Trauma 3 Flashcards
when is a flexible splint used for 2 weeks
- subluxation
- extrusion
- avulsion only if under 60 mins EADT
when is a flexible splint used for 4 weeks
- luxation
- apical/middle 1/3 root fracture
- intrusion
- dento-alveolar fractures
- avulsion if closed apex and >60 minsEADT
when do you use a flexible splint for 4 months
- if coronal 1/3 fracture
which is the best splint to do
- composite wire
how do you do composite splint
- bend wire to appropriate shape and then fix it in place with composite
which is a good material to use for splinting but is expensive
- titanium helix
how do you splint a re-implanted tooth
- cut and bend 0.3mm stainless steel wire
- apply composite resin to traumatise tooth and those adjacent
- sink contoured, passive wire into composite
- shape and cure composite
- smooth rough composite and wire ends
why is it best not to use ortho wire for splints
- it is very difficult to get them to be passive
what are vacuum splints
- gum shield splints
- mouthguard type splint
what is a problem with vacuum splints
- oral hygiene is often very poor
- patients are scared to take them in and out incase tooth was to move
when are acrylic splints useful
- when there are few abutment teeth
what is foil temporary splint
- very old method of splinting
- bit of foil cemented with Kalzinol
- doesn’t last long
- temporary fix
what is kalzinol
- a ZOE based material to cement it in place
what are dento-alveolar fractures
- don’t have displacement of teeth in sockets
- some mobility
- there has been damage to alveolar bone holding teeth in
- normally 3 or 4 teeth
- teeth are secure in sockets but bone holding them in has been fractured
how do you fix dento-alveolar fracture
- numb area and lift bone and put it back where it should be
- reposition
- flexible splint for 4 weeks
- antibiotics
what is apical lock
- a bit of bone from a dento-alveolar fracture is unable to get back into its proper place
what is the follow-up for dento-alveolar fracture
- monitor clinically and radiographically
- checking for root development
- check for signs of inflammatory resorption
what should patient do after dento-alveolar fracture
- soft diet for 7 days
- avoid contact sports whilst splint in place
- careful OH with use of chlorohexidine gluconate mouthwash 0.1%