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BDS3 Paediatrics > Types of Paediatric Dental Trauma > Flashcards

Types of Paediatric Dental Trauma Flashcards

1
Q

what is the aetiology of paediatric trauma

A

falls
bumping into objects
2-4 years old

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2
Q

what are the two main classifications of trauma

A

dental hard tissues and pulp
supporting tissues

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3
Q

what are the classifications of dental hard tissue and pulp trauma

A

enamel fracture
enamel and dentine fracture
enamel dentine and pulp fracture
crown-root fracture
root fracture

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4
Q

what are the classifications of supporting tissue trauma

A

concussion
subluxation
lateral luxation
intrusion
extrusion
avulsion
alveolar fracture

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5
Q

what is an enamel fracture

A

fracture affects enamel only

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6
Q

what is an enamel-dentine fracture

A

fracture involves enamel and dentine and pulp is not exposed

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7
Q

what is a complicated enamel, dentine and pulp fracture

A

fracture involves enamel and dentine plus the pulp is exposed

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8
Q

what is a crown-root fracture

A

involves enamel, dentine and root
pulp may or may not be involved (complicated vs uncomplicated)

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9
Q

what is a concussion injury

A

DPL injury
tooth is TTP
no displacement and no bleeding into sulcus

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10
Q

what is a subluxation injury

A

tooth is TTP and has increased mobility
tooth is not displaced by bleeding from gingival crevice present

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11
Q

what is a lateral luxation injury

A

tooth displaced usually in a paltal/ lingual or labial direction

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12
Q

what is an intrusion injury

A

tooth is usually displaced through the labial bone plate or can impinge on permanent tooth bud

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13
Q

what is an extrusion injury

A

partial displacement of tooth out of the socket

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14
Q

what is an avulsion injury

A

tooth is completely out of the socket

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15
Q

what is an alveolar fracture

A

fracture involves alveolar bone and may extend to adjacent bone
mobility with several teeth moving together likely

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16
Q

what are the six aspects of a trauma stamp

A

mobility
colour
TTP
sinus
percussion note
radiograph

17
Q

what is the treatment for an enamel fracture

A

smooth sharp edges

18
Q

what is the treatment for an enamel/ dentine fracture

A

cover all exposed dentine with GI or composite

19
Q

what are treatment options for enamel/ dentine/ pulp fracture

A

partial pulpotomy
extract

20
Q

what is the treatment for crown/ root fracture if it is restorable and there is no pulp exposed

A

cover exposed dentine with GI

21
Q

what is the treatment for crown/ root fracture where the tooth is restorable but the pulp is exposed

A

pulpotomy or endo

21
Q

what is the treatment for crown/ root fracture if tooth is unrestorable

A

extract loose fragments

22
Q

what is the treatment for root fracture where coronal fragment is not displaced

A

no treatment

23
Q

what is the treatment for root fracture where the coronal fragment is displaced but not excessively mobile

A

leave coronal fragment to spontaneously reposition even if some occlusal interference

24
Q

what is the treatment for root fracture where coronal fragment is displaced and excessively mobile and interfering with occlusion

A

extract
reposition loose coronal fragment and splint

25
Q

what is the management for a concussion injury

A

no treatment
observe

26
Q

what is the management for a subluxation injury

A

no treatment
observe

27
Q

what is the treatment for lateral luxation with minimal occlusal interference

A

allow to reposition spontaneously

28
Q

what is the treatment for a lateral luxation with severe displacement

A

extract
reposition and splint

29
Q

what is the management for an intrusion injury

A

allow to spontaneously reposition, irrespective of direction of displacement

30
Q

what is the management for an extrusion injury that is not interfering with occlusion

A

spontaneous repositioning

31
Q

what is the management of an extrusion injury with excessive mobility or extruded more than 3mm

A

extract

32
Q

what is the management of an avulsion injury

A

radiograph to confirm avulsion
do not replant

33
Q

what is the treatment for an alveolar fracture

A

reposition fragment
stabilise with flexible splint to adjacent uninjured teeth for 4 weeks

34
Q
A

BDS3 Paediatrics (2 decks)

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