Dental Trauma Essay

1353 words - 5 pages

. The American Academy of Pediatric Dentistry and the British Society of Pediatric Dentistry with the International Association of Dental Traumatology (IADT) have created to guidelines that outline the different types of trauma along with their methods of diagnosis and treatment. Traumatic dental injuries (TDIs) most frequently occur in preschool, school-age children and young adults. 25% of all school children experience dental trauma. The most common TDIs in the primary dentition is luxation (Dent Traumatol 2012;28:2-12). The following guidelines for management of dental traumatic injuries in primary teeth were attained using the AAPD and IADT.

Dental traumatic injuries include:
Fractures of the the teeth and alveolar bone
Definition: Incomplete fracture of enamel without loss of tooth structure
Diagnosis: No radiographic abnormalities. Radiographs recommended, especially if other signs or symptoms are present
Treatment: Etching and sealing with resin; Smooth sharp edges
Follow up: Usually none

Enamel fracture
Definition: Complete fracture of the enamel with no visible sign of exposed dentin
Clinical - enamel loss is visible
Percussion: not tender
Mobility: normal
Sensitivity: not reliable
Radiographic findings: Enamel loss is visible
Radiograph recommended: PA, occlusal, and eccentric exposures to r/o root fracture or luxation injury.
Treatment: Smooth sharp edges. If the patient has a lip or cheek lesion, it is advisable to search for tooth fragments or foreign materials.
Follow up: None

Crown fracture - uncomplicated
Definition: an enamel-dentin fracture without pulp exposure.
Clinical: visible loss of enamel and dentin
Percussion: not tender
Mobility: normal
Sensitivity: not reliable
Enamel and dentin loss is visible. Distance between the fracture and pulp evaluated.
Clean with water spray, saline or chlorhexidine and disinfect with sodium hypochlorite or Peridex
Emergency: glass ionomer cement for temporary coverage
Restore with composite resin
Follow up: 6-8 weeks and a year

Crown-fracture - uncomplicated
Definition: an enamel fracture or an enamel-dentin fracture that does not involve the pulp.
Clinical: visible loss of tooth structure and exposed pulp
Percussion: Not tender
Mobility: normal
Sensitivity: not reliable
Radiographic: loss of tooth structure with pulpal involvement
Recommended: occlusal to r/o displacement of root or root fracture
Treatment: Pulpotomy, pulpectomy, and extraction
Follow up: 1 week. Clinical and radiographic 6-8 weeks and a year.

Crown/Root fracture
Definition: an enamel, dentin, and cementum fracture with or without pulp exposure.
Clinical findings: mobile coronal fragment attached to the gingiva with or without a pulp exposure.
Percussion: tender
Mobility: at least one coronal fragment
Sensitivity: not reliable
Radiographic findings: radiolucent oblique...

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