Trauma II

Question 1

Peak incidence in primary dentition?

Answer 1

Age 2-4 years

Question 2

Prevalence of NAIs?

Answer 2

0.1-10%

Question 3

Who most at risk of NAIs?

Answer 3

Under 2 years

Question 4

Factors increase risk of NAIs?

Answer 4

Poverty, partner abuse, parent low intelligence, alcohol/drug abuse

Question 5

What look for suspect NAIs?

Answer 5

Delay seek tx
Inconsistent hx
Abnormal child/parent reaction
Withdrawn child

Question 6

Clinical signs of NAIs?

Answer 6

Multiple injury different vintage
Small circular burns
Lesions odd sites
fRenal tears
Bite marks

Question 7

What area would make you suspect NAIs?

Answer 7

Triangle of safety - area not normal to have injury

Ears, side of face and neck

Question 8

Sequel of management of dental trauma?

Answer 8

1. Full hx
2. EO/IO exam
3. Special investigastion
4. Diagnosis
5. Primary tx
6. Review

Question 9

What are factors complicate tx in primary teeth?>

Answer 9

Young - limited co-operation
Large pulp:tissue ration
Developing dentition

Question 10

Basic tx management of crown fractures?

Answer 10

Infarction - monitor
Enamel fracture - grind if needed
Enamel-dentine - adhesive restroation
Complication - pulpcap/pulpotomy

Question 11

Tx of choice for crown-root fractures?

Answer 11

XLA

Question 12

What do you if root fracture?

Answer 12

Remove coronal fragment if necessary

Question 13

Management of concussion?

Answer 13

Supportive advice - soft diet, analgesia, OHI, CHX too sore)

Review

Question 14

Management of subluxation?

Answer 14

Support advice and review

Question 15

Management of intrusion?

Answer 15

Radiograph - relation permanent successor
Leave re-erupt
Supportive advice
XLA if displaced follicle successor

Question 16

Management of lateral luxation?

Answer 16

If palatal - leave if not trauamtic occlsuion
Labial - reposition or extract

If mobile/risk inhalation XLA

Question 17

Management avulsion primary teeth?

Answer 17

Don’t reimplant

Question 18

Why want to follow up trauma primary teeth?

Answer 18

Sequelae of injury to primary tooth/ developing permanent successor

Question 19

What seqeuale might see in injury to primary tooth?

Answer 19

Change colour 
Loss vitality
Internal/external resoprtion
Canal scelorisis
Failure exfoliate

Question 20

Is change in colour indication for tx?

Answer 20

Not in absence other sign/ symptoms

Question 21

What signs might see if tooth lose vitality?

Answer 21

Pain
Swellings
Sinus formation

Question 22

What factors to consider with injury successor?

Answer 22

type injury

age occurred

Question 23

Why can permanent successor be damaged?

Answer 23

Injury can cause disturbance in mineralisation or morphology developing tooth germ

Question 24

Most common injury to cause damage permanent tooth?

Answer 24

Intrusion > avulsion > extrusion > subluxation

Question 25

What can be seen in permanent successor damage?

Answer 25

Enamel opacities
Hypopplasia
Crown dilaceration
Odontoma-like malforamtion
Root dilceration
Arrest root formation
Disturbance in eruption