Trauma lecture 5

Question 1

what causes discolouration

Answer 1

pulp necrosis
discolouration following rct
discolouration of permanent tooth following primary tooth trauma
discolouration of restoration

Question 2

can we use bleaching to improve colour of teeth

Answer 2

pt must be 18 years and over

Question 3

what causes discolouration following rct

Answer 3

has the pulp been fully removed
had blood leached into dentinal tubules
has gp been adequately reduced in the pulp chamber
has a dark material been used to seal the access cavity (fuji pink)

Question 4

after rct, what are the options for a discoloured tooth

Answer 4

crown +/- post core
ceramic venner
internal bleaching
external bleaching
composite camouflage

Question 5

what can be used for composites

Answer 5

retraction cord with astringent
gingival retraction paste

Question 6

how can we maintain space

Answer 6

acrylic partial denture
resin retained bridge

Question 7

management of discoloured tooth

Answer 7

accept
free hand composite veneer
lab processed porcelain veneer
crwon
rct and non-vital bleaching if over 18

Question 8

management of fractured tooth

Answer 8

composite restoration or veneer
crown - only when over 18
post, core and crown restoration
crown lengthening
ortho extrusion

Question 9

management of missing tooth

Answer 9

space maintenance: partial acrylic denture, resin bonded bridge, porcelain bonded to metal bridge
space closure: ortho assessment, bodily movement of adjacent teeth