Trauma pt 2 Flashcards
a patient comes in with a fracture of the root, involving the dentin, pulp, and cement. What type of fracture is this?
horizontal root fracture
A patient comes in with a horizontal root fracture. In what area is the fracture most likely to be?
mid-root
In what groups of people are posterior horizontal root fractures most ocmmon?
asian population
age 50-70
reduced periodontium
attrition
What should the exposed root surface be rinsed with before repositioning the segment?
saline
If there is a horizontal root fracture in the apical or mid root, how long should you splint?
4 weeks
if there is a horizontal root fracture in the cervical third, how long should you splint?
4 months
Should you start endo treatment at an emergency visit for a horizontal root fracture?
no
A patient with a horizontal root fracture comes in for a follow up. They now show a positive response to sensibility testing, signs of repair between the segments, and slight mobility. What is the prognosis of this tooth?
good
A patient with a horizontal root fracture comes in for a follow up. They are symptomatic, the tooth has excessive mobility, and there is a radiolucency at the fracture line. What is the prognosis of this tooth?
poor
Healing by calcificaiton is type ___ healing
1
healing by interproximal connective tissue and bone is type ___ healing
2
healing with interproximal connective tissue is type ____ healing
3
Non-healing with interproximal inflammatory tissues is type ___ healing
4
In type 4 healing, which part is most likely to become necrotic?
coronal segment
What type of treatment approach may be required for the coronal segment of a horizontal root fracture?
apexificaiton
Is prognosis better if the coronal root fracture occurs above or below the crestal alveolar bone?
below
Is prognosis better for immature or mature teeth involved in horizontal root fractures?
immatre
A patient comes with a tooth in their hand. What is the diganosis?
avlusion
Localized cemental damage in an avulsed tooth may be due to
the tooth being crushed against the socket
If the PDL cells dry out before replantation, what happens?
-replacement resorption
-bone attaches to root surface
