Trauma Random

Question 1

SOOD: contraindications for reimplantation after avulsion

Answer 1

1. special consideration groups for infective endocarditis (if not in special consideration group then overall you should be fine bc you’ll still be giving ABx cover)
   ^^^^ we also don’t do hall crowns for caries or pulpotomies in these pts, but it’d be fine if you were doing PFM placement for MIH bc it’s not a carious process
2. Immunocompromised patients
3. Pts with severe learning difficulties, making dental management very hard

Question 2

When do you prescribe ABx for avulsion

Answer 2

Vast majority of paeds patients get ABX prescribed bc you can’t guarantee the tooth was clean when reimplanting

Question 3

When would you not carry out a trauma stamp

Answer 3

• Stamp isn’t done on the very initial acute visit bc everything is tender and sore and gives you false readings
• but you can do it on subsequent visits

Question 4

POST OP INSTRUCTIONS AFTER TRAUMA

Answer 4

• Avoid contact sports for two weeks
• Eat soft foods for two weeks — avoid eating on traumatised tooth
• Careful oral hygiene (give a soft tooth brush to help with hygiene practice) after each meal
• Rinsing with chlorhexidine gluconate 0.12% alcohol free mouth rinse 2x a day for 2 weeks
• Advice on appropriate analgesia should be provided

Question 5

Avulsion permanent tooth closed apex - RCT tx

Answer 5

• RCT within 2 weeks
• Calcium hydroxide for 4 weeks

Question 6

Avulsion ABx

Answer 6

• first line is penicillin
• second line is doxicycline (can cause tooth discolouration in < 12 yrs old)