Trauma II Flashcards
Peak incidence in primary dentition?
Age 2-4 years
Prevalence of NAIs?
0.1-10%
Who most at risk of NAIs?
Under 2 years
Factors increase risk of NAIs?
Poverty, partner abuse, parent low intelligence, alcohol/drug abuse
What look for suspect NAIs?
Delay seek tx
Inconsistent hx
Abnormal child/parent reaction
Withdrawn child
Clinical signs of NAIs?
Multiple injury different vintage Small circular burns Lesions odd sites fRenal tears Bite marks
What area would make you suspect NAIs?
Triangle of safety - area not normal to have injury
Ears, side of face and neck
Sequel of management of dental trauma?
- Full hx
- EO/IO exam
- Special investigastion
- Diagnosis
- Primary tx
- Review
What are factors complicate tx in primary teeth?>
Young - limited co-operation
Large pulp:tissue ration
Developing dentition
Basic tx management of crown fractures?
Infarction - monitor
Enamel fracture - grind if needed
Enamel-dentine - adhesive restroation
Complication - pulpcap/pulpotomy
Tx of choice for crown-root fractures?
XLA
What do you if root fracture?
Remove coronal fragment if necessary
Management of concussion?
Supportive advice - soft diet, analgesia, OHI, CHX too sore)
Review
Management of subluxation?
Support advice and review
Management of intrusion?
Radiograph - relation permanent successor
Leave re-erupt
Supportive advice
XLA if displaced follicle successor
Management of lateral luxation?
If palatal - leave if not trauamtic occlsuion
Labial - reposition or extract
If mobile/risk inhalation XLA
Management avulsion primary teeth?
Don’t reimplant
Why want to follow up trauma primary teeth?
Sequelae of injury to primary tooth/ developing permanent successor
What seqeuale might see in injury to primary tooth?
Change colour Loss vitality Internal/external resoprtion Canal scelorisis Failure exfoliate
Is change in colour indication for tx?
Not in absence other sign/ symptoms
What signs might see if tooth lose vitality?
Pain
Swellings
Sinus formation
What factors to consider with injury successor?
type injury
age occurred
Why can permanent successor be damaged?
Injury can cause disturbance in mineralisation or morphology developing tooth germ
Most common injury to cause damage permanent tooth?
Intrusion > avulsion > extrusion > subluxation
What can be seen in permanent successor damage?
Enamel opacities Hypopplasia Crown dilaceration Odontoma-like malforamtion Root dilceration Arrest root formation Disturbance in eruption
