11. Trauma Flashcards
(47 cards)
List the 7 types of dental trauma injuries:
- Enamel infraction
- Enamel fracture
- Enamel-Dentine Fracture
- Enamel-Dentine-Pulp Fracture
- Crown-Root fracture without pulp exposure
- Crown-Root fracture with pulp exposure
- Root Fracture
Enamel Infraction
An incomplete fracture of the enamel only
Enamel infraction: signs and symptoms
Non tender
No radiographic signs
Enamel fracture
A complete fracture of the enamel
Enamel fracture: signs and symptoms
Non tender
Positive sensibility test response
Radio graphically visible
Enamel-DentineFracture
Fracture of the enamel into dentine
Enamel-dentine fracture: signs and symptoms
Not tender
Positive sensibility response
Radiographically visible
Enamel-dentine- pulp fracture: signs and symptoms
Non tender
Pulp sensitive to stimuli
Radiographically visible
Crown-Root fracture without pulp involvement: signs and symptoms
TTP
coronal portion mobile
Positive sensibility response
Crown-Root fracture with pulp involvement:signs and symptoms
TTP
coronal portion mobile
Root Fracture: signs and symptoms
Coronal portion mobile
TTP
bleeding
-ve sensibility
Crown couloir change (red/grey)
List the 4 possible traumatic periodontal injuries:
- Concussion
- Subluxation
- Luxation (lateral, intrusive, extrusive)
- Avulsion
Concusion:
Bruising of the socket
Subluxation:
Loosening of the tooth in the socket
Luxation:
Complete displacement of the tooth in the socket
Avulsion:
When the tooth is completely lost from the socket
Concussion: signs and symptoms
No displacement
Tooth TTP
normal mobility
No radiographic changes
Subluxation: signs and symptoms
No tooth displacement
tooth TTP
Increased mobility
Bleeding
-ve sensibility
Intrusive Luxation: signs and symptoms
Immobile tooth
-ve sensibility
Radiographically, loss of PDL
Lateral Luxation: signs and symptoms
Immobile tooth
-ve sensibility
Radiographically, widened PDL
Extrusive Luxation: signs and symptoms
Mobile tooth
-ve sensibility
Radiographically, increased PDL space
How can dental trauma be prevented?
Overjet reduction
Mouth guards
What are the 10 steps when managing dental trauma?
- Assess for signs of head trauma
- Assess for other injuries
- Assess for any aspirations of teeth
- E/O exam
- I/O exam
- Trauma table
- Sensibility tests
- Radiographs
- Diagnosis
- Treatment
What are signs of head trauma?
Loss of consciousness
Strange behaviours
Vommiting
Visual disturbance