open apex intrusion and avulsion cases?

A

67%

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5
Q

What is the % incidence of resorption after 5 years for closed apex instrusion and avulsion cases?

A

100%

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6
Q

List in order best to worst prognosis of dental trauma types.

A

concussion
subluxation
extrusion
lateral luxation
intrusion
avulsion

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7
Q

What is the % incidence of resorption after 5 years for open apex concussion and subluxation?

A

1%

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8
Q

What is the % incidence of resorption after 5 years for closed apex concussion and subluxation?

A

3%

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9
Q

What is the % incidence of resorption after 5 years for open apex extrusion?

A

5%

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10
Q

What is the % incidence of resorption after 5 years for closed apex extrusion?

A

7%

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11
Q

What is the % incidence of resorption after 5 years for open apex lateral luxation?

A

3%

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12
Q

What is the % incidence of resorption after 5 years for closed apex lateral luxation?

A

38%

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13
Q

Name the 4 types of resorption.

A
  • external surface
  • external inflammatory
  • internal inflammatory
  • replacement resorption (ankylosis)
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14
Q

What is external surface resorption?

A
  • damage to PDL which heals
  • non-progressive
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15
Q

What is external inflammatory resorption?

A
  • damage to PDL
  • progressive
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16
Q

How can external inflammatory resorption be diagnosed?

A

radiograph shows:
* root surfaces indistinct
* tramlines of root canal intact

17
Q

What is the managemet of externnal inflammatory resorption?

A
  • pulp extirpation
  • mechanical debridement and chemical irrigation
  • non-setting calcium hydroxide 4-6 weeks
  • obturate
18
Q

What is internal inflammatory resorption?

A
  • initiated by non-vital pulp
  • progressive
19
Q

How can internal inflammatory resorption be diagnosed?

A
  • tramlines of root canal indistinct
  • root surfaces intact
20
Q

What is the management for internal inflammatory resorption?

A
  • pulp extirpation
  • mechanical debridement and chemical irrigation
  • non-setting calcium hydroxide 4-6 weeks
  • obturate
21
Q

What is replacement resorption (ankylosis)?

A
  • initiated by severe damage to PDL
  • normal repair does not occur
  • bone fused directly to dentine
  • progressive
  • tooth gradually resorbed as it is now part of bone remodelling
22
Q

How can replacemet resorption (ankylosis) be diagnosed?

A

loss of PDL and lamina dura

23
Q

What are the types of root fracture healing?

(4)

A
  • calcified tissue
  • granulation tissue
  • osseous tissue
  • non-healing (granulation tissue detected as black mass round fracture line on radiograph)