Trauma pt 2

Question 1

a patient comes in with a fracture of the root, involving the dentin, pulp, and cement. What type of fracture is this?

Answer 1

horizontal root fracture

Question 2

A patient comes in with a horizontal root fracture. In what area is the fracture most likely to be?

Answer 2

mid-root

Question 3

In what groups of people are posterior horizontal root fractures most ocmmon?

Answer 3

asian population
age 50-70
reduced periodontium
attrition

Question 4

What should the exposed root surface be rinsed with before repositioning the segment?

Answer 4

saline

Question 5

If there is a horizontal root fracture in the apical or mid root, how long should you splint?

Answer 5

4 weeks

Question 6

if there is a horizontal root fracture in the cervical third, how long should you splint?

Answer 6

4 months

Question 7

Should you start endo treatment at an emergency visit for a horizontal root fracture?

Answer 7

no

Question 8

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?

Answer 8

good

Question 9

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?

Answer 9

poor

Question 10

Healing by calcificaiton is type ___ healing

Answer 10

1

Question 11

healing by interproximal connective tissue and bone is type ___ healing

Answer 11

2

Question 12

healing with interproximal connective tissue is type ____ healing

Answer 12

3

Question 13

Non-healing with interproximal inflammatory tissues is type ___ healing

Answer 13

4

Question 14

In type 4 healing, which part is most likely to become necrotic?

Answer 14

coronal segment

Question 15

What type of treatment approach may be required for the coronal segment of a horizontal root fracture?

Answer 15

apexificaiton

Question 16

Is prognosis better if the coronal root fracture occurs above or below the crestal alveolar bone?

Answer 16

below

Question 17

Is prognosis better for immature or mature teeth involved in horizontal root fractures?

Answer 17

immatre

Question 18

A patient comes with a tooth in their hand. What is the diganosis?

Answer 18

avlusion

Question 19

Localized cemental damage in an avulsed tooth may be due to

Answer 19

the tooth being crushed against the socket

Question 20

If the PDL cells dry out before replantation, what happens?

Answer 20

-replacement resorption
-bone attaches to root surface