Trauma Flashcards
3 year old presents with pain to tooth after falling. No bleeding, displacement or mobility
Diagnosis:
Radiographs:
Treatment:
Follow-up:
Concussion: no mobility or displacement: pain to percussion w/no gingival bleeding
No xrays
1 week, 6-8 weeks
3 year old presents with pain to tooth after falling. bleeding on sulcus, mobility but no displacement
Diagnosis:
Radiographs: (what could you see)
Treatment:
Follow-up:
subluxation
1 PA (widened PDL)
1 week, 6-8 weeks,
3 year old presents with #E longer than #F after accident.
Diagnosis:
Radiographs:
Treatment:
Follow-up:
Diagnosis: Extrusion
PA
If extruded >3mm and/or excessively mobile, occlusal interference–> EXT
otherwise let spontaneously repositions
1 week, 6-8, 1 year
3 year old presents with #E labially or lingually inclined than #F after accident.
Diagnosis:
Radiographs:
Treatment:
Follow-up:
Lateral luxation
1 PA (if displaced labially, apical lucency/PDL wide)
Spontaneous reposition if mild occul interfere (takes 6 months)
Severe occlusal interference, EXT
or
Splint (flexible)
1 wk, (4wk spent removal) ,6-8 wk, 6 month, 1 year
3 year old presents with #E submerged.
Diagnosis:
Radiographs:
Treatment:
Follow-up:
Intrusive luxation
PA
spontaneous re-eruption (6mo-1 yr)
1 wk, 6-8 weeks, 6 month, 1 yr
3 year old presents with #E out of the socket
Diagnosis:
Radiographs:
Treatment:
Follow-up:
Avulsion
PA, check mouth tissue for tooth, xray to see if tooth not intruded and if perm has been displaced
none
6-8 weeks
6 ys when perm tooth starts to erupt
3 year old presents with #E enamel chipped off
Diagnosis:
Radiographs:
Treatment:
Follow-up:
Enamel fracture
none
smooth sharp areas
no follow up needed
3 year old presents with #E enamel chipped off into dentin
Diagnosis:
Radiographs:
Treatment:
Follow-up:
Uncomplicated enamel-dentin fracture
PA (optional)
xray of sift tissue if suspected its embedded in tissue (reduce exposure 1/2-3rd)
glass ionomer over exposed dentin, composite
6-8 wks
3 year old presents with #E enamel chipped off into pulp
Diagnosis:
Radiographs:
Treatment:
Follow-up:
Complicated crown fracture (pulp exposure)
PA, and soft tissue
Cvek/partial pulpotonmy, place MTA, glass ionomer (fuji ii lc) composite
1wk, 6-8 wks, 1 year (take xray)
3 year old presents with #E crown/root fracture
Diagnosis:
Radiographs:
Treatment:
Follow-up:
Crown root fracture
Xrays: PA
-if restorable:
uncomplicated: cover exposed dentin w/glass ionomer
uncomplicated: pulpotomy/pulpectomy
if not restorable, EXT loose piece and keep firm root or ext.
1wk, 6-8 wks, 1 year (take xray)
3 year old presents with #E root fracture
Diagnosis:
Radiographs:
Treatment:
Follow-up:
Root fracture
PA
If no/minor coronal displacement no tx
if occlusal interference or mobility) displacement:
ext coronal portion and let apical resorb
reposition and splint
1 week, (4wk splint), 6-8 wk, 1 year, every year after until perm tooth erupts
3 year presents with alveolar fracture’
alveolar fracutre
PA
reposition
1 week, (4wk splint), 6-8 wk, 1 year, 6y perm tooth erupts
8 year comes in with tooth #9 chipped
Diagnosis:
Radiographs:
Treatment:
Follow-up:
uncomplicated crown fracture (enamel only)
Yes parallel PA, and another if signs of symptoms, possibly soft tissue, account for missing piece
smooth out sharp area or bond back chip
6-8 weeks, 1 year
8 year comes in with tooth #9 chipped into dentin
Diagnosis:
Radiographs:
Treatment:
Follow-up:
uncomplicated crown fracture (enamel-dentin fracture)
Yes parallel PA, and another if signs of symptoms, possibly soft tissue, account for missing piece
rehydrate fracture for 20 min in saline or water and bond back,
place glass ionomer over exposed dentin + restore with composite
if 0.5mm from pulp place caoh + glass ionomer
6-8 weeks, 1 year
8 year comes in with tooth #9 chipped into pulp
Diagnosis:
Radiographs:
Treatment:
Follow-up:
Complicated crown fracture
Yes parallel PA, and another if signs of symptoms, possibly soft tissue, account for missing piece
immature root/open apices: partial pulpotomy/pulp cap to promote root development (caoh)
mature root:
-conservative; partial pulp (caoh)
-if post required for retention: RCT
-bond back missing piece
6-8 weeks, 1 year
