Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Peds Final > Trauma > Flashcards

Trauma Flashcards

1
Q

Signs of intracranial Pressure

A 
Loss of consciousness
Nausea and vomiting
Dizziness
Headache
Lethargy or irritability
Memory loss
Pupil size and reaction to light
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Occlusal view for primary teeth

A

Occlusal plane
Gentle bite to stabilize
Outside edge should be at incisors

60 degrees through bridge of nose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

2 week radiographic evidence

A

Pulpal necrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

3 week radiographic

A

Inflammatory resorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

6 week radiographic

A

Replacement resoprtion ankylosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Short term reaction of teeth to trauma

A 
Pulpal hyperemia (pulpitis)
Internal hemorrhage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Long term reactions of teeth to trauma

A

Pulpal necrosis
Pulp canal obliteration
Inflammatory resorption
Replacement resorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pulpitis internal hemorrhage

A

May lead to cold sensitivity

This is an immediate response

May be transient q

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pulp canal obliteration and pulpal necrosis

A

These are long term responses

Both ar irreversible

PCO causes yellow discoloration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Replacement resoprtion

A

Direct union of bone and root

Resorption of root and replacement with bone

Direct results of loss of vital PDL

Lack of mobility and dull percussion sound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

2 types of injuries

A

Injuries to the tooth =fractures

Injuries to the PDL=luxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Goals of fracture

A

Temp cover up

Establish follow up plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Goals of luxation

A

Resportion and stabilize

Establish follow up plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Class I fracture

A

Limited to enamel

Restore perm with composite

Ignore primary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Class II fracture

A

Fracture includes enamel and dentin

Pulp is not exposed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Class II primary tooth

A

Composite/GI

Then monitor for symptoms

Definitively restore with composite/GI

3-4 week follow up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Class II fractures Permanent Teeth

A

Bond fragment if available
Composite blind aid

6-8 weeks clinical and radiographic exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Class III Fractgure

A

Involves enamel and dentin and pulp is exposed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Class III fractures primary teeth options

A

Partial pulpotomy
Pulpotomy
Pulpectomy
Extraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Class III primary teeth usually comes down to

A

Behavior

Partial pulpotomy
Extraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Class III primary teeth follow up

A

1 week clinical exam

6-8 weeks clinical radiographic exam

1 year clinical and radiographic exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Class III fractures permanent young tooth

A

Young tooth with open apex or closed apex

Direct pulp cap
Partial pulpotomy (Cvek technique)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Class III fractures permanent mature tooth

A

Mature tooth with closed apex

Pulpectomy

Direct pulp and partial are also options

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Cvek Partial pulpotomy

A

Single tooth isolation

Access the pulp chamber to a depth of 1-2 mm

Extend to allow access keep in dentin

Bleeding is good

Medicaments

Condense a sufficient thickness of dry calcium hydroxide powder to fill preparation at least 1 mm in depth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

If no bleeding

A

Tooth may be necrotic and pulpectomy is indicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Class III fractures permanent teeth

A

Restoration can occur after success of Cvek has been determined

Typically after 6-8 weeks follow up
Strip crown or composite buildup

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Chin trauma

A

Posterior crown fracture
Mandibular consular fractures
Cervical spine injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Luxation injuries

A 
Concussion
Subluxation
Extrtusive luxation
Lateral luxation
Intrusive luxation
Avulsion
29
Q

Concussion

A

An injury to the tooth-supporting structures without abnormal mobility or displacement of the tooth

30
Q

How can you tell concussion

A

Tender to percussion

31
Q

Primary teeth Concussion

A

No emergency treatment

Monitor for symptoms

32
Q

Subluxation

A

An injury to the tooth supporting structures with increased mobility but without displacement of the tooth

May have bleeding from gingival sulcus

33
Q

Subluxation primary tooth

A

No emergency tooth shoul tighten back up

Same with permanent -can consider splinting for 2 weeks

34
Q

Extrusion

A

A partial displacement of the tooth out of its socket

Looks long

May be mobile

35
Q

Minor extrusion primary

A

<3 mm
Reposition but dont splint

Spontaneous alignment

36
Q

Extrusion severe primary

A

Extract

37
Q

Extrusion permanent teeth

A

Reposition with digital pressure

Flexible splint for 2 weeks

Rx chlorhexidine mouth rinse

38
Q

Extrusion follow up closed apex

A

Likely pulp necrosis

Remove pulp and fill with CaOH when indicated

Complete gutta percha fill in 2 months if no inflammatory resorption

39
Q

Lateral luxation

A

A displacement of the tooth in a direction other than a i ally

Usually immobile

This is accompanied by fracture of the alveolar socket

40
Q

Lateral luxation primary teeth retrusion

A

If no occlusal interference then allow spontaneous repositioning

With occlusal interference resportion (but do not splint) or extract

Severe protrusion
-extract

41
Q

Lateral luxation permanent teeth

A

Reposition with digital pressure

Flexible splint for 4 weeks

Rx chlorhexidine mouth rinse

42
Q

Lateral luxation closed apex

A

Likely pulp necrosis remove pulp and fill with CaOH when indicated

Complete gutta percha fill in 2 months if no inflammatory resorption

43
Q

Intrusive luxation

A

A displacement of the tooth into the alveolar bone

Tooth is immobile

This injury is accompanied by comminution or fracture of the alveolar socket

44
Q

Intrusion primary tooth if displaced labially

A

Then allow spontaneous re eruption

45
Q

Intrusion if tooth displacement into tooth bud

A

Extract

46
Q

Injuries to developing teeth

A 
Discoloration
Enamel hypoplasia
Crown or root dilaceration
Arrested development
Disturbance in eruption
47
Q

Greatest risk to developing teeth

A

Ages 1-3

48
Q

Intrusion permanent teeth Open apex

A

Up to 7mm- spontaneous eruption

More than 7 mm: ortho or surgical repositioning

49
Q

Intrusion permanent teeth closed apex

A

Up to 3 mm; spontaneous eruption

3-7 mm ortho or surgical reposition

More than 7 mm surgical reposition

If repositioned splint with flexible splint for 4 weeks

50
Q

Intrusion follow up for closed apex

A

Remove pulp and fill with CaOH within 2-3 weeks

Complete gutta percha fill in 2 months if no inflammatory resoprtion

51
Q

Avulsion

A

A complete displacement of the tooth out of its sockets

52
Q

Primary avulsion

A

NEVER re-implant

53
Q

Avulsion permanent tooth ultimate goal

A

PDL healing without root resorption

54
Q

Avulsion percent tooth most critical factor

A

Maintain an intact and viable PDL on the root surface

55
Q

Avulsion of permanent tooth

A

EVERY MINUTE COUNTS

Whoever is holding tooth is the person to put it back

Flexible splint for 2 weeks

56
Q

Avulsion of permanent tooth medication

A

Systemic antibiotics
Chlorhexidine rinse
Ibuprofen

57
Q

Transport media

A

HBSS
Milk
Saline
Saliva

Avoid water

58
Q

Management of root surface

A

Maintain PDL cell vitality

Don’t handle surface

Gently remove persistent debris

59
Q

Management of the socket

A

If clot present use saline irrigation

Do not curette socket

Reposition alveolar bone

Manually compress bony plates after replantation

60
Q

Management of soft tissue

A

Tightly suture any soft tissue lacerations particularly in the cervical region

61
Q

Splinting

A

Use fish line/acid etch resin

Maint splint up to 2 weeks longer if excessive mobility

62
Q

Home care

A

No biting on splinted they
No sports
Soft diet for 2 weeks

Good oral hygiene

63
Q

After removing splint

A

Asses need for RCT follow up should happen a t 4 weeks 3 months 6 months 1 year and yearly thereafter

64
Q

Closed apex avulsion

A

Remove pulp fill with CaOH within 7-10 days

Splint 2 weeks

Complete gutta percha fill in 2-12 months

65
Q

Immature permanent tooth avulsion

A

Best prognosis if replanted within 20 minutes

Replant and splint as with mature teeth

66
Q

Revascularization technqieu

A

Stimulate bleeding through apex

Place MTA on top of clot

Allow continued root development and root wall thickening

67
Q

What to do when the tooth becomes ankylosed

A

Maintain it as long as possible

68
Q

For permanent teeth if the apex is closed and you expect the blood supply is severed

A

Depending on the severity of the injury

Do the pulpectomy

Peds Final (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions