TRAUMA

Question 1

name what you wind find if a patient presents with an infraction

Answer 1

incomplete fracture of enamel without loss of tooth structure

Question 2

what is the treatment for infarction

Answer 2

etch bond and seal with composite resin

Question 3

what is the presentation of an enamel fracture

Answer 3

complete fracture of the enamel with loss of enamel but no visible sign of exposed dentine

Question 4

what is the treatment and recall regime for enamel fractures

Answer 4

bond tooth fragment back on
cover in composite
r/v - 6-8 weeks and 1 year

Question 5

what is the treatment for an enamel-dentine fracture

Answer 5

bond tooth fragment back on if available
cover exposed dentine with GIC and composite

Question 6

what is the treatment for an enamel-dentine fracture where the exposed dentine is within 0.5mm of the pulp

Answer 6

CaOH over the base and cover with GIC

Question 7

what is the follow up regime for enamel-dentine fracture

Answer 7

6-8 weeks
1 year

Question 8

what is the treatment for an enamel-dentine-pulp fracture with an immature apex

Answer 8

pulp capping
partial pulpotomy

Question 9

what is the treatment for enamel-dentine-pulp fracture in patients with mature apex

Answer 9

RCT

Question 10

what is the treatment options for a crown-root fracture withOUT pulp exposure

Answer 10

emergency - stabilise loose segment to adjacent teeth
non-emergency - remove the coronal part and restore
orthodontic extrusion

Question 11

what is the review regime for enamel-dentine fractures

Answer 11

6-8 weeks
1 year

Question 12

what is the recall regime for enamel-dentine- pulp fractures

Answer 12

6-8 weeks
1 year

Question 13

what is the recall regime for crown-root fractures withOUT pulp involvement

Answer 13

6-8 weeks
1 year

Question 14

what is the treatment for crown-root fracture with pulp exposure

Answer 14

stabilise loose fragment to adjacent teeth
partial pulpotomy if open apex
remove coronal fragment and post-core restoration
RCT and orthodontic extrusion

Question 15

what is the recall regime for crown-root fracture involving pulp

Answer 15

6-8 weeks
1 year

Question 16

what is the treatment for root fracture

Answer 16

reposition and stabilise with flexible splint for 4 weeks
RCT if the tooth becomes non-vital

Question 17

what is the follow up regime for root fractures

Answer 17

4 weeks
6-8 weeks
4 months
6 months
1 year
5 years

Question 18

what is the treatment for an alveolar fracture

Answer 18

reposition displaced segment and splint for 4 weeks
suture gingival lacerations if present

Question 19

what is the recall regime for alveolar fractures

Answer 19

4 weeks
6-8 weeks
4 months
6 months
1 year
5 years

Question 20

what is the treatment for concussion injury

Answer 20

no treatment required

Question 21

what is the treatment for subluxation injury

Answer 21

normally no treatment
flexible splint for 2 weeks to stabilise teeth and patient comfort if needed

Question 22

what is the follow up for a concussion injury

Answer 22

4 weeks
6-8 weeks
1 year

Question 23

what is the follow up for subluxation injury

Answer 23

2 weeks
4 weeks
6-8 weeks
6 months
1 year

Question 24

what is the treatment for extrusion

Answer 24

reposition by gently reinserting tooth
stabilise for 2 weeks using flexible splint
RCT indicated in teeth with mature apices

Question 25

what is the follow up regime for extrusion

Answer 25

2 weeks
4 weeks
6-8 weeks
6 months
1 year
yearly for 5 years

Question 26

what is the treatment for lateral luxation

Answer 26

reposition tooth and stabilise for 4 weeks with flexible splint

Question 27

what is the follow up regime for lateral luxation

Answer 27

2 weeks
4 weeks
6-8 weeks
6 months
1 year
yearly for 5 years

Question 28

what is the treatment for intrusion with incomplete root formation

Answer 28

allow eruption without intervention
if no movement - initiate orthodontic reposition
if tooth intruded more than 7mm - surgical or ortho repositioning required

Question 29

what is the treatment for intrusion injury where the teeth have complete root formation

Answer 29

allow eruption without intervention if intruded less than 3mm
3-7mm intrusion - surgical or ortho repositioning
RCT recommended 2-3 weeks post repositioning
splint for 4 weeks

Question 30

what is the recall regime for intruded teeth

Answer 30

2 weeks
4 weeks
6-8 weeks
6 months
1 year
yearly for 5 years