trauma

Question 1

truama incidents

Answer 1

1) oral injuries 5% for which people seek treatment
2) 0-6 years oral injuries

Question 2

causes of trauma

Answer 2

1) falls, during activities, bicycling, skateboarding
2) on playgrounds
3) home
4) motor vehicle
5_ sports
6) abuse

Question 3

primary dentition

Answer 3

1) most injuries at 1.5-2 years age
2) first steps, developing motor coordination
3) luxation injurties

Question 4

permanent dentitions

Answer 4

1) most injuries 8-11
2) sports related
3) tooth fractures more common

Question 5

traumatic injuries

Answer 5

1) can be complex
2) diagnosis of all soft and hard tissue

Question 6

assessment of traumatic injuries

Answer 6

1) history med and dental
2) trauma hx
- what, when, where, how?
3) consciousness assessment
- check for CNS injury => refer to MD immediately
- PERRLA test, orientation x3
4) extraoral examination
- bruising on head and chin (brain trauma or TMJ)
5) intraoral exam
- look for debris and fragments
- occlusion and TMJ
6) hard tissue assessment
- teeth missing, fragments found, pulp exposure, luxation, mobility
7) radiographic assessment
- modified occlusal, periapical
- reduce exposure time by 25 for soft tissue radiographs
- extraoral lateral radiograph, reduce exposure time by 50%
- pano

Question 7

treat the emergency

Answer 7

1) diagnosis and emergency treatment
2) primary
- preserve the safety of the permanent tooth
3) permanent
- vitality of PDL and pulp

Question 8

follow up

Answer 8

1) follow up visits
2) non vitality and what to monitor
3) risk of damage to developing permanent teeth
4) prognosis depends on injury and severity

Question 9

documentation

Answer 9

1) consider legal issues and signed consent
- photos and treatment
2) SOAP notes